The Impact of the First and Second Wave of the COVID-19 Pandemic on Eating Symptoms and Dysfunctional Eating Behaviours in the General Population: A Systematic Review and Meta-Analysis

Background: The aim of this systematic review and meta-analysis was to examine the prevalence of feeding and eating disorder (FED) symptoms or dysfunctional eating behaviours (DEB) in the general population during the COVID-19 outbreak. Method: We searched eligible articles in biomedical databases f...

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Main Authors: Rubinia Celeste Bonfanti, Lucia Sideli, Arianna Teti, Alessandro Musetti, Stefania Cella, Nadia Barberis, Bianca Borsarini, Lucia Fortunato, Cristina Sechi, Nadia Micali, Gianluca Lo Coco
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Nutrients
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Online Access:https://www.mdpi.com/2072-6643/15/16/3607
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author Rubinia Celeste Bonfanti
Lucia Sideli
Arianna Teti
Alessandro Musetti
Stefania Cella
Nadia Barberis
Bianca Borsarini
Lucia Fortunato
Cristina Sechi
Nadia Micali
Gianluca Lo Coco
author_facet Rubinia Celeste Bonfanti
Lucia Sideli
Arianna Teti
Alessandro Musetti
Stefania Cella
Nadia Barberis
Bianca Borsarini
Lucia Fortunato
Cristina Sechi
Nadia Micali
Gianluca Lo Coco
author_sort Rubinia Celeste Bonfanti
collection DOAJ
description Background: The aim of this systematic review and meta-analysis was to examine the prevalence of feeding and eating disorder (FED) symptoms or dysfunctional eating behaviours (DEB) in the general population during the COVID-19 outbreak. Method: We searched eligible articles in biomedical databases from 1 January 2020 to 31 March 2022. Prevalence rates of FED or DEB changes between pre-pandemic and pandemic time and correlation with psychological distress were pooled with a meta-analysis using a random-effects model. Heterogeneity was tested using I-squared (<i>I</i><sup>2</sup>) statistics. A total of 186 studies with 406,076 participants met the inclusion criteria. Results: The more prevalent FED or DEB during the COVID-19 outbreak were: body image concerns (52%, 95% CI 0.38, 0.66), binge eating (40%, 95% CI 0.25, 0.55), and overeating (40%, 95% CI = 0.32–0.48). Pooled data of longitudinal studies (k = 8) only showed a significant difference in the prevalence of weight gain from pre-pandemic to the pandemic time. Finally, increased levels of psychological distress (k = 35) positively correlated with some ED symptoms. Conclusion: This meta-analysis evidenced a negative impact of the pandemic on eating symptoms and DEB in the general population.
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spelling doaj.art-c93571cad64b48bf837dc1926c60c6542023-11-19T02:30:34ZengMDPI AGNutrients2072-66432023-08-011516360710.3390/nu15163607The Impact of the First and Second Wave of the COVID-19 Pandemic on Eating Symptoms and Dysfunctional Eating Behaviours in the General Population: A Systematic Review and Meta-AnalysisRubinia Celeste Bonfanti0Lucia Sideli1Arianna Teti2Alessandro Musetti3Stefania Cella4Nadia Barberis5Bianca Borsarini6Lucia Fortunato7Cristina Sechi8Nadia Micali9Gianluca Lo Coco10Faculty of Human and Social Sciences, Kore University of Enna, 94100 Enna, ItalyDepartment of Human Science, LUMSA University, 00193 Rome, ItalyDepartment of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, ItalyDepartment of Humanities, Social Sciences and Cultural Industries, University of Parma, 43121 Parma, ItalyObservatory on Eating Disorders, Department of Psychology, University of Campania “Luigi Vanvitelli”, 81100 Caserta, ItalyDepartment of Health Sciences, Magna Graecia University of Catanzaro, 88100 Catanzaro, ItalyMental Health Services in the Capital Region of Denmark, Eating Disorders Research Unit, Psychiatric Centre Ballerup, 2750 Ballerup, DenmarkDepartment of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, ItalyDepartment of Pedagogy, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, ItalyMental Health Services in the Capital Region of Denmark, Eating Disorders Research Unit, Psychiatric Centre Ballerup, 2750 Ballerup, DenmarkDepartment of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, ItalyBackground: The aim of this systematic review and meta-analysis was to examine the prevalence of feeding and eating disorder (FED) symptoms or dysfunctional eating behaviours (DEB) in the general population during the COVID-19 outbreak. Method: We searched eligible articles in biomedical databases from 1 January 2020 to 31 March 2022. Prevalence rates of FED or DEB changes between pre-pandemic and pandemic time and correlation with psychological distress were pooled with a meta-analysis using a random-effects model. Heterogeneity was tested using I-squared (<i>I</i><sup>2</sup>) statistics. A total of 186 studies with 406,076 participants met the inclusion criteria. Results: The more prevalent FED or DEB during the COVID-19 outbreak were: body image concerns (52%, 95% CI 0.38, 0.66), binge eating (40%, 95% CI 0.25, 0.55), and overeating (40%, 95% CI = 0.32–0.48). Pooled data of longitudinal studies (k = 8) only showed a significant difference in the prevalence of weight gain from pre-pandemic to the pandemic time. Finally, increased levels of psychological distress (k = 35) positively correlated with some ED symptoms. Conclusion: This meta-analysis evidenced a negative impact of the pandemic on eating symptoms and DEB in the general population.https://www.mdpi.com/2072-6643/15/16/3607COVID-19general populationeating disordersdysfunctional eating behavioursmeta-analysissystematic review
spellingShingle Rubinia Celeste Bonfanti
Lucia Sideli
Arianna Teti
Alessandro Musetti
Stefania Cella
Nadia Barberis
Bianca Borsarini
Lucia Fortunato
Cristina Sechi
Nadia Micali
Gianluca Lo Coco
The Impact of the First and Second Wave of the COVID-19 Pandemic on Eating Symptoms and Dysfunctional Eating Behaviours in the General Population: A Systematic Review and Meta-Analysis
Nutrients
COVID-19
general population
eating disorders
dysfunctional eating behaviours
meta-analysis
systematic review
title The Impact of the First and Second Wave of the COVID-19 Pandemic on Eating Symptoms and Dysfunctional Eating Behaviours in the General Population: A Systematic Review and Meta-Analysis
title_full The Impact of the First and Second Wave of the COVID-19 Pandemic on Eating Symptoms and Dysfunctional Eating Behaviours in the General Population: A Systematic Review and Meta-Analysis
title_fullStr The Impact of the First and Second Wave of the COVID-19 Pandemic on Eating Symptoms and Dysfunctional Eating Behaviours in the General Population: A Systematic Review and Meta-Analysis
title_full_unstemmed The Impact of the First and Second Wave of the COVID-19 Pandemic on Eating Symptoms and Dysfunctional Eating Behaviours in the General Population: A Systematic Review and Meta-Analysis
title_short The Impact of the First and Second Wave of the COVID-19 Pandemic on Eating Symptoms and Dysfunctional Eating Behaviours in the General Population: A Systematic Review and Meta-Analysis
title_sort impact of the first and second wave of the covid 19 pandemic on eating symptoms and dysfunctional eating behaviours in the general population a systematic review and meta analysis
topic COVID-19
general population
eating disorders
dysfunctional eating behaviours
meta-analysis
systematic review
url https://www.mdpi.com/2072-6643/15/16/3607
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