|
|
|
Vol 21. N°4. 2020 | Octubre-Diciembre de 2020
ARTÍCULOS ORIGINALES - OBESIDAD
HÁBITOS DURANTE EL AISLAMIENTO SOCIAL POR LA PANDEMIA DE COVID-19 Y SU IMPACTO EN EL PESO CORPORAL
Autores: MARIANELA AGUIRRE ACKERMANN, CAROLINA PENTREATH, LILIA CAFARO, ANA MARÍA CAPPELLETTI, ROCÍO ALONSO, MARÍA INÉS COCCARO, MARTÍN GIANNINI, MICAELA HERRERO, SILVIA SAENZ, MÓNICA KATZ
RESUMEN
Introducción: el aislamiento a causa de la pandemia de COVID-19 ha generado cambios en el estilo de vida de la población, como no concurrir al lugar de trabajo, teletrabajo, suspensión de actividades deportivas y recreativas, alterando todas las rutinas, incluso las de sueño. Esta situación podría agravar la pandemia de obesidad en el marco de la nueva pandemia, y favorecer alteraciones cualitativas y cuantitativas en la ingesta de alimentos y bebidas, y sedentarismo. Objetivos: investigar la percepción de las personas respecto de la modificación de sus conductas y rutinas, y su impacto en el peso corporal. Materiales y métodos: se realizó un estudio observacional de corte transversal, descriptivo y analítico, analizando datos de 5.635 cuestionarios vía google forms, aplicados luego de 45 días de iniciado el aislamiento preventivo y obligatorio debido a la pandemia de la enfermedad COVID-19. Resultados: el 62,1% (IC95%=60,8-63,4%) de los encuestados refirió ganar peso; la mayoría de ellos (78,6%) entre 1 a 3 Kg. Seis de cada 10 personas mencionaron al aumento de la ingesta de alimentos y bebidas, y a la disminución de actividad física como principales causas. Con respecto a los factores asociados con la ganancia de peso referida, la edad (joven), el exceso de peso previo, los cambios en la alimentación, la ingesta en respuesta a emociones, el bajo nivel de actividad física, el consumo de alcohol y las alteraciones en el sueño fueron los factores relacionados con significancia estadística. Conclusiones: el confinamiento contribuyó a agravar cuestiones relativas a hábitos del estilo de vida, generando como consecuencia incremento de peso en la población encuestada, en su mayoría entre 1 a 3 kg. Entre quienes refirieron exceso de peso previo, hubo mayor prevalencia de incremento de peso. Los resultados de este estudio podrían utilizarse para dar recomendaciones y estrategias de salud para prevenir ganancia de peso en la población por parte de las autoridades sanitarias. PALABRAS CLAVE: encuestas y cuestionarios; Argentina; confinamiento controlado; aumento de peso.
REFERENCIAS: 1. World Health Organization (2020). Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). World Health Organization. https:// www.who.int/news-room/detail/ 30-01–2020-statement-onthe-second-meeting-of-the-international-health-regulations -(2005)-emergency-committee-regarding-the-outbreak-ofnovel-coronavirus-(2019-ncov). 2. Decreto 297/2020 del Aislamiento social, preventivo y obligatorio. Publicado en el Boletín Oficial de la República Argentina. Disponible en: https://www.boletinoficial.gob.ar/detalleAviso/ primera/227042/20200320. Fecha de acceso: 30/03/20. 3. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health 2020; 17(5):1729. https://doi.org/10.3390/ ijerph17051729. 4. Cuarta Encuesta Nacional de Factores de Riesgo. 1º Ed. Ciudad Autónoma de Buenos Aires: Instituto Nacional de Estadística y Censos (INDEC); Ciudad Autónoma de Buenos Aires : Secretaría de Gobierno de Salud de la Nación, 2019. 5. Anger V, Katz M. Relación entre IMC, emociones percibidas, estilo de ingesta y preferencias gustativas en una población de adultos. Actualización en Nutrición 2015; Vol. 16 Nº 1:31-36. 