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For: Stival C, Lugo A, Bosetti C, Amerio A, Serafini G, Cavalieri d’Oro L, Odone A, Stuckler D, Iacoviello L, Bonaccio M, van den Brandt P, Zucchi A, Gallus S. COVID-19 confinement impact on weight gain and physical activity in the older adult population: data from the LOST in Lombardia study. Clin Nutr ESPEN 2022;48:329-335. [PMID: 35331509 PMCID: PMC8802547 DOI: 10.1016/j.clnesp.2022.01.024] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 01/19/2022] [Indexed: 11/03/2022]

For:	Stival C, Lugo A, Bosetti C, Amerio A, Serafini G, Cavalieri d’Oro L, Odone A, Stuckler D, Iacoviello L, Bonaccio M, van den Brandt P, Zucchi A, Gallus S. COVID-19 confinement impact on weight gain and physical activity in the older adult population: data from the LOST in Lombardia study. Clin Nutr ESPEN 2022;48:329-335. [PMID: 35331509 PMCID: PMC8802547 DOI: 10.1016/j.clnesp.2022.01.024] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 01/19/2022] [Indexed: 11/03/2022]

Number

Cited by Other Article(s)

Zhang J, Bloom I, Westbury LD, Bevilacqua G, Ward KA, Barker M, Lawrence W, Cooper C, Dennison EM. A Healthy Conversation Skills intervention to support changes to physical activity and dietary behaviours in community-dwelling older adults during the COVID-19 pandemic. Perspect Public Health 2024:17579139241262657. [PMID: 39087388 DOI: 10.1177/17579139241262657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/02/2024]

Abstract

AIMS

Physical activity (PA) and nutrition are important determinants of health in late adulthood. However, low levels of PA and poor nutrition are common in older adults and have become more prevalent during the COVID-19 pandemic. We hypothesised that Healthy Conversation Skills could be used to support health behaviour changes beneficial for health in older adults and thus conducted a study nested within the UK Hertfordshire Cohort Study.

METHODS

Between November 2019 and March 2020, 176 participants were visited at home. A trained researcher administered a questionnaire and undertook anthropometric and physical performance tests. A total of 89 participants were randomised to the control group and received a healthy living leaflet; 87 participants in the intervention group were interviewed using Healthy Conversation Skills at the initial visit with follow-up telephone calls at 1, 3, 6 and 9 months. Follow-up at 1 year by postal questionnaire assessed change in PA and diet. In total, 155 participants (79 control and 76 intervention) completed the baseline and 1-year follow-up.

RESULTS

At baseline, median (lower quartile, upper quartile) age (years) was 83.1 (81.5, 85.5) and median PA time (min/day) from walking, cycling and sports was 30.0 (15.0, 60.0). In total, 95% of participants completed the intervention; the total response rate for postal questionnaires was 94%. There were no statistically significant differences in outcomes between the trial arms. In women, there was a tendency for greater increases in diet quality in the intervention group compared to the control group (p = 0.075), while among men, there was a tendency for reduced decline in self-reported physical function in the intervention group compared to the control group (p = 0.081).

CONCLUSION

We have shown that it is viable to utilise Healthy Conversation Skills via telephone to promote healthier lifestyles in older adults. Larger appropriately powered studies to determine the efficacy of such an intervention are now warranted.

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Oncina-Cánovas A, Compañ-Gabucio L, Vioque J, Ruiz-Canela M, Corella D, Salas-Salvadó J, Fitó M, Martínez A, Alonso-Gómez ÁM, Wärnberg J, Romaguera D, López-Miranda J, Estruch R, Tinahones FJ, Lapetra J, Álvarez-Pérez J, Bueno-Cavanillas A, Tur JA, Martín-Sánchez V, Esteve-Luque V, Delgado-Rodríguez M, Ortiz-Ramos M, Vidal J, Vázquez C, Daimiel L, Ros E, Razquin C, Paz-Graniel I, Sorlí JV, Castañer O, García-Rios A, Torres-Collado L, Fernández-Barceló O, Zulet MA, Rayó-Gago E, Casas R, Cano-Ibáñez N, Tojal-Sierra L, Simón-Frapolli VJ, Carlos S, Shyam S, Fernández-Carrión R, Goday A, Torres-Peña JD, González-Palacios S, Eguaras S, Babio N, Zomeño MD, García-de-la-Hera M. More Adult Women than Men at High Cardiometabolic Risk Reported Worse Lifestyles and Self-Reported Health Status in the COVID-19 Lockdown. Nutrients 2024;16:2000. [PMID: 38999747 PMCID: PMC11243243 DOI: 10.3390/nu16132000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2024] [Revised: 06/19/2024] [Accepted: 06/21/2024] [Indexed: 07/14/2024] Open

Affiliation(s)

