{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T21:36:23Z","timestamp":1789335383629,"version":"build-2803163510"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T00:00:00Z","timestamp":1612396800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Studies have shown the negative impact of COVID\u201019 lockdown orders on mental health and substance use in the general population. The aim of this study was to examine the impact of the COVID\u201019 pandemic onsubstance use, mental health and weight\u2010related behaviors in a sample of adults with obesity after lockdown orders were lifted (June\u2010September 2020). A retrospective medical chart review identified patients with obesity from one university\u2010based obesity medicine clinic, and two metabolic and bariatric surgery (MBS) practices. Patients who completed an online survey from June 1, 2020 to September 30, 2020 were included. The primary outcome measure was substance use (various drugs, alcohol, tobacco). Substance use and mental health survey questions were based on standardized, validated instruments. A total of 589 patients (83.3% female, mean age 53.6 years [SD 12.8], mean BMI 35.4 [SD 9.1], 54.5% Non\u2010Hispanic white, 22.3% post\u2010MBS) were included. Seventeen patients (2.9%) tested positive for SARS\u2010CoV\u20102 and 13.5% reported symptoms. Nearly half (48.4%) of the sample reported recreational substance use and 9.8% reported increased use since the start of the pandemic. There was substantial drug use reported (24.3% opioids, 9.5% sedative\/tranquilizers, 3.6% marijuana, and 1% stimulants). Patients who reported stockpiling food more (adjusted Odds Ratio [aOR] 1.50, 95% CI 1.03\u20102.18), healthy eating more challenging (aOR 1.47, 95% CI 1.01\u20102.16), difficulty falling asleep (aOR 1.64, 95% CI 1.14\u20102.34), and anxiety (aOR 1.47, 95% CI 1.01\u20102.14) were more likely to report substance use versus non\u2010users. Results here show that the COVID\u201019 pandemic is having a deleterious impact on substance use, mental health and weight\u2010related health behaviors in people with obesity regardless of infection status.<\/jats:p>","DOI":"10.1111\/cob.12440","type":"journal-article","created":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T01:09:42Z","timestamp":1612746582000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Substance use, mental health and weight\u2010related behaviours during the <scp>COVID<\/scp>\u201019 pandemic in people with obesity"],"prefix":"10.1111","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0462-0843","authenticated-orcid":false,"given":"Jaime P.","family":"Almandoz","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Division of Endocrinology University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4499-0555","authenticated-orcid":false,"given":"Luyu","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Human Genetics and Environmental Sciences University of Texas Health Science Center, School of Public Health  Dallas Texas USA"},{"name":"Center for Pediatric Population Health Children's Health System of Texas and UT Health School of Public Health  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey N.","family":"Schellinger","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Endocrinology University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Sunil","family":"Mathew","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Human Genetics and Environmental Sciences University of Texas Health Science Center, School of Public Health  Dallas Texas USA"},{"name":"Center for Pediatric Population Health Children's Health System of Texas and UT Health School of Public Health  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nora","family":"Bismar","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Endocrinology University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Ofori","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Human Genetics and Environmental Sciences University of Texas Health Science Center, School of Public Health  Dallas Texas USA"},{"name":"Center for Pediatric Population Health Children's Health System of Texas and UT Health School of Public Health  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachin","family":"Kukreja","sequence":"additional","affiliation":[{"name":"Minimally Invasive Surgical Associates  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Vidot","sequence":"additional","affiliation":[{"name":"School of Nursing University of Miami  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6685-2175","authenticated-orcid":false,"given":"Sarah E.","family":"Messiah","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Human Genetics and Environmental Sciences University of Texas Health Science Center, School of Public Health  Dallas Texas USA"},{"name":"Center for Pediatric Population Health Children's Health System of Texas and UT Health School of Public Health  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6932a1"},{"key":"e_1_2_8_3_1","volume-title":"Indicators of Anxiety or Depression Based on Reported Frequency of Symptoms during the Last 7\u2009Days. 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