Evidence map›Paper›PMID 39657182›Full record

ArticleInteractive journal of medical research2024

Weight and Lifestyle Behavior Changes in Chinese Health Care Workers During the COVID-19 Pandemic: 3-Year Retrospective Survey.

Xinyue Guo, Shaoqing Gong, Ying Chen, Xiaohui Hou, Tong Sun, Jianqiang Wen, Zhiyao Wang, Jingyang He, Xuezhu Sun, Sufang Wang and 3 more

Abstract read
In one paragraph

Article in Interactive journal of medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Xinyue GuoBeijing Center for Disease Prevention and Control, Beijing, China.ORCID https://orcid.org/0000-0002-7965-6189
Shaoqing Gong *Luohe Medical College, Luohe, China.ORCID https://orcid.org/0009-0006-4910-1090
Ying ChenDepartment of Nutrition and Food Hygiene, School of Public Health, Anhui Medical University, Anhui, Hefei, China.ORCID https://orcid.org/0009-0006-7626-2041
Xiaohui HouChinese Center for Health Education, Beijing, China.ORCID https://orcid.org/0009-0006-7626-2041
Tong SunShandong Center for Disease Control and Prevention, Shandong, China.ORCID https://orcid.org/0009-0009-0061-2983
Jianqiang WenGansu Province Traditional Chinese Medicine Development Center, Gansu, China.ORCID https://orcid.org/0009-0005-4142-3231
Zhiyao WangHealth Promotion and Education Center of Xinjiang Uygur Autonomous Region, Xinjiang Uygur Autonomous Region, China.ORCID https://orcid.org/0009-0008-4748-8150
Jingyang HeHealth Education Institute of Henan Center for Disease Control, Henan, China.ORCID https://orcid.org/0009-0008-4966-5894
Xuezhu SunHealth Lifestyle Medical Center, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, China.ORCID https://orcid.org/0009-0000-0007-0736
Sufang WangDepartment of Nutrition and Food Hygiene, School of Public Health, Anhui Medical University, Anhui, Hefei, China.ORCID https://orcid.org/0000-0002-2503-961X
Zhixin ChenDepartment of Nutrition and Food Hygiene, School of Public Health, Anhui Medical University, Anhui, Hefei, China.ORCID https://orcid.org/0009-0003-1808-1662
Xue FengHealth Lifestyle Medical Center, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, China.ORCID https://orcid.org/0009-0004-8847-2826
Xiangyang Tian *Chinese Center for Health Education, Beijing, China.ORCID https://orcid.org/0000-0002-6789-7719

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth care workers (HCWs) played a key role in preventing and controlling COVID-19. Higher infection risks and intensive work led to occupational burnout for many HCWs, which may affect their lifestyle behaviors and weight.

objectiveThis study aimed to assess HCWs' self-rated health status, overweight and obesity rates, lifestyle behaviors, and psychoemotional changes from 2019 to 2022 across China and to analyze the factors associated with changes from underweight or normal weight in 2019 to overweight or obese in 2022.

methodsIn this retrospective study, 100 health care institutions were randomly selected from 5 provinces or regions in China. All HCWs who worked in the institutions for at ≥3 years were invited to complete the electronic questionnaire and participate in the online survey from August 1, 2022, to August 31, 2022. Collected data included changes in lifestyle behaviors (dietary habits, physical activity, sleep quality, smoking, alcohol consumption), psychoemotional conditions (persistent stress or recurrent anxiety or depressed mood), health status, and chronic disease control from December 2019 to August 2022. Height and weight in 2019 and 2022 were retrieved from annual physical examination records. Overweight and obesity were defined as 24.0 kg/m

resultsThe questionnaire was submitted by 23,234 HCWs. Of the underweight or normal weight HCWs in 2019, 12.67% (1486/23,234) became overweight or obese in 2022; this change was associated with the following factors: 34-43 years old (OR 0.843, 95% CI 0.740-0.960), 44-53 years old (OR 0.738, 95% CI 0.635-0.960), and 54-63 years old (OR 0.503, 95% CI 0.368-0.685; reference: 24-33 years old), reduction in or never or rarely engaging in physical activity (OR 1.201, 95% CI 1.055-1.368; reference: increase in physical activity; P=.006), increased appetite (OR 2.043, 95% CI 1.788-2.034; reference: reduction or no change in appetite; P<.001). From 2019 to 2022, 51.29% (11,917/23,234) of the respondents experienced increased persistent stress or recurrent anxiety or depressed mood; 44.38% (10,311/23,234) stayed up late more often. Increased persistent stress or recurrent anxiety or depressed mood was associated with physical activity (OR 0.421, 95% CI 0.398-0.447; P<.001) and appetite (OR 1.601, 95% CI 1.483-1.728; P<.001).

conclusionsThe pandemic was associated with overweight and obesity for HCWs due to changes in lifestyle behaviors, especially reduced physical activity and increased appetite related to increased persistent stress or recurrent anxiety or depressed mood caused by excessive workload. An integrated approach is needed to address overweight and obesity and lifestyle changes among HCWs by releasing negative psychoemotional conditions through workload reduction in future stressful events.

Indexed as

anxiety,depressionCOVID-19healthcare workerslifestyle behaviormental healthobesityoverweightpandemicphysical activitystress

Identifiers

PMID39657182
PMCPMC11668995

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.