Assessment of nutritional status, anthropometry and sleep patterns of the obese patients during pre and post COVID-19 illness

Abstract

Background and aims

Until COVID-19, obesity was the main pandemic of 21 century. To date, there have been 767984989 confirmed cases, and 6943390 include death cases of COVID-19 (WHO). To find the prevalence of Obesity among adults, to adjudge the attitude and behavior of selected subjects towards eating healthy and weight loss during pre- and post-COVID-19.

Methodology

Subject selection was done through non-probability judgemental sampling. Initially, 70 young adults between 18 and 39 years of age were selected from different localities of Delhi (NCR). The study was conducted based on a questionnaire developed for the survey. Based on the inclusion criteria only 50 subjects were selected for further study. The study was constructed into three phases and the arrangement of subjects was elaborated as under. Phase 1 includes field study, clinical examination, and biochemical analysis, phase II includes the division of experimental and control groups, whereas Phase III includes the pre& post-COVID nutritional status, anthropometric assessment, beverage consumption, and sleep patterns were also assessed.

Result

The nutrition intervention in E3 (balanced diet + nutrient supplement) showed a significant difference with the control group followed by E2 (nutrient supplement) and E1 (balanced diet). Our findings showed that the subjects have Calorie, protein, fat, carbohydrates, sodium, and potassium intake significantly decreased (P= <0.001) during post-intervention, whereas, the fiber, vitamin A, vitamin C, and iron (P= <0.001), and calcium (p = 0.006), intake significantly increased during post-intervention. The changes in anthropometric parameters such as waist-to-hip ratio (WHR), body mass index (BMI), and fat% for pre-COVID-19 were higher for both men and women, but after following the dietary recommendation and physical activity found a significant reduction in WHR, BMI, and fat% (P= <0.001) for both men and women. The p-value for subjective sleep quality, sleep latency, habitual sleep efficiency, sleep disturbances, and daytime dysfunction appears to be less than 0.05 which shows that it is significant. The daily consumption of various beverages listed above with a comparison of pre-post intervention, which shows that only for kada the p-value is 0.001 which is less than 0.05 hence it seems significant. The p-value for people with no comorbidity appears less than 0.05, indicating it is significant. majority of participants (12 %) with diabetes took comparatively longer than the participants suffering from other comorbidities followed by Hypertension (7 %), Hyperthyroidism (4 %), Hypothyroidism, and polycystic ovarian disease (PCOD) (3 % each) respectively.

Conclusion

In the present study, we provided survey data about the key aspects of the nutritional management of COVID-19 (pre-and-post), based on the current knowledge.