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Chen X, Fu S, Chen C, Yuan Y, Dai Z, Chen A, Zhang B, Liu S, Lin C. Association of Traditional dietary pattern with early and precocious puberty: a population-based cross-sectional study. Pediatr Res 2024; 96:245-252. [PMID: 38431666 DOI: 10.1038/s41390-024-03110-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Revised: 02/02/2024] [Accepted: 02/15/2024] [Indexed: 03/05/2024]
Abstract
BACKGROUND Precocious puberty is an endocrine disease that is diagnosed by sex, age, and Tanner stage of puberty. This study aimed to investigate the association between various dietary patterns and early or precocious puberty, especially Traditional dietary patterns, which have been rarely investigated. METHODS A total of 4085 primary school students in grades 1-3 (6-9 years) completed individual characteristic surveys, health examinations, and food frequency questionnaires (FFQs). Physical examinations were also conducted to assess obesity and pubertal onset. Traditional, Westernized, and Protein dietary patterns were determined by factor analysis, and their associations with pubertal onset were analyzed by multiple logistic regression analysis. RESULTS Compared to the other two patterns, children who predominant the Traditional dietary pattern were protectively associated with precocious puberty (OR = 0.72, 95% CI = 0.55, 0.94), even after adjusting the confounders (OR = 0.66, 95% CI = 0.48, 0.89). Neither the Westernized nor Protein dietary pattern demonstrated an association with pubertal onset. The Traditional dietary pattern was negatively associated with children's weight status, classified by body mass index (BMI), and was positively associated with parental education. The maternal education and the Protein dietary pattern were negatively related. CONCLUSIONS Traditional dietary patterns were protective associated with early and precocious puberty among Chinese children. IMPACT The Traditional dietary pattern was protective associated with early puberty or precocious puberty in children, as found in large-scale population-based public health research. Current research primarily focuses on Westernized dietary patterns, and we studied Traditional dietary patterns to further explore the influence of food on children's puberty development. We discovered that children's preference for Traditional dietary patterns is protective of pubertal development, which implies that society and parents can benefit from diet guidance to protect children's natural development during adolescence.
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Affiliation(s)
- Xinlin Chen
- The Second School of Clinical Medical, Southern Medical University, Guangzhou, China
| | - Simao Fu
- BoAi Hospital of Zhongshan Affiliated to Southern Medical University, Zhongshan, China
| | - Chaojun Chen
- Health Care Centre for Primary and Secondary Schools, Zhongshan, China
| | - Yawen Yuan
- BoAi Hospital of Zhongshan Affiliated to Southern Medical University, Zhongshan, China
| | - Zhibin Dai
- BoAi Hospital of Zhongshan Affiliated to Southern Medical University, Zhongshan, China
| | - Ang Chen
- BoAi Hospital of Zhongshan Affiliated to Southern Medical University, Zhongshan, China
| | - Bihong Zhang
- BoAi Hospital of Zhongshan Affiliated to Southern Medical University, Zhongshan, China
| | - Shijian Liu
- Pediatric Translational Medicine Institute, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
| | - Cuilan Lin
- BoAi Hospital of Zhongshan Affiliated to Southern Medical University, Zhongshan, China.
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Szajnoga D, Perenc H, Jakubiak GK, Cieślar G, Ćwieląg-Drabek M. Consumption of Meats and Fish in Poland during the COVID-19 Lockdown Period. Nutrients 2024; 16:1318. [PMID: 38732565 PMCID: PMC11085878 DOI: 10.3390/nu16091318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2024] [Revised: 04/23/2024] [Accepted: 04/26/2024] [Indexed: 05/13/2024] Open
Abstract
The COVID-19 pandemic and related restrictions have significantly impacted the quality of life of society in many countries in various aspects. The purpose of this study was to examine how the COVID-19 pandemic affected the consumption of meat and fish in society in Poland as well as the factors that determined these changes. The cross-sectional study was conducted using an original online questionnaire between 8th and 18th of April 2020. The subjects were selected randomly. The target population were adults living in Poland. The inclusion criterion for the study was the age of at least 18 years and consent to selfless participation in the study. Communication via social media such as Facebook or Instagram was used to enroll more participants from different socio-demographic subgroups. The questionnaire was divided into two parts-the first part contained questions about sex, age, body mass, body height, residence, level of education, and occupation, and the second part consisted of specific questions about the consumption frequency of different kinds of meat during the COVID-19 lockdown period (in comparison to the time before the pandemic). A total of 3888 people took part in the study including 84.54% women, with an average age of 30.17 ± 9.22 years. The frequency of poultry consumption increased, while for pork, beef, ham and other meat products as well as fish and seafood it declined. The factors that influenced the change in dietary patterns during the lockdown related to the COVID-19 pandemic included age, body mass index, gender, place of residence, and type of work performed. However, no relationship was found between the change in meat and fish consumption during the pandemic and the level of education and form of employment during the pandemic.
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Affiliation(s)
- Dominika Szajnoga
- Student Research Group, Department of Environmental Health, Faculty of Public Health in Bytom, Medical University of Silesia, Piekarska 18 St., 41-902 Bytom, Poland;
| | - Helena Perenc
- Student Research Group, Department and Clinic of Internal Medicine, Angiology, and Physical Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Batorego 15 St., 41-902 Bytom, Poland;
| | - Grzegorz K. Jakubiak
- Department and Clinic of Internal Medicine, Angiology, and Physical Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Batorego 15 St., 41-902 Bytom, Poland;
| | - Grzegorz Cieślar
- Department and Clinic of Internal Medicine, Angiology, and Physical Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Batorego 15 St., 41-902 Bytom, Poland;
| | - Małgorzata Ćwieląg-Drabek
- Department of Environmental Health Risk Factors, Faculty of Public Health in Bytom, Medical University of Silesia, Piekarska 18 St., 41-902 Bytom, Poland;
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Hoca M, Elmas C, Kabaran S. Do nutritional habits and supplement use affect health-related quality of life during social isolation period in the community of North Cyprus? INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2024; 34:851-863. [PMID: 36762924 DOI: 10.1080/09603123.2023.2177624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 02/02/2023] [Indexed: 06/18/2023]
Abstract
The aim of study was to comprehensively investigate the effect of nutritional habits and supplement use on health-related quality of life during social isolation period. This study was a cross-sectional study. A total of 418 participants (73.4% were women and 26.6% were men) participated in this study. Participants' demographic information, nutritional habits, and quality of life were questioned, and anthropometric measurements were obtained. A significant difference was found in the main meal skipping status of individuals by age group. The consumption of milk, yoghurt, ayran, legumes, cereal products other than bread, vegetables, fruits, oilseeds, and snack foods was similar in both periods. Furthermore, frequencies of multivitamins, multiminerals, vitamin B12, vitamin C, vitamin D, iron, calcium, omega-3, and probiotics were similar during and before the pandemic. A significant difference was found in scores obtained on the Quality of Life Scale (QOLS) by age group. There was a significant difference in the quality of life scores by body mass index (BMI) groups. It was concluded that quality of life decreased due to the increase in body weight during pandemic period. The social isolation period did not make a clear difference in the nutritional habits of individuals and the use of nutritional supplements. When the main meal skipping situations were evaluated within the scope of nutritional habits, those who did not skip their main meal received the highest score on the QOLS.
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Affiliation(s)
- Mustafa Hoca
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Near East University, Nicosia, Turkey
- Faculty of Health Sciences, University of Kyrenia, Kyrenia, Turkey
| | - Cemre Elmas
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Cyprus International University, Nicosia, Turkey
| | - Seray Kabaran
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, Turkey
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Abu-Elenin MM, Elshora AA, Shahin MA, El-Fatah NKA. Assessment of lifestyle changes related to quarantine among Saudi population during the early COVID-19 pandemic: pre- and post-analysis. J Egypt Public Health Assoc 2024; 99:2. [PMID: 38296917 PMCID: PMC10830984 DOI: 10.1186/s42506-023-00149-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Accepted: 12/14/2023] [Indexed: 02/02/2024]
Abstract
BACKGROUND The escalating emergence of the COVID-19 pandemic interrupted human life due to the ever-increasing morbidity, containment measures, and the associated emotional distress. This study examined the influence of COVID-19-related measures on the lifestyle behaviors of adults living in the Kingdom of Saudi Arabia (KSA). METHODS The study recruited 638 participants through convenience sampling in Jeddah and Taif cities, Saudi Arabia. Demographic characteristics and COVID-19-related information were collected through an anonymous self-reported electronic questionnaire. Lifestyle behaviors were assessed before and during the quarantine using the Healthy Dietary Habits Index (HDHI)-A and the International Physical Activity Questionnaire (IPAQ-SF). RESULTS The study revealed significant changes in the dietary pattern: a reduction in fish intake and increased consumption of French fries and candies. Vegetables and fruit intake increased significantly. Sedentary time > 6 h per day increased from 36.7% pre to 60.8% during the pandemic. Healthy dietary index score and physical activity MET-minutes/week values were respectively 3.5% and 37.9% significantly higher before compared to the full quarantine period. CONCLUSION The pandemic detrimentally influenced eating habits and physical activity levels that led to weight gain, and hence higher vulnerability to COVID-19 infection and negative outcomes. This analysis provides public health agencies with data to tailor nutrition interventions that mitigate the observed adverse lifestyle behaviors.
