Browsing by Author "Prinkey, Tyler"

Aims: There is no information on changes in body mass index (BMI) due to the COVID-19 pandemic among persons of migrant origin. The aim of the present study was to examine the impact of the COVID-19 pandemic on BMI and factors associated with changes in BMI among the general- and migrant-origin populations in Finland. Methods: Individual-level changes in self-reported BMI among migrant origin persons (n=3313) were obtained from the FinMonik Survey conducted in 2018 and MigCOVID Survey conducted 2020-2021. Data for the general population reference group was obtained from the FinHealth 2017 Study conducted 2017-2018 and the FinHealth 2017 follow-up Study (n= 2982). Logistic regression was applied to examine the association between changes in BMI and age, sex, education, economic activity, length of residence in Finland, language skills, smoking, alcohol usage, sleep, physical activity, snacking, and fruit and vegetable consumption. A significant change in BMI was defined as a 5% or greater change. Results: 40.8 percent of the migrant-origin population and 41.2 percent of the general population in Finland experienced at least a five percent change in BMI. Persons of migrant origin who were other than students or employed (OR=1.71, 95% CI 1.18, 2.48) faced an increased risk for an increase in BMI of at least 5%, while being between 35-49 (OR=0.69, 95% CI 0.49, 0.98) and between 50-66 (OR=0.55, 95% CI 0.36, 0.83) had a significantly decreased risk. In the general population, an increase in BMI of at least 5% was more likely to occur among women (OR=1.61, 95% CI 1.26, 2.07), those who were other than students or employed (OR=1.68, 95% CI 1.26, 2.25), those who increased their alcohol intake (OR=1.64, 95% CI 1.06, 2.54), those who increased their snacking (OR=1.40, 95% CI 1.04, 1.90) and decreased their fruit and vegetable intake (OR=1.85 , 95% CI 1.18, 2.90). An increase of at least 5% in BMI was inversely related with being between the ages of 50 and 66 (OR=0.39, 95% CI 0.27, 0.57), having secondary education or higher (OR=0.61, 95% CI 0.43, 0.86), and even among those who smoked more during the pandemic (OR=0.50, 95% CI 0.26, 0.96). Conclusions: Although economic activity was determined to be a significant predictor of increases in BMI among both general- and migrant-origin populations, most examined factors applied differently to each population. These differences must be considered when planning future public health promotion efforts, particularly those during crisis situations.