key: cord-0772540-6tuph2gm
authors: Wysocki, Michał; Walędziak, Maciej; Proczko-Stepaniak, Monila; Pędziwiatr, Michał; Szeliga, Jacek; Major, Piotr
title: Lifestyle changes in patients with morbid obesity and type 2 diabetes mellitus during the COVID-19 pandemic
date: 2020-06-16
journal: Diabetes Metab
DOI: 10.1016/j.diabet.2020.06.002
sha: cfccbb95a372e626191d1c1d0d6be965e37ee4b5
doc_id: 772540
cord_uid: 6tuph2gm

nan

Authors' contributions: MW: figures, study design, data collection, data analysis, data interpretation, writing of article; MPS: data collection, data analysis, data interpretation, drafting of article; JS: data collection, data analysis, data interpretation, drafting of article; MP: data collection, data analysis, data interpretation, drafting of article; PM: study design, data interpretation, writing and drafting of article, supervision.

Conflicts of interest: All authors declare no conflict of interest.

Recommendations indicate that all elective metabolic and bariatric surgery should be postponed until after the Coronavirus disease 2019 (COVID-19) pandemic [1, 2] . While there are already some data on the impact of a pandemic on general and oncological surgery, there has been nothing for bariatric surgery on its own. Thus far, we have found no publications on the effects of a pandemic on bariatric patients' health and lifestyles nor, in particular, on those who also have type 2 diabetes mellitus (DM2).

That is why we decided to conduct the present study, which was designed as an online survey with the aim of collecting data from bariatric patients during this COVID-19 pandemic. The COVID-19 has had a global impact on everyone's daily life, including the postponement of all elective surgeries, including bariatric procedures [1, 3] . However, we could find no studies documenting non-COVID-19 patients' perspectives on the pandemic and their lifestyle changes. Nevertheless, regardless of DM2 status, we found that both preoperative and postoperative bariatric patients reported an increased prevalence of unhealthy lifestyle eating habits because of the pandemic. In addition, most of the patients in both our study groups decreased their physical activity due to restrictions on going outdoors and the closing of sports facilities. However, even though more patients with DM2 reported exercising at home on their own in both the preoperative and postoperative groups, fewer patients in the postoperative vs the preoperative group declared that their body weight had increased due to the pandemic, with no differences with or without DM2.

In summary, the pandemic has promoted unhealthy lifestyle changes in morbidly obese patients, regardless of the presence of DM2, that have led to significant increases in body weight. 

Recommendations for metabolic and bariatric surgery during the COVID-19 Pandemic from IFSO

Guidelines for the management of surgical departments in non-uniform hospitals during the COVID-19 pandemic

SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic

None.