Alejandro Oncina-Cánovas Unidad de Epidemiología de la Nutrición (EPINUT), Departamento de Salud Pública, Historia de la Ciencia y Ginecología, Universidad Miguel Hernández (UMH), 03550 Alicante, Spain; (A.O.-C.); (L.C.-G.); (L.T.-C.); (S.G.-P.); (M.G.-d.-l.-H.) Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), 03010 Alicante, Spain CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), 28034 Madrid, Spain; (A.B.-C.); (V.M.-S.); (O.C.); (N.C.-I.)
Laura Compañ-Gabucio Unidad de Epidemiología de la Nutrición (EPINUT), Departamento de Salud Pública, Historia de la Ciencia y Ginecología, Universidad Miguel Hernández (UMH), 03550 Alicante, Spain; (A.O.-C.); (L.C.-G.); (L.T.-C.); (S.G.-P.); (M.G.-d.-l.-H.) Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), 03010 Alicante, Spain CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), 28034 Madrid, Spain; (A.B.-C.); (V.M.-S.); (O.C.); (N.C.-I.)
Jesús Vioque Unidad de Epidemiología de la Nutrición (EPINUT), Departamento de Salud Pública, Historia de la Ciencia y Ginecología, Universidad Miguel Hernández (UMH), 03550 Alicante, Spain; (A.O.-C.); (L.C.-G.); (L.T.-C.); (S.G.-P.); (M.G.-d.-l.-H.) Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), 03010 Alicante, Spain CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), 28034 Madrid, Spain; (A.B.-C.); (V.M.-S.); (O.C.); (N.C.-I.)
Miguel Ruiz-Canela Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) IdiSNA, Department of Preventive Medicine and Public Health, University of Navarra, 31008 Pamplona, Spain
Dolores Corella Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Department of Preventive Medicine, University of Valencia, 46010 Valencia, Spain
Jordi Salas-Salvadó Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Departament de Bioquímica i Biotecnologia, Alimentació, Nutrició, Desenvolupament i Salut Mental ANUT-DSM, Universitat Rovira i Virgili, 43201 Reus, Spain Institut d’Investigació Sanitària Pere Virgili (IISPV), 43007 Reus, Spain
Montserrat Fitó Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d’Investigació Médica (IMIM), 08003 Barcelona, Spain
Alfredo Martínez Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Department of Nutrition, Food Sciences, and Physiology, Center for Nutrition Research, University of Navarra, 31008 Pamplona, Spain Precision Nutrition and Cardiometabolic Health Program, IMDEA Food, CEI UAM + CSIC, 28049 Madrid, Spain
Ángel M. Alonso-Gómez Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Bioaraba Health Research Institute, Cardiovascular, Respiratory and Metabolic Area, Osakidetza Basque Health Service, Araba University Hospital, University of the Basque Country UPV/EHU, 01009 Vitoria-Gasteiz, Spain
Julia Wärnberg Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) EpiPHAAN Research Group, School of Health Sciences, Instituto de Investigación Biomédica en Málaga (IBIMA), University of Málaga, 29071 Málaga, Spain
Dora Romaguera Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma de Mallorca, Spain;
José López-Miranda Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, 14004 Cordoba, Spain
Ramón Estruch Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Department of Internal Medicine, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, 08036 Barcelona, Spain Institut de Recerca en Nutrició I Seguretat Alimentaria (INSA-UB), University of Barcelona, 08007 Barcelona, Spain
Francisco J. Tinahones Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Department of Endocrinology, Instituto de Investigación Biomédica de Málaga (IBIMA), Virgen de la Victoria Hospital, University of Málaga, 29016 Málaga, Spain
José Lapetra Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Research Unit, Department of Family Medicine, Distrito Sanitario Atención Primaria Sevilla, 41013 Sevilla, Spain
Jacqueline Álvarez-Pérez Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria Preventive Medicine Service, Centro Hospitalario Universitario Insular Materno Infantil (CHUIMI), Canarian Health Service, 35016 Las Palmas de Gran Canaria, Spain
Aurora Bueno-Cavanillas CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), 28034 Madrid, Spain; (A.B.-C.); (V.M.-S.); (O.C.); (N.C.-I.) Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain
Josep A. Tur Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Research Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, 07122 Palma de Mallorca, Spain
Vicente Martín-Sánchez CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), 28034 Madrid, Spain; (A.B.-C.); (V.M.-S.); (O.C.); (N.C.-I.) Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain
Virginia Esteve-Luque Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge-IDIBELL, Hospitalet de Llobregat, 08908 Barcelona, Spain
Miguel Delgado-Rodríguez Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Division of Preventive Medicine, Faculty of Medicine, University of Jaén, 23071 Jaén, Spain Precision Nutrition and Cardiometabolic Health Program, IMDEA Alimentacion, 28049 Madrid, Spain Medicine and Endocrinology, University of Valladolid, 47003 Valladolid, Spain
María Ortiz-Ramos Department of Endocrinology and Nutrition, Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain;
Josep Vidal CIBER Diabetes y Enfermedades Metabólicas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain; Department of Endocrinology, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, 08036 Barcelona, Spain
Clotilde Vázquez Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Department of Endocrinology and Nutrition, Hospital Fundación Jimenez Díaz, Instituto de Investigaciones Biomédicas (IISFJD), University Autonoma, 28040 Madrid, Spain
Lidia Daimiel Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Nutritional Control of the Epigenome Group, Precision Nutrition and Obesity Program, IMDEA Food, CEI UAM + CSIC, 28049 Madrid, Spain Departamento de Ciencias Farmacéuticas y de La Salud, Faculty de Farmacia, Universidad San Pablo-CEU, CEU Universities, 28668 Boadilla del Monte, Spain
