Obesity, lifestyle behaviours and psychological effects of the COVID‐19 lockdown: A survey of patients attending a tertiary weight loss clinic

Abstract

Summary Lockdown measures due to coronavirus‐19 disease (COVID‐19) have impacted lifestyle factors. This study aimed to explore whether health and lifestyle behaviours changed during the 2020 COVID‐19 lockdown among patients with obesity. A specifically designed online survey and the Depression Anxiety Stress Scale (DASS‐21) were administered to patients scheduled to attend a tertiary weight management service between 6 June–12 August 2020. A total of 210 participants completed the survey; mean age (SD) was 52.1 (12.5) years, 69% female and 67% Caucasian. Only 1.4% had tested positive to COVID‐19. There was a statistically significant increase in weight pre‐ and post‐COVID‐19 lockdown, with no sex differences. Most (61.3%) gained weight, 30.4% lost weight and 8.3% maintained. The majority changed their overall purchasing (88.4%) and eating behaviours (91.6%). Two‐thirds (64%) reported they did some form of exercise during the lockdown. Of those, exercise declined in 56.8% and increased in 18%. DASS‐21 scores were positively correlated to worry about COVID‐19, eating fewer core foods and eating more convenient/treat foods and negatively correlated with exercise. The results provide insights into how and why behaviour change occurs during stressful periods like the COVID‐19 pandemic. Although there was variability in individual weight trajectories, on average people with obesity gained weight and changed lifestyle behaviours during the COVID‐19 lockdown period. Strategies and support for people with obesity are required at these times.

Anxiety and depression in patients with post-COVID-19 comorbities

“…The quarantine changed many habits, including food, fast food and processed foods, which saw an increase in consumption and, on the other hand, physical activity, as reported in several studies, was more difficult to maintain, including what was observed in this study, in which among participants, the majority of obese people do not practice physical activity. It was also possible to observe in the study by Frankli, Janet et al (26) that 61.3% of people had weight gain.…”

“…As all the changes that obesity can cause physically in the mental issue is no different, in the study by Frankli, Janet et al (26) 20.7% said they developed severe depression and 19.5% symptoms of anxiety. The quarantine changed many habits, including food, fast food and processed foods, which saw an increase in consumption and, on the other hand, physical activity, as reported in several studies, was more difficult to maintain, including what was observed in this study, in which among participants, the majority of obese people do not practice physical activity.…”