Heinberg Leslie J, Steffen Kristine
Cleveland Clinic Lerner College of Medicine, 9500 Euclid Ave./M61, Cleveland, OH, 44195, USA.
North Dakota State University, Sanford Center for Bio-Behavioral Research, Fargo, ND, USA.
Curr Obes Rep. 2021 Sep;10(3):365-370. doi: 10.1007/s13679-021-00447-9. Epub 2021 Jul 23.
Social isolation and loneliness have long been identified as risk factors for poorer physical and mental health and increased mortality. These factors have also been shown to impact dietary behavior and physical activity which play a role in precipitating and maintaining obesity. Less is known about the impact of social isolation resulting from the COVID-19 pandemic in which social distancing is a major component of public health initiatives. This narrative review will examine the existing literature on the relationships between social isolation, loneliness, mental health, and weight as they relate to the COVID-19 pandemic.
Individuals with obesity are at very high risk for worsening course of COVID-19, hospitalization, and death. This population may also be more significantly impacted by the dietary and physical activity consequences resulting from lockdown, social distancing, and isolation. The pandemic has led to significant lifestyle disruptions. However, early studies have largely relied upon cross-sectional studies or convenience samples. Future research will need to study the impact more rigorously, particularly among populations at greatest risk.
长期以来,社会隔离和孤独感一直被视为身心健康状况较差和死亡率上升的风险因素。这些因素还被证明会影响饮食行为和身体活动,而饮食行为和身体活动在肥胖的引发和维持过程中发挥着作用。对于因新冠疫情导致的社会隔离的影响,人们了解较少,在此次疫情中,社交距离是公共卫生举措的一个主要组成部分。本叙述性综述将审视现有文献,探讨社会隔离、孤独感、心理健康和体重之间的关系,以及它们与新冠疫情的关联。
肥胖个体在新冠病情恶化、住院和死亡方面风险极高。这一人群可能也会受到因封锁、社交距离和隔离导致的饮食及身体活动后果的更显著影响。疫情导致了生活方式的重大改变。然而,早期研究很大程度上依赖横断面研究或便利样本。未来的研究需要更严格地研究这种影响,尤其是在风险最高的人群中。