Impacts of Covid-19 on weight change perception and body satisfaction: a comparison between women with and without eating disorders
DOI:
https://doi.org/10.12957/demetra.2024.76446Abstract
Introduction: The Covid-19 pandemic led to various consequences for people’s mental and physical health. The context of social isolation exacerbated problems related to body image, especially in individuals with eating disorders. Objective: To analyze the repercussions of Covid-19 on anthropometric variables regarding weight perception and body satisfaction, comparing women with eating disorders to those without this condition. Methods: Observational, descriptive, comparative, and cross-sectional study. Women with eating disorders in treatment (EDG) were recruited from five services in the South and Southeast regions of Brazil. The counterpart, the control group (CG), consisted of women without eating disorders recruited online and with a negative score on the EAT-26 test. Online questionnaires were applied between June 2020 and January 2021. Statistical analyses included Pearson’s Chi-square or Fisher’s Exact test and logistic regressions, performed using the SPSS 23.0 program. Results: Participants were 174 young women (31.94±9.35 years of age), with higher education (71.3%) and with a partner (61.5%), who were in social isolation. The EDG consisted of 58 women, with116 in the CG. The majority (55.2%) of the EDG noticed an increase in body weight while being dissatisfied with body image (81.0%), a statistically different result from the CG. The association between women with eating disorders and low body satisfaction was significant (p=.0010). Those in social isolation and overweight or obese were more likely to perceive weight gain. Conclusion: The Covid-19 pandemic intensified body dissatisfaction, especially among women with eating disorders. Those in isolation who were overweight or obese perceived more weight gain, indicating the need for intervention strategies for these groups.
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Wang W, Tang J, Wei F. Updated understanding of the outbreak of 2019 novel coronavirus (2019‐nCov) in Wuhan, China. Journal of Medical Virology. 2020 fev; 92(4):441-47. https://doi.org/ 10.1002/jmv.25689.
Worobey M. Dissecting the early COVID-19 cases in Wuhan. Science. 2021 nov; 374(6572):1202-04. https://doi.org/10.1126/science.abm4454.
World Health Organization. Corona virus disease COVID-2019: Situation report. Safety and Risk of Pharmacotherapy. 2020;8(1):3-8.
Pfefferbaum B, North CS. Mental Health and the COVID-19 pandemic. The New England Journal of Medicine. 2020 ago;383(6):510-12.
https://doi.org/ 10.1056/nejmp2008017.
Reger MA, Stanley IH, Joiner TE. Suicide mortality and coronavirus disease 2019 - A perfectstorm? JAMA Psychiatry. 2020 abr;77(11):1093-94. https://doi.org/ 10.1001/jamapsychiatry.2020.1060.
American Psychiatric Association. Manual diagnóstico e estatístico de transtornos mentais: DSM-5. Trad. Maria Inês Corrêa Nascimento, Paulo Henrique Machado, Regina Machado Garcez, Régis Pizzato e Sandra Maria Mallmann da Rosa. 5 ed. Porto alegre: Artmed; 2014.
Chan CY, Chiu CY. Disordered eating behaviors and psychological health during the COVID-19 pandemic. Psychol Health Med. 2022;27(1):249-256. https://doi.org/10.1080/13548506.2021.1883687.
Devoe DJ, Han A, Anderson A, Katzman DK, Patten SB, Soumbasis A, Flanagan J, et al. The impactofthe COVID-19 pandemiconeatingdisorders: A systematic review. InternationalJournalof Eating Disorders. 2022;56(1):5-25. https://doi.org/10.1002/eat.23704
Weissman RS, Hay P. People's lived experience with an eating disorder during the COVID-19 pandemic: A joint virtual issue of research published in leading eating disorder journals. International Journal of Eating Disorders. 2022;55(2):155-60. https://doi.org/10.1002/eat.23653
Machado PPP, Pinto-Bastos A, Ramos R, Rodrigues TF, Louro E, Gonçalves S, et al. Impactof COVID-19 lockdown measures on a cohort of eating isorders patients. Journal of Eating Disorders. 2020;8(1):1-8. https://doi.org/10.1186/s40337-020-00340-1.
Monteleone AM, Marciello F, Cascino G, Abbate-Daga G, Anselmetti S, Baiano M, et al. The impact of COVID-19 lockdown and of th following “re-opening” period on specific and general psychopathology in people with eating disorders: thee mergent role of internalizing symptoms. Journal of Affective Disorders. 2021;285:77-83. https://doi.org/10.1016/j.jad.2021.02.037.
Schlegl S, Maier J, Meule A, Voderholzer U. Eating disorders in times of the COVID‐19 pandemic – Results froman online survey of patients with anorexia nervosa. International Journal of Eating Disorders. 2020;53(11):1791-1800. https://doi.org/10.1002/eat.23374.
