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CHAIM BLOG

How the COVID-19 Pandemic May be Harming Our Relationships with Our Bodies

7/8/2021

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Katie Vick, Carleton University Student
Introduction
A common concern expressed by many people throughout the pandemic has been the fear of weight gain from being cooped up inside. Gyms are closed, banana bread recipes are trending, and the weight gain of the coined ‘Quarantine 15’ is on folks’ minds (1,2). Recent research reports negative changes in diet, exercise, and body image worldwide since the pandemic began (3,4,5,6). While one might expect body image comparisons to dissipate with social distancing, this has not been the case. To the contrary, these unprecedented times have forged new opportunities for body image concerns to creep into our consciousness - perhaps in more pervasive ways than before. 

Social Media
Up to 80% of people report spending more time on social media during the pandemic, and this had no doubt been helpful to connect people during isolation,. However, there has been a concurrent shift in the tone of social media content. On the one hand, there is a greater frequency of posts about exercise and diet, and a prevalence of blatantly weight-stigmatizing and fat-phobic body image memes and comparisons, and so it is no surprise that body image issues are rising (7,8). On the other hand, the increased exposure to unrealistic presentations of happiness, accomplishment and appearance can also be harmful. These idealistic posts can prompt social comparisons that are associated with poor self-esteem. I began to notice myself making these comparisons during my morning scroll: Everyone was exercising and eating well… Was I supposed to make my banana bread and eat it too? From what I could tell, everyone on Instagram had their quarantine routine together except for me.
Influencers are not only individual sources posting about personal weight-gain concerns. Some nations, such as England, have made it a part of their public health strategy to promote healthy eating and exercise routines throughout lockdown. While well-intentioned, these posts can be harmful to people vulnerable to body image concerns (7,9). When even the government is telling you to do more despite doing everything that you can to just stay sane (which, for some of us, means to avoid compulsively worrying about the number on the scale), it is easy to feel like you aren’t doing enough to be a health goddess.
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Video Conferences
One study found that video conferencing also affected body satisfaction. Many workplaces have been relying on video conferencing tools during social distancing. We are forced to look at ourselves through others' eyes during video calls much more than we otherwise would. I don’t know about you but having a virtual mirror for three hours of my day is less than ideal, especially when my girlfriends always seem to have their hair and makeup on point in every. single. zoom. call.
We usually see our faces directly beside others in the meeting, creating opportunities for direct comparisons (often with many people at once) and self-criticism. Women’s tendency to pay more attention to appearance means that they might be engaging in these comparisons more often, contributing to greater zoom fatigue amongst women compared to men (10). In response, some people have started to use filters to improve their appearance. Using filters can be detrimental by creating unachievable beauty standards, intensifying the problem (11,12).
Women have generally reported poorer mental health than men during the pandemic, and this effect exists with body dissatisfaction (13,9). Women reported being more bothered than men by changes in appetite in response to lockdown stress. This might be because women are exposed to more weight-stigmatizing social media messaging.
Women also tend to engage in more 'fat talk' or discussions about their pandemic-related weight concerns. I find this particularly interesting with my coworkers, as I have never seen many of their faces due to masking procedures; we have these conversations without even knowing what the other person looks like!  

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What Now?
Experts say that these effects are part of our diet culture (1,2). While the memes might make us feel connected or lift our spirits, they also reinforce the idea of 'good' and 'bad' foods, body shapes and behaviours. The science is clear that weight gain, especially during times of stress (e.g., a global pandemic?!?!) is very complicated. However, social media posts about ‘thinspo,' fad diets, and exercise to avoid lockdown-related weight gain often associate extra pounds with being lazy or unmotivated. This false information can be very stressful.
Some people are noticing the return or escalation of unhealthy thoughts and behaviours (9,14,15). Research has found that relationships with food have become more negative throughout the lockdowns, with people restricting and bingeing more than they did pre-pandemic (7,5,6). Some people have reported anxiety about being unable to exercise or to buy guilt-free foods during gym closures and food scarcity (7,6). Due to the unpredictability of lockdowns, for many, what they eat is a form of control (16). With social distancing, there is also little accountability. Friends have confided to me that a ‘lack of supervision’ enabled them to restart unhealthy patterns. Fortunately, some are reaching out, with professionals who were interviewed in Calgary reporting an increased demand for eating disorder supports.
In conclusion, the isolation and stress experienced during the COVID-19 lockdowns are hurting our relationships with food and bodies as we spend more time alone and in the digital sphere. We need to continue to pay attention to our loved ones' wellbeing, especially those are predisposed to body image issues, or who have a history of disordered eating. We need to change how we respond to ourselves and others. Instead of validating a friend’s weight concerns, challenge them to be critical of diet culture, identify ways that their bodies feel strong, and acknowledge that their body is doing what it can to keep them healthy and functional in a challenging time. 

