Gender-dependent impact of COVID-19 lockdown on metabolic and psychological aspects
Bonfrate, Leonilde (Università degli Studi di Bari Aldo Moro)
Di Ciaula, Agostino (Università degli Studi di Bari Aldo Moro)
Khalil, Mohamad (Università degli Studi di Bari Aldo Moro)
Farella, Ilaria (Università degli Studi di Bari Aldo Moro)
Chirico, Roberta (Università degli Studi di Bari Aldo Moro)
Vilahur, Gemma (Institut d'Investigació Biomèdica Sant Pau)
Portincasa, Piero (Università degli Studi di Bari Aldo Moro)
Universitat Autònoma de Barcelona

Data:	2023
Resum:	The first COVID-19 lockdown resulted in enforced quarantine of heavily affected areas with social isolation and related measures by several governments to slow the spread of the disease. The general population experienced several mental and lifestyle changes. Herein, we aimed to evaluate the metabolic and psychological effects induced by lifestyle changes during COVID-19 self-isolation among an Apulian overweight/obese cohort with metabolic disturbances. The study assessed anthropometric data (weight, abdominal circumferences), dietary habits (adherence to the Mediterranean diet, junk food score), lifestyle habits (i. e. , smoking, and physical activity), levels of stress and anxiety, and depression. Subjects underwent bioumoral exams before and after self-isolation to monitor glycemic and lipid profiles. A total of 245 subjects (M:F = 118:127) have been included in the study. After lockdown, the number of obese subjects significantly increased in both sexes, and was higher in females than in males (P < 0. 0001). Glycemic and lipid profiles worsened, with higher levels of insulinemia, lower levels of HDL cholesterol, and higher levels of triglycerides in females than in males. Adherence to the Mediterranean diet and consumption of junk foods were altered in both groups, especially in females. Psychological aspects were significantly higher in females than in males. Finally, work activities and familial status strongly affected the metabolic and psychological profile. In conclusion, COVID-19 self-isolation induced changes in lifestyle and dietary habits with psychological distress and detrimental effects on metabolic patterns, which were more pronounced in female gender.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	COVID-19 ; Gender ; Mediterranean diet ; Metabolic disease ; Psychological aspects
Publicat a:	Internal and Emergency Medicine, Vol. 18 Núm. 2 (march 2023) , p. 385-395, ISSN 1970-9366

DOI: 10.1007/s11739-022-03173-9
PMID: 36703077

11 p, 963.8 KB

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