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Impact of the COVID-19 pandemic on patients with nafld
Hepatology ; 74(SUPPL 1):1018A-1019A, 2021.
Article in English | EMBASE | ID: covidwho-1508756
ABSTRACT

Background:

Non-alcoholic fatty liver disease (NAFLD) is a leading cause of chronic liver disease worldwide. The mainstay of treatment involves lifestyle modifications such as weight loss, exercise, and dietary changes to prevent the progression of liver disease. Since the emergence of the coronavirus disease 2019 (COVID-19), research efforts have focused on the influence of liver disease on COVID-19 and the impact of COVID-19 on those living with liver disease. The aim of this study was to assess the metabolic impact of COVID-19 on lifestyle behaviors of patients with NAFLD.

Methods:

We investigated the impact of the COVID-19 pandemic on dietary and lifestyle habits in patients with NAFLD using an online questionnaire. The questionnaire was distributed to patients identified to have a diagnosis of NAFLD or non-alcoholic steatohepatitis (NASH) through a search of the hospital electronic medical records system. Demographic information, anthropometric data, and dietary and lifestyle habits before and during the pandemic were inquired. The survey was conducted from December 2020 to March 2021.

Results:

A total of 360 out of 2,800 individuals responded to the survey. Incomplete surveys were excluded. Among the 312 respondents included, 84.6% identified ethnically as Caucasian, 60.6% were female, and 77.4% described themselves as overweight or obese. The mean age was 60.7 years. Of the respondents, 39.6% (p=0.002) and 51.4% (p<0.001) felt that their dietary habits and lifestyle habits significantly worsened, respectively. Consumption of fruits, vegetables, and water increased while the consumption of salty snacks, frozen desserts, and sugary beverages decreased during COVID-19 (Table 1). Moreover, there was a marked decrease in fast food consumption and increase in homecooked meals (Table 1). There was a decrease in physical activity and an increase in screen time on working and non-working days primarily due to entertainment and boredom.

Conclusion:

Patients with NAFLD felt that their dietary and lifestyle habits were negatively impacted by the COVID-19 pandemic. Healthy dietary modifications were made in food and beverage consumption patterns before and during the pandemic. However, there was an increase in sedentary behaviors reflected by decreased physical activity and increased screen time. Our findings signify the importance of recognizing the impact of a global pandemic on healthy lifestyle and its downstream effects on patients with NAFLD.

Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Experimental Studies Language: English Journal: Hepatology Year: 2021 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Experimental Studies Language: English Journal: Hepatology Year: 2021 Document Type: Article