References:
  1. Livingston, M. (2021, February 26). Gained the Quarantine 15? How to stop shaming yourself for pandemic weight gain. cNet. https://www.cnet.com/health/stop-body-shaming-yourself-for-quarantine-weight-gain/
  2. Rubin, C. (2020, August 8). Don’t be ashamed of those extra pounds. The New York Times. https://www.nytimes.com/2020/08/08/at-home/coronavirus-weight-gain.html
  3. Ahuja, K. K., Khandelwal, A., & Banerjee, D. (2021). ‘Weighty woes’: Impact of fat talk and social influences on body dissatisfaction among Indian women during the pandemic. International Journal of Social Psychiatry. Advance online publication. https://doi.org/10.1177/0020764021992814
  4. Pfund, G. N., Hill, P. L., & Harriger, J. (2020). Video chatting and appearance satisfaction during COVID-19: Appearance comparisons and self-objectification as moderators. International Journal of Eating Disorders, 53(12), 2038-2043. https://doi.org/10.1002/eat.23393
  5. Phillipou, A., Meyer, D., Neill, E., Tan, E. J., Toh, W. L., Van Rheenen, T. E., & Rossell, S. L. (2020). Eating and exercise behaviors in eating disorders and the general population during the COVID-19 pandemic in Australia: Initial results from the COLLATE project. International Journal of Eating Disorders, 53(7), 1158-1165. https://doi.org/10.1002/eat.23317
  6. Termorshuizen, J. D., Watson, H. J., Thornton, L. M., Borg, S., Flatt, R. E., MacDermod, C. M., Harper, L. E., van Furth, E. F., Peat, C. M., & Bulik, C. M. (2020). Early impact of COVID-19 on individuals with eating disorders: A survey of ~1000 individuals in the United States and the Netherlands. International Journal of Eating Disorders. Advance online publication. https://doi.org/10.1101/2020.05.28.20116301
  7. Branley-Bell, D., & Talbot, C. V. (2020). Exploring the impact of the COVID-19 pandemic and UK lockdown on individuals with experience of eating disorders. Journal of Eating disorders, 8(44), 1-12. https://doi.org/10.1186/s40337-020-00319-y
  8. Pearl, R. L. (2020. Weight stigma and the “Quarantine 15”. Obesity, 28(7), 11180-1181.
  9. Robertson, M., Duffy, F., Newman, E., Bravo, C. P., Ates, H. H., & Sharpe, H. (2021). Exploring changes in body image, eating and exercise during the COVID-19 lockdown: A UK survey. Appetite, 159, 105062. https://doi.org/10.1016/j.appet.2020.105062
  10. Smith, L. (2021, April 15). Is Zoom’s UX subtly sexist? Fast Company. https://www.fast
  11. Burnell, K., Kurup, A. R., & Underwood, M. K. (2021). Snapchat lenses and body image concerns. New Media and Society. Advance online publication. https://doi.org/10.1177/146144821993038
  12. Tremblay, S. C., Tremblay, S. E., & Poirier, P. (2021). From filters to fillers: An active inference approach to body image distortion in the selfie era. AI and Society, 36, 33-48.
  13. Kwong, A. S., Pearson, R. M., Adams, M. J., Northstone, K., Tilling, K., Smith, D., Fawns-Ritchie, C., Bould, H., Warne, N., Zammit, S., Gunnell, D. J., Moran, P. A., Micali, N., Reichenberg, A., Hickman, M., Rai, D., Haworth, S., Campbell, A., Altschul, D.,…Timpson, N. J. (2021). Mental health before and during the COVID-19 pandemic in two longitudinal UK population cohorts. The British Journal of Psychiatry. Advance online publication. https://doi.org/10.1192/bjp.2020.242
