JMIR Publications

ABSTRACT

Background:

Many people experienced unintended weight gain during the COVID-19 pandemic, which has been discussed widely on social media.

Objective:

The present study aims to describe the content of weight loss videos on YouTube during the COVID-19 pandemic.

Methods:

Using the keywords “weight loss during quarantine”, the 100 most viewed English language videos were identified and coded for content related to losing weight gained during the COVID-19 pandemic.

Results:

Nine videos were excluded due to having non-English content or posting data before the COVID-19 pandemic. The 91 videos included in the study sample acquired 407,326 views at the time of study and were roughly 14 minutes long. A total of 42% of the sample videos included graphic comparisons to illustrate weight change. Videos that included a graphic comparison were more likely to have content of trigger warning (χ2=6.05, p=0.014), weight loss (χ2=13.39, p<0.001), negative feelings during quarantine (χ2=4.75, p=0.029), instructions of losing weight (χ2=9.17, p=0.002), self-love (χ2=6.01, p=0.014), body shaming (χ2=4.36, p=0.037), and special dietary practices (χ2=11.10, p<0.001), but less likely to include food recipes (χ2=5.05, p=0.025). Regression analysis results suggested that mentioning quarantine (p=0.05), fat gaining food (p=0.035), self-care and self-love (p=0.05), body shaming (p=0.008), and presenters from both genders (p<0.001)are significant predictors for a higher number of views. Adjusted regression model suggested that videos included routine change have significantly lower view count(p=0.03) than videos without the content.

Conclusions:

The findings of this study indicate the ways in which YouTube is being used to showcase COVID-19 related weight loss in a pre/post fashion. The use of graphic comparisons garnered a great deal of attention. Additional studies are needed help to understand the role of graphic comparisons in social media posts. Further studies focusing on people’s attitudes and behaviors toward weight change during the COVID-19 pandemic and the implications of social media on these attitudes and behaviors are warranted.