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Managing Obesity in Lockdown: Survey of Health Behaviors and Telemedicine.
Minsky, Noga C; Pachter, Dafna; Zacay, Galia; Chishlevitz, Naama; Ben-Hamo, Miriam; Weiner, Dana; Segal-Lieberman, Gabriella.
Affiliation
  • Minsky NC; Chaim Sheba Medical Center, Division of Endocrinology, Diabetes and Metabolism, Tel-HaShomer, Ramat-Gan 5266202, Israel.
  • Pachter D; Sackler Faculty of Medicine, University of Tel Aviv, Tel Aviv 6997801, Israel.
  • Zacay G; Chaim Sheba Medical Center, Division of Endocrinology, Diabetes and Metabolism, Tel-HaShomer, Ramat-Gan 5266202, Israel.
  • Chishlevitz N; Sackler Faculty of Medicine, University of Tel Aviv, Tel Aviv 6997801, Israel.
  • Ben-Hamo M; Chaim Sheba Medical Center, Department of Nutrition, Tel-Hashomer, Ramat-Gan 5266202, Israel.
  • Weiner D; Sackler Faculty of Medicine, University of Tel Aviv, Tel Aviv 6997801, Israel.
  • Segal-Lieberman G; Department of Family Medicine, Meuhedet Health Maintenance Organization, Tel Aviv 6203854, Israel.
Nutrients ; 13(4)2021 Apr 19.
Article in En | MEDLINE | ID: mdl-33921602
Since the outbreak of COVID-19, billions of people have gone into lockdown, facing pandemic related challenges that engender weight gain, especially in the obese. We report the results of an online survey, conducted during Israel's first quarantine, of 279 adults treated in hospital-based obesity clinics with counseling, medications, surgery, endoscopic procedures, or any combination of these for weight loss. In this study, we assessed the association between changes in dietary and lifestyle habits and body weight, and the benefits of receiving weight management care remotely through telemedicine during lockdown. Compared to patients not receiving obesity care via telemedicine, patients receiving this care were more likely to lose weight (OR, 2.79; p = 0.042) and also to increase participation in exercise (OR, 2.4; p = 0.022). While 40% of respondents reported consuming more sweet or salty processed snacks and 33% reported less vegetables and fruits, 65% reported more homemade foods. At the same time, 40% of respondents reported a reduction in exercise and 52% reported a decline in mood. Alterations in these eating patterns, as well as in exercise habits and mood, were significantly associated with weight changes. This study highlights that lockdown affects health behaviors associated with weight change, and advocates for the use of telemedicine to provide ongoing obesity care during future quarantines in order to promote weight loss and prevent weight gain.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Health Behavior / Telemedicine / Feeding Behavior / COVID-19 / Obesity Type of study: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: En Journal: Nutrients Year: 2021 Document type: Article Affiliation country: Israel Country of publication: Switzerland

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Health Behavior / Telemedicine / Feeding Behavior / COVID-19 / Obesity Type of study: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: En Journal: Nutrients Year: 2021 Document type: Article Affiliation country: Israel Country of publication: Switzerland