Emilio Ros Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Lipid Clinic, Department of Endocrinology and Nutrition, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clínic, 08036 Barcelona, Spain
Cristina Razquin Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) IdiSNA, Department of Preventive Medicine and Public Health, University of Navarra, 31008 Pamplona, Spain
Indira Paz-Graniel Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Departament de Bioquímica i Biotecnologia, Alimentació, Nutrició, Desenvolupament i Salut Mental ANUT-DSM, Universitat Rovira i Virgili, 43201 Reus, Spain Institut d’Investigació Sanitària Pere Virgili (IISPV), 43007 Reus, Spain
Jose V. Sorlí Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Department of Preventive Medicine, University of Valencia, 46010 Valencia, Spain
Olga Castañer CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), 28034 Madrid, Spain; (A.B.-C.); (V.M.-S.); (O.C.); (N.C.-I.) Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d’Investigació Médica (IMIM), 08003 Barcelona, Spain
Antonio García-Rios Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, 14004 Cordoba, Spain
Laura Torres-Collado Unidad de Epidemiología de la Nutrición (EPINUT), Departamento de Salud Pública, Historia de la Ciencia y Ginecología, Universidad Miguel Hernández (UMH), 03550 Alicante, Spain; (A.O.-C.); (L.C.-G.); (L.T.-C.); (S.G.-P.); (M.G.-d.-l.-H.) Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), 03010 Alicante, Spain CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), 28034 Madrid, Spain; (A.B.-C.); (V.M.-S.); (O.C.); (N.C.-I.)
Olga Fernández-Barceló Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) EpiPHAAN Research Group, School of Health Sciences, Instituto de Investigación Biomédica en Málaga (IBIMA), University of Málaga, 29071 Málaga, Spain
María Angeles Zulet Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Department of Nutrition, Food Sciences, and Physiology, Center for Nutrition Research, University of Navarra, 31008 Pamplona, Spain
Elena Rayó-Gago Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma de Mallorca, Spain;
Rosa Casas Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Department of Internal Medicine, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, 08036 Barcelona, Spain Institut de Recerca en Nutrició I Seguretat Alimentaria (INSA-UB), University of Barcelona, 08007 Barcelona, Spain
Naomi Cano-Ibáñez CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), 28034 Madrid, Spain; (A.B.-C.); (V.M.-S.); (O.C.); (N.C.-I.) Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain
Lucas Tojal-Sierra Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Bioaraba Health Research Institute, Cardiovascular, Respiratory and Metabolic Area, Osakidetza Basque Health Service, Araba University Hospital, University of the Basque Country UPV/EHU, 01009 Vitoria-Gasteiz, Spain
Víctor J. Simón-Frapolli Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Department of Endocrinology, Instituto de Investigación Biomédica de Málaga (IBIMA), Virgen de la Victoria Hospital, University of Málaga, 29016 Málaga, Spain
Silvia Carlos Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) IdiSNA, Department of Preventive Medicine and Public Health, University of Navarra, 31008 Pamplona, Spain
Sangeetha Shyam Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Departament de Bioquímica i Biotecnologia, Alimentació, Nutrició, Desenvolupament i Salut Mental ANUT-DSM, Universitat Rovira i Virgili, 43201 Reus, Spain Institut d’Investigació Sanitària Pere Virgili (IISPV), 43007 Reus, Spain
Rebeca Fernández-Carrión Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Department of Preventive Medicine, University of Valencia, 46010 Valencia, Spain
Albert Goday Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d’Investigació Médica (IMIM), 08003 Barcelona, Spain
Jose David Torres-Peña Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, 14004 Cordoba, Spain
Sandra González-Palacios Unidad de Epidemiología de la Nutrición (EPINUT), Departamento de Salud Pública, Historia de la Ciencia y Ginecología, Universidad Miguel Hernández (UMH), 03550 Alicante, Spain; (A.O.-C.); (L.C.-G.); (L.T.-C.); (S.G.-P.); (M.G.-d.-l.-H.) Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), 03010 Alicante, Spain CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), 28034 Madrid, Spain; (A.B.-C.); (V.M.-S.); (O.C.); (N.C.-I.)
Sonia Eguaras Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) IdiSNA, Department of Preventive Medicine and Public Health, University of Navarra, 31008 Pamplona, Spain
Nancy Babio Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) Departament de Bioquímica i Biotecnologia, Alimentació, Nutrició, Desenvolupament i Salut Mental ANUT-DSM, Universitat Rovira i Virgili, 43201 Reus, Spain Institut d’Investigació Sanitària Pere Virgili (IISPV), 43007 Reus, Spain
María Dolores Zomeño Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain; (M.R.-C.); (D.C.); (J.S.-S.); (M.F.); (A.M.); (Á.M.A.-G.); (J.W.); (D.R.); (J.L.-M.); (R.E.); (F.J.T.); (J.L.); (J.Á.-P.); (J.A.T.); (V.E.-L.); (M.D.-R.); (C.V.); (L.D.); (E.R.); (C.R.); (I.P.-G.); (J.V.S.); (A.G.-R.); (O.F.-B.); (M.A.Z.); (R.C.); (L.T.-S.); (V.J.S.-F.); (S.C.); (S.S.); (R.F.-C.); (A.G.); (J.D.T.-P.); (S.E.); (N.B.); (M.D.Z.) School of Health Sciences, Universitat Ramon Llull, 08025 Barcelona, Spain
Manuela García-de-la-Hera Unidad de Epidemiología de la Nutrición (EPINUT), Departamento de Salud Pública, Historia de la Ciencia y Ginecología, Universidad Miguel Hernández (UMH), 03550 Alicante, Spain; (A.O.-C.); (L.C.-G.); (L.T.-C.); (S.G.-P.); (M.G.-d.-l.-H.) Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), 03010 Alicante, Spain CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), 28034 Madrid, Spain; (A.B.-C.); (V.M.-S.); (O.C.); (N.C.-I.)

