Sultan ÇULFA, Elif YILDIRIM, BANU BAYRAM

COVID-19 Pandemi Süresince İnsanlarda Değişen Beslenme Alışkanlıkları İle Obezite İlişkisi

Uzun süredir hayatımızda olan koronavirüs hastalığı 2019 (COVID-19), sağlığımızı tehdit eden, yaşam kalitemizi düşüren, günlük yaşantımızdaki alışkanlıklarımızı değiştirmemize neden olan viral bir hastalıktır. Yapılan araştırmalarda obezitenin bu hastalığın komplikasyonlarının daha şiddetli görülmesinde önemli bir faktör olduğu belirtilmiştir. Ayrıca pandemide uzun evde kalma dönemlerinde azalan fiziksel aktivite, korku, stres gibi psikolojik faktörler sonucu beslenme alışkanlıklarının ve gıda alışverişi alışkanlıklarının değişmesi, sağlıklı beslenme davranışlarından uzaklaşılması sonucu obezite görülme sıklığı artmıştır. Beslenme, prevalansı yüksek pek çok hastalıkta olduğu gibi COVID-19 ile mücadelede de son derece yüksek öneme sahip olduğu için beslenme ile ilgili pek çok kurum ve kuruluş bağışıklık sistemini güçlendirmek amacıyla COVID-19’a karşı beslenme önerileri yayınlamıştır. Bu derleme makalede obezitenin bir risk faktörü olarak COVID-19 gelişiminde nasıl rol oynadığı, pandemi sürecinde meydana gelen yaşamsal değişikliklerin obezite açısından nasıl bir risk oluşturduğu ve beslenme alışkanlıkları ile COVID-19 ilişkisi özetlenmeye çalışılacaktır.

Anahtar Kelimeler:

beslenme, koronavirüs, obezite, sağlık

The Relationship between Obesity and Changing Nutrition Habits in Human during COVID-19 Pandemic

Coronavirus Disease 2019 (COVID-19), which has been in our lives for a long time, is a viral disease that threatens our health, lowers our quality of life, and causes changes of our habits in daily lives. Studies have indicated that obesity is an important factor in the more severe complications of this disease. In addition, the prevalence of obesity has increased due to the changes in eating and food shopping habits as a result of psychological factors such as decreased physical activity, fear, and stress during long periods of stay at home in the pandemic, and withdrawal from healthy eating behaviours. Since nutrition is of great importance in combating COVID-19, as well as in many diseases with high prevalence, many institutions and organizations related to nutrition have published nutritional recommendations against COVID-19 in order to strengthen the immune system. In this review it will be summarized, how obesity plays a role in the development of COVID-19 as a risk factor, how vital changes occurring during the pandemic process pose a risk for obesity, and the relationship between dietary habits and COVID-19.

Keywords:

Coronavirus, health, nutrition, obesity,

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Lu H, Stratton CW, Tang Y. Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle. J Med Virol. 2020;92(4):401-402.
World Health Organization. WHO Director-General’s Remarks at the Media Briefing on 2019-nCoV on 11 February 2020 https://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020 Erişim tarihi 10 Eylül 2020
Lee A. Wuhan novel coronavirus (COVID-19): why global control is challenging? Public Health 2020;179:A1-A2. doi:10.1016/j.puhe.2020.02.001
Muscogiuri G, Pugliese G, Barrea L, Savastano S, Colao A. Commentary: Obesity: The Achilles heel" for COVID-19? Metabolism. 2020;108:154251. doi:10.1016/j.metabol.2020. 154251
Sohrabi C, Alsafi Z, O'Neill N, ve ark. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg. 2020;76:71-76. doi:10.1016/j.ijsu.2020.02.034
Ma RCW, Holt RIG. COVID-19 and diabetes. Diabet Med. 2020;37(5):723-725. doi:10.1111/dme.14300
Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020;109:102433. doi:10.1016/j.jaut.2020.102433
World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard. https://covid19.who.int/ Erişim tarihi 16 Eylül 2020.
Worldometers. United States Coronavirus Cases. https://www.worldometers.info/coronavirus/country/us/ Erişim tarihi 16 Eylül 2020.
T.C. Sağlık Bakanlığı. COVID-19 Bilgilendirme Sayfası. https://covid19.saglik.gov.tr/ Erişim tarihi 16 Eylül 2020.
Chen N, Zhou M, Dong X, ve ark. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: A descriptive study. Lancet. 2020; doi:10.1016/S0140-6736(20)30211-7
Puig-Domingo M, Marazuela M, Giustina A. COVID-19 and endocrine diseases. A statement from the European Society of Endocrinology. Endocrine. 2020;68:2-5. doi:10.1007/s12020-020-02294-5
Wang D., Hu B., Hu C, ve ark. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-1069. doi:10.1001/jama.2020.1585
Docherty AB, Harrison EM, Green CA, ve ark. Features of 20 133 UK patients in hospital with covid-19 using the ISARIC WHO Clinical Characterisation Protocol: prospective observational cohort study. BMJ. 2020;369:m1985. doi:10.1136/bmj.m1985
Luzi L, Radaelli M.G. Influenza and obesity: Its odd relationship and the lessons for COVID-19 pandemic. Acta Diabeto. 2020;57:759-764. doi:10.1007/s00592-020-01522-8
World Health Organization. Nutrition advice for adults during the COVID-19 outbreak. http://www.emro.who.int/nutrition/nutrition-infocus/nutrition-advice-for-adults-during-the-covid-19-outbreak.html. Erişim tarihi 16 Eylül 2020.
Türkiye Diyetisyenler Derneği. COVID-19 beslenme önerileri. http://www.tdd.org.tr/index.php/duyurular/69-covid-19-beslenme-onerileri. Erişim tarihi 16 Eylül 2020.
Food and Agriculture Organization. Maintaining a healthy diet during the COVID-19 pandemic. http://www.fao.org/documents/card/en/c/ca8380en/. Erişim tarihi 16 Eylül 2020.
Ruiz-Roso MB, de Carvalho Padilha P, Mantilla-Escalante DC, ve ark. Covid-19 Confinement and Changes of Adolescent's Dietary Trends in Italy, Spain, Chile, Colombia and Brazil. Nutrients. 2020;12(6):1807. doi:10.3390/nu12061807
Di Renzo L, Gualtieri P, Pivari F, ve ark. Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. J Transl Med. 2020;18(1):229. doi:10.1186/s12967-020-02399-5
Ammar A, Brach M, Trabelsi K, ve ark. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients. 2020;12(6):1583. doi:10.3390/nu12061583
Almandoz JP, Xie L, Schellinger JN, ve ark. Impact of COVID-19 stay-at-home orders on weight-related behaviours among patients with obesity. Clin Obes. 2020;10(5):e12386. doi:10.1111/cob.12386.
