Will our trousers fit after the quarantine? Effects of COVID-19 lockdowns and digital social support on personal health choices

We examine how COVID-19 shelter-in-place (SIP) orders were associated with health behaviors and weight-management outcomes among users of a large digital weight-management platform. Using consumer-level panel data and staggered variation in SIP enactment across locations, we estimate generalized difference-in-differences models to examine changes in dietary intake adherence, exercise calories, obesity risk, and digital coach engagement. We also assess heterogeneity by text-based coach messaging and conduct robustness checks for staggered treatment timing and sample selection. SIP enactment is associated with meaningful changes in weight-management behavior among Noom users, including improved dietary adherence, higher exercise activity, and a lower probability of obesity. We also find stronger patterns of health investment among users with active text-based coach messaging, consistent with a complementary role for digital social support. Robustness analyses suggest that the main findings are qualitatively similar across alternative specifications. Our findings suggest that lockdown-related policy changes were associated with measurable changes in weight-management behavior within this digitally engaged sample. They also indicate that digital social support may strengthen health investment during periods of disruption. Because Noom users are a selected population, the broader welfare implications should be interpreted cautiously.

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Publication Details

Journal
Health Economics Review
Published
2026-09-16
DOI
https://doi.org/10.1186/s13561-026-00849-2
Primary Topic
Digital Mental Health Interventions
Type
article
Field-Weighted Citation Impact
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Will our trousers fit after the quarantine? Effects of COVID-19 lockdowns and digital social support on personal health choices

Tannista Banerjee, Yiyu Xing, Arnab Nayak
Health Economics Review
Digital Mental Health Interventions
article

Will our trousers fit after the quarantine? Effects of COVID-19 lockdowns and digital social support on personal health choices

Tannista Banerjee, Yiyu Xing, Arnab Nayak
article en

Abstract

We examine how COVID-19 shelter-in-place (SIP) orders were associated with health behaviors and weight-management outcomes among users of a large digital weight-management platform. Using consumer-level panel data and staggered variation in SIP enactment across locations, we estimate generalized difference-in-differences models to examine changes in dietary intake adherence, exercise calories, obesity risk, and digital coach engagement. We also assess heterogeneity by text-based coach messaging and conduct robustness checks for staggered treatment timing and sample selection. SIP enactment is associated with meaningful changes in weight-management behavior among Noom users, including improved dietary adherence, higher exercise activity, and a lower probability of obesity. We also find stronger patterns of health investment among users with active text-based coach messaging, consistent with a complementary role for digital social support. Robustness analyses suggest that the main findings are qualitatively similar across alternative specifications. Our findings suggest that lockdown-related policy changes were associated with measurable changes in weight-management behavior within this digitally engaged sample. They also indicate that digital social support may strengthen health investment during periods of disruption. Because Noom users are a selected population, the broader welfare implications should be interpreted cautiously.

Health Economics Review
Mercer University (US), University of California, Los Angeles (US), Mercer University Health Sciences Center (US), Auburn University (US)
Openalex Percentile: Top 9%
Digital Mental Health Interventions
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Will our trousers fit after the quarantine? Effects of COVID-19 lockdowns and digital social support on personal health choices — Tannista Banerjee, Yiyu Xing, et al. · Health Economics Review (2026) | TGRS Research Map | TGRS