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Bohn T, Ferrini K, Stahl C. LIFANA - toward developing a meal recommender system as a dietary support app for the elderly. INT J VITAM NUTR RES 2024;94:221-238. [PMID: 37877217 DOI: 10.1024/0300-9831/a000795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]

Abstract

Background: Though a variety of eHealth/mHealth dietary solutions exist, many are ill-adapted to the target population and local eating habits. A specific need exists for the elderly, a growing vulnerable population with limited digital literacy. The LIFANA project aimed at developing a mobile nutrition solution, i.e. a dietary meal-recommender app for personalized meal planning useful for the elderly. Methods: In addition to considering age, gender, and physical activity, the app assured sufficient intake of calories and proteins. The solution was optimized to consider local eating culture in Portugal (PT)/The Netherlands (NL) where it was tested. Recipes (>300) were included and aligned with national food composition dietary databases (FCDBs) to analyse their nutritional values for meal planning. Individual dietary preferences, food restrictions (i.e., allergies), and budget considerations were included in the user profile. The development process involved user integration, including focus groups and usability evaluations, followed by longer field trials in Portugal (n=53 participants, age 60-81 y, 14 months) and the Netherlands (n=107, age 52-86 y, 3 months). Endpoints regarding acceptance/usage frequency, anthropometric measures and (in PT) blood pressure and body fat were collected. Results: 23/34 elderly finalized the trials in PT/NL. No significant changes in anthropometry or other assessed markers, including blood pressure, were observed. 9% (NL) and 47% (PT) of users reported that they would consider using the solution if it were on the market. Conclusions: Via an iterative adaptive process, a dietary app was developed and improved that demonstrated acceptance/user-friendliness comparable to other tools available on the market and allowed - despite the COVID crisis - for stable anthropometric markers and blood pressure. However, it was also observed that additional features, such as a link to an online shopping app, and closer personal follow-up was associated with increased usability and acceptance of the solution and thus further personalization and nudges are warranted to increase employment of such dietary apps.

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Bertuccio P, Vigezzi GP, Amerio A, Cavalieri D'oro L, Iacoviello L, Stuckler D, Signorelli C, Zucchi A, Gallus S, Odone A. Health and social home services among community-dwelling older people during COVID-19: Results from the cross-sectional LOST in Lombardia project. Scand J Public Health 2024;52:262-270. [PMID: 37688313 DOI: 10.1177/14034948231184516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/10/2023]

Saldanha MF, Ribeiro Dos Santos R, Jansen AK. Energy and nutrient intake in older adults with healthy aging during the Corona Virus Disease 19 pandemic- a cohort study. Clin Nutr ESPEN 2024;59:181-187. [PMID: 38220374 DOI: 10.1016/j.clnesp.2023.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2023] [Revised: 11/15/2023] [Accepted: 12/04/2023] [Indexed: 01/16/2024]

Abstract

BACKGROUND AND OBJECTIVE

Lockdown measures implemented amid the COVID-19 pandemic promoted changes in lifestyle, particularly engagement in physical activity/exercise and dietary intake. However, few studies are available investigating the healthy older population, particularly in developing countries. Therefore, the objective of this study was to assess the impact of the COVID-19 pandemic on energy and nutrient intake among older adults with successful aging and to evaluate changes in muscle mass, strength and physical performance.

METHODS

A cohort study of 38 healthy older adults from a Brazilian geriatrics referral center were assessed at two time points: baseline - up to 1 year prior to the pandemic; and follow-up - an average of 17 months after the pandemic outbreak. Energy and nutrient intake was determined using food recalls and diary records, while muscle mass was calculated based on anthropometric parameters. Maximum hand-grip strength and Short Physical Performance Battery (SPPB) score were also evaluated.

