Changes in Weight Status During the COVID-19 Pandemic: Impact of Educational Level and Mental Health

Overview

Journal Eur J Public Health

Publisher Oxford University Press

Specialty Public Health

Date 2023 Nov 15

PMID 37968230

Authors

Siri Rosenkilde

Thorkild I A Sorensen

Maria H Algren

Lau C Thygesen

Affiliations

Soon will be listed here.

Abstract

Background: The COVID-19 pandemic has resulted in a disruption of daily routines and changes in health behaviors leading to widespread concerns about unfavorable changes in weight status and a potential increase in the prevalence of obesity. This study examined the long-term impact of the COVID-19 pandemic on changes in weight status and its possible dependency on educational level and mental health.

Methods: The study utilizes the Danish Health and Well-being Survey with repeated self-reported information on weight status collected before the COVID-19 pandemic (autumn of 2019) and twice during the pandemic (autumns of 2020 and 2021). Information on educational level was derived from registers, whereas mental health was measured using validated scales. Generalized estimating equations were performed to investigate changes in mean weight and body mass index (BMI) category (BMI < 30 to BMI ≥ 30) between 2019 and 2021 and to investigate potential differences in changes in weight status by pre-pandemic educational level and mental health.

Results: Mean weight significantly increased by 0.34 kg [95% confidence interval (CI): 0.16-0.51] in 2020 and by 0.46 kg (95% CI: 0.26-0.66) in 2021 compared with pre-pandemic weight status. The increase was greater among individuals with lower educational levels and poorer mental health. There were no significant changes in BMI category during the pandemic.

Conclusion: The results showed a significant increase in mean weight among the Danish population, particularly among individuals with lower educational levels and poorer mental health, but without detectable differences in obesity, supporting a long-term but minor impact of the COVID-19 pandemic on weight status.

References

Thygesen L, Moller S, Ersboll A, Santini Z, Nielsen M, Gronbaek M . Decreasing mental well-being during the COVID-19 pandemic: A longitudinal study among Danes before and during the pandemic. J Psychiatr Res. 2021; 144:151-157. PMC: 8460161. DOI: 10.1016/j.jpsychires.2021.09.035. View

Dragioti E, Li H, Tsitsas G, Lee K, Choi J, Kim J . A large-scale meta-analytic atlas of mental health problems prevalence during the COVID-19 early pandemic. J Med Virol. 2021; 94(5):1935-1949. PMC: 9015528. DOI: 10.1002/jmv.27549. View

Stevenson J, Krishnan S, Stoner M, Goktas Z, Cooper J . Effects of exercise during the holiday season on changes in body weight, body composition and blood pressure. Eur J Clin Nutr. 2013; 67(9):944-9. DOI: 10.1038/ejcn.2013.98. View

Stewart-Brown S, Tennant A, Tennant R, Platt S, Parkinson J, Weich S . Internal construct validity of the Warwick-Edinburgh Mental Well-being Scale (WEMWBS): a Rasch analysis using data from the Scottish Health Education Population Survey. Health Qual Life Outcomes. 2009; 7:15. PMC: 2669062. DOI: 10.1186/1477-7525-7-15. View

Kriaucioniene V, Bagdonaviciene L, Rodriguez-Perez C, Petkeviciene J . Associations between Changes in Health Behaviours and Body Weight during the COVID-19 Quarantine in Lithuania: The Lithuanian COVIDiet Study. Nutrients. 2020; 12(10). PMC: 7599784. DOI: 10.3390/nu12103119. View

Khan M, Moverley Smith J . "Covibesity," a new pandemic. Obes Med. 2020; 19:100282. PMC: 7371584. DOI: 10.1016/j.obmed.2020.100282. View

Freedman D, Kompaniyets L, Daymont C, Zhao L, Blanck H . Weight gain among US adults during the COVID-19 pandemic through May 2021. Obesity (Silver Spring). 2022; 30(10):2064-2070. PMC: 9349426. DOI: 10.1002/oby.23511. View

Clemmensen C, Petersen M, Sorensen T . Will the COVID-19 pandemic worsen the obesity epidemic?. Nat Rev Endocrinol. 2020; 16(9):469-470. PMC: 7342551. DOI: 10.1038/s41574-020-0387-z. View

Kroenke K, Strine T, Spitzer R, Williams J, Berry J, Mokdad A . The PHQ-8 as a measure of current depression in the general population. J Affect Disord. 2008; 114(1-3):163-73. DOI: 10.1016/j.jad.2008.06.026. View

10.

