Observational studyNutrients2021
Impact of COVID-19 Lockdown in Eating Disorders: A Multicentre Collaborative International Study.
Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph
Observational study in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% of its field
What it found
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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.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Pooled it
- COVID-19-related changes in eating disorder pathology, emotional and binge eating and need for care: a systematic review with frequentist and Bayesian meta-analyses.Eating and weight disorders : EWD · 2023Pooled it
- The Impact of Recent Collective Trauma in Israel on Eating Disorders and Disordered Eating: An Overview and Clinical Perspective.Healthcare (Basel, Switzerland) · 2026Review
- Decreasing prevalence or increase in unregistered cases of bulimia nervosa in children and adolescents in Germany? A comparison using representative claims data pre- vs. intra-COVID-19 pandemic.Eating and weight disorders : EWD · 2025Article
- Eating disorder debut cases during COVID-19 lockdown in adults. Exploring differences in treatment outcome contrasting with pre-pandemic onset cases.European eating disorders review : the journal of the Eating Disorders Association · 2025Article
- The current clinical approach to feeding and eating disorders aimed to increase personalization of management.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- COVID-19-Related distress, body image, and eating behaviors: a cross-sectional explanatory model.BMC psychology · 2024Article
- Anorexia nervosa and the COVID-19 pandemic among young people: a scoping review.Journal of eating disorders · 2023Article
- Eating disorders during lockdown: the transcultural influence on eating and mood disturbances in Ibero-Brazilian population.Journal of eating disorders · 2023Article
- "What Made My Eating Disorder Worse?" The Impact of the COVID-19 Pandemic from the Perspective of Adolescents with Anorexia Nervosa.Nutrients · 2023Article
- Prevalence and Factors Associated with Eating Disorders in Military First Line of Defense against COVID-19: A Cross-Sectional Study during the Second Epidemic Wave in Peru.International journal of environmental research and public health · 2023Article
- Public Health Residents' Anonymous Survey in Italy (PHRASI): Study Protocol for a Cross-Sectional Study for a Multidimensional Assessment of Mental Health and Its Determinants.International journal of environmental research and public health · 2023Article
- Increased General, Eating, and Body-Related Psychopathology in Inpatients in a Specialized Eating Disorders Unit after the Beginning of the COVID-19 Pandemic: A Retrospective Comparison with the Pre-Pandemic Period.Journal of clinical medicine · 2023Article
- Evaluating the association of COVID-19 restrictions on discharge planning and post-discharge outcomes in the community hospital and Singapore regional health system.Frontiers in health services · 2023Article
- Article
- The effects of the COVID-19 pandemic on disordered eating symptoms in women: A 49-day, daily study before and during the outbreak in the United States.Journal of psychopathology and clinical science · 2022Article
- Changes in patterns of eating habits and food intake during the first German COVID-19 lockdown: results of a cross-sectional online survey.European journal of nutrition · 2022Article
Corrections and comments
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Authors and funding
65 authors at 20 institutions in 20 countries.
Isabel BaenasDepartment of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain.
Mikel EtxandiDepartment of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain.
Lucero MunguíaDepartment of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain.ORCID 0000-0002-9751-810X
Roser GraneroCIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain.ORCID 0000-0001-6308-3198
Gemma Mestre-BachFacultad de Ciencias de la Salud, Universidad Internacional de La Rioja, 26006 La Rioja, Spain.ORCID 0000-0001-5345-0484
Isabel SánchezDepartment of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain.
Emilio OrtegaEndocrinology and Nutrition Division, Hospital Clinic and Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain.ORCID 0000-0002-2217-8905
Alba AndreuEndocrinology and Nutrition Division, Hospital Clinic and Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain.ORCID 0000-0001-9854-1531
Violeta L MoizeEndocrinology and Nutrition Division, Hospital Clinic and Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain.
Jose-Manuel Fernández-RealCIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain.
Francisco J TinahonesCIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain.
Carlos DiéguezCIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain.
Gema FrühbeckCIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain.ORCID 0000-0002-8305-7154
Daniel Le GrangeEating Disorders Program, Department of Psychiatry, University of California, San Francisco, CA 94143, USA.ORCID 0000-0001-7293-9496
Kate TchanturiaSection of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London WC2R 2LS, UK.ORCID 0000-0001-8988-3265
Andreas KarwautzEating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0001-9053-998X
Michael ZeilerEating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0002-7087-6134
Hartmut ImgartParkland Klinik, 34537 Bad Wildungen, Germany.