RESULTS

Median age of participants was 87 years. During the pandemic, intake of protein increased from 52.6 g to 63.9 g (p = 0.013) and micronutrients also increased: vitamin C from 35.4 mg to 76.1 mg (p = 0.027), vitamin B12 from 2.2 mg to 3.1 mg (p = 0.045), calcium from 435.1 mg to 631.5 mg (p < 0.001), magnesium from 186.5 mg to 198.9 mg (p = 0.043), zinc from 5.8 mg to 7.6 mg (p = 0.009), iron from 6.9 mg to 7.2 mg (p = 0.035) and potassium from 1941.6 mg to 2115.5 mg (p = 0.048). No changes in energy intake or other nutrients were evident. No difference in mass, strength or physical performance was observed during the study period. Overall, 84% of participants remained physically active, although engagement in physical exercise decreased by 50% (p < 0.002).

CONCLUSION

The increase in intake of proteins and micronutrients suggests improved diet quality during the pandemic. Engagement in physical exercise decreased significantly, but level of physical activity was maintained. No change in anthropometric parameters, strength or physical performance was evident in the population investigated.

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Berges P, Schrader B, Vaske B, Bohling A, Lüders S, Elsässer A, Schrader J. [Influence of the Corona pandemic on cardiovascular risk factors - Data from 1775 participants of the ELITE study before and during the Corona pandemic]. Dtsch Med Wochenschr 2024;149:e11-e18. [PMID: 37995721 PMCID: PMC10805539 DOI: 10.1055/a-2201-6772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2023]

Abstract

BACKGROUND

The COVID-19 pandemic and its interventions have led to a deficit in medical care and changes in people's lifestyles, which has consequently changed cardio- and cerebrovascular primary and secondary prevention. The existing data are mainly based on surveys. In addition to the problem of the accuracy of self-assessments, the pandemic per se and the massive public reporting may have biased the data.Only a few publications have compared data collected before the pandemic with results during the pandemic. The ELITE study has regularly monitored risk factors (RF) and psychosocial parameters (stress, depression, well-being, diet, brain performance, exercise) in over 5000 participants for years. From this study, data were analyzed from 1775 individuals collected before the onset and again during the pandemic (06/05/2020-25/01/2022). Thus, baseline values were unaffected by the pandemic.

RESULTS

As expected, both improvements and worsening of the collected parameters were found. Blood pressure and depressive symptoms worsened significantly more often, with women more frequently affected. Weight and stress levels also increased more often than they improved. Only physical activity showed a slight increase. 24.1 % showed only deteriorations and no improvements in these parameters. In contrast, 19.6 % showed improvements exclusively. In the group with only worsening, there was a significant increase in individuals with the risk factors (RF) hypertension, obesity, elevated LDL cholesterol, nicotine, and diabetes mellitus. This resulted in an increase in individuals with 2 or more RF. In contrast, the number of individuals with 2 and more RF decreased in the group with only improvements. Strikingly, individuals with risk factors improved more frequently.

CONCLUSION

A not insignificant part of the population experienced significant worsening of RF during the pandemic. This particularly affected blood pressure and depressive symptoms, and more often women.

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Li Y, Cui M, Pang Y, Zhan B, Li X, Wang Q, Chen F, Zhou Z, Yang Q. Association of physical activity with socio-economic status and chronic disease in older adults in China: cross-sectional findings from the survey of CLASS 2020 after the outbreak of COVID-19. BMC Public Health 2024;24:37. [PMID: 38166980 PMCID: PMC10762973 DOI: 10.1186/s12889-023-17492-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 12/14/2023] [Indexed: 01/05/2024] Open

Abstract

BACKGROUND

In 2021, China had a population of 264·01 million individuals over the age of 60, indicating a high prevalence of chronic diseases. Among older adults, physical inactivity (PI) is a significant risk factor for chronic diseases. However, few studies have been conducted on the correlation of physical activity (PA) with the economic status, geography and chronic disease risks in Chinese elderly. The objectives of this study were to better understand the distribution of PA among older adults in China and its relationship with economic status, geography, and chronic disease risks.

METHODS

This study utilized data from the China Longitudinal Aging Social Survey (CLASS) in 2020, post-COVID-19. The study employed a stratified, multistage, probabilistic sampling approach and included 11,396 adults over the age of 59 from 28 provinces in China. Data on demographics, the duration and intensity of PA, history of diseases and personalized factors influencing PA were collected via structured interviews by researchers. In this study, we conducted a comprehensive analysis, employing a range of statistical methods including descriptive analysis, Wilcoxon rank-sum tests, Bayesian networks, and chi-square tests.

RESULTS

The prevalence of PI among older adults over 59 in China is 28·82%. Significant regional differences were observed in the duration of PA at different intensities. Older adults residing in more economically developed areas were more likely to engage in moderate-to-vigorous physical activity (MVPA) and exhibited longer sedentary behavior. Economic status and urban-rural disparities consistently emerged as direct influential factors across all intensity types. Chronic disease risks were significantly lower in active older adults compared to inactive ones. Lack of social guidance, family support, and personal inclination towards sedentary behavior were the main personalized factors affecting PA among older adults, and these factors could be relatively easily modified.

CONCLUSIONS

Economic status, geography, and living areas (urban and rural) significantly influenced the distribution of physical activities in China. Particularly, economic status and living areas acted as direct factors. Older adults reaching the recommended standards for PA had significantly lower chronic disease risks, highlighting the importance of improving personalized factors which are crucial for promoting PA.

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Vigezzi GP, Bertuccio P, Amerio A, Bottini G, Gandola M, Cavalieri d'Oro L, Iacoviello L, Stuckler D, Signorelli C, Zucchi A, Gallus S, Odone A. Grandparenting during pandemic times: pros and cons for mental health. J Public Health (Oxf) 2023;45:816-821. [PMID: 37632408 DOI: 10.1093/pubmed/fdad154] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 07/02/2023] [Accepted: 08/03/2023] [Indexed: 08/28/2023] Open

Affiliation(s)

Giacomo Pietro Vigezzi Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy Collegio Ca' della Paglia, Fondazione Ghislieri, 27100 Pavia, Italy PhD Programme in Psychology, Neuroscience and Data Science, Department of Brain and Behavioural Sciences, University of Pavia, 27100 Pavia, Italy
Paola Bertuccio Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy
Andrea Amerio Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, 16132 Genoa, Italy IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy
Gabriella Bottini Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy Cognitive Neuropsychology Centre, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy NeuroMi, Milan Centre for Neuroscience, 20162 Milan, Italy
Martina Gandola Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy Cognitive Neuropsychology Centre, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy NeuroMi, Milan Centre for Neuroscience, 20162 Milan, Italy
Luca Cavalieri d'Oro Epidemiology Unit, Brianza Health Protection Agency, 20900 Monza, Italy
Licia Iacoviello Department of Medicine and Surgery, Research Center in Epidemiology and Preventive Medicine (EPIMED), University of Insubria, 21100 Varese, Italy Department of Epidemiology and Prevention, IRCCS Neuromed, 86077 Pozzilli, Italy
David Stuckler Department of Social and Political Sciences, Bocconi University, 20100 Milan, Italy
Carlo Signorelli School of Medicine, Vita-Salute San Raffaele University, 20132 Milan, Italy
Alberto Zucchi Epidemiology Unit, Bergamo Health Protection Agency, 24121 Bergamo, Italy
Silvano Gallus Department of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, 20156 Milan, Italy
Anna Odone Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy

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Amerio A, Stival C, Lugo A, Fanucchi T, d'Oro LC, Iacoviello L, Odone A, Stuckler D, Zucchi A, Serafini G, Gallus S, Jarach CM, Santucci C, Amore M, De Sena R, Ghislandi S, Wang Y, Bonaccio M, Gianfagna F, Signorelli C, Mosconi G, Vigezzi GP, Rognoni M, Paroni L, Ciampichini R. COVID-19 pandemic impact on mental health in a large representative sample of older adults from the Lombardy region, Italy. J Affect Disord 2023;325:282-288. [PMID: 36627059 PMCID: PMC9824954 DOI: 10.1016/j.jad.2023.01.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 12/26/2022] [Accepted: 01/03/2023] [Indexed: 01/09/2023]

Wing RR, Howard MJ, Olson KL, Unick J, Chao AM, Wadden TA, Wagenknecht LE. Weight changes during the COVID-19 shutdown in older individuals with type 2 diabetes: the Look AHEAD Study. Obesity (Silver Spring) 2023;31:871-882. [PMID: 36478643 PMCID: PMC9878262 DOI: 10.1002/oby.23674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 10/22/2022] [Accepted: 11/20/2022] [Indexed: 12/12/2022]

Leung T, Fang Y, Chan PSF, Yu FY, Sun F. The Changes in Levels and Barriers of Physical Activity Among Community-Dwelling Older Adults During and After the Fifth Wave of COVID-19 Outbreak in Hong Kong: Repeated Random Telephone Surveys. JMIR Aging 2023;6:e42223. [PMID: 36599172 PMCID: PMC9947816 DOI: 10.2196/42223] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Revised: 12/19/2022] [Accepted: 12/27/2022] [Indexed: 12/28/2022] Open

Abstract

BACKGROUND

COVID-19 has had an impact on physical activity (PA) among older adults; however, it is unclear whether this effect would be long-lasting, and there is a dearth of studies assessing the changes in barriers to performing PA among older adults before and after entering the "postpandemic era."

OBJECTIVE

The aim of this study was to compare the levels and barriers of PA among a random sample of community-dwelling older adults recruited during (February to April 2022) and after the fifth wave of the COVID-19 outbreak (May to July 2022) in Hong Kong. In addition, we investigated factors associated with a low PA level among participants recruited at different time points.

METHODS

This study involved two rounds of random telephone surveys. Participants were community-dwelling Chinese-speaking individuals aged 65 years or above and having a Hong Kong ID card. Household telephone numbers were randomly selected from the most updated telephone directories. Experienced interviewers carried out telephone interviews between 6 PM and 10 PM on weekdays and between 2 PM and 9 PM on Saturdays to avoid undersampling of working individuals. We called 3900 and 3840 households in the first and second round, respectively; for each round, 640 and 625 households had an eligible older adult and 395 and 370 completed the telephone survey, respectively.