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Affiliation(s)
- Mira M Abu-Elenin
- Department of Public Health and Community Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
- Batterjee Medical College, Health Management Program, Jeddah, 21442, Saudi Arabia.
| | - Ahmed A Elshora
- Department of General Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt
- Batterjee Medical College, Medicine Practice Program, Surgery Department, Jeddah, 21442, Saudi Arabia
| | - Marwa A Shahin
- Department of Maternal and Neonatal Health Nursing, Faculty of Nursing, Menoufia University, Shibin El Kom, Egypt
- Batterjee Medical College, Nursing Program, Jeddah, 21442, Saudi Arabia
| | - Nesrin K Abd El-Fatah
- Department of Nutrition, High Institute of Public Health, Alexandria University, Alexandria, Egypt
- Taif Saudi Board of Preventive Medicine, Ministry of Health, Taif, Saudi Arabia
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Asgari H, Azimi G, Titiloye I, Jin X. Exploring the influences of personal attitudes on the intention of continuing online grocery shopping after the COVID-19 pandemic. TRAVEL BEHAVIOUR & SOCIETY 2023; 33:100622. [PMID: 37396502 PMCID: PMC10292828 DOI: 10.1016/j.tbs.2023.100622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Revised: 06/02/2023] [Accepted: 06/19/2023] [Indexed: 07/04/2023]
Abstract
The unprecedented COVID-19 pandemic has brought drastic changes in our daily activities. One of these essential activities is grocery shopping. In compliance with the recommended social distancing standards, many people have switched to online grocery shopping or curbside pickup to minimize possible contagion. Although the shift to online grocery shopping is substantial, it is not clear whether this change would last in the long term. This study examines the attributes and underlying attitudes that may influence individuals' future decisions on online grocery shopping. An online survey was conducted in May 2020 in South Florida to collect data for this study. The survey contained a comprehensive set of questions related to respondents' sociodemographic attributes, shopping and trip patterns, technology use, as well as attitudes toward telecommuting and online shopping. A structural equation model (SEM) was applied to examine the intervening effects of observed as well as latent attitude variables on the likelihood of online grocery shopping after the outbreak. The results indicated that those with more experience in using online grocery shopping platforms were more likely to continue purchasing their groceries online. Individuals with positive attitudes toward technology and online grocery shopping in terms of convenience, efficiency, usefulness, and easiness were more likely to adopt online grocery shopping in the future. On the other hand, pro- driving individuals were less likely to substitute online grocery shopping for in-store shopping. The results suggested that attitudinal factors could have substantial impacts on the propensity toward online grocery shopping.
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Affiliation(s)
- Hamidreza Asgari
- Department of Civil and Environmental Engineering, Florida International University, 10555 W. Flagler Street, EC3725, Miami, FL 33174, USA
| | - Ghazaleh Azimi
- Department of Civil and Environmental Engineering, Florida International University, 10555 W. Flagler Street, EC3725, Miami, FL 33174, USA
| | - Ibukun Titiloye
- Department of Civil and Environmental Engineering, Florida International University, 10555 W. Flagler Street, EC3725, Miami, FL 33174, USA
| | - Xia Jin
- Department of Civil and Environmental Engineering, Florida International University, 10555 W. Flagler Street, EC 3603, Miami, FL 33174, USA
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Zhou X, Xu X, Huang J. Adaptive multi-temperature control for transport and storage containers enabled by phase-change materials. Nat Commun 2023; 14:5449. [PMID: 37673906 PMCID: PMC10482904 DOI: 10.1038/s41467-023-40988-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Accepted: 08/16/2023] [Indexed: 09/08/2023] Open
Abstract
The transportation of essential items, such as food and vaccines, often requires adaptive multi-temperature control to maintain high safety and efficiency. While existing methods utilizing phase change materials have shown promise, challenges related to heat transfer and materials' physicochemical properties remain. In this study, we present an adaptive multi-temperature control system using liquid-solid phase transitions to achieve highly effective thermal management using a pair of heat and cold sources. By leveraging the properties of stearic acid and distilled water, we fabricated a multi-temperature maintenance container and demonstrated temperature variations of only 0.14-2.05% over a two-hour period, underscoring the efficacy of our approach. Our findings offer a practical solution to address critical challenges in reliable transportation of goods, with potential implications for various fields in physical, engineering, and life sciences.
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Affiliation(s)
- Xinchen Zhou
- Department of Physics, Fudan University, Shanghai, 200438, China
- State Key Laboratory of Surface Physics, Fudan University, Shanghai, 200438, China
- Key Laboratory of Micro and Nano Photonic Structures (MOE), Fudan University, Shanghai, 200438, China
| | - Xiang Xu
- Key Lab of Smart Prevention and Mitigation of Civil Engineering Disasters of the Ministry of Industry and Information Technology, Harbin Institute of Technology, Harbin, 150090, China
- Key Lab of Structures Dynamic Behavior and Control of the Ministry of Education, Harbin Institute of Technology, Harbin, 150090, China
| | - Jiping Huang
- Department of Physics, Fudan University, Shanghai, 200438, China.
- State Key Laboratory of Surface Physics, Fudan University, Shanghai, 200438, China.
- Key Laboratory of Micro and Nano Photonic Structures (MOE), Fudan University, Shanghai, 200438, China.
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McKerchar C, Bidwell S, Curl A, Pocock T, Cowie M, Miles H, Crossin R. Promoting health in the digital environment: health policy experts' responses to on-demand delivery in Aotearoa New Zealand. Health Promot Int 2023; 38:daad091. [PMID: 37611159 PMCID: PMC10446141 DOI: 10.1093/heapro/daad091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/25/2023] Open
Abstract
Services offering on-demand delivery of unhealthy commodities, such as fast food, alcohol and smoking/vaping products have proliferated in recent years. It is well known that the built environment can be health promoting or harmful to health, but there has been less consideration of the digital environment. Increased availability and accessibility of these commodities may be associated with increased consumption, with harmful public health implications. Policy regulating the supply of these commodities was developed before the introduction of on-demand services and has not kept pace with the digital environment. This paper reports on semi-structured interviews with health policy experts on the health harms of the uptake in on-demand delivery of food, alcohol and smoking/vaping products, along with their views on policies that might mitigate these harms. We interviewed 14 policy experts from central and local government agencies and ministries, health authorities, non-Government Organisations (NGOs) and university research positions in Aotearoa New Zealand using a purposive sampling strategy. Participants concerns over the health harms from on-demand services encompassed three broad themes-the expansion of access to and availability of unhealthy commodities, the inadequacy of existing restrictions and regulations in the digital environment and the expansion of personalized marketing and promotional platforms for unhealthy commodities. Health policy experts' proposals to mitigate harms included: limiting access and availability, updating regulations and boosting enforcement and limiting promotion and marketing. Collectively, these findings and proposals can inform future research and public health policy decisions to address harms posed by on-demand delivery of unhealthy commodities.
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Affiliation(s)
- Christina McKerchar
- Department of Population Health, University of Otago Christchurch, Christchurch, New Zealand
| | - Susan Bidwell
- Department of Population Health, University of Otago Christchurch, Christchurch, New Zealand
| | - Angela Curl
- Department of Population Health, University of Otago Christchurch, Christchurch, New Zealand
| | - Tessa Pocock
- Department of Population Health, University of Otago Christchurch, Christchurch, New Zealand
- School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - Matt Cowie
- University of Otago Medical School, Dunedin, New Zealand
| | - Hannah Miles
- University of Otago Medical School, Dunedin, New Zealand
| | - Rose Crossin
- Department of Population Health, University of Otago Christchurch, Christchurch, New Zealand
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Eom H, Kim N, Lee C, Choi S, Moon J. The Impact of (COVID)-19 on Beverage Purchasing Behaviors in Korea. Am J Health Behav 2023; 47:520-532. [PMID: 37596761 DOI: 10.5993/ajhb.47.3.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
Abstract
Objective: In this study, we examined changes in purchase behavior of alcoholic beverages (ie, soju, beer, wine, traditional Korean liquor, and liquor) and non-alcoholic beverages (ie, fruit and vegetable juices, coffee, tea, bottled water, milk, yogurt, and plant-based milk) before and after the COVID-19 pandemic. Methods: Monthly beverage expenditure data, based on Korean household demographic information, was used for 3 years and 6 months. The 2-part model was used for analysis. To examine the effect of COVID-19, beverage expenditure was analyzed after dividing it into short-term and long-term effects. Results: Our results show that the probability of purchasing alcoholic beverages increased owing to the long-term effect of the COVID-19 pandemic. The amounts of beer, wine, and traditional Korean liquor purchased increased in the long-term. The purchase of sweet drinks decreased (ie, fruit and vegetable juices and yogurt) in the long-term because of the effect of the pandemic. On the other hand, tea, water, and plant-based milk expenditures increased. Conclusion: This beverage consumption pattern reflects both unhealthy (ie, an increase in alcoholic beverage purchases) and healthy drinking behaviors (ie, a decrease in sweet beverage purchases and an increase in tea, water, and plant-based milk purchases).