  14. Rodgers, R. F., Lombardo, C., Cerolini, S., Franko, D. L., Omori, M., Fuller-Tyzkiewicz, M., Linardon, J., Courtet, P., & Guillaume, S. (2020). The impact of the COVID-19 pandemic on eating disorder risk and symptoms. International Journal of Eating Disorders, 53(7), 1166-1170. https://doi.org/10.1002/eat.23318
  15. Schlegl, S., Maier, J., Meule, A., & Voderholzer, U. (2020). Eating disorders in times of the COVID-19 pandemic – Results from an online survey of patients with anorexia nervosa. International Journal of Eating Disorders, 53(11), 1791-1800. https://doi.org/10/1002/eat.273374
  16. Underwood, C. (2020). Eating disorders among teens and adults surge during pandemic. CBC News. https://www.cbc.ca/news/canada/calgary/eating-disorders-pandemic-covid-19-teens-adults-1.5841047
Link references:
  1. Baines, S. (2020, October 20). You’re not done with banana bread: A psychologist reveals all. The Conversation. https://theconversation.com/youre-not-done-with-banana-bread-a-psychologist-reveals-all-148370
  2. Fetters, A. (2013, May 8). ‘An epidemic, basically’: A conflicted weight-loss blogger on #Thinspo. The Atlantic. https://www.theatlantic.com/sexes/archive/2013/05/an-epidemic-basically-a-conflicted-weight-loss-blogger-on-thinspo/275671/
  3. Hewagalamulage, S. D., Lee, T. K., Clarke, I. J., & Henry, B. A. (2016). Stress, cortisol and obesity: A role for responsiveness in identifying individuals prone to obesity. Domestic Animal Endocrinology, 56, S112-S120. https://doi.org/10.1016/j.domainiend.2016.03.004
  4. Hunt, E. (2019, January 23). Faking it: How selfie dysmorphia is driving people to seek surgery. The Guardian. https://www.theguardian.com/lifeandstyle/2019/jan/23/faking-it-how-selfie-dysmorphia-is-driving-people-to-seek-surgery
  5. Jan, M., Soomro, S. A., & Ahmad, N. (2017). Impact of social media on self-esteem. European Scientific Journal, 13(23), 329-341. https://doi.org/10.19044/esj.2017/v.13n23p329
  6. Kwong, A. S., Pearson, R. M., Adams, M. J., Northstone, K., Tilling, K., Smith, D., Fawns-Ritchie, C., Bould, H., Warne, N., Zammit, S., Gunnell, D. J., Moran, P. A., Micali, N., Reichenberg, A., Hickman, M., Rai, D., Haworth, S., Campbell, A., Altschul, D.,…Timpson, N. J. (2021). Mental health before and during the COVID-19 pandemic in two longitudinal UK population cohorts. The British Journal of Psychiatry. Advance online publication. https://doi.org/10.1192/bjp.2020.242
  7. Lewallen, J., & Behm-Morawitz, E. (2016). Pinterest or thinterest?: Social comparison and body image on social media. Social Media and Society, 2, 1-9. https://doi.org/10.1177/205630516640559
  8. Nesi, J., & Pristein, M. J. (2018). Using social media for social comparison and feedback-seeking: Gender and popularity moderate associations with depressive symptoms. Journal of Abnormal Child Psychology, 43(8), 1427-1438. https://doi.org/10.1007/s10802-015-0020-0
  9. Sun, R., Rieble, C., Liu, Y., & Sauter, D. (2020). Connected despite lockdown: The role of social interactions and social media use in wellbeing. Advance online publication. https://psyarxiv.com/x5k8u/
  10. Vogel, E. A., Rose, J. P., Okdie, B. M., Eckles, K., & Franz, B. (2015). Who compares and despairs? The effect of social comparison orientation on social media use and its outcome. Personality and Individual Differences, 86, 249-256. https://doi.org/10.1016/j.paid.2015.06.026
This blog was originally written as part of the HLTH5402 course.
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