RESULTS

As compared to participants in the first round, fewer participants indicated a low level of PA in the second round (28.6% vs 45.9%, P<.001). Participants in the second round had higher metabolic equivalent of tasks-minutes/week (median 1707.5 vs 840, P<.001) and minutes of moderate-to-vigorous PA per week (median 240 vs 105, P<.001) than those in the first round. After adjustment for significant background characteristics, participants who perceived a lack of physical capacity to perform PA (first round: adjusted odds ratio [AOR] 3.34, P=.001; second round: 2.92, P=.002) and believed that PA would cause pain and discomfort (first round: AOR 2.04, P=.02; second round: 2.82, P=.001) were more likely to have a low level of PA in both rounds. Lack of time (AOR 4.19, P=.01) and concern about COVID-19 infection during PA (AOR 1.73, P=.02) were associated with a low level of PA among participants in the first round, but not in the second round. A perceived lack of space and facility to perform PA at home (AOR 2.03, P=.02) and unable to find people to do PA with (AOR 1.80, P=.04) were associated with a low PA level in the second round, but not in the first round.

CONCLUSIONS

The level of PA increased significantly among older adults after Hong Kong entered the "postpandemic era." Different factors influenced older adults' PA level during and after the fifth wave of the COVID-19 outbreak. Regular monitoring of the PA level and its associated factors should be conducted to guide health promotion and policy-making.

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Raine LB, Erickson KI, Grove G, Watrous JNH, McDonald K, Kang C, Jakicic JM, Forman DE, Kramer AF, Burns JM, Vidoni ED, McAuley E, Hillman CH. Cardiorespiratory fitness levels and body mass index of pre-adolescent children and older adults during the COVID-19 pandemic. Front Public Health 2023;10:1052389. [PMID: 36733279 PMCID: PMC9888666 DOI: 10.3389/fpubh.2022.1052389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 12/22/2022] [Indexed: 01/24/2023] Open

Abstract

Introduction

The social and behavioral effects of the COVID-19 pandemic have impacted the health and physiology of most people, including those never diagnosed with COVID-19. While the impact of the pandemic has been felt across the lifespan, its effects on cardiorespiratory fitness (commonly considered a reflection of total body health) of older adults and children may be particularly profound due to social distancing and stay-at-home advisories, as well as the closure of sport facilities and non-essential businesses. The objective of this investigation was to leverage baseline data from two ongoing clinical trials to determine if cardiorespiratory fitness and body mass index were different during COVID-19 relative to before COVID-19 in older adults and children.

Methods

Healthy older individuals (N = 593; 65-80 years) and 200 typically developing children (8-10 years) completed a graded maximal exercise test and had their height and weight measured.

Results

Results revealed that older adults and children tested during COVID-19 had significantly lower cardiorespiratory fitness levels than those tested before COVID-19 shutdowns (older adults: 30% lower; children: 53% lower; p's ≤ 0.001). In addition, older adults and children tested during COVID-19 had significantly higher BMI (older adults: 31.34 ± 0.57 kg/m2, p = 0.004; children: 19.27 ± 0.44 kg/m2, p = 0.05) than those tested before COVID-19 shutdowns (older adults: 29.51 ± 0.26 kg/m2, children: 18.13 ± 0.35 kg/m2). However, these differences in BMI did not remain significant when controlling for cardiorespiratory fitness.

Discussion

Results from this investigation indicate that the COVID-19 pandemic, and behavior changes taken to reduce potential exposure, may have led to lower cardiorespiratory fitness levels in older adults and children, as well as higher body mass index. These findings provide relevant public health information as lower cardiorespiratory fitness levels and higher body mass indexes recorded during the pandemic could have far-reaching and protracted health consequences. Public health guidance is needed to encourage physical activity to maintain cardiorespiratory fitness and healthy body composition.

Clinical trial registration

Older adults: https://clinicaltrials.gov/ct2/show/NCT02875301, identifier: NCT02875301; Children: https://clinicaltrials.gov/ct2/show/NCT03592238, identifier: NCT03592238.

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Affiliation(s)

