Author: Pellegrini, Christine A.; Webster, Jennifer; Hahn, Korina R.; Leblond, Tiffany L.; Unick, Jessica L.
Title: Relationship between stress and weight management behaviors during the COVIDâ€19 pandemic among those enrolled in an internet program Cord-id: 9e1e6hsp Document date: 2020_11_1
ID: 9e1e6hsp
Snippet: BACKGROUND: The COVIDâ€19 pandemic resulted in mandated stayâ€atâ€home orders, potentially resulting in changes in mental health (e.g., stress, anxiety) and challenges maintaining healthy dietary and physical activity behaviors. OBJECTIVE: This study examined how stress was associated with mental wellâ€being and weight loss behaviors during the COVIDâ€19 pandemic among adults enrolled in an internetâ€based weight loss program. METHODS: Participants enrolled in a weightâ€loss program resid
Document: BACKGROUND: The COVIDâ€19 pandemic resulted in mandated stayâ€atâ€home orders, potentially resulting in changes in mental health (e.g., stress, anxiety) and challenges maintaining healthy dietary and physical activity behaviors. OBJECTIVE: This study examined how stress was associated with mental wellâ€being and weight loss behaviors during the COVIDâ€19 pandemic among adults enrolled in an internetâ€based weight loss program. METHODS: Participants enrolled in a weightâ€loss program residing in Rhode Island or Massachusetts, USA, completed a brief survey on their mental health and current weightâ€loss behaviors during the COVIDâ€19 pandemic. Surveys were completed between 14 April 2020 and 21 April 2020, approximately one month after stayâ€atâ€home orders were mandated. Linear regression was used to examine associations between stress, mental health, and weightâ€loss behaviors. RESULTS: A total of 99 participants completed the survey (79% female, 91% white, 52.2 ± 9.8 years, 34.0 ± 5.2 kg/m(2), 77% reported moderate to extreme stress). Greater stress was associated with higher BMI (p = 0.04), higher education (p = 0.04), working more hours (p = 0.003), and having schoolâ€age children at home (p = 0.002). Greater stress was also associated with higher levels of anxiety, worry, and concern regarding COVIDâ€19 (p's < 0.001) and having less time to spend on weightâ€loss efforts (p < 0.001), after controlling for BMI and education. CONCLUSIONS: Many individuals enrolled in a weightâ€loss program experienced more stress during COVIDâ€19 compared to before the pandemic. This stress was related to more mental health challenges as well as more difficulties finding time for weight management efforts.
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