Impact of the COVID-19 pandemic lockdown on weight status and factors associated with weight gain among adults in Massachusetts
Impact of the COVID-19 pandemic lockdown on weight status and factors associated with weight gain among adults in Massachusetts
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DOI：
10.1111/cob.12453
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发表时间：
2021-04-14
期刊：
影响因子：
3.3
通讯作者：
Solomon, Samrawit
中科院分区：
文献类型：
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作者：
Mulugeta, Wudeneh;Desalegn, Hailemicheal;Solomon, Samrawit
该研究旨在研究2019冠状病毒病（COVID-19）大流行封锁对体重、超重和肥胖的影响，并确定与体重增加相关的因素。在马萨诸塞州的一个安全网卫生系统中，11534名成年人在COVID-19封锁后的3个月内接受了回顾性随访。分别报告了分类变量和连续变量的卡方和95%置信区间（CI）。进行多变量分析，以确定与体重增加（>= 0.01 kg和5%）相关的因素。在封锁期间，女性体重增加的比例高于男性（46.1% vs 40.6%，P <0.01）。与封锁前相比，封锁后女性肥胖率增加（40.7%-41.7，P <0.01），但男性肥胖率下降（39.6%-38.6，P <0.01）。在海地（51.2%-55.0%，P <0.01）和西班牙裔妇女（50.7%-51.8%，P <0.01）中，封锁后肥胖率增加。体重增加超过5%与18至39岁vs >= 60岁相关（OR = 1.45，95%CI = 1.07，1.97），食物和住房不安全（OR = 1.44，95%CI = 1.05，1.97）与吸烟男性OR = 1.38，95% CI = 1.07，1.78; 18至39岁vs >= 60岁（OR = 1.55，95% CI = 1.25，1.91），西班牙裔（OR = 1.25，95%CI = 1.01，1.54）、巴西人（OR = 1.22，95%CI = 1.03，1.45）和女性吸烟（OR = 1.36，95%CI = 1.10，1.69）。在COVID-19封锁期间，大部分参与者体重增加，但存在亚组差异。我们的研究可以让医疗保健专业人员了解封锁对不健康体重增加的影响，并确定弱势群体。需要制定战略，在大流行期间和之后防止不健康的体重增加。
The study aims to examine the impact of the coronavirus disease-2019 (COVID-19) pandemic lockdown on weight, overweight and obesity, and identify factors associated with weight gain. At a safety net health system in Massachusetts, 11 534 adults were retrospectively followed within 3 months of the COVID-19 lockdown. Chi-square and 95% confidence intervals (CI) were reported for categorical and continues variables, respectively. Multivariate analyses were performed to identify factors associated with weight gain (>= 0.01 kg and 5%). During the lockdown period, greater proportion of women gained weight compared to men (46.1% vs 40.6%, P < .01). The obesity rate after the lockdown increased among women (40.7%-41.7, P < .01) but decreased among men (39.6%-38.6, P < .01) compared to before the lockdown. Post-lockdown obesity rates increased among Haitian (51.2%-55.0%, P < .01) and Hispanic women (50.7%-51.8%, P < .01). More than 5% weight gain was associated with 18 to 39 vs >= 60 years of age (OR = 1.45, 95% CI = 1.07, 1.97), food and housing insecurity (OR = 1.44, 95% CI = 1.05, 1.97) and tobacco use (OR = 1.38, 95% CI = 1.07, 1.78) among men; and 18 to 39 vs >= 60 years of age (OR = 1.55, 95% CI = 1.25, 1.91), Hispanics (OR = 1.25, 95% CI = 1.01, 1.54), Brazilians (OR = 1.22, 95% CI = 1.03, 1.45), and tobacco use (OR = 1.36, 95% CI = 1.10, 1.69) among women. During the COVID-19 lockdown, significant proportion of participants gained weight, but subgroup variations existed. Our study can inform healthcare professionals about the impact of the lockdown on unhealthy weight gain and identify vulnerable populations. Strategies are needed to combat unhealthy weight gain during and beyond the pandemic.