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Despite this, no systematic reviews have been conducted examining the COVID\u201019 and ED peer\u2010reviewed literature. Therefore, this systematic review aimed to synthesize the impact of the COVID\u201019 pandemic on individuals with EDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Database searches of the peer\u2010reviewed literature were completed in the subsequent databases: CINAHL, Embase, MEDLINE, and PsycINFO (from November 2019 to October 20, 2021). All research reporting on the relationship between the COVID\u201019 pandemic on individuals with EDs were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty\u2010three studies met the inclusion criteria, including 36,485 individuals with EDs.<\/jats:p>\n                    <jats:p>\n                      The pooled hospital admissions across the studies demonstrated on average a 48% (pre\u00a0=\u00a0591, post\u00a0=\u00a0876,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u200910 studies) increase in admissions during the pandemic compared to previous pre\u2010pandemic timepoints. In this review, 36% of studies (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u200919) documented increases in eating disorder symptoms during the pandemic, this increase in eating disorder symptoms were documented in AN, BED, BN, and OFSED patients. Studies also demonstrated increases in anxiety (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u20099) and depression (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u20098), however patterns of change appeared to be diagnostic and timing specific (e.g., lockdowns).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>We found a large increase in the number of hospitalizations and an increase in ED symptoms, anxiety, depression, and changes to BMI in ED patients during the pandemic. However, these changes appeared to be diagnostic and timing specific. Many qualitative studies described deterioration in ED symptomatology due to decreased access to care and treatment, changes to routine and loss of structure, negative influence of the media, and social isolation. Future studies are needed to focus on pediatric populations, new ED diagnoses, and severity of illness at presentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Public Significance<\/jats:title>\n                    <jats:p>The scientific literature suggests that individuals with eating disorders have experienced deteriorating symptoms, increased isolation, and an increase in hospital admissions as a result of the COVID\u201019 pandemic. This study synthesized 53 articles and explored the impact of the COVID\u201019 pandemic on patients with eating disorders. We found increases in eating disorder symptoms during the pandemic; this increase in eating disorder symptoms was documented in patients with common eating disorders including anorexia nervosa, binge\u2010eating disorder, bulimia nervosa, and other specified feeding and eating disorders. This review also demonstrated changes in body mass index (an index used to classify underweight, overweight, and obesity in adults) and increases in anxiety and depression during the pandemic compared to previous timepoints; patterns of change appeared to be related to timing of lockdowns. This review provides important information on the impact of COVID\u201019 on the physical and mental health of individuals with eating disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.23704","type":"journal-article","created":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T05:21:08Z","timestamp":1649136068000},"page":"5-25","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":331,"title":["The impact of the\n                    <scp>COVID<\/scp>\n                    \u201019 pandemic on eating disorders: A systematic review"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4931-0205","authenticated-orcid":false,"given":"Daniel","family":"J. 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