Adherence
COVID-19 lockdown and confinement measures are associated with a high prevalence (65%) of symptomatic deterioration in individuals with eating disorders, including increased shape/eating concerns and exercise obsession, despite mixed findings on actual BMI changes in longitudinal subgroups.
If you have an eating disorder or obesity, the lockdown environment itself is a significant risk factor for symptom worsening, not just your personal choices. The data shows 65% of ED patients experienced deterioration. Focus on maintaining therapeutic contact and structured routines, as the loss of these external supports is a primary driver of symptom escalation. Be aware that 'feeling fine' on a scale of weight may mask significant psychological distress and behavioral shifts like increased exercise obsession.
The pooled prevalence of symptomatic deterioration in EDs was 65% (95% CI [48,81], k = 10)... at least 75% of the individuals with EDs reported shape and eating concerns, and increased thinking about exercising.
Why this rating
Meta-analysis of 26 studies, but high heterogeneity (I2 > 90%) and risk of bias in many included studies.
Source
Effects of COVID‐19 lockdown on eating disorders and obesity: A systematic review and meta‐analysis
Lucia Sideli et al. · European Eating Disorders Review · 2021
DOI 10.1002/erv.2861
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This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →