评估重大生活事件中社会生态因素对健康行为和体重变化的影响:利用 COVID-19 大流行期间收集的数据进行横断面研究。

IF 1.9 Q3 ENDOCRINOLOGY & METABOLISM Obesity Science & Practice Pub Date : 2024-08-10 eCollection Date: 2024-08-01 DOI:10.1002/osp4.785
Tsz Kiu Chui, Yenni E Cedillo, Assil El Zein, Gregory Pavela, Ann E Caldwell, John C Peters, James E Friedman, Swati DebRoy, Jennifer L Oslund, Sai Krupa Das, Susan B Roberts, James O Hill, R Drew Sayer
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引用次数: 0

摘要

背景:社会生态因素与对体重管理至关重要的关键健康行为有关,而重大生活事件可能会扰乱这些行为的参与。然而,由于重大生活事件发生的随机性和偶发性,社会生态因素对重大生活事件中健康行为的影响尚不明确,也难以研究。COVID-19 大流行为研究重大生活事件及其对饮食、体力活动和体重的影响提供了一个独特的机会:这项横断面研究旨在利用 COVID-19 大流行期间收集的数据,调查在重大生活事件中社会生态因素(环境、人际关系和个人)与自我报告的体重变化之间的关联,以及这些关联是否通过自我报告的饮食和体育锻炼行为的变化来调节:方法:参与者在 2020 年 12 月至 2021 年 10 月期间通过在线问卷自我报告了社会生态因素、体重变化以及饮食行为(EB)和体育活动(PA)的变化。在 COVID-19 大流行期间,饮食行为和体力活动的变化采用量表进行测量,得分越高反映的变化越积极:参与者(n = 1283)大多为女性(84.9%),年龄为 52.1 ± 14.1 岁(平均 ± SD),体重指数为 32.9 ± 8.2 kg/m2。较强的健康饮食和运动认同(个体因素)分别与较高的 EB 分数(EBS)和 PA 分数(PAS)相关(p's p = 0.002)。较高的 EBS 和 PAS 与体重减轻有关。健康饮食者身份(-0.72;95% CI:-0.90,-0.55)和不鼓励饮食(0.07;95% CI:0.03,0.12)通过 EBS 对体重变化的间接影响是显著的,运动身份(-0.25;95% CI:-0.35,-0.15)通过 PAS 对体重变化的间接影响也是显著的:结论:较强的身份认同和较少的家人/朋友劝阻可能会支持在重大生活事件中促进健康的行为和体重减轻,并为生活方式干预确定更多的行为目标:IWCR已在ClinicalTrials.gov(NCT04907396)上注册。
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Evaluation of socioecological factors on health behaviors and weight change during major life event: A cross-sectional study using data collected during the COVID-19 pandemic.

Background: Socioecological factors are associated with key health behaviors that are critical for weight management, and major life events may disrupt engagement in these behaviors. However, the influence of socioecological factors on health behaviors in the midst of major life events is not clear and is difficult to study due to the random and sporadic nature of their occurrence. The COVID-19 pandemic provided a unique opportunity to study a major life event and its impacts on diet, physical activity, and body weight.

Objective: This cross-sectional study aimed to investigate associations between socioecological factors (environmental, interpersonal, and individual) and self-reported weight change during a major life event using data collected during the COVID-19 pandemic, and whether the associations were mediated through self-reported changes in eating and physical activity behaviors.

Methods: Participants self-reported socioecological factors, weight change, and changes in eating behaviors (EB) and physical activity (PA) via online questionnaires between December 2020 and October 2021. Changes in EB and PA were measured using scales with higher scores reflecting more positive changes during the COVID-19 pandemic.

Results: Participants (n = 1283) were mostly female (84.9%) with age 52.1 ± 14.1 years (mean ± SD) and BMI of 32.9 ± 8.2 kg/m2. Stronger healthy eater and exercise identities (individual factors) were associated with higher EB scores (EBS) and PA scores (PAS), respectively (p's < 0.00001). Less discouragement for healthy eating by family/friends (interpersonal factor) was associated with higher EBS (p = 0.002). Higher EBS and PAS were associated with weight loss. The indirect effect of healthy eater identity (-0.72; 95% CI: -0.90, -0.55) and discouragement for diet (0.07; 95% CI: 0.03, 0.12) on weight change through EBS were significant, as was the indirect effect of exercise identity (-0.25; 95% CI: -0.35, -0.15) on weight change through PAS.

Conclusions: Stronger identities and less discouragement from family/friends may support health promoting behaviors and weight loss during a major life event, as well as identify additional behavioral targets for lifestyle interventions.

Clinical trial registration: IWCR was registered at ClinicalTrials.gov (NCT04907396).

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来源期刊
Obesity Science & Practice
Obesity Science & Practice ENDOCRINOLOGY & METABOLISM-
CiteScore
4.20
自引率
4.50%
发文量
73
审稿时长
29 weeks
期刊最新文献
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