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The COVID-19 lockdown as an opportunity to change lifestyle and body weight in people with overweight/obesity and diabetes: Results from the national French COVIDIAB cohort.
Hansel, Boris; Potier, Louis; Chalopin, Sarah; Larger, Etienne; Gautier, Jean-François; Delestre, Fabienne; Masdoua, Virginie; Visseaux, Benoit; Lucet, Jean-Christophe; Kerneis, Solen; Abouleka, Yawa; Thebaut, Jean-François; Riveline, Jean-Pierre; Kadouch, Diana; Roussel, Ronan.
  • Hansel B; Diabetology, Endocrinology and Nutrition Department, Bichat Hospital, Federation of Diabetology in Paris, APHP, Paris, France; Université de Paris, LVTS, INSERM U1148, F-75018, Paris, France. Electronic address: boris.hansel@aphp.fr.
  • Potier L; Diabetology, Endocrinology and Nutrition Department, Bichat Hospital, Federation of Diabetology in Paris, APHP, Paris, France; Université de Paris, ImMeDiab, INSERM U1138, Paris, France.
  • Chalopin S; Diabetology, Endocrinology and Nutrition Department, Bichat Hospital, Federation of Diabetology in Paris, APHP, Paris, France.
  • Larger E; Diabetology Department, Cochin Hospital, APHP, Paris, France; Université de Paris, Institut Cochin, Inserm U1016, CNRS UMR8104, F-75014, Paris, France.
  • Gautier JF; Université de Paris, ImMeDiab, INSERM U1138, Paris, France; Department of Diabetology and Endocrinology, Lariboisière Hospital, APHP, Paris, France.
  • Delestre F; Université de Paris, LVTS, INSERM U1148, F-75018, Paris, France.
  • Masdoua V; Dietary Department, Bichat Hospital, APHP, Paris, France.
  • Visseaux B; Laboratory of Virology, Bichat Hospital, APHP, Paris, France; Université de Paris, INSERM, IAME, F-75018 Paris, France.
  • Lucet JC; Université de Paris, INSERM, IAME, F-75018 Paris, France; Equipe de Prévention du Risque Infectieux (EPRI), AP-HP, Hôpital Bichat, F-75018 Paris, France.
  • Kerneis S; Université de Paris, INSERM, IAME, F-75018 Paris, France; Equipe de Prévention du Risque Infectieux (EPRI), AP-HP, Hôpital Bichat, F-75018 Paris, France.
  • Abouleka Y; Diabetology, Endocrinology and Nutrition Department, Bichat Hospital, Federation of Diabetology in Paris, APHP, Paris, France.
  • Thebaut JF; Fédération Française des Diabétiques (FFD), France.
  • Riveline JP; Université de Paris, ImMeDiab, INSERM U1138, Paris, France; Department of Diabetology and Endocrinology, Lariboisière Hospital, APHP, Paris, France.
  • Kadouch D; Diabetology, Endocrinology and Nutrition Department, Bichat Hospital, Federation of Diabetology in Paris, APHP, Paris, France.
  • Roussel R; Diabetology, Endocrinology and Nutrition Department, Bichat Hospital, Federation of Diabetology in Paris, APHP, Paris, France; Université de Paris, ImMeDiab, INSERM U1138, Paris, France.
Nutr Metab Cardiovasc Dis ; 31(9): 2605-2611, 2021 08 26.
Article in English | MEDLINE | ID: covidwho-1343328
ABSTRACT
BACKGROUND AND

AIMS:

To analyze lifestyle habits and weight evolution during the COVID-19 pandemic-associated lockdown, in diabetes and overweight/obesity patients (body mass index (BMI) [25-29.9] and ≥30 kg/m2, respectively). METHODS AND

RESULTS:

We collected information on participants' characteristics and behavior regarding lifestyle before and during the lockdown, through the CoviDIAB web application, which is available freely for people with diabetes in France. We stratified the cohort according to BMI (≥25 kg/m2vs < 25 kg/m2) and examined the determinants of weight loss (WL), WL > 1 kg vs no-WL) in participants with a BMI ≥25 kg/m2, in both univariate and multivariate analyses. Of the 5280 participants (mean age, 52.5 years; men, 49%; diabetes, 100% by design), 69.5% were overweight or obese (mean BMI, 28.6 kg/m2 (6.1)). During the lockdown, patients often quit or decreased smoking; overweight/obese participants increased alcohol consumption less frequently as compared with normal BMI patients. In addition, overweight/obese patients were more likely to improve other healthy behaviors on a larger scale than patients with normal BMI increased intake of fruits and vegetables, reduction of snacks intake, and reduction of total dietary intake. WL was observed in 18.9% of people with a BMI ≥25 kg/m2, whereas 28.6% of them gained weight. Lifestyle favorable changes characterized patients with WL.

CONCLUSIONS:

A significant proportion of overweight/obese patients with diabetes seized the opportunity of lockdown to improve their lifestyle and to lose weight. Identifying those people may help clinicians to personalize practical advice in the case of a recurrent lockdown.
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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Weight Loss / Risk Reduction Behavior / Diabetes Mellitus, Type 1 / Diabetes Mellitus, Type 2 / Healthy Lifestyle / COVID-19 / Obesity Subject: Weight Loss / Risk Reduction Behavior / Diabetes Mellitus, Type 1 / Diabetes Mellitus, Type 2 / Healthy Lifestyle / COVID-19 / Obesity Type of study: Diagnostic study / Etiology study / Observational study / Prevalence study / Prognostic study / Risk factors Language: English Journal: Nutr Metab Cardiovasc Dis Clinical aspect: Etiology Year: 2021

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Weight Loss / Risk Reduction Behavior / Diabetes Mellitus, Type 1 / Diabetes Mellitus, Type 2 / Healthy Lifestyle / COVID-19 / Obesity Subject: Weight Loss / Risk Reduction Behavior / Diabetes Mellitus, Type 1 / Diabetes Mellitus, Type 2 / Healthy Lifestyle / COVID-19 / Obesity Type of study: Diagnostic study / Etiology study / Observational study / Prevalence study / Prognostic study / Risk factors Language: English Journal: Nutr Metab Cardiovasc Dis Clinical aspect: Etiology Year: 2021
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