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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 5 Issue 4, May-June 2021 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD42588 | Volume – 5 | Issue – 4 | May-June 2021 Page 1372
COVID 19 Outbreak and Eating Disorders –
An Emerging Problem
Dr. Ankit Halder, Dr. Dhakshana Pushpanathan, Dr. Navna Panchami
Post Graduate Resident, Department of Psychiatry,
DY Patil Medical College and Hospital, Kolhapur, Maharashtra, India
ABSTRACT
COVID 19 has been reported to exacerbate and precipitate depressive spells,
anxiety spectrum disorders. Eating disorders that mainly include Anorexia
Nervosa(AN) and Bulimia Nervosa(BN) can occur or flare up in such patients
as well as an indirect influence of the pandemic .The nationwide lockdown,
social isolation as well as psychiatric illnesses arising out of it can lead tosuch
disorders. Further sample based studies are the need of the hour.
KEYWORDS: COVID 19, EATING DISORDERS
How to cite this paper: Dr. Ankit Halder |
Dr. Dhakshana Pushpanathan | Dr. Navna
Panchami "COVID 19Outbreak andEating
Disorders – An Emerging Problem"
Published in
International Journal
of Trend in Scientific
Research and
Development(ijtsrd),
ISSN: 2456-6470,
Volume-5 | Issue-4,
June 2021, pp.1372-
1373, URL:
www.ijtsrd.com/papers/ijtsrd42588.pdf
Copyright © 2021 by author (s) and
International Journal ofTrendinScientific
Research and Development Journal. This
is an Open Access article distributed
under the terms of
the Creative
Commons Attribution
License (CC BY 4.0)
(http: //creativecommons.org/licenses/by/4.0)
INTRODUCTION
COVID 19 is having a negative impact on mental health of all
the individuals in general[1].Due to the infection itself as
well as the isolation and containment rules EatingDisorders
(ED) are increasing or worsening in preexisting cases.[2]
DISCUSSION
The negative impact of COVID-19andthesocial isolationdue
to it on mental health has been established in literature.
[1,2,3]. With a view of coping against the situational stress,
populations are reporting alterationsinpatternsoftheirdiet
[4] .This includes increasing intake of food or taking more
comfort food[4].It leads to increases sense of guilt and
anxiety that triggers a vicious cycle. One survey found that
about 50% of the study participants had anxious
preoccupations due to changed eating habits during COVID
19. It was seen that females were also more prone to
emotional eating compared to male [4]. In a survey in New
Delhi, 79.5% of total respondents reported that pattern of
their diet changed during the lockdown in the country [5].
This was mostly in age group 35 - 50 years. They reported
that in order to cope with the fears of getting infected with
the virus and stringent restrictions of social distancingthere
was increase or decrease in their caloric intake [5].
Patients with pre existing eating disorders (EDs) are also
going through adverse impacts related to the pandemic [6].
A study reported that after 2 weeks of quarantine, almost
40% adults with pre existing EDs had worsening of
symptoms and almost 60% reported increase in anxiety [6].
In other countries, adults who had Anorexia Nervosa (AN)
reported rise in restriction and fears of nothavingtheability
to have food like their usual plan[6]. Those with BN and
Binge Eating Disorder (BED) had rise in binge eating and
binge urges. Almost all patients with EDs hadhigherworries
regarding COVID-19 on their mental health compared to
physical health, along withconcernsofrelapseofED because
of the confinement [7, 8].
CONCLUSION
Thus it is plausible to say that eating disorders are an
important dilemma thatisemergingintheworld.India being
a developing nation should be aware of such emergence
more. Further sample based studies are needed to explore
the phenomenology.
References
[1] Fiorillo A, Gorwood P. The consequences of the
COVID-19 pandemic on mental health and
implications for clinical practice. Eur Psychiatry.
2020; 63(1):e32.
https://doi.org/10.1192/j.eurpsy.2020.35.
Article PubMed PubMed Central Google Scholar
[2] Huang Y, Zhao N. Chinese mental health burden
during the COVID-19 pandemic. Asian J Psychiatr.
