{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:44:29Z","timestamp":1747151069260,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T00:00:00Z","timestamp":1676419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aims\u00a0of this study were as follows: 1) examine weight changes in older adults (mean age\u00a0=\u00a076 years) with type 2 diabetes and overweight or obesity during the COVID\u201019 shutdown; and 2) compare the behavioral and psychosocial effects of the shutdown in those who had large weight losses (&gt;5%), those who had small weight losses (2%\u20105%), those who remained weight stable (\u00b12%), or those who gained weight (&gt;2%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Look AHEAD (Action for Health in Diabetes) participants (<jats:italic>N<\/jats:italic>\u00a0=\u00a02544) were surveyed during the COVID\u201019 shutdown (2020), and they self\u2010reported their current weight, reasons for weight change, weight\u2010related behaviors, psychosocial measures, and negative and positive effects of the pandemic on their lives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Comparing self\u2010reported weight during the COVID\u201019 shutdown with earlier measured weight, Look AHEAD participants lost, on average, 2.2 kg during the COVID\u201019 shutdown: 47% lost &gt;2%, and only 18% gained &gt;2% (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). Decreases in physical activity and increases in screen time were reported frequently in all weight\u2010change categories. Similarly, there were few differences among the categories on standardized psychosocial measures or self\u2010reported effects of the shutdown on participants' lives. However, when differences were seen, the most negative impact was in those who gained weight.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although weight loss appeared more common than weight gain during the shutdown, the weight\u2010change groups did not differ on most psychosocial and behavioral variables.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.23674","type":"journal-article","created":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T15:29:53Z","timestamp":1670426993000},"page":"871-882","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Weight changes during the <scp>COVID\u201019<\/scp> shutdown in older individuals with type 2 diabetes: the Look <scp>AHEAD<\/scp> Study"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0918-8252","authenticated-orcid":false,"given":"Rena R.","family":"Wing","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University and Weight Control and Diabetes Research Center, The Miriam Hospital  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marjorie J.","family":"Howard","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine Public Health Sciences Winston\u2010Salem  Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7946-9570","authenticated-orcid":false,"given":"KayLoni L.","family":"Olson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University and Weight Control and Diabetes Research Center, The Miriam Hospital  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6807-9515","authenticated-orcid":false,"given":"Jessica L.","family":"Unick","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University and Weight Control and Diabetes Research Center, The Miriam Hospital  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5633-8973","authenticated-orcid":false,"given":"Ariana M.","family":"Chao","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Health Sciences University of Pennsylvania School of Nursing  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0438-4609","authenticated-orcid":false,"given":"Thomas A.","family":"Wadden","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Perelman School of Medicine at the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9980-0889","authenticated-orcid":false,"given":"Lynne E.","family":"Wagenknecht","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine Public Health Sciences Winston\u2010Salem  Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,2,15]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.15036"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2021\u2010050123"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114521000921"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2021.04.015"},{"key":"e_1_2_12_6_1","unstructured":"American Psychological Association.Stress in America: One year later a new wave of pandemic health concerns. 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