2019年全球冠状病毒病(COVID-19)大流行正在对社会造成严重破坏。减肥患者由于体重指数(BMI)较高,更容易发生严重感染,更容易受到隔离的影响,例如抑郁或破坏他们的健康习惯。
量化自我隔离对减肥患者的影响以及自我隔离与体重增加的关系。
学术医院,美国。
一项30项调查调查了我们诊所的术后减肥患者中的几个已知的体重恢复因素。饮食习惯的改变,锻炼,抑郁症,社会支持,孤独,研究了焦虑,在其他人中。
共有208名患者完成了调查(反应率为29.3%)。很大比例的患者报告他们的抑郁症增加(44.2%),孤独(36.2%),紧张(54.7%),零食(62.6%),进食时失去控制(48.2%),暴饮暴食(19.5%)和社会支持下降(23.2%),健康饮食(45.5%),和活动(55.2%)。据报道,13%的人难以获得维生素。手术后超过18个月的患者在平均47天内恢复了超过2公斤的体重。发现体重恢复的危险因素是进食时失去控制,增加吃零食和暴饮暴食,减少健康食品的消费,减少体力活动。
减肥患者在许多层面上受到COVID-19大流行和随后的社会孤立的负面影响。该患者群体容易受到危机情况的影响;因此,需要额外的干预措施来解决导致体重恢复的行为。
The global coronavirus disease 2019 (COVID-19) pandemic is wreaking havoc on society. Bariatric patients are more prone to severe infection due to their high body mass index (BMI) and are more vulnerable to the effects of isolation, such as depression or disruption of their health habits.
To quantify the impact of self-quarantine on bariatric patients and self-quarantine\'s relationship with weight gain.
Academic hospital, United States.
A 30-item survey examining several known contributors to weight regain was distributed among the postoperative bariatric patients of our clinic. Changes in eating habits, exercise, depression, social support, loneliness, and anxiety were studied, among others.
A total of 208 patients completed the survey (29.3% response rate). A large percentage of patients reported increases in their depression (44.2%), loneliness (36.2%),
nervousness (54.7%), snacking (62.6%), loss of control when eating (48.2%), and binge eating (19.5%) and decreases in their social support (23.2%), healthy food eating (45.5%), and activity (55.2%). Difficulty in accessing vitamins was reported by 13%. Patients more than 18 months out of surgery regained more than 2 kg during an average of 47 days. Risk factors for weight regain were found to be loss of control when eating, increases in snacking and binge eating, reduced consumption of healthy food, and reduced physical activity.
Bariatric patients are negatively affected by the COVID-19 pandemic and subsequent social isolation on many levels. This patient population is vulnerable to crisis situations; thus, additional intervention is needed to address behaviors that lead to weight regain.