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Affiliation(s)
- Haram Eom
- Department of Agricultural Economics & Rural Development, Seoul National University, Seoul, South Korea
| | - Nayeong Kim
- Department of Agricultural Economics & Rural Development, Seoul National University, Seoul, South Korea
| | - Chanhyeong Lee
- Department of Agricultural Economics & Rural Development, Seoul National University, Seoul, South Korea
| | - Suhyun Choi
- Department of Agricultural Economics & Rural Development, Seoul National University, Seoul, South Korea
| | - Junghoon Moon
- Department of Agricultural Economics & Rural Development, Research Institute of Agriculture and Life Sciences, Seoul National University, Seoul, South Korea
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Governing for food security during the COVID-19 pandemic in Wuhan and Nanjing, China. URBAN GOVERNANCE 2023; 3:106-115. [PMCID: PMC10033150 DOI: 10.1016/j.ugj.2023.03.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Revised: 02/21/2023] [Accepted: 03/16/2023] [Indexed: 10/15/2023]
Abstract
The global COVID-19 pandemic has elicited a range of public health governance responses. One common result has been an associated disruption of food supply chains and growing urban food insecurity. Policy responses to this situation have not yet received sufficient research attention. This paper therefore focuses on the urban food security implications of China's zero-COVID public health measures and the response of central, provincial and municipal government to the governance challenge of ensuring a stable and sufficient food supply to urban consumers. During the COVID-19 outbreak in early 2020 in China, zero-COVID lockdown measures aimed to contain and eliminate the spread of the virus. This paper examines the associated policy responses around urban food security in early 2020, with a particular focus on two cities: Wuhan (where SARS-CoV-2 was first identified) and Nanjing (a neighbouring city). The analysis is based on an inventory of policy-related documents providing a wide range of information about governance responses to the pandemic. Four major governance challenges are addressed: agricultural production, food transportation, stabilization of food prices, and new contactless methods in purchasing foods. Key recommendations for post-pandemic policy responses around urban food security include: ensuring consistency throughout all levels of government, strengthening existing food reserves to leverage emergency responses, addressing the root causes of pandemic-related food insecurity by focusing on access at the household level, and improving food utilization.
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Shen Q, Zhong T. Did Household Income Loss Have an Immediate Impact on Animal-Source Foods Consumption during the Early Stage of the COVID-19 Pandemic? Foods 2023; 12:1424. [PMID: 37048245 PMCID: PMC10093368 DOI: 10.3390/foods12071424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 03/15/2023] [Accepted: 03/22/2023] [Indexed: 03/30/2023] Open
Abstract
The outbreak of COVID-19 in 2020 caused extensive impact on household income and foods consumption. However, little attention has been paid to the immediate impact of income loss on animal-source foods consumption in the early stage of the COVID-19 pandemic. This paper aims to narrow this gap, and a total of 1301 valid samples of household food consumption surveys in Wuhan and Nanjing were obtained through specially designed online questionnaires. The surveys show that there were 69.6% (Wuhan) and 42.2% (Nanjing) of surveyed households whose animal-source foods consumption were affected, and there were 47.4% (Wuhan) and 18.9% (Nanjing) of surveyed households who suffered income loss. Furthermore, this paper makes an empirical study on the linkage between income loss and animal-source foods consumption. The results show that the pandemic affected household income, resulting in an immediate impact on animal-source foods consumption. This immediate impact may have been due to the combination of price increases, income loss and insufficient savings, which led to a "perfect storm" for animal-source foods consumption. Moreover, household income loss affected various animal-source foods consumption differently. For households suffering income losses, the odds of pork, beef and mutton, poultry, aquatic products, eggs and dairy products consumption being affected were increased by a factor of 1.894, 2.140, 2.773, 2.345, 1.802, 2.835, respectively, holding other variables constant. The results may be related to residents' consumption habits and food prices. During the COVID-19 pandemic, the reduction of animal-source foods consumption may have led to a state of tension concerning an increase in the development of nutrition intake and health, which may have led to increased food security risks.
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Affiliation(s)
| | - Taiyang Zhong
- School of Geography and Ocean Science, Nanjing University, Nanjing 210023, China;
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Food Insecurity and Dietary Deprivation: Migrant Households in Nairobi, Kenya. Nutrients 2023; 15:nu15051215. [PMID: 36904214 PMCID: PMC10005626 DOI: 10.3390/nu15051215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 02/22/2023] [Accepted: 02/22/2023] [Indexed: 03/04/2023] Open
Abstract
The current study focuses on food consumption and dietary diversity among internal migrant households in Kenya using data from a city-wide household survey of Nairobi conducted in 2018. The paper examined whether migrant households are more likely to experience inferior diets, low dietary diversity, and increased dietary deprivation than their local counterparts. Second, it assesses whether some migrant households experience greater dietary deprivation than others. Third, it analyses whether rural-urban links play a role in boosting dietary diversity among migrant households. Length of stay in the city, the strength of rural-urban links, and food transfers do not show a significant relationship with greater dietary diversity. Better predictors of whether a household is able to escape dietary deprivation include education, employment, and household income. Food price increases also decrease dietary diversity as migrant households adjust their purchasing and consumption patterns. The analysis shows that food security and dietary diversity have a strong relationship with one another: food insecure households also experience the lowest levels of dietary diversity, and food secure households the highest.
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Cheah WL, Law LS, Adibah Z, Nur Afiqah MS, Nur Aiennie L, Nik Noor Arba'iyah NH, Liew ASI, Nimiet NG, Ngu WH, Nur Thaqifah AM. Differences in the food group consumption among university students in Sarawak during the COVID-19 Movement Control Order: A crosssectional study. MALAYSIAN FAMILY PHYSICIAN : THE OFFICIAL JOURNAL OF THE ACADEMY OF FAMILY PHYSICIANS OF MALAYSIA 2023; 18:16. [PMID: 36992961 PMCID: PMC10042248 DOI: 10.51866/oa.121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/19/2023]
Abstract
INTRODUCTION The COVID-19 Movement Control Order (MCO) has caused a concern on the food consumption among university students. This study aimed to assess food diversity and its relationship with accommodation among university students in Sarawak. METHOD This cross-sectional study was conducted among students of the University Malaysia Sarawak in Kota Samarahan during the MCO. Data on socio-demographic characteristics and food diversity were collected using an online questionnaire. RESULTS A total of 478 respondents participated in this study. The majority of the respondents were women (77.4%), and almost half were Malays (49.6%). Half of the respondents stayed at home with their family, while 36.4% stayed in their college dormitories. Except for legumes, nuts and seeds and milk and milk products, all other food groups were common in the respondents' diet, with the highest consumption observed from cereal and cereal products, followed by meat and meat products and water. One-way ANOVA showed that there were significant differences in the intake of fish and seafood; legumes, nuts and seeds; milk and milk products; and fruits between those who stayed in college dormitories, at home with their families and in rented houses (P<0.01). CONCLUSION Despite reduction in food availability and accessibility, the total energy intake of the university students did not change. University students should be continuously educated on the importance of a balanced diet consisting of all food groups.
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Affiliation(s)
- Whye Lian Cheah
- BSc (UPM), MSc (UNIMAS), PhD (USM), Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.
| | - Leh Shii Law
- BSc (UPM), MSc (UPM), PhD (UPM), Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
| | - Zamrie Adibah
- MD students Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
| | - Mohd Samsudin Nur Afiqah
- MD students, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
| | - Liasin Nur Aiennie
- MD students, Faculty of Medicine and Health, Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
| | - Nik Hassan Nik Noor Arba'iyah
- MD students, Faculty of Medicine and Health, Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
| | - Audre Siew Ing Liew
- MD students, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
| | - Nathalie Grace Nimiet
- MD students, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
| | - Wee Hui Ngu
- MD students, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
| | - Abdul Manap Nur Thaqifah
- MD students, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
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Arora I, White S, Mathews R. Global Dietary and Herbal Supplement Use during COVID-19-A Scoping Review. Nutrients 2023; 15:nu15030771. [PMID: 36771480 PMCID: PMC9920285 DOI: 10.3390/nu15030771] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 01/25/2023] [Accepted: 01/27/2023] [Indexed: 02/05/2023] Open
Abstract
During the first year of the COVID-19 pandemic, the lack of cure and the intensity of the global spread raised a common awareness of health. The aim of this scoping review is to summarize dietary supplement use globally during first two years of the COVID-19 pandemic. A systematic search was conducted in December 2021 following PRISMA guidelines. PubMed, ERIC, and Scopus databases were searched, and 956 results were screened for eligibility. Fourteen cross-sectional studies from 11 countries and 3 continents were examined. All studies were large population surveys investigating healthy eating and supplement use during COVID-19. Vitamin C, vitamin D, zinc and multivitamins were the most widely reported, as well as natural/herbal products such as ginger and honey. The most common reason cited for supplements use was to strengthen immune system and to prevent infection of COVID-19. These studies reported that populations are relying on healthcare providers, family, friends, and social media to learn about supplement use. Future studies on the treatment of COVID-19 should include more evidence for supplement use.
