Improving lifestyle obesity treatment during the COVID-19 pandemic and beyond: New challenges for weight management.

Improving lifestyle obesity treatment during the COVID-19 pandemic and beyond: New challenges for weight management.
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DOI:
10.1002/osp4.540
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发表时间:
2022-03
影响因子:
2.2
通讯作者:
Catenacci VA
Catenacci VA
中科院分区:
其他
文献类型:
--
作者:
Caldwell AE;Thomas EA;Rynders C;Holliman BD;Perreira C;Ostendorf DM;Catenacci VA

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COVID - 19大流行导致日常生活和许多与健康相关的行为发生重大变化。本研究的目的是研究科罗拉多州(2020年3月至2020年5月)颁布的居家/安全居家规定如何影响参与两项独立行为减肥试验的超重或肥胖个体的生活方式行为和心理健康(n = 82)。使用问卷调查收集有关COVID - 19大流行给减肥带来的挑战的定性和定量数据,包括在居家/安全居家期间饮食摄入量、身体活动、久坐行为和心理健康的变化。采用整合定性和定量数据的收敛混合方法,参与者经历的最大挑战是压力和焦虑增加,从而导致更多的不健康行为。大多数人认为很难坚持规定的饮食(81%)和推荐的体育活动(68%);然而,工作日自我报告的锻炼显著增加,92%的参与者在呆在家里的5-6周内体重减轻或保持在±1%。研究结果表明,肥胖治疗方案应考虑并尝试解决由COVID - 19大流行和其他来源引起的压力和焦虑负担,因为它们可能对体重管理和相关行为产生负面影响。
The COVID‐19 pandemic has resulted in significant changes to daily life and many health‐related behaviors. The objective of this study was to examine how the stay‐at‐home/safer‐at‐home mandates issued in Colorado (March 2020–May 2020) impacted lifestyle behaviors and mental health among individuals with overweight or obesity participating in two separate behavioral weight loss trials (n = 82). Questionnaires were used to collect qualitative and quantitative data on challenges to weight loss presented by the COVID‐19 pandemic, including changes in dietary intake, physical activity, sedentary behavior, and mental health during the stay‐at‐home/safer‐at‐home mandates. Using a convergent mixed method approach integrating qualitative and quantitative data, the greatest challenge experienced by participants was increased stress and anxiety, which led to more unhealthy behaviors. The majority perceived it to be harder to adhere to the prescribed diet (81%) and recommended physical activity (68%); however, self‐reported exercise on weekdays increased significantly and 92% of participants lost weight or maintained weight within ±1% 5–6 weeks following the stay‐at‐home mandate. Study results suggest that obesity treatment programs should consider and attempt to address the burden of stress and anxiety stemming from the COVID‐19 pandemic and other sources due to the negative effects they can have on weight management and associated behaviors.
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