Chew H, Lopez V . Global Impact of COVID-19 on Weight and Weight-Related Behaviors in the Adult Population: A Scoping Review. Int J Environ Res Public Health. 2021; 18(4). PMC: 7919006. DOI: 10.3390/ijerph18041876. View

11.

Sonne-Holm S, Sorensen T, Jensen G, Schnohr P . Influence of fatness, intelligence, education and sociodemographic factors on response rate in a health survey. J Epidemiol Community Health. 1989; 43(4):369-74. PMC: 1052876. DOI: 10.1136/jech.43.4.369. View

12.

Khubchandani J, Price J, Sharma S, Wiblishauser M, Webb F . COVID-19 pandemic and weight gain in American adults: A nationwide population-based study. Diabetes Metab Syndr. 2022; 16(1):102392. PMC: 8743853. DOI: 10.1016/j.dsx.2022.102392. View

13.

Garcia-Mayor J, Moreno-Llamas A, De la Cruz-Sanchez E . High educational attainment redresses the effect of occupational social class on health-related lifestyle: findings from four Spanish national health surveys. Ann Epidemiol. 2021; 58:29-37. DOI: 10.1016/j.annepidem.2021.02.010. View

14.

Pellegrini M, Ponzo V, Rosato R, Scumaci E, Goitre I, Benso A . Changes in Weight and Nutritional Habits in Adults with Obesity during the "Lockdown" Period Caused by the COVID-19 Virus Emergency. Nutrients. 2020; 12(7). PMC: 7400808. DOI: 10.3390/nu12072016. View

15.

Dicken S, Mitchell J, Le Vay J, Beard E, Kale D, Herbec A . Impact of COVID-19 Pandemic on Weight and BMI among UK Adults: A Longitudinal Analysis of Data from the HEBECO Study. Nutrients. 2021; 13(9). PMC: 8469464. DOI: 10.3390/nu13092911. View

16.

Huijts T, Gkiouleka A, Reibling N, Thomson K, Eikemo T, Bambra C . Educational inequalities in risky health behaviours in 21 European countries: findings from the European social survey (2014) special module on the social determinants of health. Eur J Public Health. 2017; 27(suppl_1):63-72. DOI: 10.1093/eurpub/ckw220. View

17.

Rosenbaum D, White K . The relation of anxiety, depression, and stress to binge eating behavior. J Health Psychol. 2015; 20(6):887-98. DOI: 10.1177/1359105315580212. View

18.

Flegal K, Ogden C, Fryar C, Afful J, Klein R, Huang D . Comparisons of Self-Reported and Measured Height and Weight, BMI, and Obesity Prevalence from National Surveys: 1999-2016. Obesity (Silver Spring). 2019; 27(10):1711-1719. PMC: 7289317. DOI: 10.1002/oby.22591. View

19.

Zach S, Fernandez-Rio J, Zeev A, Ophir M, Eilat-Adar S . Physical activity, resilience, emotions, moods, and weight control, during the COVID-19 global crisis. Isr J Health Policy Res. 2021; 10(1):52. PMC: 8412401. DOI: 10.1186/s13584-021-00473-x. View

20.

Alshahrani S, Alghannam A, Taha N, Alqahtani S, Al-Mutairi A, Al-Saud N . The Impact of COVID-19 Pandemic on Weight and Body Mass Index in Saudi Arabia: A Longitudinal Study. Front Public Health. 2022; 9:775022. PMC: 8801912. DOI: 10.3389/fpubh.2021.775022. View