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14
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Liang Y, Zhong T. Impacts of community-level grassroots organizations on household food security during the COVID-19 epidemic period in China. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2023; 85:103490. [PMID: 36530481 PMCID: PMC9741495 DOI: 10.1016/j.ijdrr.2022.103490] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 11/18/2022] [Accepted: 12/09/2022] [Indexed: 05/12/2023]
Abstract
Purchasing food via community-level grassroots organizations was a new pattern of food patronage for Wuhan residents during the COVID-19 lockdown in 2020, but little attention was paid to it. The study examined the relationship between community-level grassroots organizations and household food insecurity based on an online survey of household food insecurity in Wuhan in March 2020. The study found that problems in all three domains of food insecurity including food anxiety, insufficient quality and inadequate quantity existed but were uneven. Community-level grassroots organizations played an important role in promoting food security including reducing worries about food supply and providing enough food intake, but did not ensure households had adequate food quality due to increasing food prices, fewer varieties of food and decreased food freshness. Compared to other grassroots organizations, the community committee had actually become an extension of the government to run administrative grassroots affairs before the epidemic, so its tight relationship with local government made it become the major grassroots power in ensuring household food security at the residential community level.
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Affiliation(s)
- Yajia Liang
- School of Geography and Ocean Science, Nanjing University, Nanjing 210023, China
| | - Taiyang Zhong
- School of Geography and Ocean Science, Nanjing University, Nanjing 210023, China
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15
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Duthie C, Pocock T, Curl A, Clark E, Norriss D, Bidwell S, McKerchar C, Crossin R. Online on-demand delivery services of food and alcohol: A scoping review of public health impacts. SSM Popul Health 2023; 21:101349. [PMID: 36845670 PMCID: PMC9950721 DOI: 10.1016/j.ssmph.2023.101349] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Revised: 01/19/2023] [Accepted: 01/22/2023] [Indexed: 01/25/2023] Open
Abstract
The increase in availability of online on-demand food and alcohol delivery services has changed the way unhealthy commodities are accessed and understood. We conducted a systematic scoping review of academic and grey literature to map the current knowledge of public health and regulatory/policy outcomes arising from on-demand food and alcohol delivery (defined as delivery within 2 h). We systematically searched three electronic databases and completed supplementary forward citation searches and Google Scholar searches. In total, we screened 761 records (de-duplicated) and synthesised findings from 40 studies by commodity types (on-demand food or alcohol) and outcome focus (outlet, consumer, environmental, labour). Outlet-focused outcomes were most common (n = 16 studies), followed by consumer (n = 11), environmental (n = 7), and labour-focused (n = 6) outcomes. Despite geographical and methodological diversity of studies, results indicate that on-demand delivery services market unhealthy and discretionary foods, with disadvantaged communities having reduced access to healthy commodities. Services that deliver alcohol on-demand can also subvert current alcohol access restrictions, particularly through poor age verification processes. Underpinning these public health impacts is the multi-layered nature of on-demand services and context of the COVID-19 pandemic, which creates ongoing complications as to how populations access food and alcohol. Changing access to unhealthy commodities is an emerging issue in public health. Our scoping review considers priority areas for future research to better inform policy decisions. Current regulation of food and alcohol may not appropriately cover emerging on-demand technologies, necessitating a review of policy.
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Affiliation(s)
- Cassian Duthie
- University of Otago Medical School, Christchurch, New Zealand
| | - Tessa Pocock
- School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand,Department of Population Health, University of Otago Christchurch, Christchurch, New Zealand
| | - Angela Curl
- Department of Population Health, University of Otago Christchurch, Christchurch, New Zealand
| | - Elinor Clark
- University of Otago Medical School, Christchurch, New Zealand
| | - Dru Norriss
- Department of Population Health, University of Otago Christchurch, Christchurch, New Zealand
| | - Susan Bidwell
- Department of Population Health, University of Otago Christchurch, Christchurch, New Zealand
| | - Christina McKerchar
- Department of Population Health, University of Otago Christchurch, Christchurch, New Zealand
| | - Rose Crossin
- Department of Population Health, University of Otago Christchurch, Christchurch, New Zealand,Corresponding author. Department of Population Health University of Otago (Christchurch), 34 Gloucester St, Christchurch, 8140, New Zealand.
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16
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Maharat M, Sajjadi SF, Moosavian SP. Changes in dietary habits and weight status during the COVID-19 pandemic and its association with socioeconomic status among Iranians adults. Front Public Health 2023; 10:1080589. [PMID: 36711378 PMCID: PMC9877516 DOI: 10.3389/fpubh.2022.1080589] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Accepted: 12/21/2022] [Indexed: 01/15/2023] Open
Abstract
Background COVID-19 pandemic has impacted human health through sudden lifestyle changes, including isolation at home, and social distancing. Therefore, the current study aimed to investigate the effect of the COVID-19 pandemic on eating habits, weight status, and their associations with socioeconomic status. Methods This cross-sectional study was conducted using an online structured questionnaire that inquired demographic, anthropometric (reported weight and height); dietary habits (weekly intake of certain foods); and dietary supplement intake information. Results A total of 1,187 participants completed the questionnaire, and after validation of the data, 1,106 respondents were included in the study, with a mean age of 34.5 ± 9.4 years. Our findings showed that the body mass index (BMI) of the participants significantly increased during COVID-19 (P < 0.001). Also, there were significant changes in the intake of a variety of food and beverage during the COVID-19, including less consumption of milk, yogurt, red meat, fish, canned fish, homemade fast foods, take out fast foods, carbonated drinks, and more consumption of whole bread, legumes (chickpeas, lentil, peas, kidney beans, black beans, pinto beans, and navy beans), soy bean, nuts, seeds, high vitamin C vegetables, high vitamin C fruits, green-yellow fruits and vegetables, onion/garlic, dried fruits, natural fruit juices, and water (P < 0.001; for all). It is informed that individuals consumed more vitamin and mineral supplements (P < 0.001). Also, before and during COVID-19 pandemic weekly intakes of dairy, red meat, poultry, high vitamin C fruits, and whole bread were positively associated with socioeconomic status (P < 0.001). Conclusion Overall, this study indicates changes in body weight, dietary habits and supplement intake during the pandemic. Therefore, the findings of this study are valuable for, health professionals and politicians to better public health practice and policy making.
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Affiliation(s)
| | | | - Seyedeh Parisa Moosavian
- Department of Community Nutrition, Vice-Chancellery for Health, Shiraz University of Medical Sciences, Shiraz, Iran
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17
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Marakis G, Kontopoulou L, Konstantinidis G, Papathanasiou IV, Karpetas G, Mirkopoulou D, Walker AF, Vasara E. The Use of Dietary Supplements and Their Association with COVID-19-Related Anxiety among Non-Institutionalized Elderly in Northern Greece. J Diet Suppl 2023; 20:199-217. [PMID: 36476207 DOI: 10.1080/19390211.2022.2151677] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The elderly constitute a vulnerable group for increased anxiety and poor diet during the COVID-19 pandemic. There is limited research on the levels of COVID-19-related anxiety and dietary habits including dietary supplementation practices among the elderly and very elderly in Greece. A cross-sectional survey was conducted in 364 non-institutionalized elderly (65-74 y) and very elderly (≥75 y) living in northern Greece, with the aim to investigate the use of dietary supplements and their association with other factors, particularly the COVID-19-related anxiety. Levels of anxiety were assessed with the use of the Coronavirus Anxiety Scale (CAS-5). The percentage of dietary supplement users was 62.6%. The most popular dietary supplements used were vitamin D followed by vitamin C and multivitamin and mineral supplements. Multivariate analysis showed that the very elderly and overweight individuals were less likely to consume vitamin D supplements. Approximately a third of the participants (33.8%) exhibited signs of COVID-19-related anxiety but only 8% showed dysfunctional levels of anxiety. Regression analysis indicated that women, former smokers, and people exhibiting any sign of COVID-19 anxiety were approximately two times more likely to consume dietary supplements of any kind (Gender: OR 2.34, 95% CI 1.30-4.19; Smoking: OR 2.15, 95% CI: 1.08-4.26; COVID-19 anxiety: OR 2.16, 95 % CI: 1.20-3.91). Our results provide useful insights into the current practices of dietary supplement use in this population group and could be used by dietetic and medical associations as well as public authorities in the formulation of targeted, safe, and effective interventions for the protection of public health.
