de Luis Román Daniel A, Izaola Olatz, Primo Martín David, Gómez Hoyos Emilia, Torres Torres Beatriz, López Gómez Juan José
Centro de Investigación de Endocrinología y Nutrición. Servicio de Endocrinología y Nutrición. Hospital Clínico Universitario de Valladolid.
Nutr Hosp. 2020 Dec 16;37(6):1232-1237. doi: 10.20960/nh.03307.
Objective: the COVID-19 pandemic, by restricting population mobility, may exacerbate the risk factors for weight gain associated with physical inactivity and increased consumption of calorie-dense foods. The aim of this cross-sectional study was to evaluate the risk factors related to self-reported body weight gain among obese subjects. Methods: the study involved a population of 284 adult obese subjects. After a 7-week confinement period starting on March 17, a telephone interview (May 4 through 7) was conducted. In this phone call, self-reported body weight gain and a number of factors were recorded. In order to obtain the baseline data of this population, biochemical and anthropometric parameters were collected from electronic medical records. Results: mean age was 60.4 ± 10.8 years (range: 23-71) and mean body mass index (BMI) was 35.4 ± 4.7 kg/m2 (range: 30.6-41.2). Gender distribution was 211 females (74.3 %) and 73 males (25.7 %). Self-reported body weight gain was 1.62 ± 0.2 kg. Among patients who reported doing a lot of exercise self-reported body weight gain was lower (1.62 ± 0.2 vs 1.12 ± 0.3 kg; p = 0.02). Regarding eating habits, patients recognized snacking in 17 % of the sample. Patients who reported snacking had higher self-reported body weight gains (2.60 ± 0.36 vs 1.30 ± 0.17 kg; p = 0.001). The remaining variables did not influence self-reported body weight gain. In the multiple regression analysis with self-reported body weight gain as dependent variable, adjusted for age, sex, and physical activity, the snaking habit remained a risk factor: beta = 1.21 (95 % CI: 1.11-2.13; p = 0.01). Conclusions: the lockdown decreed during SARS-CoV-2 pandemic has produced an increase in self-reported body weight among obese subjects, which was related to the habit of taking snacks.
2019冠状病毒病疫情通过限制人口流动，可能会加剧与缺乏身体活动及高热量食物消费增加相关的体重增加风险因素。这项横断面研究的目的是评估肥胖受试者自我报告的体重增加相关风险因素。方法：该研究纳入了284名成年肥胖受试者。从3月17日开始为期7周的隔离期后，于5月4日至7日进行了电话访谈。在此次电话访谈中，记录了自我报告的体重增加情况及一些因素。为获取该人群的基线数据，从电子病历中收集了生化和人体测量参数。结果：平均年龄为60.4±10.8岁（范围：23 - 71岁），平均体重指数（BMI）为35.4±4.7kg/m²（范围：30.6 - 41.2）。性别分布为211名女性（74.3%）和73名男性（25.7%）。自我报告的体重增加为1.62±0.2kg。在报告进行大量运动的患者中，自我报告的体重增加较低（1.62±0.2 vs 1.12±0.3kg；p = 0.02）。关于饮食习惯，17%的样本中患者承认有吃零食的习惯。报告有吃零食习惯的患者自我报告的体重增加更高（2.60±0.36 vs 1.30±0.17kg；p = 0.001）。其余变量未影响自我报告 的体重增加。在以自我报告的体重增加为因变量、对年龄、性别和身体活动进行校正的多元回归分析中，吃零食的习惯仍然是一个风险因素：β = 1.21（95%CI：1.11 - 2.13；p = 0.01）。结论：2019冠状病毒病疫情期间实施的封锁导致肥胖受试者自我报告的体重增加，这与吃零食的习惯有关。