2020;
51:102052. https://doi.org/10.1016/j.ajp.2020.1020
52. Article PubMed PubMed Central Google Scholar
IJTSRD42588
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD42588 | Volume – 5 | Issue – 4 | May-June 2021 Page 1373
[3] Torales J, O'Higgins M, Castaldelli-Maia JM, Ventriglio
A. The outbreak of COVID-19 coronavirus and its
impact on global mental health. Int J Soc Psychiatry.
2020; 66(4):317–20.
[4] Di Renzo L, Gualtieri P, Cinelli G, Bigioni G, Soldati L,
Attina A, et al. Psychological Aspects and Eating
Habits during COVID-19 Home Confinement: Results
of EHLC-COVID-19 Italian Online Survey. Nutrients.
2020; 12(7):2152.
[5] Kochhar AS, Bhasin R, Kochhar GK, Dadlani H, Mehta
VV, Kaur R, et al. Lockdown of 1.3 billion people in
India during Covid-19 pandemic: A survey of its
impact on mental health. Asian J Psychiatr. 2020;
54:102213. Article Google Scholar
[6] Fernandez-Aranda F, Casas M, Claes L, Bryan DC,
Favaro A, Granero R, et al. COVID-19 and implications
for eating disorders. Eur Eat Disord Rev. 2020;
28(3):239–45. https://doi.org/10.1002/erv.2738.
Article PubMed PubMed Central Google Scholar
[7] Termorshuizen JD, Watson HJ, Thornton LM, Borg S,
Flatt RE, MacDermod CM,etal.EarlyimpactofCOVID-
19 on individuals with self-reported eatingdisorders:
a survey of ~1,000 individuals in the United States
and the Netherlands. Int J Eat Disord. 2020;
53(11):1780–90.https://doi.org/10.1002/eat.23353.
Article PubMed Google Scholar
[8] Phillipou A, Meyer D, Neill E, Tan EJ, Toh WL, Van
Rheenen TE, et al. Eating and exercise behaviors in
eating disorders and the general population during
the COVID-19 pandemic in Australia: initial results
from the COLLATE project. Int J Eat Disord. 2020;
53(7):1158–65. https://doi.org/10.1002/eat.23317.
ArticlePub Med Google Scholar

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COVID 19 Outbreak and Eating Disorders – An Emerging Problem

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 5 Issue 4, May-June 2021 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD42588 | Volume – 5 | Issue – 4 | May-June 2021 Page 1372 COVID 19 Outbreak and Eating Disorders – An Emerging Problem Dr. Ankit Halder, Dr. Dhakshana Pushpanathan, Dr. Navna Panchami Post Graduate Resident, Department of Psychiatry, DY Patil Medical College and Hospital, Kolhapur, Maharashtra, India ABSTRACT COVID 19 has been reported to exacerbate and precipitate depressive spells, anxiety spectrum disorders. Eating disorders that mainly include Anorexia Nervosa(AN) and Bulimia Nervosa(BN) can occur or flare up in such patients as well as an indirect influence of the pandemic .The nationwide lockdown, social isolation as well as psychiatric illnesses arising out of it can lead tosuch disorders. Further sample based studies are the need of the hour. KEYWORDS: COVID 19, EATING DISORDERS How to cite this paper: Dr. Ankit Halder | Dr. Dhakshana Pushpanathan | Dr. Navna Panchami "COVID 19Outbreak andEating Disorders – An Emerging Problem" Published in International Journal of Trend in Scientific Research and Development(ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4, June 2021, pp.1372- 1373, URL: www.ijtsrd.com/papers/ijtsrd42588.pdf Copyright © 2021 by author (s) and International Journal ofTrendinScientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http: //creativecommons.org/licenses/by/4.0) INTRODUCTION COVID 19 is having a negative impact on mental health of all the individuals in general[1].Due to the infection itself as well as the isolation and containment rules EatingDisorders (ED) are increasing or worsening in preexisting cases.