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Affiliation(s)
- Georgios Marakis
- Nutrition and Food Standards Unit, Hellenic Food Authority, Athens, Greece
| | | | | | | | | | - Daphne Mirkopoulou
- 1st Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | | | - Eleni Vasara
- School of Biology, Aristotle University of Thessaloniki, Thessaloniki, Greece
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18
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Shi X, Tuan H, Na X, Yang H, Yang Y, Zhang Y, Xi M, Tan Y, Yang C, Zhang J, Zhao A. The Association between Sugar-Sweetened Beverages and Male Pattern Hair Loss in Young Men. Nutrients 2023; 15:nu15010214. [PMID: 36615870 PMCID: PMC9824121 DOI: 10.3390/nu15010214] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 12/17/2022] [Accepted: 12/29/2022] [Indexed: 01/04/2023] Open
Abstract
We performed this study to investigate the association between sugar-sweetened beverage (SSB) consumption and male pattern hair loss (MPHL) in young men. We conducted this cross-sectional study from January to April 2022 in mainland China. Young people aged 18-45 years (n = 1951) were recruited from 31 provinces in China. We used a self-reported online survey for data collection. We explored the associations between the amount/frequency of SSB consumption and MPHL by using a binary logistic regression model, with adjustments for sociodemographic, hair status, dietary intake, lifestyle, and psychological factors. Among the 1028 participants (27.8 ± 7.2 years) in the final analysis, we found that high SSB consumption is associated with a higher risk of MPHL. We recommend more support to decrease SSB consumption among young people to minimize negative health outcomes.
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Affiliation(s)
- Xiaojin Shi
- Vanke School of Public Health, Tsinghua University, Beijing 100084, China
| | - Hsiaohan Tuan
- Department of Dermatology, School of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing 102218, China
| | - Xiaona Na
- Vanke School of Public Health, Tsinghua University, Beijing 100084, China
| | - Haibing Yang
- Vanke School of Public Health, Tsinghua University, Beijing 100084, China
| | - Yucheng Yang
- Vanke School of Public Health, Tsinghua University, Beijing 100084, China
| | - Yulin Zhang
- Vanke School of Public Health, Tsinghua University, Beijing 100084, China
| | - Menglu Xi
- Vanke School of Public Health, Tsinghua University, Beijing 100084, China
| | - Yuefeng Tan
- Vanke School of Public Health, Tsinghua University, Beijing 100084, China
| | - Celi Yang
- Vanke School of Public Health, Tsinghua University, Beijing 100084, China
| | - Junhan Zhang
- Vanke School of Public Health, Tsinghua University, Beijing 100084, China
| | - Ai Zhao
- Vanke School of Public Health, Tsinghua University, Beijing 100084, China
- Correspondence: ; Tel.: +86-010-6279-6447
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19
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Moretti A, Liguori S, Paoletta M, Migliaccio S, Toro G, Gimigliano F, Iolascon G. Bone fragility during the COVID-19 pandemic: the role of macro- and micronutrients. Ther Adv Musculoskelet Dis 2023; 15:1759720X231158200. [PMID: 36937822 PMCID: PMC10015293 DOI: 10.1177/1759720x231158200] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 02/01/2023] [Indexed: 03/18/2023] Open
Abstract
Bone fragility is the susceptibility to fracture due to poor bone strength. This condition is usually associated with aging, comorbidities, disability, poor quality of life, and increased mortality. International guidelines for the management of patients with bone fragility include a nutritional approach, mainly aiming at optimal protein, calcium, and vitamin D intakes. Several biomechanical features of the skeleton, such as bone mineral density (BMD), trabecular and cortical microarchitecture, seem to be positively influenced by micro- and macronutrient intake. Patients with major fragility fractures are usually poor consumers of dairy products, fruit, and vegetables as well as of nutrients modulating gut microbiota. The COVID-19 pandemic has further aggravated the health status of patients with skeletal fragility, also in terms of unhealthy dietary patterns that might adversely affect bone health. In this narrative review, we discuss the role of macro- and micronutrients in patients with bone fragility during the COVID-19 pandemic.
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Affiliation(s)
| | - Sara Liguori
- Department of Medical and Surgical Specialties
and Dentistry, University of Campania “Luigi Vanvitelli”, Naples,
Italy
| | - Marco Paoletta
- Department of Medical and Surgical Specialties
and Dentistry, University of Campania “Luigi Vanvitelli”, Naples,
Italy
| | - Silvia Migliaccio
- Department of Movement, Human and Health
Sciences, University of Rome “Foro Italico”, Rome, Italy
| | - Giuseppe Toro
- Department of Medical and Surgical Specialties
and Dentistry, University of Campania “Luigi Vanvitelli”, Naples,
Italy
| | - Francesca Gimigliano
- Department of Physical and Mental Health and
Preventive Medicine, University of Campania “Luigi Vanvitelli”, Naples,
Italy
| | - Giovanni Iolascon
- Department of Medical and Surgical Specialties
and Dentistry, University of Campania “Luigi Vanvitelli”, Naples,
Italy
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20
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Xu F, Crush J, Zhong T. Pathways to food insecurity: Migration, hukou and COVID-19 in Nanjing, China. POPULATION, SPACE AND PLACE 2023; 29:e2640. [PMID: 36721421 PMCID: PMC9880715 DOI: 10.1002/psp.2640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Revised: 11/14/2022] [Accepted: 12/08/2022] [Indexed: 06/18/2023]
Abstract
The COVID-19 pandemic has issued significant challenges to food systems and the food security of migrants in cities. In China, there have been no studies to date focusing on the food security of migrants during the pandemic. To fill this gap, an online questionnaire survey of food security in Nanjing City, China, was conducted in March 2020. This paper situates the research findings in the general literature on the general migrant experience during the pandemic under COVID and the specifics of the Chinese policy of hukou. Using multiple linear regression and ordered logistic regression, the paper examines the impact of migration status on food security during the pandemic. The paper finds that during the COVID-19 outbreak in 2020, households without local Nanjing hukou were more food insecure than those with Nanjing hukou. The differences related more to the absolute quantity of food intake, rather than reduction in food quality or in levels of anxiety over food access. Migrants in China and elsewhere during COVID-19 experienced three pathways to food insecurity-an income gap, an accessibility gap, and a benefits gap. This conceptual framework is used to structure the discussion and interpretation of survey findings and also has wider potential applicability.
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Affiliation(s)
- Fei Xu
- School of Geography and Ocean SciencesNanjing UniversityNanjingChina
| | - Jonathan Crush
- Balsillie School of International AffairsWaterlooOntarioCanada
- University of the Western CapeCape TownSouth Africa
| | - Taiyang Zhong
- School of Geography and Ocean SciencesNanjing UniversityNanjingChina
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21
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Prevalence, Determinants, and Consumer Stance towards Dietary Supplements According to Sex in a Large Greek Sample: A Cross-Sectional Study. Nutrients 2022; 14:nu14235131. [PMID: 36501160 PMCID: PMC9739401 DOI: 10.3390/nu14235131] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 11/25/2022] [Accepted: 11/27/2022] [Indexed: 12/03/2022] Open
Abstract
A stratified random sampling technique was used in order to explore the prevalence of and the factors influencing dietary supplement (DS) use and the consumer stance towards DS by Greeks (n = 28,491, ≥15 years) according to sex. Additionally, we performed a Pearson’s chi-square to test within DS users for the dependence between sex and the examined factors, and binary logistic regression to create predictive DS user profiles. A history of DS use accounted for 55.5% and was more prevalent in women (58.4% vs. 52.3%, p < 0.001); multivitamins were the most popular DS used. The significant predictors for DS use for both sexes were age, education, employment status, exercise, and following a special diet, while BMI and monthly income were significant for women and men, respectively. The women and men DS users had mostly illness-health and fitness-related goals, respectively. Substantial proportions of the respondents had false beliefs about DS. A noticeable percentage of DS users displayed imprudent behavior regarding DS use, e.g., one out of five did not know the definition or did not take into consideration the recommended daily allowance. While several factors seemed to impact DS use, with certain differences between the sexes, the considerable lack of knowledgeable and responsible use of DS, with few differences between the sexes, observed can point state authorities and health professionals towards appropriate countermeasures.
