Nutrition Research and Practice

The Korean Nutrition Society (한국영양학회)
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Factors associated with behavioral and weight changes across adult to elderly age groups during the COVID-19 pandemic

  • Tomoya Itatani (School of Nursing, Faculty of Medicine, University of Miyazaki) ;
  • Hisao Nakai (Faculty of Nursing, University of Kochi) ;
  • Yutaro Takahashi (Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University) ;
  • Chika Togami (Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University)
  • Received : 2023.12.22
  • Accepted : 2024.04.13
  • Published : 2024.08.01
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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/m2 for respondents whose weight did not change and 25.1 ± 2.7 kg/m2 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.

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References

  1. Kuniya T. Evaluation of the effect of the state of emergency for the first wave of COVID-19 in Japan. Infect Dis Model 2020;5:580-7. https://doi.org/10.1016/j.idm.2020.08.004
  2. World Health Organization (WHO). WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020 [Internet]. Geneva: World Health Organization; 2023 [cited 2024 March 23]. Available from: https://www.who.int/director-general/speeches/detail/who-director-general-s-openingremarks-at-the-media-briefing-on-covid-19---11-march-2020.
  3. Prime Minister's Office of Japan. Prime Minister of Japan and his cabinet declaration of a state of emergency in response to the novel coronavirus disease [Internet]. Tokyo: Prime Minister's Office of Japan; 2020 [cited 2024 March 23]. Available from: https://japan.kantei.go.jp/ongoingtopics/_00020.html.
  4. Cabinet Secretariat. COVID-19 information and resources [Internet]. Tokyo: Cabinet Secretariat, Government of Japan; [cited 2024 March 23]. Available from: https://corona.go.jp/en/dashboard/.
  5. Hale T, Angrist N, Goldszmidt R, Kira B, Petherick A, Phillips T, Webster S, Cameron-Blake E, Hallas L, Majumdar S, et al. A global panel database of pandemic policies (Oxford COVID-19 Government Response Tracker). Nat Hum Behav 2021;5:529-38. https://doi.org/10.1038/s41562-021-01079-8
  6. Karako K, Song P, Chen Y, Tang W, Kokudo N. Overview of the characteristics of and responses to the three waves of COVID-19 in Japan during 2020-2021. Biosci Trends 2021;15:1-8. https://doi.org/10.5582/bst.2021.01019
  7. Yamada M, Kimura Y, Ishiyama D, Otobe Y, Suzuki M, Koyama S, Kikuchi T, Kusumi H, Arai H. Effect of the COVID-19 epidemic on physical activity in community-dwelling older adults in Japan: a cross-sectional online survey. J Nutr Health Aging 2020;24:948-50. https://doi.org/10.1007/s12603-020-1501-6
  8. Amini H, Habibi S, Islamoglu AH, Isanejad E, Uz C, Daniyari H. COVID-19 pandemic-induced physical inactivity: the necessity of updating the Global Action Plan on Physical Activity 2018-2030. Environ Health Prev Med 2021;26:32.
  9. Tison GH, Avram R, Kuhar P, Abreau S, Marcus GM, Pletcher MJ, Olgin JE. Worldwide effect of COVID-19 on physical activity: a descriptive study. Ann Intern Med 2020;173:767-70. https://doi.org/10.7326/M20-2665
  10. Ito T, Sugiura H, Ito Y, Noritake K, Ochi N. Effect of the COVID-19 emergency on physical function among school-aged children. Int J Environ Res Public Health 2021;18:9620.
  11. Gunma Association of Tourism Local Products & International Exchange Tokutei Kenshin. Progress and results of 10 years of nursing care prevention in Kusatsu Town, Gunma Prefecture [Internet]. Maebashi: Gunma Association of Tourism Local Products & International Exchange; 2013 [cited 2024 March 23]. Available from: https://www.jstage.jst.go.jp/article/jph/60/9/60_12-090/_pdf.
  12. Tada H, Kawashiri MA, Yasuda K, Yamagishi M. Associations between questionnaires on lifestyle and atherosclerotic cardiovascular disease in a Japanese general population: a cross-sectional study. PLoS One 2018;13:e0208135.
  13. Ministry of Agriculture, Forestry and Fisheries. Awareness survey on Shokuiku [Internet]. Tokyo: Ministry of Agriculture, Forestry and Fisheries; [cited 2024 March 23]. Available from: https://www.maff.go.jp/j/syokuiku/ishiki.html.
  14. Hakui City official site [Internet]. Hakui: Hakui City; [cited 2024 March 23]. Available from: https://www.city.hakui.lg.jp/index.html.