6. Zachary Z, Brianna F, Brianna L, et al. Self-quarantine and weight gain related risk factors during the COVID-19 pandemic. Obes Res Clin Pract. 2020;14(3):210-216. DOI:10.1016/j. orcp.2020.05.004. 7. Almughamis N, Alasfour S, Mehmood S, et al. Poor eating habits and predictors of weight gain during the COVID-19 quarantine measures in Kuwait: a cross sectional study. 27 May 2020. https://doi.org/10.21203/rs.3.rs-29219/v1+]. 8. Pérez-Rodrigo C, Gianzo Citores M, Gotzone Hervás B, et al. Cambios en los hábitos alimentarios durante el período de confinamiento por la pandemia COVID-19 en Espa- ña. Rev Esp Nutr Comunitaria 2020; 26(2). DOI: 10.14642/ RENC.2020.26.2.5213. 9. Gates ML, Bradford RK. The impact of incarceration on obesity: are prisioners with cronic diseases becoming overweight and obese during their confinement? J Obes 2015; 2015:532468. DOI: 10.1155/2015/532468 10. Cooper M, Reilly E, Siegel J, Coniglio K, Sadeh-Sharvit S, Pisetsky EM, Anderson LM. Eating disorders during the COVID-19 pandemic and quarantine: an overview of risks and recommendations for treatment and early intervention. Eating Disorders 2020. 10.1080/10640266.2020.1790271, (1-23). 11. Mattioli AV, Ballerini-Puviani M, Nasi M, et al. COVID-19 pandemic: the effects of quarantine on cardiovascular risk. Eur J Clin Nutr 2020; 74:852-855. https://doi.org/10.1038/s41430- 020-0646-z 12. Zohn-Rosen SL, Weinberger-Litman SL, et al. Anxiety and distress among the first community quarantined in the U.S due to COVID-19: Psychological implications for the unfolding crisis. Am J Health prom 2020 (Preprint). 13. Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China. Int J Environ Res Salud Pública 2020; 17 (5): 1729. DOI: 10.3390/ijerph17051729. 14. Mediouni M, Madiouni R, Kaczor-Urbanowicz KE. COVID-19: How the quarantine could lead to the depreobesity. Obes Med 2020; 19: 100255. DOI: 10.1016/j.obmed.2020.100255 15. Camarotti AC, Jones D. El consumo de alcohol en tiempos de cuarentena. Disponible en: https://www.conicet.gov.ar/el-consumo-de-alcohol-en-tiempos-de-cuarentena/. 16. Biddle N, Edwards B, Gray M, Sollis K. Alcohol consumption during COVID-19 period: May 2020. The ANU Centre for Social Research and Methods 2020. Disponible en: https://csrm.cass. anu.edu.au/sites/default/files/docs/2020/6/Alcohol_consumption_during_the_COVID-19_period.pdf. 17. Traversy G, Chaput JF. Review alcohol consumption and obesity: an update. Curr Obes Rep 2015 Mar; 4(1):122-30. DOI: 10.1007/s13679-014-0129-4. 18. Booth FW, Roberts CK, Thyfault JP, Ruegsegger GN, RG Toedebusch. Role of inactivity in chronic diseases: evolutionary insight and pathophysiological mechanisms. Physiol Rev 2017; 97 (4):1351-1402. 19. Kohl HW III, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, Kahlmeier S; Lancet Physical Activity Series Working Group. The pandemic of physical inactivity: global action for public health. Lancet 2012: 380:294-305. DOI:10.1016/S0140- 6736(12)60898-8. 20. Pratt M, Ramírez-Varela A, Salvo D, Kohl Iii HW, Ding D. Attacking the pandemic of physical inactivity: what is holding us back? British Journal of Sports Medicine 2020; 54(13):760-762. DOI: 10.1136/bjsports-2019-101392. 21. Ozemek C, Lavie CJ, Rognmo O. Global physical activity levelsneed for intervention. Prog Cardiovasc Dis 2019; 62(2):102-10. 22. World Health Organization. Physical inactivity: a global public health problem 2020. Disponible en: https://www.who.int/dietphysicalactivity/factsheet_inactivity/en/. Acceso: 3/30/2020. 23. Reynolds G. Stuck Inside? Keep Walking. NY Times. Acceso: 4/1/2020. 24. Saint-Maurice PF, Troiano RP, Bassett Jr DR, et al. Association of daily step count and step intensity with mortality among US adults. Jama 2020; 323(12):1151-1160. 