Schlegl S, Meule A, Favreau M, Voderholzer U. Bulimia nervosa in times of the COVID‐19 pandemic – Results from an online survey of former in patients. European Eating Disorders Review. 2020;28(6):847-54. https://doi.org/10.1002/erv.2773.
Costa CS, Steele EM, Leite MA, Rauber F, Levy RB, Monteiro CA. Mudanças no peso corporal na coorte NutriNet Brasil durante a pandemia de covid-19. Revista de Saúde Pública. 2021;55(1):1-5. https://doi.org/10.11606/s1518-8787.2021055003457.
Magalhães ACL de, Baptista GG. Fatores associados à insatisfação com a imagem corporal em estudantes durante a pandemia de COVID-19. Lecturas: Educación Física y Deportes. 2021;26(279):64-79. https://doi.org/10.46642/efd.v26i279.2663.
Fonseca AA, Carneiro APV, Batista ACFF, Soares WD, Freitas RF, Reis VMCP. Hábitos de vida de escolares durante a pandemia da COVID-19: Repercussões no peso corporal. Revista Brasileira de Obesidade, Nutrição e Emagrecimento. 2022;16(103):752-61.
Biguetti F. Tradução e validação do Eating Attitudes Test (EAT-26) em adolescentes do sexo feminino na cidade de Ribeirão Preto - SP [dissertação]. Ribeirão Preto: Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto; 2003. https://doi.org/10.11606/D.22.2003.tde-12042004-234230.
Associação Brasileira de Empresas de Pesquisa; Critério Brasil [citado 1 jun. 2019]. [Acesso em 07 fev 2020]. Disponível em: https://www.abep.org/criterioBr/01_cceb_2019.pdf
World Health Organization. Growth reference data for 5-19 years. Geneva: WHO, 2007.
World Health Organization. Physical Status: The use and interpretation of anthropometry. (Reportof a WHO Expert Committee. WHO TechnicalReport Series, n.º 854). Geneva: WHO, 1995.
Lipschitz DA. Screening for Nutritional Status in the Elderly. Primary Care. 1994;21(1):55-67.
Fernández‐Aranda F, Munguía L, Mestre-Bach G, Steward T, Etxandi M, Baenas I, et al. COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity - A collaborative international study. European Eating Disorders Review. 2020;28(6):871-83. http://dx.doi.org/10.1002/erv.2784.
Castellini G, Cassioli E, Rossi E, Innocenti M, Gironi V, Sanfilippo G, et al. The impactof COVID‐19 epidemicon eatingdisorders: A longitudinal observationofpre versus post psychopathologicalfeatures in a sample ofpatientswitheatingdisordersand a groupofhealthycontrols. InternationalJournal of Eating Disorders. 2020;53(11):1855-62. http://dx.doi.org/10.1002/eat.23368.
Bakaloudi DR, Barazzoni R, Bischoff SC, Breda J, Wickramasinghe K, Chourdakis M. Impactofthefirst COVID-19 lockdown on body weight: A combinedsystematic review and a meta-analysis. Clinical Nutrition. 2021;41(12):3046-3054. http://dx.doi.org/10.1016/j.clnu.2021.04.015.
Khan MAB, Menon P, Govender R, Samra AMBA, Allaham KK, Nauman J, et al. Systematic review of the effects of pandemic confinements on body weight and their determinants. British Journal of Nutrition. 2021;127(2):298-317. http://dx.doi.org/10.1017/S0007114521000921.
Vall-Roqué H, Andrés A, Saldaña C. The impactof COVID-19 pandemicand lockdown measures on eating disorder isk and emotional distress among adolescents and young people in Spain. Behavioral Psychology/ Psicología Conductual. 2021;29(2):345-364. http://dx.doi.org/10.51668/bp.8321208n.
Quittkat HL, Hartmann AS, Düsing R, Buhlmann U, Vocks S. Body dissatisfaction, importance of appearance, and body appreciation in men and women over the life span. Frontiers in Psychiatry. 2019;10:1-12. http://dx.doi.org/10.3389/fpsyt.2019.00864.
Robertson M, Duffy F, Newman E, Bravo CP, Ates HH, Sharpe H. Exploring changes in body image, eating and exercise during the COVID-19 lockdown: A UK survey. Appetite. 2021;1(159):105062. http://dx.doi.org/10.1016/j.appet.2020.105062
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Copyright (c) 2024 Shauana Rodrigues Silva Soares, Lívia Dayane Sousa Azevedo, Ana Paula Leme de Souza, Marina Garcia Manochio Pina, Rosane Pilot Pessa
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