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Official websites use. Share sensitive information only on official, secure websites. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency. Access to a healthy diet for all is also an issue, and these factors, in turn, are likely to contribute to weight gain and related cardiometabolic consequences. Here, we provide a South Korean perspective that may provide some explanations for these behavioral changes and related health consequences. Some solutions are also proposed. In countries such as South Korea and other Asian countries, where the food delivery network is highly developed, dependence on such services has seen a substantial increase. According to Statistics Korea data, online food shopping has increased by The increased consumption of fast food has been shown to be associated with increased energy density 5 , excessive portion sizes, high glycemic load 6 , and low intakes of vegetables, fruits, and milk 7. In addition, a decrease in outdoor activities and an increase in time spent on smartphones, online games, and TV viewing may have also contributed to a negative impact on eating behaviors. Thus, increased screen time not only may have contributed to increased sedentary behaviors but also may have indirectly influenced overall nutritional quality in a negative way during these times of confinement. Studies are currently underway in some countries to document these phenomena, and results are expected to be reported in the near future. Another important issue is nutrition in students. Schools in many countries, including South Korea, have been closed for several months, and the future is uncertain regarding their reopening in some countries. In this context, children confined at home will be more dependent upon the family environment. Whereas some popular surveys have suggested that some families may cook more at home which could contribute to increases in their nutritional quality , socioeconomic status may be an important factor explaining why some other families may rather be more likely to choose unhealthy fast foods, instead of the healthier and more balanced lunches provided by schools. Lack of supervision from teachers and parents who are often working for their food choices and dietary habits is another factor to consider Many authorities such as the Centers for Disease Control and Prevention and the World Health Organization are recommending general quarantine principles, such as wearing a mask, washing hands thoroughly, and keeping a social distance. Based on social distancing, people are recommended not to get together at work and public places as well as in restaurants. According to a previous study using Korean national data, diet quality and eating behaviors of people who eat alone were poor The social aspect of eating together helps us control or limit how much and what we eat because of socially determined norms, expectations, and even judgments. In the absence of these, people are more likely to overindulge. On the basis of this strategy, public as well as private facilities, such as community health centers, gyms, swimming pools, and parks, have been closed by law in many countries. In these aspects, South Korea is similar to the rest of the world. Persons with obesity or overweight are reported to be less active, and sedentary behaviors are relatively prevalent among these individuals all over the world 17 , Thus, developing solutions to increase physical activity is a challenge, particularly when individuals are confined. For example, for people with obesity, group exercise with peers or exercise under supervision have been reported to be effective compared with absence of support 19 , But policies prohibiting public gatherings in confined spaces or going to a local gym leave persons living with obesity with limited options. This situation could be an obstacle for some individuals to exercise, not only among people with obesity but also for the general public. In addition, most school systems have been shut down, which poses the problem of lack of physical activity that children would generally undertake on a daily basis from interaction with friends and, more importantly, from physical education classes and academic sports programs. For these reasons, adults or children with obesity may be deprived of opportunities to engage in physical activity and may become demotivated. Again, data to document these phenomena are needed and are expected in the coming months. Social network services and internet platforms such as YouTube could be used to create a sense of community between people during times of lockdown such as this Thus, the credibility and quality of the tools provided on the Web are important. We also propose that medical societies could take more leadership in this area. The Korean Endocrine Society has also released a special report, recommending sharing scientific knowledge with patients and educating them to fight this crisis together Less opportunity for group exercise in children due to absence of physical education classes and interruption of academic sports activities. Exercise with family members or partners e. Concerning nutritional quality, there are several possibilities to be explored. First, a public health campaign could be developed to encourage providers to produce and deliver healthier foods with a reward system. Fortunately, in South Korea, many companies are now offering precooked, balanced, and nutritional meals, which are a good alternative to fast food. However, the establishment of infrastructure, such as transportation or information technology, is required for this. Second, being confined is an opportunity to promote family cooking at home provided that, once again, credible public health educational material becomes available on the Web. This is particularly important for children with weight issues, to help them learn how to cook healthy foods from a young age. For instance, public health authorities could offer meal coupons redeemable with preapproved healthy food suppliers. More active counseling is needed to help people with obesity address their issues and deal with their barriers to adopting a healthier lifestyle It is the responsibility of health providers to promote healthy living in these challenging times. This section collects any data citations, data availability statements, or supplementary materials included in this article. As a library, NLM provides access to scientific literature. Obesity Silver Spring. Find articles by Soo Lim. Find articles by Hyunjung Lim. Current situation Recommendations Decreased physical activity Closing of community health centers, gyms, swimming pools, and parks Increase in smartphone use, online games, and TV watching Less opportunity for group exercise in children due to absence of physical education classes and interruption of academic sports activities Walk or jog in open spaces or use an indoor ergocycle or treadmill Participate in home training using YouTube or joining online exercise classes Exercise with family members or partners e. Open in a new tab. Click here for additional data file. Similar articles. Add to Collections. Create a new collection. Add to an existing collection. Choose a collection Unable to load your collection due to an error Please try again. Add Cancel. Closing of community health centers, gyms, swimming pools, and parks Increase in smartphone use, online games, and TV watching Less opportunity for group exercise in children due to absence of physical education classes and interruption of academic sports activities. Walk or jog in open spaces or use an indoor ergocycle or treadmill Participate in home training using YouTube or joining online exercise classes Exercise with family members or partners e.

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