[2] DISCUSSION The negative impact of COVID-19andthesocial isolationdue to it on mental health has been established in literature. [1,2,3]. With a view of coping against the situational stress, populations are reporting alterationsinpatternsoftheirdiet [4] .This includes increasing intake of food or taking more comfort food[4].It leads to increases sense of guilt and anxiety that triggers a vicious cycle. One survey found that about 50% of the study participants had anxious preoccupations due to changed eating habits during COVID 19. It was seen that females were also more prone to emotional eating compared to male [4]. In a survey in New Delhi, 79.5% of total respondents reported that pattern of their diet changed during the lockdown in the country [5]. This was mostly in age group 35 - 50 years. They reported that in order to cope with the fears of getting infected with the virus and stringent restrictions of social distancingthere was increase or decrease in their caloric intake [5]. Patients with pre existing eating disorders (EDs) are also going through adverse impacts related to the pandemic [6]. A study reported that after 2 weeks of quarantine, almost 40% adults with pre existing EDs had worsening of symptoms and almost 60% reported increase in anxiety [6]. In other countries, adults who had Anorexia Nervosa (AN) reported rise in restriction and fears of nothavingtheability to have food like their usual plan[6]. Those with BN and Binge Eating Disorder (BED) had rise in binge eating and binge urges. Almost all patients with EDs hadhigherworries regarding COVID-19 on their mental health compared to physical health, along withconcernsofrelapseofED because of the confinement [7, 8]. CONCLUSION Thus it is plausible to say that eating disorders are an important dilemma thatisemergingintheworld.India being a developing nation should be aware of such emergence more. Further sample based studies are needed to explore the phenomenology. References [1] Fiorillo A, Gorwood P. The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. Eur Psychiatry. 2020; 63(1):e32. https://doi.org/10.1192/j.eurpsy.2020.35. Article PubMed PubMed Central Google Scholar [2] Huang Y, Zhao N. Chinese mental health burden during the COVID-19 pandemic. Asian J Psychiatr. 2020; 51:102052. https://doi.org/10.1016/j.ajp.2020.1020 52. Article PubMed PubMed Central Google Scholar IJTSRD42588
  • 2. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD42588 | Volume – 5 | Issue – 4 | May-June 2021 Page 1373 [3] Torales J, O'Higgins M, Castaldelli-Maia JM, Ventriglio A. The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Soc Psychiatry. 2020; 66(4):317–20. [4] Di Renzo L, Gualtieri P, Cinelli G, Bigioni G, Soldati L, Attina A, et al. Psychological Aspects and Eating Habits during COVID-19 Home Confinement: Results of EHLC-COVID-19 Italian Online Survey. Nutrients. 2020; 12(7):2152. [5] Kochhar AS, Bhasin R, Kochhar GK, Dadlani H, Mehta VV, Kaur R, et al. Lockdown of 1.3 billion people in India during Covid-19 pandemic: A survey of its impact on mental health. Asian J Psychiatr. 2020; 54:102213. Article Google Scholar [6] Fernandez-Aranda F, Casas M, Claes L, Bryan DC, Favaro A, Granero R, et al. COVID-19 and implications for eating disorders. Eur Eat Disord Rev. 2020; 28(3):239–45. https://doi.org/10.1002/erv.2738. Article PubMed PubMed Central Google Scholar [7] Termorshuizen JD, Watson HJ, Thornton LM, Borg S, Flatt RE, MacDermod CM,etal.EarlyimpactofCOVID- 19 on individuals with self-reported eatingdisorders: a survey of ~1,000 individuals in the United States and the Netherlands. Int J Eat Disord. 2020; 53(11):1780–90.https://doi.org/10.1002/eat.23353. Article PubMed Google Scholar [8] Phillipou A, Meyer D, Neill E, Tan EJ, Toh WL, Van Rheenen TE, et al. Eating and exercise behaviors in eating disorders and the general population during the COVID-19 pandemic in Australia: initial results from the COLLATE project. Int J Eat Disord. 2020; 53(7):1158–65. https://doi.org/10.1002/eat.23317. ArticlePub Med Google Scholar