Lauren B. Raine Department of Physical Therapy, Movement, and Rehabilitation Sciences, Northeastern University, Boston, MA, United States
Kirk I. Erickson Department of Psychology, University of Pittsburgh, Pittsburgh, PA, United States PROFITH “PROmoting FITness and Health Through Physical Activity” Research Group, Department of Physical and Sports Education, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain Research Institute, AdventHealth, Orlando, FL, United States
George Grove Department of Psychology, University of Pittsburgh, Pittsburgh, PA, United States
Jennifer N. H. Watrous Department of Psychology, Oklahoma State University, Stillwater, OK, United States
Katherine McDonald Department of Psychology, Northeastern University, Boston, MA, United States
Chaeryon Kang Department of Biostatistics, University of Pittsburgh, Pittsburgh, PA, United States
John M. Jakicic Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, United States
Daniel E. Forman Department of Medicine and Veterans Affairs Pittsburgh Healthcare System, Geriatrics, Research, Education and Clinical Care (GRECC), University of Pittsburgh, Pittsburgh, PA, United States
Arthur F. Kramer Department of Psychology, Northeastern University, Boston, MA, United States Beckman Institute, University of Illinois, Urbana, IL, United States
Jeffrey M. Burns Alzheimer's Disease Research Center, University of Kansas Medical Center Fairway, Fairway, KS, United States
Eric D. Vidoni Alzheimer's Disease Research Center, University of Kansas Medical Center Fairway, Fairway, KS, United States
Edward McAuley Beckman Institute, University of Illinois, Urbana, IL, United States Department of Kinesiology and Community Health, University of Illinois Urbana Champaign, Champaign, IL, United States
Charles H. Hillman Department of Physical Therapy, Movement, and Rehabilitation Sciences, Northeastern University, Boston, MA, United States Department of Psychology, Northeastern University, Boston, MA, United States

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Lin D, Sun Y, Yang Y, Han Y, Xu C. Urban park use and self-reported physical, mental, and social health during the COVID-19 pandemic: An on-site survey in Beijing, China. URBAN FORESTRY & URBAN GREENING 2023;79:127804. [PMID: 36447619 PMCID: PMC9691510 DOI: 10.1016/j.ufug.2022.127804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 11/22/2022] [Accepted: 11/22/2022] [Indexed: 06/16/2023]

Barazzoni R, Breda J, Cuerda C, Schneider S, Deutz NE, Wickramasinghe K, Abbasoglu O, Meijerink JB, Bischoff S, Pelaez RB, Cardenas D, Cederholm T, Cereda E, Chourdakis M, Toulson Davisson Correia MI, Schuren MDVD, Delzenne N, Frias-Toral E, Genton L, Cappellari GG, Cakir BK, Klek S, Krznaric Z, Laviano A, Lobo D, Muscaritoli M, Ockenga J, Pirlich M, Serlie MJM, Shi HP, Singer P, Soop M, Walrand S, Weimann A. COVID-19: Lessons on malnutrition, nutritional care and public health from the ESPEN-WHO Europe call for papers. Clin Nutr 2022;41:2858-2868. [PMID: 36075815 PMCID: PMC9365508 DOI: 10.1016/j.clnu.2022.07.033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 07/22/2022] [Indexed: 01/27/2023]

Abstract

With prolonged pandemic conditions, and emerging evidence but persisting low awareness of the importance of nutritional derangements, ESPEN has promoted in close collaboration with World Health Organization-Europe a call for papers on all aspects relating COVID-19 and nutrition as well as nutritional care, in the Society Journals Clinical Nutrition and Clinical Nutrition ESPEN. Although more COVID-related papers are being submitted and continue to be evaluated, ESPEN and WHO present the current editorial to summarize the many published findings supporting major interactions between nutritional status and COVID-19. These include 1) high risk of developing the disease and high risk of severe disease in the presence of pre-existing undernutrition (malnutrition) including micronutrient deficiencies; 2) high risk of developing malnutrition during the course of COVID-19, with substantial impact on long-term sequelae and risk of long COVID; 3) persons with obesity are also prone to develop or worsen malnutrition and its negative consequences during the course of COVID-19; 4) malnutrition screening and implementation of nutritional care may improve disease outcomes; 5) social and public health determinants contribute to the interaction between nutritional status and COVID-19, including negative impact of lockdown and social limitations on nutrition quality and nutritional status. We believe the evidence supports the need to consider COVID-19 as (also) a case of malnutrition-enhanced disease and disease-related malnutrition, with added risk for persons both with and without obesity. Similarities with many other disease conditions further support recommendations to implement standard nutritional screening and care in COVID-19 patients, and they underscore the relevance of appropriate nutritional and lifestyle prevention policies to limit infection risk and mitigate the negative health impact of acute pandemic bouts.

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Vigezzi GP, Bertuccio P, Bossi CB, Amerio A, d'Oro LC, Derosa G, Iacoviello L, Stuckler D, Zucchi A, Lugo A, Gallus S, Odone A. COVID-19 pandemic impact on people with diabetes: results from a large representative sample of Italian older adults. Prim Care Diabetes 2022;16:650-657. [PMID: 35778238 PMCID: PMC9212916 DOI: 10.1016/j.pcd.2022.06.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 05/31/2022] [Accepted: 06/13/2022] [Indexed: 01/31/2023]

Vigezzi GP, Bertuccio P, Amerio A, Bosetti C, Gori D, Cavalieri d’Oro L, Iacoviello L, Stuckler D, Zucchi A, Gallus S, Odone A, Investigators LILP. Older Adults' Access to Care during the COVID-19 Pandemic: Results from the LOckdown and LifeSTyles (LOST) in Lombardia Project. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022;19:ijerph191811271. [PMID: 36141544 PMCID: PMC9565221 DOI: 10.3390/ijerph191811271] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 08/23/2022] [Accepted: 08/30/2022] [Indexed: 05/25/2023]