The effects of COVID-19 lockdown on lifestyle and emotional state in women undergoing assisted reproductive technology: Results of an Italian survey

J Gynecol Obstet Hum Reprod. 2021 Oct;50(8):102079. doi: 10.1016/j.jogoh.2021.102079. Epub 2021 Feb 2.

Abstract

Purpose: On March 8, 2020, the Italian Government implemented extraordinary measures to limit viral transmission of COV-19/SARS-CoV-2. We evaluated the impact of COVID-19 lockdown on lifestyle and emotional state in women planning infertility treatments.

Basic procedures: We performed a quantitative research study using a web-based survey, in 140 women referred to Assisted Reproductive Technologies Center.

Main findings: We observed changes in body weight during lockdown in 80 % of women, and a significant increase in BMI in comparison to that observed before (p=.001). We observed a high percentage of non-adherence to the Mediterranean pattern during lockdown due to higher frequency of consumption of sweet/pastries, cheese and meat, rather than fruit, vegetables and legumes. Before lockdown 36.4 % women were snack consumers while during lockdown 55 % (p=.002). By considering individuals' attitude to snack consumption, we observed an increase related to boredom (p=<.0001) and anxiety (p=.05) during lockdown. Increased levels of anxiety and sadness were observed in about 30 %, and of boredom in 25 %. The percentage of women worried about their planning infertility treatment was more than 50 %.

Principal conclusions: Quarantine-related restrictions strongly influenced lifestyle psychological behavior leading to an increased burden of cardiovascular disease.

Keywords: Assisted reproductive techniques; COVID-19; Heart disease risk factors; Life style; Preventive medicine; Women’s health.

MeSH terms

  • Adult
  • COVID-19 / epidemiology
  • COVID-19 / prevention & control*
  • COVID-19 / psychology
  • Communicable Disease Control*
  • Diet
  • Emotions / physiology*
  • Feeding Behavior / physiology
  • Female
  • Humans
  • Italy / epidemiology
  • Life Style*
  • Middle Aged
  • Pandemics
  • Psychological Distress
  • Quarantine / psychology
  • Quarantine / statistics & numerical data
  • Reproductive Techniques, Assisted* / psychology
  • Reproductive Techniques, Assisted* / statistics & numerical data
  • SARS-CoV-2
  • Surveys and Questionnaires