Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review
Background: Several data suggest that coronavirus disease 2019 (COVID-19) pandemic may exacerbate or trigger eating disorders (EDs). The aim of this paper was to summarize current literature studies on COVID pandemic and EDs.Methods: Literature search, study selection, methods, and quality evaluatio...
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doaj-12fc93707ff5491db7af313223923c762021-09-29T04:42:53ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-09-011210.3389/fpsyg.2021.663376663376Eating Disorders Spectrum During the COVID Pandemic: A Systematic ReviewMario Miniati0Francesca Marzetti1Laura Palagini2Donatella Marazziti3Graziella Orrù4Ciro Conversano5Angelo Gemignani6Department of Clinical and Experimental Medicine, University of Pisa, Pisa, ItalyDepartment of Surgical, Medical and Molecular Pathology, Critical and Care Medicine, University of Pisa, Pisa, ItalyDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, ItalyDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, ItalyDepartment of Surgical, Medical and Molecular Pathology, Critical and Care Medicine, University of Pisa, Pisa, ItalyDepartment of Surgical, Medical and Molecular Pathology, Critical and Care Medicine, University of Pisa, Pisa, ItalyDepartment of Surgical, Medical and Molecular Pathology, Critical and Care Medicine, University of Pisa, Pisa, ItalyBackground: Several data suggest that coronavirus disease 2019 (COVID-19) pandemic may exacerbate or trigger eating disorders (EDs). The aim of this paper was to summarize current literature studies on COVID pandemic and EDs.Methods: Literature search, study selection, methods, and quality evaluation were performed according to the preferred reporting items for systematic review and meta-analyses (PRISMA) guidelines.Results: A systematic search allowed the initial selection of 172 papers; 21 (12.2%) papers were eligible and included in the review. In selected studies, a total number of 29,108 subjects were enrolled (range: 10–11,391; mean/SD: 1,386 ± 2,800), 6,216 were men (21.4%), 22,703 were women (77.9%), and 189 (0.7%) were gender fluid or not declared. The mean age/SD of subjects was 30.2 ± 7.7. About 12 studies (57.1%) were online surveys, 4 (19.0%) were retrospective studies, 2 (9.5%) were qualitative studies, 2 (9.5%) were longitudinal cohort studies, and 1 was a social media survey (4.8%). Their analysis revealed five main findings: (1) changes in the routines of physical activities were related to the worsening of preoccupation on weight/body shape; (2) food access limitation during pandemic represented the risk factors for both triggering and exacerbating EDs; (3) restriction in healthcare facilities contributed to increase anxiety levels and to modify treatment compliance; (4) social isolation was related to the exacerbation of symptoms in patients with EDs who are home-confined with family members; and (5) conflicts and difficulties in relationships with “no way out” were the maintenance factors for ED symptoms, especially in adolescents and young adults.Conclusion: The COVID-19 pandemic had a negative impact on EDs that might be triggered by the exceptional conditions derived from COVID-19-related stress in predisposed subjects. Patients who were already affected by EDs experienced the worsening of their clinical conditions and related quality of life (QoL).https://www.frontiersin.org/articles/10.3389/fpsyg.2021.663376/fullSARS-COV2 diseaseCOVID-19pandemiceating disorders spectrumbulimia nervosaanorexia nervosa |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mario Miniati Francesca Marzetti Laura Palagini Donatella Marazziti Graziella Orrù Ciro Conversano Angelo Gemignani |
spellingShingle |
Mario Miniati Francesca Marzetti Laura Palagini Donatella Marazziti Graziella Orrù Ciro Conversano Angelo Gemignani Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review Frontiers in Psychology SARS-COV2 disease COVID-19 pandemic eating disorders spectrum bulimia nervosa anorexia nervosa |
author_facet |
Mario Miniati Francesca Marzetti Laura Palagini Donatella Marazziti Graziella Orrù Ciro Conversano Angelo Gemignani |
author_sort |
Mario Miniati |
title |
Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review |
title_short |
Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review |
title_full |
Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review |
title_fullStr |
Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review |
title_full_unstemmed |
Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review |
title_sort |
eating disorders spectrum during the covid pandemic: a systematic review |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Psychology |
issn |
1664-1078 |
publishDate |
2021-09-01 |
description |
Background: Several data suggest that coronavirus disease 2019 (COVID-19) pandemic may exacerbate or trigger eating disorders (EDs). The aim of this paper was to summarize current literature studies on COVID pandemic and EDs.Methods: Literature search, study selection, methods, and quality evaluation were performed according to the preferred reporting items for systematic review and meta-analyses (PRISMA) guidelines.Results: A systematic search allowed the initial selection of 172 papers; 21 (12.2%) papers were eligible and included in the review. In selected studies, a total number of 29,108 subjects were enrolled (range: 10–11,391; mean/SD: 1,386 ± 2,800), 6,216 were men (21.4%), 22,703 were women (77.9%), and 189 (0.7%) were gender fluid or not declared. The mean age/SD of subjects was 30.2 ± 7.7. About 12 studies (57.1%) were online surveys, 4 (19.0%) were retrospective studies, 2 (9.5%) were qualitative studies, 2 (9.5%) were longitudinal cohort studies, and 1 was a social media survey (4.8%). Their analysis revealed five main findings: (1) changes in the routines of physical activities were related to the worsening of preoccupation on weight/body shape; (2) food access limitation during pandemic represented the risk factors for both triggering and exacerbating EDs; (3) restriction in healthcare facilities contributed to increase anxiety levels and to modify treatment compliance; (4) social isolation was related to the exacerbation of symptoms in patients with EDs who are home-confined with family members; and (5) conflicts and difficulties in relationships with “no way out” were the maintenance factors for ED symptoms, especially in adolescents and young adults.Conclusion: The COVID-19 pandemic had a negative impact on EDs that might be triggered by the exceptional conditions derived from COVID-19-related stress in predisposed subjects. Patients who were already affected by EDs experienced the worsening of their clinical conditions and related quality of life (QoL). |
topic |
SARS-COV2 disease COVID-19 pandemic eating disorders spectrum bulimia nervosa anorexia nervosa |
url |
https://www.frontiersin.org/articles/10.3389/fpsyg.2021.663376/full |
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