Annika ZankoParkland Klinik, 34537 Bad Wildungen, Germany.
Angela FavaroDepartment of Neuroscience, University of Padua and Neuroscience Center (PNC), 35122 Padua, Italy.
Laurence ClaesClinical Psychology, Faculty of Psychology and Educational Sciences, KU Leuven, 3000 Leuven, Belgium.ORCID 0000-0002-2287-3158
Ia ShekriladzeD. Uznadze Institute of Psychology, Ilia State University, 0162 Tbilisi, Georgia.ORCID 0000-0002-2787-0503
Eduardo Serrano-TroncosoChild and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Déu- Institut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain.
Raquel Cecilia-CostaChild and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Déu- Institut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain.
Teresa RangilDepartment of Psychiatry, Germans Trias i Pujol University Hospital-IGTP, 08916 Barcelona, Spain.
Maria Eulalia Loran-MelerDepartment of Psychiatry, Germans Trias i Pujol University Hospital-IGTP, 08916 Barcelona, Spain.
José Soriano-PachecoDepartment of Psychiatry, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau (IIB-Sant Pau)-Universitat Autònoma de Barcelona (UAB), 08041 Barcelona, Spain.
Mar Carceller-SindreuDepartment of Psychiatry, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau (IIB-Sant Pau)-Universitat Autònoma de Barcelona (UAB), 08041 Barcelona, Spain.
Rosa NavarreteCentro de Diagnóstico de Enfermedades Moleculares, Universidad Autónoma de Madrid, 28049 Madrid, Spain.
Meritxell LozanoFITA Foundation, 08006 Barcelona, Spain.
Raquel LinaresFITA Foundation, 08006 Barcelona, Spain.
Carlota GudiolInfectious Diseases Department, Hospital Universitari Bellvitge-Institut de Investigació Biomedica de Bellvitge (IDIBELL)-Institut Català d'Oncologia-Hospitalet, 08908 Barcelona, Spain.
Jordi CarratalaInfectious Diseases Department, Hospital Universitari Bellvitge-Institut de Investigació Biomedica de Bellvitge (IDIBELL)-Institut Català d'Oncologia-Hospitalet, 08908 Barcelona, Spain.ORCID 0000-0003-3209-2563
Maria T PlanaCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), ISCIII, 28029 Madrid, Spain.
Montserrat GraellCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), ISCIII, 28029 Madrid, Spain.
David González-ParraPsychiatry Service, University of Salamanca Healthcare Complex (USHC)-Institute of Biomedicine of Salamanca (IBSAL)-University of Salamanca, 37008 Salamanca, Spain.
José A Gómez-Del BarrioCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), ISCIII, 28029 Madrid, Spain.ORCID 0000-0002-0843-2575
Ana R SepúlvedaFacultad de Psicología, Universidad Autónoma de Madrid, 28049 Madrid, Spain.ORCID 0000-0002-6041-2889
Jéssica Sánchez-GonzálezDepartment of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain.
Paulo P P MachadoPsychotherapy and Psychopathology Research Unit-Psychology Research Center, School of Psychology, University of Minho, 4710-057 Braga, Portugal.ORCID 0000-0003-4277-9203
Anders HåkanssonDepartment of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, 221 00 Lund, Sweden.ORCID 0000-0002-5800-8975
Ferenc TúryInstitute of Behavioral Sciences, Semmelweis University, 1085 Budapest, Hungary.ORCID 0000-0002-7283-5088
Bea Pászthy1st Department of Paediatrics, Semmelweis University, 1085 Budapest, Hungary.
Daniel SteinSafra Children's Hospital, Chaim Sheba Medical Center, Tel Hashomer 52 621, Israel.
Hana PapezováDepartment of Psychiatry, 1st Medical Faculty of Charles University, 11000 Prague, Czech Republic.
Jana GricovaDepartment of Psychiatry, 1st Medical Faculty of Charles University, 11000 Prague, Czech Republic.
Brigita BaxEating Disorders Center, Vilnius University Vilnius, 01513 Vilnius, Lithuania.
Mikhail F BorisenkovInstitute of Physiology of Komi Science Centre of the Ural Branch of the Russian Academy of Sciences, 167982 Syktyvkar, Russia.ORCID 0000-0002-4310-2010
Sergey V PopovInstitute of Physiology of Komi Science Centre of the Ural Branch of the Russian Academy of Sciences, 167982 Syktyvkar, Russia.ORCID 0000-0003-1763-8898
Denis G GubinLaboratory for Chronobiology and Chronomedicine, Department of Biology, Tyumen State Medical University, 625023 Tyumen, Russia.
