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Status of weight change, lifestyle behaviors, depression, anxiety, and diabetes mellitus in a cohort with obesity during the covid-19 lockdown: Turk-com study group

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dc.contributor.authorYAVUZ, DİLEK
dc.contributor.authorKÜÇÜK YETGİN, MERAL
dc.contributor.authorsYazıcı D., Fersahoğlu M. M., Fersahoğlu T., Bulut N. E., Çiğiltepe H., Çeler Ö., Sancak S., Sulu C., Durcan E., Şahin S., et al.
dc.date.accessioned2023-06-21T08:25:04Z
dc.date.available2023-06-21T08:25:04Z
dc.date.issued2022-08-01
dc.description.abstractIntroduction: The coronavirus disease 2019 (COVID-19) pandemic led to a lockdown period. Confinement periods have been related to unhealthy lifestyle behaviors. Our study aimed to determine weight change, changes in eating and exercise habits, the presence of depression and anxiety, and diabetes mellitus (DM) status in a cohort of patients with obesity. Methods: The study was undertaken in nine centers of Collaborative Obesity Management (COM) of the European Association for the Study of Obesity (EASO) in Turkey. An e-survey about weight change, eating habits, physical activity status, DM status, depression, and anxiety was completed by patients. The International Physical Activity Questionnaire (IPAQ) score was used to determine physical activity in terms of metabolic equivalents (METs). A healthy nutrition coefficient was calculated from the different categories of food consumption. The Patient Health Questionnaire (PHQ-9) and General Anxiety Disorder (GAD-7) Questionnaire were used for determining depression and anxiety, respectively. Results: Four hundred twenty-two patients (age 45 +/- 12.7 years, W/M = 350/72) were included. The healthy nutrition coefficient before the pandemic was 38.9 +/- 6.2 and decreased to 38.1 +/- 6.4 during the pandemic (p < 0.001). Two hundred twenty-nine (54.8%) patients gained weight, 54 (12.9%) were weight neutral, and 135 (32.3%) lost weight. Patients in the weight loss group had higher MET scores and higher healthy nutrition coefficients compared with the weight gain and weight-neutral groups (p < 0.001). The PHQ and GAD scores were not different between the groups. Percent weight loss was related to healthy nutrition coefficient (CI: 0.884 [0.821-0.951], p = 0.001) and MET categories (CI: 0.408 [0.222-0.748], p = 0.004). One hundred seventy patients had DM. Considering glycemic control, only 12 (8.4%) had fasting blood glucose <100 mg/dL and 36 (25.2%) had postprandial BG <160 mg/dL. When patients with and without DM were compared in terms of dietary compliance, MET category, weight loss status, PHQ-9 scores, and GAD-7 scores, only MET categories were different; 29 (11.7%) of patients in the nondiabetic group were in the highly active group compared with 5 (2.9%) in the diabetic group. Conclusion: The COVID-19 lockdown resulted in weight gain in about half of our patients, which was related to changes in physical activity and eating habits. Patients with DM who had moderate glycemic control were similar to the general population in terms of weight loss but were less active.
dc.identifier.citationYazıcı D., Fersahoğlu M. M., Fersahoğlu T., Bulut N. E., Çiğiltepe H., Çeler Ö., Sancak S., Sulu C., Durcan E., Şahin S., et al., "Status of Weight Change, Lifestyle Behaviors, Depression, Anxiety, and Diabetes Mellitus in a Cohort with Obesity during the COVID-19 Lockdown: Turk-Com Study Group", OBESITY FACTS, cilt.15, sa.4, ss.528-539, 2022
dc.identifier.doi10.1159/000522658
dc.identifier.endpage539
dc.identifier.issn1662-4025
dc.identifier.issue4
dc.identifier.startpage528
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/35545017/
dc.identifier.urihttps://hdl.handle.net/11424/290464
dc.identifier.volume15
dc.language.isoeng
dc.relation.ispartofOBESITY FACTS
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectDahili Tıp Bilimleri
dc.subjectİç Hastalıkları
dc.subjectEndokrinoloji ve Metabolizma Hastalıkları
dc.subjectBeslenme ve Dietetik
dc.subjectTarımsal Bilimler
dc.subjectZiraat
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectInternal Medicine Sciences
dc.subjectInternal Diseases
dc.subjectEndocrinology and Metabolic Diseases
dc.subjectNutrition and Dietetics
dc.subjectAgricultural Sciences
dc.subjectAgriculture
dc.subjectHealth Sciences
dc.subjectENDOKRİNOLOJİ VE METABOLİZMA
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectBESLENME VE DİYETETİK
dc.subjectTarım Bilimleri
dc.subjectTarım ve Çevre Bilimleri (AGE)
dc.subjectENDOCRINOLOGY & METABOLISM
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectNUTRITION & DIETETICS
dc.subjectAGRICULTURAL SCIENCES
dc.subjectAgriculture & Environment Sciences (AGE)
dc.subjectBeslenme ve Diyetetik
dc.subjectEndokrin ve Otonom Sistemler
dc.subjectEndokrinoloji, Diyabet ve Metabolizma
dc.subjectEndokrinoloji
dc.subjectYaşam Bilimleri
dc.subjectEndocrine and Autonomic Systems
dc.subjectEndocrinology, Diabetes and Metabolism
dc.subjectEndocrinology
dc.subjectLife Sciences
dc.subjectObesity
dc.subjectCOVID-19
dc.subjectLockdown
dc.subjectWeight change
dc.subjectLifestyle behaviors
dc.subjectAnxiety
dc.subjectDepression
dc.subjectRELIABILITY
dc.subjectSYMPTOMS
dc.subjectVALIDITY
dc.subjectDISORDER
dc.titleStatus of weight change, lifestyle behaviors, depression, anxiety, and diabetes mellitus in a cohort with obesity during the covid-19 lockdown: Turk-com study group
dc.typearticle
dspace.entity.typePublication
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local.indexed.atWOS
local.indexed.atPUBMED
local.indexed.atSCOPUS
relation.isAuthorOfPublication26174ec5-7dca-4038-a7fe-9a43f236fd15
relation.isAuthorOfPublicationda2bbb12-3983-44da-8559-e40120cb2e65
relation.isAuthorOfPublication.latestForDiscovery26174ec5-7dca-4038-a7fe-9a43f236fd15

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