25. Schoeller DA. The effect of holiday weight gain on body weight. Physiol Behav 2014; 134: 66-69. 26. Stevenson JL, Krishnan S, Stoner MA, Goktas Z, Cooper JA. Effects of exercise during the holiday season on changes in body weight, body composition and blood pressure. Eur J Clin Nutr 2013; 67:944-949. 27. Bhutani S, Wells N, Finlayson G, et al. Change in eating pattern as a contributor to energy intake and weight gain during the winter holiday period in obese adults. Int J Obes 2020;44:1586- 1595 (2020). https://doi.org/10.1038/s41366-020-0562-2. 28. Cooper JA, Tokar T. A prospective study on vacation weight gain in adults. Physiol Behav 2016;156:43-47. 29. Kaviani S, vanDellen M, Cooper JA. Daily Self-weighing to prevent holiday-associated weight gain in adults. Obesity (Silver Spring) 2019;27: 908-916. 30. Yanovski JA, Yanovski SZ, Sovik KN, Nguyen TT, O'Neil PM, Sebring NG. A prospective study of holiday weight gain. N Engl J Med 2000; 342: 861-867. 31. Bhutani S, Cooper JA. COVID-19. Related home confinement in adults: weight gain risks and opportunities (published online ahead of print, 2020 May 19). Obesity (Silver Spring) 2020. DOI:10.1002/oby.22904. 32. McHill AW, Wright KP Jr. Role of sleep and circadian disruption on energy expenditure and in metabolic predisposition to human obesity and metabolic disease. Obes Rev. 2017;18 Suppl 1:15-24. DOI:10.1111/obr.12503. 33. Garaulet M, Gómez-Abellán P. Chronobiology and obesity. Nutr Hosp 2013;28 Suppl 5:114-120. DOI:10.3305/ nh.2013.28.sup5.6926.
HABITS DURING SOCIAL ISOLATION BY THE COVID-19 PANDEMIC AND ITS IMPACT ON BODY WEIGHT
SUMMARY
Introduction: the isolation due to the COVID-19 pandemic has generated changes in the lifestyle of the population, such as not attending the workplace, teleworking, suspension of sports and recreational activities, altering all routines, including sleep. This situation could exacerbate the obesity pandemic in the framework of the new pandemic, favoring qualitative and quantitative changes in food and drink intake and sedentary lifestyle. Objectives: to investigate how behaviors and routines have been modified and their impact on body weight. Materials and methods: an observational, cross-sectional, descriptive and analytical study was carried out, analyzing data from 5,635 questionnaires via google forms, applied 45 days after the initiation of preventive and mandatory isolation due to the COVID-19 disease pandemic. Results: weight gain was recorded in 62.1% (95% CI=60.8- 63.4%) of the respondents, most of them (78.6%) reported gained from 1 to 3 kg. 6 of every 10 people mentioned increased food and drink intake and decreased physical activity as the main causes. With regard to factors associated with referred weight gain, age (young), previous excess weight, changes in diet, intake in response to emotions, low level of physical activity, alcohol consumption and disorders in sleep were the factors related to statistical significance to weight gain. Conclusions: confinement has contributed to exacerbate issues related to lifestyle habits, generating as a consequence an increase in weight in the population, mostly between 1 to 3 kg. Among those who suffered from previous excess, there was a higher prevalence of weight gain. The results of this study could be used by the health authorities to give recommendations and health strategies to prevent weight gain in the population. Key words: surveys and questionnaires; Argentina; controlled confinement; weight gain.
DESCARGAR TEXTO COMPLETO EN PDF
|
|
|
|