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Effects of COVID-19 lockdown on eating disorders and obesity: A systematic review and meta-analysis.
Sideli, Lucia; Lo Coco, Gianluca; Bonfanti, Rubinia Celeste; Borsarini, Bianca; Fortunato, Lucia; Sechi, Cristina; Micali, Nadia.
  • Sideli L; Department of Human Science, LUMSA University, Rome, Italy.
  • Lo Coco G; Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.
  • Bonfanti RC; Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.
  • Borsarini B; Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
  • Fortunato L; Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.
  • Sechi C; Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy.
  • Micali N; Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Eur Eat Disord Rev ; 29(6): 826-841, 2021 11.
Article in English | MEDLINE | ID: covidwho-1525430
ABSTRACT

OBJECTIVE:

This systematic review and meta-analysis aimed to examine the pooled prevalence of symptomatic behaviours and mental health deterioration amongst individuals with eating disorders (EDs) and obesity during the COVID-19 confinement. Moreover, we examined changes in EDs and distress before and during the confinement, and the association between psychosocial factors and EDs symptoms.

METHOD:

A systematic search was carried out in biomedical databases from January 2020 to January 2021. Both cross-sectional and longitudinal studies that used quantitative measures of ED symptoms and psychological distress during and after the COVID-19 confinement were included.

RESULTS:

A total of 26 studies met inclusion criteria (n = 3399, 85.7% female). The pooled prevalence of symptomatic deterioration in EDs was 65% (95% CI[48,81], k = 10). The pooled prevalence of increased weight in obesity was 52% (95% CI[25,78], k = 4). More than half of the participants experienced depression and anxiety. Moreover, at least 75% of the individuals with EDs reported shape and eating concerns, and increased thinking about exercising. However, the pooled analyses of longitudinal studies showed no significant differences from pre-pandemic levels to the first lockdown phase in Body Mass Index and ED symptoms, whereas only few studies suggested increased distress, particularly among individuals with anorexia nervosa.

CONCLUSIONS:

The majority of individuals with EDs and obesity reported symptomatic worsening during the lockdown. However, further longitudinal studies are needed to identify vulnerable groups, as well as the long-term consequences of COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Feeding and Eating Disorders / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Topics: Long Covid Limits: Female / Humans / Male Language: English Journal: Eur Eat Disord Rev Journal subject: Nutritional Sciences Year: 2021 Document Type: Article Affiliation country: Erv.2861

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Feeding and Eating Disorders / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Topics: Long Covid Limits: Female / Humans / Male Language: English Journal: Eur Eat Disord Rev Journal subject: Nutritional Sciences Year: 2021 Document Type: Article Affiliation country: Erv.2861