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22
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The impact of COVID-19 lockdown on snacking habits, fast-food and alcohol consumption: A systematic review of the evidence. Clin Nutr 2022; 41:3038-3045. [PMID: 34049747 PMCID: PMC8052604 DOI: 10.1016/j.clnu.2021.04.020] [Citation(s) in RCA: 76] [Impact Index Per Article: 38.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 04/03/2021] [Accepted: 04/12/2021] [Indexed: 01/27/2023]
Abstract
The pandemic of coronavirus disease 2019 (COVID-19) and lockdown measures, that were implemented in many countries in order to control the virus transmission, had negatively influenced the lifestyle of millions of people worldwide. In this study we aimed to investigate the impact of the first COVID-19 lockdown period (March-May 2020) on snacking behavior, fast-food and alcohol consumption. A systematic search in PubMed®, Scopus® and Web of Science® databases was conducted and 32 studies were included. Changes in snacking, in fast-food and ordered food consumption and in alcohol intake were examined. Snacking was found to be increased for a significant portion of the population examined (18.9-45.1%), whereas fast food (15.0-41.3%) and ordered food (33.9%) showed a tendency towards decrease. As per alcohol consumption, an upward trend was observed in a significant part (10.4-51.0%) of the participants examined. The increased snacking and alcohol consumption observed for almost a third of the examined population could be alarming because long-term health problems could arise in cases of repeated lockdowns in the future. The observed downward trend in fast-food consumption and in frequency of ordered food could be an encouraging sign of turning to home-prepared foods, but further research is needed in this field.
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23
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Roy PK, Song MG, Jeon EB, Kim SH, Park SY. Effects of dietary intake behavior, food supply, nutrition, and health during the COVID-19 outbreak. FRONTIERS IN SUSTAINABLE FOOD SYSTEMS 2022. [DOI: 10.3389/fsufs.2022.1032750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic, which began in 2019, has far-reaching ramifications, including economic losses and health challenges that still affect various parts of the world. During our review, we learned that the entire world is working to stop the spread of the SARS-CoV-2 outbreak. We explore ways that may lower the danger of SARS-CoV-2 contamination and useful strategies to avoid the possibility of SARS-CoV-2 spreading through food. While hygienic protocols are required in the food supply sector, cleaning, disinfection, and the avoidance of cross-contamination across food categories and other related goods at different stages of the manufacturing process remain especially important because the virus can survive for long periods of time on inert materials such as food packaging. Furthermore, personal hygiene (regular washing and disinfection), wearing gloves and using masks, garments, and footwear dedicated to maintaining hygiene provide on-site safety for food sector personnel, supply chain intermediaries, and consumers. Restrictions imposed in response to the pandemic (e.g., closure of physical workplaces, canteens, cafes, restaurants, schools, and childcare institutions), changes in household grocery shopping frequency, individuals' perceived risk of COVID-19, income losses due to the pandemic, and sociodemographic factors are among the factors. The conclusions drawn from this study consider the implications of healthy diets, food system resilience, behavior change, and nutritional imbalance for policymakers and food supply chain participants, as well as the antimicrobial effects of vitamins and nutrients. During a public health crisis, people should eat less, necessitating preventive policies and nutritional advice to deal with this.
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24
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Delgado-Ortiz L, Carsin AE, Merino J, Cobo I, Koch S, Goldberg X, Chevance G, Bosch de Basea M, Castaño-Vinyals G, Espinosa A, Carreras A, Cortes Martínez B, Straif K, de Cid R, Kogevinas M, Garcia-Aymerich J. Changes in Population Health-Related Behaviors During a COVID-19 Surge: A Natural Experiment. Ann Behav Med 2022; 57:216-226. [PMID: 36394497 PMCID: PMC10074031 DOI: 10.1093/abm/kaac054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Abstract
Background
The study of impact of lockdowns on individual health-related behaviors has produced divergent results.
Purpose
To identify patterns of change in multiple health-related behaviors analyzed as a whole, and their individual determinants.
Methods
Between March and August 2020, we collected data on smoking, alcohol, physical activity, weight, and sleep in a population-based cohort from Catalonia who had available pre-pandemic data. We performed multiple correspondence and cluster analyses to identify patterns of change in health-related behaviors and built multivariable multinomial logistic regressions to identify determinants of behavioral change.
Results
In 10,032 participants (59% female, mean (SD) age 55 (8) years), 8,606 individuals (86%) modified their behavior during the lockdown. We identified five patterns of behavioral change that were heterogeneous and directed both towards worsening and improvement in diverse combinations. Patterns ranged from “global worsening” (2,063 participants, 21%) characterized by increases in smoking, alcohol consumption, and weight, and decreases in physical activity levels and sleep time, to “improvement” (2,548 participants, 25%) characterized by increases in physical activity levels, decreases in weight and alcohol consumption, and both increases and decreases in sleep time. Being female, of older age, teleworking, having a higher education level, assuming caregiving responsibilities, and being more exposed to pandemic news were associated with changing behavior (all p < .05), but did not discriminate between favorable or unfavorable changes.
Conclusions
Most of the population experienced changes in health-related behavior during lockdowns. Determinants of behavior modification were not explicitly associated with the direction of changes but allowed the identification of older, teleworking, and highly educated women who assumed caregiving responsibilities at home as susceptible population groups more vulnerable to lockdowns.
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Affiliation(s)
- Laura Delgado-Ortiz
- Non-Communicable Diseases and Environment Program, Barcelona Institute for Global Health (ISGlobal) , Barcelona , Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF) , Barcelona , Spain
- CIBER Epidemiología y Salud Pública (CIBERESP) , Barcelona , Spain
| | - Anne-Elie Carsin
- Non-Communicable Diseases and Environment Program, Barcelona Institute for Global Health (ISGlobal) , Barcelona , Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF) , Barcelona , Spain
- CIBER Epidemiología y Salud Pública (CIBERESP) , Barcelona , Spain
- IMIM (Hospital del Mar Medical Research Institute) , Barcelona , Spain
| | - Jordi Merino
- Diabetes Unit and Center for Genomic Medicine, Massachusetts General Hospital , Boston, MA , USA
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard , Cambridge, MA , USA
- Department of Medicine, Harvard Medical School , Boston, MA , USA
| | - Inés Cobo
- Non-Communicable Diseases and Environment Program, Barcelona Institute for Global Health (ISGlobal) , Barcelona , Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF) , Barcelona , Spain
- CIBER Epidemiología y Salud Pública (CIBERESP) , Barcelona , Spain
| | - Sarah Koch
- Non-Communicable Diseases and Environment Program, Barcelona Institute for Global Health (ISGlobal) , Barcelona , Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF) , Barcelona , Spain
- CIBER Epidemiología y Salud Pública (CIBERESP) , Barcelona , Spain
| | - Ximena Goldberg
- Non-Communicable Diseases and Environment Program, Barcelona Institute for Global Health (ISGlobal) , Barcelona , Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF) , Barcelona , Spain
- CIBER Epidemiología y Salud Pública (CIBERESP) , Barcelona , Spain
| | - Guillaume Chevance
- Non-Communicable Diseases and Environment Program, Barcelona Institute for Global Health (ISGlobal) , Barcelona , Spain
| | - Magda Bosch de Basea
- Non-Communicable Diseases and Environment Program, Barcelona Institute for Global Health (ISGlobal) , Barcelona , Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF) , Barcelona , Spain
- CIBER Epidemiología y Salud Pública (CIBERESP) , Barcelona , Spain
| | - Gemma Castaño-Vinyals
- Non-Communicable Diseases and Environment Program, Barcelona Institute for Global Health (ISGlobal) , Barcelona , Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF) , Barcelona , Spain
- CIBER Epidemiología y Salud Pública (CIBERESP) , Barcelona , Spain
- IMIM (Hospital del Mar Medical Research Institute) , Barcelona , Spain
| | - Ana Espinosa
- Non-Communicable Diseases and Environment Program, Barcelona Institute for Global Health (ISGlobal) , Barcelona , Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF) , Barcelona , Spain
- CIBER Epidemiología y Salud Pública (CIBERESP) , Barcelona , Spain
- IMIM (Hospital del Mar Medical Research Institute) , Barcelona , Spain
| | - Anna Carreras
- Germans Trias i Pujol Research Institute (IGTP), Genomes for Life-GCAT , Badalona , Spain
| | | | - Kurt Straif
- Non-Communicable Diseases and Environment Program, Barcelona Institute for Global Health (ISGlobal) , Barcelona , Spain
- Global Public Health and the Common Good Program, Boston College , MA , USA
| | - Rafael de Cid
- Germans Trias i Pujol Research Institute (IGTP), Genomes for Life-GCAT , Badalona , Spain
| | - Manolis Kogevinas
- Non-Communicable Diseases and Environment Program, Barcelona Institute for Global Health (ISGlobal) , Barcelona , Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF) , Barcelona , Spain
- CIBER Epidemiología y Salud Pública (CIBERESP) , Barcelona , Spain
- IMIM (Hospital del Mar Medical Research Institute) , Barcelona , Spain
| | - Judith Garcia-Aymerich
- Non-Communicable Diseases and Environment Program, Barcelona Institute for Global Health (ISGlobal) , Barcelona , Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF) , Barcelona , Spain
- CIBER Epidemiología y Salud Pública (CIBERESP) , Barcelona , Spain
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Ośko J, Szewczyk A, Berk P, Prokopowicz M, Grembecka M. Assessment of the Mineral Composition and the Selected Physicochemical Parameters of Dietary Supplements Containing Green Tea Extracts. Foods 2022; 11:foods11223580. [PMID: 36429172 PMCID: PMC9689700 DOI: 10.3390/foods11223580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 11/07/2022] [Accepted: 11/08/2022] [Indexed: 11/12/2022] Open
Abstract
Our aim was to assess the mineral composition as well as the physicochemical quality of green tea-based dietary supplements (capsules and tablets) with respect to average weight, size and shape, friability, breaking force and disintegration time. Products were analysed by flame atomic absorption spectrometry for Ca, K, Mg, Na, Cr, Cu, Fe, Zn, Mn, Pb and Cd. Approximately 60% of the analysed supplements met the requirements of European and Polish regulations. The dietary supplements passed weight variation tests, but not all products had compliant capsule sizes. One product in tablet form failed the friability test, and eleven dietary supplements in tablet form failed the disintegration test. The supplements were characterised by a varied elemental composition, with the highest values found for Ca, Fe, Zn and Mn. The recommended daily allowance realisation for Fe and Zn in two dietary supplements (capsule form) exceeded 100%. As a result of the estimation of the monthly intake of toxic metals, it was concluded that the tested products do not pose a risk to consumer health. Significant relationships (p < 0.001) were found for K, Mg, Na, Cu, Fe, Mn and Zn. The application of factor and cluster analyses allowed the verification of the similarity of green tea extracts contained in dietary supplements to the natural raw material, green tea leaves, used as a reference material.