Moynihan AB, van Tilburg WA, Igou ER, Wisman A, Donnelly AE, Mulcaire JB. Eaten up by boredom: consuming food to escape awareness of the bored self. Front Psychol. 2015;6:369. doi:10.3389/fpsyg.2015.00369
Muscogiuri G, Barrea L, Savastano S, Colao A. Nutritional recommendations for COVID-19 quarantine. Eur J Clin Nutr. 2020;74(6):850-851. doi:10.1038/s41430-020-0635-2
Scarmozzino F, Visioli F. Covid-19 and the Subsequent Lockdown Modified Dietary Habits of Almost Half the Population in an Italian Sample. Foods. 2020;9(5):675. doi:10.3390/foods9050675
Sidor A, Rzymski P. Dietary Choices and Habits during COVID-19 Lockdown: Experience from Poland. Nutrients. 2020;12(6):1657. doi:10.3390/nu12061657
Zhao A, Li Z, Ke Y, ve ark. Dietary Diversity among Chinese Residents during the COVID-19 Outbreak and Its Associated Factors. Nutrients. 2020;12(6):1699. doi:10.3390/nu12061699
Romeo-Arroyo E, Mora M, Vázquez-Araújo L. Consumer behavior in confinement times: Food choice and cooking attitudes in Spain. Int J Gastron Food Sci. 2020;21:100226. doi:10.1016/j.ijgfs.2020.100226
Zachary Z, Brianna F, Brianna L, ve ark. Self-quarantine and weight gain related risk factors during the COVID-19 pandemic. Obes Res Clin Pract. 2020;14(3):210-216. doi:10.1016/j.orcp.2020.05.004
Dietz W, Santos-Burgoa C. Obesity and its Implications for COVID-19 Mortality. Obesity (Silver Spring). 2020;28(6):1005. doi:10.1002/oby.22818
Wu C, Chen X, Cai Y, ve ark. Risk Factors Associated With Acute Respiratory Distress Syndrome and Death in Patients With Coronavirus Disease 2019 Pneumonia in Wuhan, China. JAMA Intern Med. 2020;180(7):1-11. doi:10.1001/jamainternmed.2020.0994
Rogero MM, Calder PC. Obesity, Inflammation, Toll-Like Receptor 4 and Fatty Acids. Nutrients. 2018;10(4):432. doi:10.3390/nu10040432
Green WD, Beck MA. Obesity Impairs the Adaptive Immune Response to Influenza Virus. Ann Am Thorac Soc. 2017;14(5):406-409. doi:10.1513/AnnalsATS.201706-447AW
World Health Organization. Global Health Obsevatory (GHO) data: overweight and obesity. https://www.who.int/gho/ncd/risk_factors/overweight_obesity/obesity_adults/en. Erişim tarihi 10 Eylül 2020.
Chiappetta S, Sharma AM, Bottino V, Stier C. COVID-19 and the role of chronic inflammation in patients with obesity. Int J Obes (Lond). 2020;44(8):1790-1792. doi:10.1038/s41366-020-0597-4
Iannelli A, Favre G, Frey S, ve ark. Obesity and COVID-19: ACE 2, the Missing Tile. Obes Surg. 2020;1-3. doi:10.1007/s11695-020-04734-7
Özbayer C, Yağcı E, Kurt H. Obezite, Tip 2 Diyabet ve İnsülin Direnci Arasındaki Bağlantı: İnflamasyon. Tıp Fakültesi Klinikleri Dergisi, 2018;1(2) :27-36.
Huang C., Wang Y., Li X., Ren L., Zhao J., Hu Y, ve ark. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 2020;395:497-506. doi:10.1016/S0140-6736(20)30183-5
Zheng KI, Gao F, Wang XB, ve ark. Letter to the Editor: Obesity as a risk factor for greater severity of COVID-19 in patients with metabolic associated fatty liver disease. Metabolism. 2020;108:154244. doi:10.1016/j.metabol.2020.154244
Palaiodimos L, Kokkinidis DG, Li W, ve ark. Severe obesity, increasing age and male sex are independently associated with worse in-hospital outcomes, and higher in-hospital mortality, in a cohort of patients with COVID-19 in the Bronx, New York. Metabolism. 2020;108:154262. doi:10.1016/j.metabol.2020.154262