Ivan M PetrovDepartment of Biological & Medical Physics UNESCO, Tyumen State Medical University, 625023 Tyumen, Russia.ORCID 0000-0003-0823-3434
Dilara IsakovaDepartment of Therapy and Endocrinology, Tyumen State Medical University, 625023 Tyumen, Russia.
Svetlana V MustafinaInstitute of Internal and Preventive Medicine-Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences, 630090 Novosibirsk, Russia.ORCID 0000-0003-4716-876X
Youl-Ri KimDepartment of Psychiatry, Seoul Paik Hospital-Inje University, Seoul 01757, Korea.
Michiko NakazatoDepartment of Psychiatry, School of Medicine, International University of Health and Welfare, Narita 286-8686, Japan.ORCID 0000-0002-4025-7594
Nathalie GodartCESP, Université Paris-Saclay, UVSQ, INSERM U 1178, 94805 Villejuif, France.
Robert van VorenDepartment of Political Science, Vytautas Magnus University, 44248 Kaunas, Lithuania.
Tetiana IlnytskaInstitute of Psychiatry of Taras Shevchenko, National University of Kyiv, 01033 Kyiv, Ukraine.ORCID 0000-0003-1734-1568
Jue ChenDepartment of Clinical Psychology, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, 280, Shanghai 200030, China.
Katie RowlandsSection of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London WC2R 2LS, UK.
Ulrich VoderholzerSchön Klinik Roseneck, 83209 Prien am Chiemsee, Germany.ORCID 0000-0003-0261-3145
Alessio M MonteleoneDipartimento di Salute Mentale e Fisica e Medicina Preventiva, Universitá degli Studi della Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Janet TreasureSection of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London WC2R 2LS, UK.
Susana Jiménez-MurciaDepartment of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain.ORCID 0000-0002-3596-8033
Fernando Fernández-ArandaDepartment of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain.ORCID 0000-0002-2968-9898
Instituto de Salud Carlos III · ESUniversitat Autònoma de Barcelona · ESKing's College London · GBBellvitge University Hospital · ESCentro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas · ESCharles University · CZHospital Sant Joan de Déu Barcelona · ESInstitute of Geology, Komi Science Centre · RUMedical University of Vienna · ATSemmelweis University · HUTyumen State Medical University · RUUniversidad Autónoma de Madrid · ESWerner-Wicker-Klinik · DEConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESHospital Universitari Germans Trias i Pujol · ESIlia State University · GEInje University Seoul Paik Hospital · KRInserm · FRInstitute of Cytology and Genetics · RUInternational University of Health and Welfare · JP
Funding
Consejo Nacional de Ciencia y Tecnología NoneEuropean Regional Development Fund NoneFondo Investigación Sanitario-FIS FIS, INT19/00046, PI17/01167Generalitat de Catalunya NoneMinisterio de Economía y Competitividad PSI2015-68701-RPortuguese Foundation for Science and Technology grant POCI-01-0145-FEDER-028145
Abstract
backgroundThe COVID-19 lockdown has had a significant impact on mental health. Patients with eating disorders (ED) have been particularly vulnerable.
aims(1) To explore changes in eating-related symptoms and general psychopathology during lockdown in patients with an ED from various European and Asian countries; and (2) to assess differences related to diagnostic ED subtypes, age, and geography.
methodsThe sample comprised 829 participants, diagnosed with an ED according to DSM-5 criteria from specialized ED units in Europe and Asia. Participants were assessed using the COVID-19 Isolation Scale (CIES).
resultsPatients with binge eating disorder (BED) experienced the highest impact on weight and ED symptoms in comparison with other ED subtypes during lockdown, whereas individuals with other specified feeding and eating disorders (OFSED) had greater deterioration in general psychological functioning than subjects with other ED subtypes. Finally, Asian and younger individuals appeared to be more resilient.
conclusionsThe psychopathological changes in ED patients during the COVID-19 lockdown varied by cultural context and individual variation in age and ED diagnosis. Clinical services may need to target preventive measures and adapt therapeutic approaches for the most vulnerable patients.
Indexed as
AdolescentAdultAsiaChildCOVID-19EuropeFeeding and Eating DisordersFemaleHumansInternationalityLongitudinal StudiesMaleQuarantineSARS-CoV-2Social IsolationYoung AdultCOVID-19 Isolation Eating Scale (CIES)COVID-19 lockdowneating disorderseating symptomspsychological impact
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