Lee Che Young, Robertson Michael C, Servino Kendahl, Le Thuan, Raber Margaret, Oestman Katherine, Basen-Engquist Karen M
Department of Behavioral Science The University of Texas MD Anderson Cancer Center Houston TX USA.
Department of Health Disparities Research The University of Texas MD Anderson Cancer Center Houston TX USA.
Obes Sci Pract. 2022 Dec 21;9(4):395-403. doi: 10.1002/osp4.653.
The COVID-19 pandemic has been shown to be negatively associated with physical activity engagement, adherence to healthy diet, and weight management among people with obesity. The current study examined COVID-19-related changes in weight, physical activity (PA), and diet among employees with obesity or overweight who participated in Vibrant Lives (VL), a worksite weight loss program.
School district employees participated in the 6-month VL weight loss program and were categorized into non-COVID-era participants and COVID-era participants. Participants completed questionnaires about PA and dietary intake at baseline and follow-up. COVID-era participants reported the effects of pandemic on their behaviors. Changes in weight, PA, and diet were compared between groups using multilevel linear mixed models and logistic regression models.
A total of 266 participants (non-COVID, n=173; COVID, n=93) were included. Significant weight loss (non-COVID, -2.3 kg vs. COVID, -1.3 kg) and increases in moderate-to-vigorous PA minutes (non-COVID, 48.7 min vs. COVID, 61.5 min) were observed associated with the program, but no significant differences in changes between the groups were found. Compared to non-COVID participants, COVID participants decreased fast food consumption (=.008) and increased sugar-sweetened beverage intake (=.016). Higher frequency of snacking and overeating were reported as barriers to a healthy diet.
The COVID-19 pandemic was negatively associated with healthful dietary behaviors. The information obtained from participants regarding the reasons for their pandemic-related changes in diet may help identify strategies to encourage healthier behaviors and weight management among people who have been negatively affected by the COVID-19 pandemic.This article is protected by copyright. All rights reserved.
新冠疫情已被证明与肥胖人群的身体活动参与度、健康饮食的坚持情况以及体重管理呈负相关。本研究调查了参与“活力生活”（VL）这一工作场所减肥项目的肥胖或超重员工在新冠疫情期间体重、身体活动（PA）和饮食方面的变化。
学区员工参加了为期6个月的VL减肥项目，并被分为非新冠时期参与者和新冠时期参与者。参与者在基线和随访时完成了关于PA和饮食摄入量的问卷调查。新冠时期参与者报告了疫情对其行为的影响。使用多水平线性混合模型和逻辑回归模型比较了两组之间体重、PA和饮食的变化。
共纳入266名参与者（非新冠组，n = 173；新冠组，n = 93）。观察到该项目与显著的体重减轻（非新冠组，-2.3千克 vs. 新冠组，-1.3千克）以及中等到剧烈PA分钟数的增加（非新冠组，48.7分钟 vs. 新冠组，61.5分钟）相关，但两组之间的变化没有显著差异。与非新冠参与者相比，新冠参与者减少了快餐消费（P =.008），增加了含糖饮料摄入量（P =.016）。报告称更高频率的吃零食和暴饮暴食是健康饮食的障碍。
新冠疫情与健康的饮食行为呈负相关。从参与者那里获得的关于其疫情相关饮食变化原因的信息，可能有助于确定策略，以鼓励在受新冠疫情负面影响的人群中形成更健康的行为和体重管理。本文受版权保护。保留所有权利。
