Nutr Res Pract.  2024 Aug;18(4):544-553. 10.4162/nrp.2024.18.4.544.

Factors associated with behavioral and weight changes across adult to elderly age groups during the COVID-19 pandemic

Affiliations
  • 1School of Nursing, Faculty of Medicine, University of Miyazaki, Miyazaki 889-1692, Japan
  • 2Faculty of Nursing, University of Kochi, Kochi 781-8515, Japan
  • 3Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa 920-0942, Japan
  • 4Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, Kanazawa 920- 0942, Japan

Abstract

BACKGROUND/OBJECTIVES
There are concerns about the adverse health effects of behavioral changes linked to coronavirus disease 2019 (COVID-19). We conducted a survey to investigate changes in lifestyle habits, including exercise and eating, during the COVID-19 pandemic and their association with changes in weight.
SUBJECTS/METHODS
We conducted a survey of 5,000 people in Hakui City, Japan, to assess their lifestyles and diets during the COVID-19 pandemic. A total of 3,992 complete responses were received. We also obtained pre- and post-pandemic health check-up data for 704 of the respondents. These health data were combined with the results of the questionnaire survey to identify factors associated with weight changes. Data were analyzed for 704 individuals.
RESULTS
The mean body mass index was 22.5 ± 3.1 kg/m 2 for respondents whose weight did not change and 25.1 ± 2.7 kg/m 2 for respondents whose weight increased. The pre-pandemic mean values for abdominal circumference in females and for gamma-glutamyl transferase in males tended to be higher in those whose weight increased. Those with decreased weight tended to be older. Respondents who were already overweight were more likely to gain weight because of COVID-19-related changes in their lifestyle. In males, alcohol consumption was directly associated with weight, and in females, abdominal circumference was more important.
CONCLUSION
The study found pre-pandemic overweight individuals likely gained more weight during it, with alcohol consumption being a significant factor for males. Weight loss was more crucial for those over 70, rather than weight gain.

Keyword

COVID-19; lifestyle; body weight

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