  15. Ministry of Health, Labour and Welfare of Japan. Medical care system for elderly in the latter stage of life [Internet]. Tokyo: Ministry of Health, Labour and Welfare of Japan; [cited 2024 March 23]. Available from: https://www.mhlw.go.jp/english/wp/wp-hw3/dl/2-003.pdf.
  16. Ministry of Health, Labour and Welfare of Japan. Significance of Japan's universal health insurance system [Internet]. Tokyo: Ministry of Health, Labour and Welfare of Japan; [cited 2024 March 23]. Available from: https://www.mhlw.go.jp/file/06-Seisakujouhou-12400000-Hokenkyoku/0000172084.pdf.
  17. Statistics Bureau of Japan. Population estimates by age (5-year groups) and sex [Internet]. Tokyo: Statistics Bureau of Japan address; 2023 [cited 2024 March 23]. Available from: https://www.stat.go.jp/english/data/jinsui/tsuki/index.html.
  18. Ministry of Health, Labour and Welfare of Japan. Health checkup judgment value of health checkup items [Internet]. Tokyo: Ministry of Health, Labour and Welfare of Japan; [cited 2024 March 23]. Available from: https://www.mhlw.go.jp/content/12401000/000967510.pdf.
  19. Alshahrani SM, Alghannam AF, Taha N, Alqahtani SS, Al-Mutairi A, Al-Saud N, Alghnam S. The impact of COVID-19 pandemic on weight and body mass index in Saudi Arabia: a longitudinal study. Front Public Health 2022;9:775022.
  20. Lippi G, Henry BM, Bovo C, Sanchis-Gomar F. Health risks and potential remedies during prolonged lockdowns for coronavirus disease 2019 (COVID-19). Diagnosis (Berl) 2020;7:85-90. https://doi.org/10.1515/dx-2020-0041
  21. Cook CM, Schoeller DA. Physical activity and weight control: conflicting findings. Curr Opin Clin Nutr Metab Care 2011;14:419-24. https://doi.org/10.1097/MCO.0b013e328349b9ff
  22. Thomas DM, Bouchard C, Church T, Slentz C, Kraus WE, Redman LM, Martin CK, Silva AM, Vossen M, Westerterp K, et al. Why do individuals not lose more weight from an exercise intervention at a defined dose? An energy balance analysis. Obes Rev 2012;13:835-47. https://doi.org/10.1111/j.1467-789X.2012.01012.x
  23. Ministry of Health, Labour and Welfare of Japan. 2019 National Health and Nutrition Survey Report [Internet]. Tokyo: Ministry of Health, Labour and Welfare of Japan; 2020 [cited 2023 September 10]. Available from: https://www.mhlw.go.jp/content/000711005.pdf.
  24. White AM. Gender differences in the epidemiology of alcohol use and related harms in the United States. Alcohol Res 2020;40:01.
  25. Ministry of Health, Labour and Welfare of Japan. 2019 National Health and Nutrition Survey Report [Internet]. Tokyo: Ministry of Health, Labour and Welfare of Japan; 2020 [cited 2023 September 10]. Available from: https://www.mhlw.go.jp/content/001066903.pdf.
  26. Christmas C, Rogus-Pulia N. Swallowing disorders in the older population. J Am Geriatr Soc 2019;67:2643-9. https://doi.org/10.1111/jgs.16137
  27. Hathaway B, Vaezi A, Egloff AM, Smith L, Wasserman-Wincko T, Johnson JT. Frailty measurements and dysphagia in the outpatient setting. Ann Otol Rhinol Laryngol 2014;123:629-35. https://doi.org/10.1177/0003489414528669
  28. Lebrasseur A, Fortin-Bedard N, Lettre J, Raymond E, Bussieres EL, Lapierre N, Faieta J, Vincent C, Duchesne L, Ouellet MC, et al. Impact of the COVID-19 pandemic on older adults: rapid review. JMIR Aging 2021;4:e26474.
  29. Hwang TJ, Rabheru K, Peisah C, Reichman W, Ikeda M. Loneliness and social isolation during the COVID-19 pandemic. Int Psychogeriatr 2020;32:1217-20. https://doi.org/10.1017/S1041610220000988
  30. Sato K, Niimi Y, Iwatsubo T, Ishii S. Change in long-term care service usage in Japan following the COVID-19 pandemic: a survey using a nationwide statistical summary in 2018-2021. Geriatr Gerontol Int 2022;22:803-9. https://doi.org/10.1111/ggi.14461
  31. Yamaguchi Y, Yamada M, Hapsari ED, Matsuo H. The influence of social isolation on the preventive behaviors for non-communicable diseases in community-dwelling older adults in Japan. Int J Environ Res Public Health 2020;17:8985.
  32. Kitamura A, Seino S, Abe T, Nofuji Y, Yokoyama Y, Amano H, Nishi M, Taniguchi Y, Narita M, Fujiwara Y, et al. Sarcopenia: prevalence, associated factors, and the risk of mortality and disability in Japanese older adults. J Cachexia Sarcopenia Muscle 2021;12:30-8. https://doi.org/10.1002/jcsm.12651