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Affiliation(s)
- Justyna Ośko
- Department of Bromatology, Faculty of Pharmacy, Medical University of Gdańsk, Gen. J. Hallera Avenue 107, 80-416 Gdańsk, Poland
| | - Adrian Szewczyk
- Department of Physical Chemistry, Faculty of Pharmacy, Medical University of Gdańsk, Gen. J. Hallera Avenue 107, 80-416 Gdańsk, Poland
| | - Paulina Berk
- Student Scientific Circle at the Department of Bromatology, Faculty of Pharmacy, Medical University of Gdańsk, Gen. J. Hallera Avenue 107, 80-416 Gdańsk, Poland
| | - Magdalena Prokopowicz
- Department of Physical Chemistry, Faculty of Pharmacy, Medical University of Gdańsk, Gen. J. Hallera Avenue 107, 80-416 Gdańsk, Poland
| | - Małgorzata Grembecka
- Department of Bromatology, Faculty of Pharmacy, Medical University of Gdańsk, Gen. J. Hallera Avenue 107, 80-416 Gdańsk, Poland
- Correspondence:
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Are Foods from the COVID-19 Pandemic Lockdown Low in Nutrients? An Analysis of Chinese Psychological Distress Effects. Nutrients 2022; 14:nu14214702. [PMID: 36364964 PMCID: PMC9656422 DOI: 10.3390/nu14214702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 10/31/2022] [Accepted: 11/04/2022] [Indexed: 11/09/2022] Open
Abstract
Background: The city-wide COVID-19 lockdown has resulted in psychological anguish, which may have an impact on dietary consumption. This study’s dual goals are to show how Chinese food consumption was altered before and after the lockdown, and to examine the nutrient density for the psychologically affected group. Methods: A cross-sectional study involving 652 people from Mainland China, Taiwan, and Macao was conducted with the aid of a web-based questionnaire. Sociodemographic characteristics, related environmental factors, nutrient consumption, food recommendations, and psychological distress were all measured. 516 trustworthy data revealed that two nutrient-poor foods were consumed less frequently during the lockdown than they were before to the COVID-19 outbreak (i.e., salty snacks and alcoholic beverages). People who endured high levels of psychological distress in particular tended to consume more. Particularly, those who experienced high levels of psychological distress had a tendency to consume far more alcohol than people who only experienced low levels of stress. Comparing the time before the COVID-19 to the present, there has statistically been an increase in the frequency of family members recommending diets. According to research, by food advice, individuals who experience psychological distress should consume more nutrient-dense foods (78.7%) than nutrient-poor ones (61.9%). Thus, food advice plays a role in mediating the relationship between psychological distress and dietary decisions for nutrient-rich (b = 0.186, p < 0.001) or nutrient-poor (b = 0.187, p < 0.001) food groups. This study provides insights for lowering psychological distress through dietary consumption, where the exact mechanisms underlying these connections have not been thoroughly elucidated. It encourages nutrition research by recommending practical nutrition education from family and environmental activities. Chronic psychological anguish may have a crucial relationship to secure access to food and a balanced diet. Along with nutrition instruction, it is critical to develop skills in interventions such as food procurement and culinary knowledge.
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Flores LE, Elgart JF, Abraham AG, Garrote GL, Torrieri R, Cepeda A, Cardelle-Cobas A, Gagliardino JJ. Changes in lifestyle behaviors during COVID-19 isolation in Argentina: A cross-sectional study. Nutr Health 2022:2601060221127115. [PMID: 36221976 PMCID: PMC9554566 DOI: 10.1177/02601060221127115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Our aim was to identify changes in population habits induced by COVID-19 confinement in Argentina. METHODS An internet-based cross-sectional survey was conducted among adults in Argentina on December 2020, requesting possible changes occurring during the COVID-19 outbreak. It included 26 questions regarding general information (age, gender, location), eating habits, desire/anxiety for food or to eat between meals, weight gain, physical activity, and hours of sleep. We ran a descriptive statistical analysis of changes in habits and lifestyle during the confinement, followed by a logistic regression analysis to explore the relation between these changes and weight gain. Results: Out of 1536 survey participants, 57.1% were female, aged 38.8 ± 13.1 years. Data showed that during the outbreak, people experienced significant changes in food intake, physical activity, nutritional supplement consumption, anxiety, and sleeping disorders. These changes in behavior resulted in an elevated percentage of people (39.7%) that gained weight (average 4.8 ± 2.8 kg). Weight gain was associated with more food consumption (OR: 9.398), increased snacking between meals (OR: 1.536), anxiety about food (OR: 3.180), less practice of physical activity (OR: 0.586) and less consumption of nutritional supplements (OR: 0.762). Conclusions: COVID-19 outbreak was associated with unhealthy lifestyle changes and body weight increase. These adverse side effects could be prevented by active promotion of nutritional advice and physical activity, implementing virtual activities associated with regular mass promotion campaigns.
