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Confinement During the COVID-19 Pandemic After Metabolic and Bariatric Surgery—Associations Between Emotional Distress, Energy-Dense Foods, and Body Mass Index

2021Journal article Open access
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dc.contributor.authorDurão, C
dc.contributor.authorVaz, C
dc.contributor.authorNovaes de Oliveira, V
dc.contributor.authorCalhau, C
dc.date.accessioned2021-09-08T22:25:59Z
dc.date.available2021-09-08T22:25:59Z
dc.date.issued2021
dc.description.abstractPurpose: To estimate the association of emotional distress with both consumption of energy-dense micronutrient-poor foods (EDF) and body mass index (BMI) and the association between EDF consumption and change in BMI, during COVID-19 pandemic in patients with prior bariatric surgery. Materials and methods: This cross-sectional study applied an online structured questionnaire to 75 postoperative bariatric patients during the first Portuguese lockdown. Emotional distress was assessed trough the Hospital Anxiety and Depression Scale (HADS) and dietary intake was evaluated by Food Frequency Questionnaire (FFQ). Self-reported BMI prior to and at the end of confinement was used to compute BMI change. Pre-surgery BMI was computed from measured height and weight from clinical records. Results: After adjustment for education, sex, time since surgery, pre-surgery BMI, and exercise practice, moderate/severe scores in HADS were significantly positively associated with consumption of EDF (ẞ = 0.799; 95% CI: 0.051, 1.546), but not with BMI. Daily EDF consumption significantly increased the odds of maintaining/increasing BMI (OR = 3.34; 95% CI: 1.18, 9.45), instead of decreasing it (reference). Sweets consumption was the only subcategory of EDF significantly positively associated with the odds of a worse outcome in BMI change (OR = 4.01; 95% CI: 1.13, 14.22). Conclusions: Among postoperative bariatric patients, higher reported levels of emotional distress during confinement are associated with increased EDF consumption. Increased EDF consumption during confinement, particularly sweets, is associated with higher odds of bariatric patients not decreasing their BMI. Additional effort is needed to address inadequate lifestyle behaviors among these patients in the context of the COVID-19 pandemic.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationObes Surg . 2021 Aug 6;1-9.pt_PT
dc.identifier.doi10.1007/s11695-021-05608-2pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/37430
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectCOVID-19pt_PT
dc.subjectPandemiapt_PT
dc.subjectCirurgia Bariátricapt_PT
dc.subjectPandemicspt_PT
dc.subjectBariatric Surgerypt_PT
dc.titleConfinement During the COVID-19 Pandemic After Metabolic and Bariatric Surgery—Associations Between Emotional Distress, Energy-Dense Foods, and Body Mass Indexpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleObesity Surgerypt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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