Lynne E. Wagenknecht

Objective The aims of this study were as follows: 1) examine weight changes in older adults (mean age = 76 years) with type 2 diabetes and overweight or obesity during the COVID‐19 shutdown; and 2) compare the behavioral and psychosocial effects of the shutdown in those who had large weight losses (>5%), those who had small weight losses (2%‐5%), those who remained weight stable (±2%), or those who gained weight (>2%). Methods Look AHEAD (Action for Health in Diabetes) participants ( N = 2544) were surveyed during the COVID‐19 shutdown (2020), and they self‐reported their current weight, reasons for weight change, weight‐related behaviors, psychosocial measures, and negative and positive effects of the pandemic on their lives. Results Comparing self‐reported weight during the COVID‐19 shutdown with earlier measured weight, Look AHEAD participants lost, on average, 2.2 kg during the COVID‐19 shutdown: 47% lost >2%, and only 18% gained >2% ( p < 0.0001). Decreases in physical activity and increases in screen time were reported frequently in all weight‐change categories. Similarly, there were few differences among the categories on standardized psychosocial measures or self‐reported effects of the shutdown on participants' lives. However, when differences were seen, the most negative impact was in those who gained weight. Conclusions Although weight loss appeared more common than weight gain during the shutdown, the weight‐change groups did not differ on most psychosocial and behavioral variables.