Denova-Gutiérrez E, Lopez-Gatell H, Alomia-Zegarra JL, ve ark. The Association of Obesity, Type 2 Diabetes, and Hypertension with Severe Coronavirus Disease 2019 on Admission Among Mexican Patients. Obesity (Silver Spring). 2020;10.1002/oby.22946.
Kass DA, Duggal P, Cingolani O. Obesity could shift severe COVID-19 disease to younger ages. Lancet. 2020;395(10236):1544-1545. doi:10.1016/S0140-6736(20)31024-2
Istituto Superiore di Sanita. Characteristics of SARS-CoV-2 patients dying in Italy Report based on available data. htps://www.epicentro.iss.it/en/coronavirus/bollettino/Report-COVID-2019_11_june_2020.pdf. Erişim tarihi 10 Eylül 2020.
Simonnet A, Chetboun M, Poissy J, ve ark. High Prevalence of Obesity in Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) Requiring Invasive Mechanical Ventilation. Obesity (Silver Spring). 2020;28(7):1195-1199. doi:10.1002/oby.22831
Lighter J, Phillips M, Hochman S, ve ark. Obesity in Patients Younger Than 60 Years Is a Risk Factor for COVID-19 Hospital Admission. Clin Infect Dis. 2020;71(15):896-897. doi:10.1093/cid/ciaa415
Zhang F, Xiong Y, Wei Y, ve ark. Obesity predisposes to the risk of higher mortality in young COVID-19 patients. J Med Virol. 2020; doi:10.1002/jmv.26039
Chao JY, Derespina KR, Herold BC, ve ark. Clinical Characteristics and Outcomes of Hospitalized and Critically Ill Children and Adolescents with Coronavirus Disease 2019 at a Tertiary Care Medical Center in New York City. J Pediatr. 2020;223:14-19.e2. doi:10.1016/j.jpeds.2020.05.006
Buckner FS, McCulloch DJ, Atluri V, ve ark. Clinical Features and Outcomes of 105 Hospitalized patients with COVID-19 in Seattle, Washington. Clin Infect Dis. 2020;ciaa632. doi:10.1093/cid/ciaa632
Cai Q, Chen F, Wang T, ve ark. Obesity and COVID-19 Severity in a Designated Hospital in Shenzhen, China. Diabetes Care. 2020;43(7):1392-1398. doi:10.2337/dc20-0576
Richardson S, Hirsch JS, Narasimhan M, ve ark. Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area. JAMA. 2020;323(20):2052-2059. doi:10.1001/jama.2020.6775
Cummings MJ, Baldwin MR, Abrams D, ve ark. Epidemiology, clinical course, and outcomes of critically ill adults with COVID-19 in New York City: a prospective cohort study. Lancet. 2020;395(10239):1763-1770. doi:10.1016/S0140-6736(20)31189-2
Lemyze M, Courageux N, Maladobry T, ve ark. Implications of Obesity for the Management of Severe Coronavirus Disease 2019 Pneumonia. Crit Care Med. 2020;48(9):e761-e767. doi:10.1097/CCM.0000000000004455
Hajifathalian K, Kumar S, Newberry C, ve ark. Obesity is Associated with Worse Outcomes in COVID-19: Analysis of Early Data from New York City. Obesity (Silver Spring). 2020;28(9):1606-1612. doi:10.1002/oby.22923
El Chaar M, King K, Galvez Lima A. Are black and Hispanic persons disproportionately affected by COVID-19 because of higher obesity rates? Surg Obes Relat Dis. 2020;16(8):1096-1099. doi:10.1016/j.soard.2020.04.038
Busetto L, Bettini S, Fabris R, ve ark. Obesity and COVID-19: An Italian Snapshot. Obesity (Silver Spring). 2020;28(9):1600-1605. doi:10.1002/oby.22918
Garg S, Kim L, Whitaker M, ve ark. Hospitalization Rates and Characteristics of Patients Hospitalized with Laboratory-Confirmed Coronavirus Disease 2019-COVID-NET, 14 States, March 1-30. MMWR Morb Mortal Wkly Rep. 2020;69(15):458-464. doi:10.15585/mmwr.
Kim L, Whitaker M, O'Halloran A, ve ark. Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized with Laboratory-Confirmed COVID-19-COVID-NET, 14 States, March 1-July 25. MMWR Morb Mortal Wkly Rep. 2020;69(32):1081-1088. doi:10.15585/mmwr.mm6932e3