Abstract
This study examines the weight trajectory of Malaysian adults and its associated factors during the COVID-19 pandemic. Sociodemographic information and anthropometric measurements, including body height (cm) and body weights (kg) before and during the pandemic, were self-reported by the respondents. The current study showed that 47.8% (using absolute weight change status) and 25.5% (using relative weight change status) of the adults gained weight during the COVID-19 pandemic. Adults who were previously underweight or had a normal BMI experienced significantly higher body weight (under-weight: t= -6.176, p< 0.001 and normal: t= -6.193, p< 0.001) and BMI (underweight: t= -6.127, p< 0.001 and normal: t= -5.982, p< 0.001) during the pandemic. No significant associations were observed between socio-demographic characteristics and the weight status of the respondents, except for ethnicity (χ2= 12.858, p= 0.045). The stay-at-home orders appeared to drive up the prevalence of over-weight/obesity, BMI, and absolute and relative weight gain in Malaysian adults. The increase was mainly associated with higher body weight and BMI among those previously underweight or had a normal BMI. Gender, age, marital status, and educational level were not associated with weight trajectory during the COVID-19 pandemic. The findings of this study may be useful in formulating weight management strategies in the post-pandemic era.
References
[1] National Security Council. SOP Perintah Kawalan Pengerakan (PKP). Putrajaya: Ministry of Health Malaysia [Internet]; 2021 [cited 2021 Jun 9]. Available from: https://www.mkn.gov.my/web/ms/sop-pkpp/.Search in Google Scholar
[2] Stefan N. Causes, consequences, and treatment of metabolically unhealthy fat distribution. Lancet Diabetes Endocrinol. 2020 Jul;8(7):616–27.10.1016/S2213-8587(20)30110-8Search in Google Scholar PubMed
[3] Tan ST, Tan CX, Tan SS. Changes in dietary intake patterns and weight status during the COVID-19 lockdown : A cross-sectional study focusing on young adults in Malaysia. Nutrients. 2022 Jan;14(2):280.10.3390/nu14020280Search in Google Scholar PubMed PubMed Central
[4] Tan ST, Tan CX, Tan SS. Physical activity, sedentary behavior, and weight status of university students during the covid-19 lockdown: A cross-national comparative study. Int J Environ Res Public Health. 2021 Jul;18(13):7125.10.3390/ijerph18137125Search in Google Scholar PubMed PubMed Central
[5] National Health and Morbidity Survey 2019. Non-communicable diseases, healthcare demand and health literacy [Internet]. Selangor: Institute for Public Health; 2020 [cited 2021 Jun 9]. Available from: http://iku.moh.gov.my/images/IKU/Document/REPORT/NHMS2019/Fact_Sheet_NHMS_2019-English.pdf.Search in Google Scholar
[6] Jia P, Zhang L, Yu W, Yu B, Liu M, Zhang D, et al. Impact of COVID-19 lockdown on activity patterns and weight status among youths in China: the COVID-19 Impact on Lifestyle Change Survey (COINLICS). Int J Obes. 2021 Mar;45(3):695–9. Erratum in: Int J Obes. 2021 Apr;45(3):920.10.1038/s41366-020-00710-4Search in Google Scholar PubMed PubMed Central
[7] Di Renzo L, Gualtieri P, Pivari F, Soldati L, Attinà A, Cinelli G, et al. Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. J Transl Med. 2020 Jun;18(1):229.10.1186/s12967-020-02399-5Search in Google Scholar PubMed PubMed Central
[8] Tan ST, Tan CX, Tan SS. Trajectories of food choice motives and weight status of Malaysian youths during the covid-19 pandemic. Nutrients. 2021 Oct;13(11):3752.10.3390/nu13113752Search in Google Scholar PubMed PubMed Central
[9] Alshahrani SM, Alghannam AF, Taha N, Alqahtani SS, Al-Mutairi A, Al-Saud N, et al. The impact of COVID-19 pandemic on weight and Body Mass Index in Saudi Arabia: A longitudinal study. Front Public Health. 2022 Jan;9:775022.10.3389/fpubh.2021.775022Search in Google Scholar PubMed PubMed Central
[10] Stefan N, Birkenfeld AL, Schulze MB. Global pandemics interconnected - obesity, impaired metabolic health and COVID-19. Nat Rev Endocrinol. 2021 Mar;17(3):135–49.10.1038/s41574-020-00462-1Search in Google Scholar PubMed
[11] Taherdoost H. Sampling methods in research methodology; How to choose a sampling technique for research. Int J Acad Res Manag. 2016;5:18–27.10.2139/ssrn.3205035Search in Google Scholar
[12] World Health Organization (WHO). The Asia-pacific perspective: Redefining obesity and its treatment. Geneva, Switzerland: World Health Organization; 2000. p. 56.Search in Google Scholar
[13] Shimpo M, Akamatsu R, Kojima Y, Yokoyama T, Okuhara T, Chiba T. Factors associated with dietary change since the outbreak of COVID-19 in Japan. Nutrients. 2021 Jun;13(6):2039.10.3390/nu13062039Search in Google Scholar PubMed PubMed Central
[14] Yang S, Guo B, Ao L, Yang C, Zhang L, Zhou J, et al. Obesity and activity patterns before and during COVID-19 lockdown among youths in China. Clin Obes. 2020 Dec;10(6):e12416.10.1111/cob.12416Search in Google Scholar PubMed PubMed Central
[15] Abed Alah M, Abdeen S, Kehyayan V, Bougmiza I. Impact of staying at home measures during COVID-19 pandemic on the lifestyle of Qatar’s population: perceived changes in diet, physical activity, and body weight. Prev Med Rep. 2021 Dec;24:101545.10.1016/j.pmedr.2021.101545Search in Google Scholar PubMed PubMed Central
[16] Sánchez E, Lecube A, Bellido D, Monereo S, Malagón MM, Tinahones FJ; On Behalf Of The Spanish Society For The Study Of Obesity. Leading factors for weight gain during COVID-19 lockdown in a Spanish population: A cross-sectional study. Nutrients. 2021 Mar;13(3):894.10.3390/nu13030894Search in Google Scholar PubMed PubMed Central
[17] Tan ST, Tan SS, Tan CX. Screen time-based sedentary behaviour, eating regulation and weight status of university students during the COVID-19 lockdown. Nutr Food Sci. 2022;52(2):281–91.10.1108/NFS-05-2021-0156Search in Google Scholar
[18] Mulugeta W, Desalegn H, Solomon S. Impact of the COVID-19 pandemic lockdown on weight status and factors associated with weight gain among adults in Massachusetts. Clin Obes. 2021 Aug;11(4):e12453.10.1111/cob.12453Search in Google Scholar PubMed PubMed Central
[19] He M, Xian Y, Lv X, He J, Ren Y. Changes in body weight, physical activity, and lifestyle during the semi-lockdown period after the outbreak of COVID-19 in China: an online survey. Disaster Med Public Health Prep. 2020 Jul;15:1–6.10.1017/dmp.2020.237Search in Google Scholar PubMed PubMed Central
[20] Zhu Q, Li M, Ji Y, Shi Y, Zhou J, Li Q, et al. “Stay-at-Home” lifestyle effect on weight gain during the COVID-19 outbreak confinement in China. Int J Environ Res Public Health. 2021 Feb;18(4):1–13.10.3390/ijerph18041813Search in Google Scholar PubMed PubMed Central
[21] Teachman J. Body weight, marital status, and changes in marital status. J Fam Issues. 2016 Jan;37(1):74–96.10.1177/0192513X13508404Search in Google Scholar PubMed PubMed Central
[22] Pung CY, Tan ST, Tan SS, Tan CX. Eating behaviors among online learning undergraduates during the COVID-19 pandemic. Int J Environ Res Public Health. 2021 Dec;18(23):12820.10.3390/ijerph182312820Search in Google Scholar PubMed PubMed Central
[23] Tan ST, Tan CX, Tan SS. Food security during the COVID-19 home confinement: A cross-sectional study focusing on adults in Malaysia. Hum Nutr Metab. 2022 Mar;27:200142.10.1016/j.hnm.2022.200142Search in Google Scholar
© 2022 Seok Tyug Tan et al., published by De Gruyter
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