*4.2. Conclusions*

After obesity surgery, patients can be at risk to be additionally challenged by the pandemic. Psychosocial support is of particular importance for people who already suffer from mental illness to achieve stress resistance, mental health, and weight goals and not to relapse in overcome behaviors. Therefore, it is important to ensure medical, psychological, and surgical care and support for patients with obesity during the COVID-19 pandemic to assure equal opportunities regarding upcoming health challenges.

**Supplementary Materials:** The following are available online at https://www.mdpi.com/article/10 .3390/ijerph182010890/s1, Table S1: The full reports of our regression analyses, Table S2: Correlation Matrix.

**Author Contributions:** C.P. planning, data collection, study design, data analysis and interpretation, and manuscript writing. A.S. data analysis and interpretation, data interpretation and editing. L.C.S. was co-responsible for the recruitment of the participants. M.N., J.S., V.R., A.R., N.D., A.B. and M.T. data interpretation review and editing. E.-M.S. and B.W. planning, study design, and supervision. All authors contributed to the article and approved the submitted version. All authors have read and agreed to the published version of the manuscript.

**Funding:** The Open Access Fund of the University of Duisburg-Essen funded the publication of the study. The funder had no role in the design and conduct of the study; management, collection, analysis, and interpretation of the data; preparation, review, or approval of the manuscript and decision to submit the manuscript for publication.

**Institutional Review Board Statement:** The study was conducted according to the guidelines of the Declaration of Helsinki and approved by the Ethics Committee of the Medical Faculty of Duisburg-Essen (20-9307-BO).

**Informed Consent Statement:** Informed consent was obtained from all subjects involved in the study.

**Data Availability Statement:** The raw data will be made available upon reasonable request to the correspondent author.

**Conflicts of Interest:** The authors declare no conflict of interest.
