The COVID-19 Pandemic Lockdowns and Changes in Body Weight among Polish Women. A Cross-Sectional Online Survey PLifeCOVID-19 Study
The COVID-19 Pandemic Lockdowns and Changes in Body Weight among Polish Women. A Cross-Sectional Online Survey PLifeCOVID-19 Study
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DOI：
10.3390/su12187768
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发表时间：
2020-09-01
期刊：
影响因子：
3.9
通讯作者：
Gornicka, Magdalena
中科院分区：
文献类型：
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作者：
Drywien, Malgorzata Ewa;Hamulka, Jadwiga;Gornicka, Magdalena
有关COVID-19相关限制与体重变化之间关系的信息有限。该研究的目的是确定波兰妇女在2019冠状病毒病大流行期间的体重变化及其在营养和社会人口背景下的决定因素。在波兰的封锁期间，34%的女性体重增加，而18%的女性体重减轻。在大流行之前，多达44%的肥胖妇女体重增加，74%的体重不足妇女体重减轻。在体重增加的一组中，妇女的体重平均增加了2.8公斤，其中约65%的人增加了总食物摄入量。不健康的饮食变化和消极的生活方式变化，包括屏幕时间的增加和身体活动的减少，被发现是与体重增加相关的关键因素。体重增加的风险较高与大流行前肥胖或生活在宏观经济区域>欧盟28国GDP的50%有关，而年龄较小和从事远程工作的人体重减轻的机会较高。总之，封锁期间的特定条件恶化了营养状况，这可能会增加COVID-19并发症和死亡率的风险。建议根据体重不足或体重超标的女性的个人需求制定饮食和生活方式建议。还应更加注意环境影响。无论是减轻超重体重，还是维持正常体重，都应以可持续健康饮食和生活为原则。
There is limited information on the relationships between restrictions linked to COVID-19 and changes in body weight. The aim of the study was to identify the body weight changes and their determinants in the nutritional and socio-demographic context during the COVID-19 pandemic in Polish women. During lockdown in Poland, 34% of women gained weight, while 18% of women reduced weight. As many as 44% of women with obesity before the pandemic increased their body weight, and 74% of women that were underweight reduced their body weight. In a group with weight gain, women increased their body weight by 2.8 kg on average and around 65% of them increased their total food intake. Unhealthy dietary changes and the negative lifestyle changes that comprised of an increase in screen time and a decrease in physical activity were found as key factors associated with weight gain. A higher risk of weight gain was associated with being obese before the pandemic or living in a macroeconomic region >50% of EU-28 GDP, while those younger in age and carrying out remote work had a higher chance of weight loss. Concluding, the specific conditions during lockdown worsened the nutritional status, which may increase the risk of complicatedness and mortality from COVID-19. It seems advisable to create dietary and lifestyle recommendations tailored to the individual needs of women who are underweight or have excessive body weight. More attention should be paid also to environmental impacts. Both, the reduction of excessive body weight and the maintenance of a normal weight should be based on the principle to eat and live sustainably and healthily.