Eating behaviors and weight outcomes in bariatric surgery patients amidst COVID-19

Conceição, Eva; Lourdes, Marta de; Ramalho, Sofia; Félix, Sílvia; Pinto-Bastos, Ana; Vaz, Ana

doi:10.1016/j.soard.2021.02.025

Cited by 35 publications

(43 citation statements)

References 37 publications

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“…Similar results were attained by Vitiello et al [ 10 ] for sleeve gastrectomy and one anastomosis gastric bypass in Italy at 6-month follow-up, with an excess of BMI loss of patients in the COVID-19 period of 62.3% (SD: 18.9) vs. 77.1% (SD: 18.9) in the non-COVID-19 period. Differences were also detected by Conceiçao et al [ 11 ] for sleeve and GB at 3 years of follow-up, with a higher percentage of weight loss regain in patients affected for the lockdown (21.71% [SD: 16.36] vs. 14.07% [SD: 16.36]). Therefore, these results suggest that the reduction in weight loss was a constant of all bariatric surgeries, irrespective of the surgical technique.…”

Section: Discussionmentioning

confidence: 58%

“…Europe was severely affected by COVID-19, with many countries imposing a lockdown between March 2020 and May 2020 to reduce COVID-19 transmission [ 6 ]. These restrictions caused an increase on sedentary behavior [ 7 ] and negative changes in dietary habits [ 8 ], which affected the weight loss of patients undergoing bariatric surgery just before the lockdown [ 9 – 11 ]. Furthermore, hospital follow-up visits were unrecommended during this period [ 12 ], while some patients did not attend due to fear of being infected [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Impact of the COVID-19 Pandemic and Lockdown on Gastric Bypass Results at 1-Year Follow-up

et al. 2021

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Purpose The COVID-19 pandemic caused a lockdown in many countries, which induced negative dietary habits and sedentary behavior. Studies suggest that weight loss of patients undergoing bariatric surgery was equally affected. The aim was to evaluate the impact of COVID-19 on weight loss, obesity-related comorbidities, and nutritional status at 1-year follow-up after gastric bypass (GB). Methods Retrospective observational case–control study of patients undergoing primary GB in a tertiary referral Belgian center. COVID-19 period group was composed by those whose 1-year postoperative period was affected by the COVID-19 pandemic and lockdown: from October 1, 2019, to March 31, 2020. The control group was composed of patients operated from October 1, 2018, to March 31, 2019. Electronic clinical records were reviewed searching: baseline characteristics, weight and comorbidities evolution, and biochemical values. Results A total of 47 patients in the COVID-19 period group and 66 in the non-COVID-19 period group were analyzed. There were no significant differences in baseline characteristics. A reduced weight loss was observed at 1-year follow-up, in terms of percentage of excess weight loss (%EWL) (82.4% [SD: 21.6] vs. 82.4% [SD: 21.6]; p : 0.043) and body mass index (BMI) (27.8 kg/m 2 [IQR: 25.8–30.0] vs. 26.2 kg/m 2 [IQR: 24.6–28.6]; p : 0.029) for COVID-19 period group vs. non-COVID-19 period group, respectively. There was a similar reduction of obesity-related comorbidities, without clinically significant differences in the nutritional follow-up. Conclusion The COVID-19 pandemic and lockdown had an impact on weight loss at 1-year follow-up after gastric bypass. Graphical abstract

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Section: Discussionmentioning

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic and Lockdown on Gastric Bypass Results at 1-Year Follow-up

et al. 2021

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“…To our knowledge, this is the first report of substance use behaviors among ethnically diverse BS patients for an extended period through the COVID-19 pandemic, that is, for months beyond the initial hard lockdown phases that occurred worldwide. Most published quantitative studies that have focused on the psychosocial impact of the epidemic on BS patients collected data during the first wave only [36,40], had no information on ethnic distribution of the sample [4,37,40,58], or were majority non-Hispanic White participants [36,60], and none collected data on substance use behaviors. Two international qualitative studies with sample sizes < 25 either were majority non-Hispanic White [6,61] or did not report ethnicity [7,62] and neither reported on substance use behaviors in BS patients.…”

Section: Discussionmentioning

confidence: 99%

Substance Use, Mental Health, and Weight-Related Behaviors During the COVID-19 Pandemic Among Metabolic and Bariatric Surgery Patients

et al. 2021

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Purpose The impact of the COVID-19 pandemic on behavioral issues among those who have completed bariatric surgery (BS) is not well described in ethnically diverse populations. The aim of this study was to compare the impact of COVID-19 lockdown orders and after lockdown orders were lifted on substance use, mental health, and weight-related behaviors among a sample of post-BS adults. Materials and Methods A retrospective medical chart review identified BS patients from one university-based obesity medicine clinic and two BS practices. An online non-anonymous survey was implemented in two phases: during lockdown (April 1-May 31, 2020) and after lockdown orders were lifted (June 1, 2020-September 30, 2020) to obtain information about the COVID-19 pandemic's impact on BS patients. Results A total of 189 (during lockdown=39, post-lockdown=150) participants (90.4% female, mean age 52.4 years, SD 11.1, 49.8% non-Hispanic White, 30.6% non-Hispanic Black, 16.1% Hispanic) participated. Lockdown participants were more likely to have sleep problems (74.3% vs. 56.1%, P=.039) and feel anxious (82.0% vs. 63.0%, P=.024) versus post-lockdown participants. A majority (83.4%) reported depression in both lockdown/post-lockdown. Post-lockdown participants were more than 20 times more likely to report substance use compared those in lockdown (aOR 20.56, 95% CI 2.66-158.4).

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“…Within the past year, several recent studies have been published that report on the impact of the COVID‐19 outbreak on adults with overweight or obesity. 3 , 9 , 10 , 11 , 12 , 13 , 14 The majority of these publications highlight the importance of mental health as well as the challenges in adhering to behavioral recommendations for achieving weight loss. For example, a recent paper examining the effects of the COVID‐19 outbreak on health behaviors among a large international sample ( n = 7,753) found that individuals with obesity reported higher incidence of weight gain and sharper declines in mental health following the COVID‐19 outbreak compared to respondents with healthy weight or overweight.…”

Section: Introductionmentioning

confidence: 99%

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

Caldwell

Thomas

Rynders

et al. 2021

Obesity Science & Practice

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Objective 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). Methods 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. Results 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. Conclusion 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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Eating behaviors and weight outcomes in bariatric surgery patients amidst COVID-19

Cited by 35 publications

References 37 publications

Impact of the COVID-19 Pandemic and Lockdown on Gastric Bypass Results at 1-Year Follow-up

Impact of the COVID-19 Pandemic and Lockdown on Gastric Bypass Results at 1-Year Follow-up

Substance Use, Mental Health, and Weight-Related Behaviors During the COVID-19 Pandemic Among Metabolic and Bariatric Surgery Patients

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

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