Evidence map›Paper›PMID 34032283›Full record

ArticleEuropean journal of clinical investigation2021

Multiplying effects of COVID-19 lockdown on metabolic risk and fatty liver.

Harshitha Shanmugam, Agostino Di Ciaula, Domenica Maria Di Palo, Emilio Molina-Molina, Gabriella Garruti, Maria Felicia Faienza, Karel vanErpecum, Piero Portincasa

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in European journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05430542 (Different Variations of Intra-familial Body Mass Index Subjected to COVID-19 Lockdown), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05430542 completednot on this map

Different Variations of Intra-familial Body Mass Index Subjected to COVID-19 Lockdown

Typeobservational_patient_registrySponsorUniversity of BariRan2020 to 2020Enrolled298ConditionsMetabolic Syndrome, Overweight and Obesity
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. COVID-19 and Fatty Liver Disorders.Journal of clinical medicine · 2023
    Review
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Review
  16. COVID-19 and the Liver: A Complex and Evolving Picture.Hepatic medicine : evidence and research · 2023
    Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Harshitha ShanmugamClinica Medica "A. Murri", Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy.
Agostino Di CiaulaClinica Medica "A. Murri", Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy.ORCID https://orcid.org/0000-0002-5476-7376
Domenica Maria Di PaloClinica Medica "A. Murri", Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy.
Emilio Molina-MolinaClinica Medica "A. Murri", Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy.
Gabriella GarrutiSection of Endocrinology, Department of Emergency and Organ Transplantations, University of Bari "Aldo Moro" Medical School, Bari, Italy.ORCID https://orcid.org/0000-0001-7875-7239
Maria Felicia FaienzaPaediatric Section, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy.
Karel vanErpecumDepartment of Gastroenterology and Hepatology, University Medical Center, Utrecht, the Netherlands.
Piero PortincasaClinica Medica "A. Murri", Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy.ORCID https://orcid.org/0000-0001-5359-1471
University of Bari Aldo Moro · ITUtrecht University · NL

Funding

Horizon 2020 Research and Innovation framework, under the Marie Skłodowska-Curie 722619
6 · The paper itself

Abstract

backgroundSocial containment measures imposed in Europe during the lockdown to face COVID-19 pandemic can generate long-term potential threats for metabolic health.

methodsA cohort of 494 non-COVID-19 subjects living in 21 EU countries were interviewed by an anonymous questionnaire exploring anthropometric and lifestyle changes during 1-month lockdown. A subgroup of 41 overweight/obese Italian subjects with previously diagnosed nonalcoholic fatty liver (NAFLD) joined the study following a 12-month follow-up period promoting weight loss by healthy lifestyle.

resultsDuring the lockdown, body weight increased in 55% of subjects (average 2.4 ± 0.9 kg). Weight change increased with age, but not baseline body mass index. Subjects living in Italy had greater weight gain than those living in other European Countries. Weight gain during the lockdown was highest in subjects reporting no physical activity, and low adherence to Mediterranean diet. In the NAFLD group, weight gain occurred in 70% of cases. Subjects reporting weight loss during lockdown had decreased fatty liver score at 3 months before the lockdown, as compared with 1 year before.

conclusionsStrict measures of social containment-even short-term-pave the way to the increased risk of metabolic abnormalities in the medium-long term. In this context, adherence to Mediterranean diet and regular physical activity play a protective role both in terms of weight gain and fatty liver development/progression, with implication for primary and secondary prevention. When adopting measures imposing social containment, intensive educational campaigns must increase public awareness about beneficial effects of healthy lifestyles.

Indexed as

COVID-19ExerciseWeight GainAdolescentAdultCommunicable Disease ControlDietDiet, MediterraneanEuropean UnionFemaleHumansItalyMaleMiddle AgedNon-alcoholic Fatty Liver DiseaseObesitybariatric surgerybody mass indexCOVID-19 pandemiclifestyleslockdownMediterranean dietmetabolic syndromeNAFLDnonalcoholic fatty liver diseaseobesityphysical activityweight gain

Identifiers

PMID34032283
PMCPMC8209861
OpenAlexW3164486330

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.