The impact of psychological distress on weight regain in post-bariatric patients during the COVID-19 pandemic: A latent profile analysis.

OBJECTIVE: The COVID-19 pandemic has caused a global health crisis disrupting healthcare delivery for people with severe obesity who have undergone bariatric surgery. This study examined the role of psychological distress during the first Italian COVID-19 lockdown in predicting post-operative outcomes in post-bariatric patients reaching the end of the 12-18 months follow-up during the lockdown. By using a person-centered approach, groups of patients with different psychological distress profiles were identified. We hypothesized that compared to post-bariatric patients with low psychological distress, post-bariatric patients with high psychological distress will be more at risk of weight regain. METHODS: A total of 67 patients (71.6% female, Mage = 45.9) participated in this observational retrospective cohort study. Patients' anthropometric data were gathered from medical records while the weight at the end of the lockdown through phone interviews. Psychological distress, operationalized with anxiety symptoms, depressive symptoms, and sleep disturbances, was assessed by an online self-report questionnaire. RESULTS: Significant differences were highlighted in the high and low psychological distressed group in weight changes, F(1,58) = 5.2, p < 0.001, η2 = 0.3. Specifically, compared to post-bariatric patients in the low psychological distress group, those in the high psychological distressed group reported weight regained (95% CI = 1.0, 2.6). CONCLUSION: Results highlight the need to target post-bariatric patients with high psychological distress who are at risk for weight regain during the COVID-19 pandemic. Interventions mitigating psychological distress and obesogenic behaviors during future pandemics or in post-COVID times are needed in vulnerable post-bariatric patients reporting high psychological distress.

Geo-online explanatory data visualization tools as crisis management and communication instruments

Communication during emergency and crises times is a critical aspect. When available information contains a spatial dimension, maps and interactive localization features may help conveying strong messages to audiences that are otherwise difficult to reach. The COVID-19 pandemic has prompted the design and implementation of a great number of online tools to communicate data of the disease spread and its dynamics that are helpful to support informed decisions for both people in their everyday life and decision makers. Observing this phenomenon has inspired this conceptualization of the geo-Online Explanatory Data Visualization (geo-OEDV) tools, set in the context of available geospatial information, of statistical visualisation tools and of the solid tradition of Geographical Information Systems. Blending classical statistical tools, digital cartography, and the confluence of many elements into a single screen, has produced the currently most spread geo-OEDV instance, i.e., the geo-dashboard and geo-infographics. In particular this paper conceptualises geo-OEDV as a category of meta-cartography that blends online communication with cartographic representation and management principles.