SARS-COV-19大流行期间的食物失调:系统综述

Natália Ferrari, M. O. Santos, Marcela Rodrigues da Cunha Alvarenga, Dáfane Lima Miguel, Letícia Peres Moraes, Ana Laura Braga, Brenda Mamed Jordão Cetrone, Otávio Augusto Fonseca Veiga, Rodrigo Wenglarek Delorenzo, Juliana Carolina Barbarelli, F. A. Borghi
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引用次数: 0

摘要

导读:饮食失调不仅局限于饮食习惯的改变,还涉及个体的身体和情绪变化。这些习惯会对健康和生活质量造成一些影响。指出COVID-19大流行对饮食失调患者生活的影响,并报告其在社会孤立背景下对医疗保健质量、人际关系和心理健康的影响。材料与方法:于2021年8月至12月对科学论文进行系统评价。该研究的目标文件是在2019年至2021年之间编写的。纳入文章的方式包括队列型、随机临床试验和非随机临床试验以及病例报告。最后,为了评估变量,使用了“GRADE方法”。结果:共检索到43篇文献。观察到大流行期间对患者心理健康的臭名昭著的负面影响,无论是由于社会、经济,甚至是媒体情况。出现了三个突出的主要问题:社会限制、功能障碍和获得专业支持的限制。因此,作为寻求安慰的一种方式,许多人将食物作为一种缓解的方法,增加了超重/肥胖的强度和发生率,并恶化了情绪健康。另一方面,其他人开始进行过度的体育活动,这也变得有害。对个人健康不利的另一个因素是对医疗保健的承诺,这是由于对病毒传播实施的各种安全协议和限制以及人们自己的恐惧。结论:正如研究发现的那样,大流行对个人和集体的生活质量产生了巨大影响。然而,其长期后果尚不清楚。在精神疾病(如焦虑和抑郁)和饮食失调的病例中,特别是在年轻成年人口中,以及一般来说,有精神和饮食失调史的个体中,已证实这种情况有所加剧。
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Food Disorder during the SARS-COV-19 Pandemic: A Systematic Review
Introduction: Eating disorders are not restricted to changes in eating habits, but also involve physical and emotional changes in individuals. These habits can lead to several consequences on health and quality of life. To point out the effects that the COVID-19 pandemic had on the lives of individuals with eating disorders and report its consequences on the quality of medical care, interpersonal relationships, and mental health in the context of social isolation. Materials and Methods: A systematic review of scientific articles was carried out from August to December 2021. The target files for the study were written between the years 2019 to 2021. The modalities of articles included were cohort type, randomized clinical trials and non-randomized, and case reports. Finally, to evaluate the variables, the method “The GRADE approach” was used. Results: A total of 43 articles were found. The notorious negative impact on the mental health of patients during the pandemic was observed, whether due to social, economic, and even media situations. The emergence of three major problems stands out: social restrictions, functional impairments, and limitations of access to professional support. Consequently, as a way of seeking comfort, many people used food as a method of relief, increasing the intensity and incidence of overweight/obesity and worsening emotional well-being. On the other hand, other individuals started to practice excessive physical activity, which also becomes harmful. Another unfavorable factor for the health of individuals was the commitment to medical care, due to the various safety protocols and restrictions imposed against the spread of the virus and the population's own fear. Conclusion: The pandemic had a great impact on individual and collective quality of life, as evidenced by the studies found. However, its long-term consequences are still unclear. There was a proven accentuation in cases of psychiatric disorders (such as anxiety and depression) and in eating disorders, especially in the young adult population and, in general, individuals with a history of mental and eating disorders.
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