Author: Conceição, Eva; de Lourdes, Marta; Ramalho, Sofia; Félix, SÃlvia; Pinto-Bastos, Ana; Vaz, Ana Rita
Title: Eating behaviors and weight outcomes in bariatric surgery patients amidst COVID-19 Cord-id: 482erza6 Document date: 2021_2_26
ID: 482erza6
Snippet: INTRODUCTION: Recent studies suggest that eating habits are an area particularly affected by the lockdown imposed by many countries to curb the COVID-19 epidemic. Individuals that received bariatric surgery may represent a particularly susceptible population to the adverse effects of lockdown for its potential impact on eating, psychological and, weight loss outcomes. OBJECTIVES: This study seeks to investigate the incremental impact of COVID-19 lockdown on treatment outcomes of post-bariatric p
Document: INTRODUCTION: Recent studies suggest that eating habits are an area particularly affected by the lockdown imposed by many countries to curb the COVID-19 epidemic. Individuals that received bariatric surgery may represent a particularly susceptible population to the adverse effects of lockdown for its potential impact on eating, psychological and, weight loss outcomes. OBJECTIVES: This study seeks to investigate the incremental impact of COVID-19 lockdown on treatment outcomes of post-bariatric patients in the risk period for weight regain. SETTINGS: Main hospital center. METHODS: This work uses data from an ongoing longitudinal study of bariatric patients assessed before surgery (T(0)), 1.5 (T(1)), and 3 years after surgery (T(2)). Two independent groups were compared: the COVID-19_Group (n=35) – T(0) and T(1) assessment were conducted before the pandemic started, but T(2) assessment was conducted at the end of the mandatory COVID-19 lockdown; and the NonCOVID-19_Group (n=66) – who completed T(0), T(1) and T(2) assessment before the epidemic began. Assessment included self-report measures for disordered eating, negative urgency, depression, anxiety, stress, and weight outcomes. RESULTS: General Linear Models for repeated measures showed that the COVID-19_Group presented significantly higher weight concern (F=8.403, p=.005, ƞ(2)(p)=.094), grazing behavior (F=7.166, p=.009, ƞ(2)(p)=.076), and negative urgency (F=4.522, p=.036, ƞ(2)(p)=.05) than the NonCOVID-19_Group. The COVID-19_Group also showed less total weight loss (F=4.029, p=.05, ƞ(2)(p)=.04) and larger weight regain at T(2), with more COVID-19_Group participants experiencing excessive weight regain (20% vs 4.5%). CONCLUSIONS: These results show evidence for the impact of the coronavirus outbreak on eating-related psychopathology and weight outcomes in post-bariatric surgery patients.
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