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Affiliation(s)
- Luis E. Flores
- Centro de Endocrinología Experimental y Aplicada (UNLP-CONICET-CeAs CICPBA), Facultad de Ciencias Médicas UNLP, La Plata, Argentina
| | - Jorge F. Elgart
- Centro de Endocrinología Experimental y Aplicada (UNLP-CONICET-CeAs CICPBA), Facultad de Ciencias Médicas UNLP, La Plata, Argentina
| | - Analía G. Abraham
- Centro de Investigación y Desarrollo en Criotecnología de Alimentos, CIDCA (CONICET- UNLP- CIC.PBA), La Plata, Argentina
- Área Bioquímica y Control de Alimentos, Facultad de Ciencias Exactas- UNLP, La Plata, Argentina
| | - Graciela L. Garrote
- Centro de Investigación y Desarrollo en Criotecnología de Alimentos, CIDCA (CONICET- UNLP- CIC.PBA), La Plata, Argentina
| | - Rocío Torrieri
- Centro de Endocrinología Experimental y Aplicada (UNLP-CONICET-CeAs CICPBA), Facultad de Ciencias Médicas UNLP, La Plata, Argentina
| | - Alberto Cepeda
- Laboratorio de Higiene, Inspección y Control de Alimentos (LHICA). Departamento de Química Analítica, Nutrición y Bromatología. Facultad de Veterinaria, Universidade de Santiago de Compostela, Campus de Lugo, Lugo, Spain
| | - Alejandra Cardelle-Cobas
- Laboratorio de Higiene, Inspección y Control de Alimentos (LHICA). Departamento de Química Analítica, Nutrición y Bromatología. Facultad de Veterinaria, Universidade de Santiago de Compostela, Campus de Lugo, Lugo, Spain
| | - Juan J. Gagliardino
- Centro de Endocrinología Experimental y Aplicada (UNLP-CONICET-CeAs CICPBA), Facultad de Ciencias Médicas UNLP, La Plata, Argentina
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Qu X, Na X, Yang J, Yu H, Chen A, Zhao A. Reaching and maintaining higher dietary diversity is associated with decreased risk of all-cause mortality: A longitudinal study from the China Health and Nutrition Survey. Front Nutr 2022; 9:947290. [PMID: 36225878 PMCID: PMC9549334 DOI: 10.3389/fnut.2022.947290] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Accepted: 09/05/2022] [Indexed: 11/13/2022] Open
Abstract
It is generally believed that higher dietary diversity is associated with better health status. The dietary diversity of individuals may change with age; however, evidence on the trajectory of change in the long-term and whether it is related to all-cause mortality is still scant. In this study, we used data from the China Health and Nutrition Survey (CHNS) collected in five follow-ups between 2004 and 2015 to explore the association between changes in dietary diversity scores (DDS) and all-cause mortality, as well as the dynamic change in DDS with age. In total, 6,737 subjects (aged between 30 and 60 at enrollment) were included in the analysis. Latent Class Trajectory Modeling (LCTM) was used to explore the different trajectories of DDS changes among participants. Four classes were identified: class 1 with the lowest average DDS (3.0) that showed a gradual decline during the follow-ups; class 2 with relatively low DDS (4.0) that experienced slight growth; class 3 with medium DDS (5.2) that also demonstrated similar growth rate to class 2; and class 4 with the highest DDS (6.7) maintained at a high level. Cox proportional hazards regression models were applied to investigate the association between the DDS trajectories and the risk of death. Only class 4, which was characterized by the highest and stable DDS, had significant reduced risk of all-cause mortality of 71.0% (hazard ratio [HR]: 0.29; 95% confidence interval [CI]: 0.10–0.83), 68% (HR: 0.32; 95% CI: 0.11–0.89), and 66.0% (HR: 0.34; 95% CI: 0.12–0.94), compared to classes 1, 2, and 3, respectively, while the first three classes showed no significant inter-class differences. When considering the average DDS during the study period, each point of increase in DDS corresponded to a 22% reduced risk of mortality (HR: 0.78; 95% CI: 0.69–0.89). In summary, reaching and maintaining a higher DDS was associated with a decreased risk of all-cause mortality. Therefore, promoting diversified eating and increasing the accessibility of varieties of foods should be paid more attention from policymakers and be more emphasized in dietary guidelines.
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Affiliation(s)
- Xiaochen Qu
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Xiaona Na
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Jiaqi Yang
- Department of Nutrition and Food Studies, New York University, New York, NY, United States
| | - Haoran Yu
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Aiwen Chen
- Department of Psychology, Carnegie Mellon University, Pittsburgh, PA, United States
| | - Ai Zhao
- Vanke School of Public Health, Tsinghua University, Beijing, China
- *Correspondence: Ai Zhao
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de la Iglesia R, García-González Á, Achón M, Varela-Moreiras G, Alonso Aperte E. Fish, Seafood, and Fish Products Purchasing Habits in the Spanish Population during COVID-19 Lockdown. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11624. [PMID: 36141898 PMCID: PMC9517324 DOI: 10.3390/ijerph191811624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 09/05/2022] [Accepted: 09/13/2022] [Indexed: 06/16/2023]
Abstract
The Mediterranean diet is a healthy dietary pattern in which fish consumption is an important key element. In Spain, fish intake is the second highest in Europe. Dietary guidelines recommend an intake of 1-3 portions a week of fish. However, Spanish fish sales have been decreasing since 2008. The unexpected pandemic spread of the SARS-CoV-2 in 2020 led the Spanish Government to take restrictive measures that had an impact on people's behavior, including food purchases and consumption. The aim of the study was to analyze purchase data of fish, seafood, and fish products during the lockdown in Spain, using data from loyalty card holders (>5,000,000 participants) from a hypermarket chain in Spain. The results show a 45% increase in the purchase of all types of fish, seafood, and fish products, with the highest increment observed in the retiree (+65 years) as compared to the younger populations. Moreover, the retiree, in spite of the digital divide, were also the ones that most increased online shopping. These data should be considered since events like COVID-19 confinement can have a permanent impact on people's dietary habits, a possibility that should be monitored in the future.
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Affiliation(s)
- Rocío de la Iglesia
- Research Group “Alimentación y Nutrición en la Promoción de la Salud (Food and Nutrition in Health Promotion (CEU-NutriFOOD))”, Departamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo-CEU, CEU Universities, Urbanización Montepríncipe, 28660 Boadilla del Monte, Spain
| | - Ángela García-González
- Research Group “Alimentación y Nutrición en la Promoción de la Salud (Food and Nutrition in Health Promotion (CEU-NutriFOOD))”, Departamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo-CEU, CEU Universities, Urbanización Montepríncipe, 28660 Boadilla del Monte, Spain
| | - María Achón
- Research Group “Alimentación y Nutrición en la Promoción de la Salud (Food and Nutrition in Health Promotion (CEU-NutriFOOD))”, Departamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo-CEU, CEU Universities, Urbanización Montepríncipe, 28660 Boadilla del Monte, Spain
| | - Gregorio Varela-Moreiras
- Research Group “Nutrición para la Vida (Nutrition for Life)”, Departamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo-CEU, CEU Universities, Urbanización Montepríncipe, 28660 Boadilla del Monte, Spain
| | - Elena Alonso Aperte
- Research Group “Alimentación y Nutrición en la Promoción de la Salud (Food and Nutrition in Health Promotion (CEU-NutriFOOD))”, Departamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo-CEU, CEU Universities, Urbanización Montepríncipe, 28660 Boadilla del Monte, Spain
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Jiao W, Liu MT, Schulz PJ, Chang A. Impacts of Self-Efficacy on Food and Dietary Choices during the First COVID-19 Lockdown in China. Foods 2022; 11:2668. [PMID: 36076852 PMCID: PMC9455677 DOI: 10.3390/foods11172668] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2022] [Revised: 07/24/2022] [Accepted: 07/25/2022] [Indexed: 02/06/2023] Open
Abstract
The COVID-19 pandemic has caused a global public health emergency, increasing the prevalence of emotional distress, and potentially leading to altered diet behavior. Self-efficacy measures various aspects of perceiving and understanding emotions. The present study was carried out with the objective of understanding the effect of emotional self-efficacy on dietary behavior and quality. It also shed light on which elements contributed to the link between food-related behavior and perceived dietary quality during the first lockdown of the COVID-19 pandemic. Based on the factor analysis of nineteen food groups, choices, consumption, and socioeconomic status were examined in a sample of 441 Chinese participants. Multiple linear regression examined the association between food consumption, dietary quality, and self-efficacy. Contrary to prior research, the intake of salty snacks and alcoholic beverages dropped by 3.3% and 2.8%, respectively, during the first lockdown. Emotional self-efficacy negatively mediated the relationship between socioeconomic status and dietary quality. In conclusion, emotional self-efficacy is a well-established tool for evaluating how Chinese people cope with negative emotions. As an individual's dietary quality was affected during the imposed lockdown, the present study offers valuable insight into psychosocial factors that may contribute to health disparities by advocating for organized nutritional support in future epidemic-related quarantines.
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Affiliation(s)
- Wen Jiao
- Department of Communication, Faculty of Social Sciences, University of Macau, Macao 999078, China
| | - Matthew Tingchi Liu
- Department of Management and Marketing, Faculty of Business Administration, University of Macau, Macao 999078, China
| | - Peter Johannes Schulz
- Institute of Communication and Health, Lugano University, 6900 Lugano, Switzerland
- Department of Communications and Media, School of Communication and Media, Ewha Womans University, Seoul 03760, Korea
| | - Angela Chang
- Department of Communication, Faculty of Social Sciences, University of Macau, Macao 999078, China
- Institute of Communication and Health, Lugano University, 6900 Lugano, Switzerland
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31
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Effects of the COVID-19 Pandemic on Dietary Practices for Mothers in Japan. WOMEN 2022. [DOI: 10.3390/women2030025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
To the best of our knowledge, changes in mothers’ dietary behaviors or perceptions of dietary intake during the COVID-19 pandemic have not been extensively discussed. Therefore, the present study aimed to clarify how the dietary behaviors of mothers living with their children changed during the pandemic in Japan. Ordered probit and interval regressions were applied to individual data for mothers living with children under 18 years of age from five independently conducted Surveys of Attitudes toward Food and Nutrition Education (Shokuiku in Japanese). The estimation results showed that although mothers were more likely to eat dinner with their families during the pandemic, attention to healthy dietary practices, frequency of eating nutritionally balanced food, and dietary practices for preventing lifestyle-related diseases were negatively affected by the pandemic. In conclusion, mothers were more likely to decrease their commitment to a healthy and well-balanced diet during the pandemic than before it. Further research based on the latest datasets with detailed information over the long-term is required.
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32
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COVID-19 Pandemic and Consumption of Dietary Supplements among Adult Residents of Lithuania. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159591. [PMID: 35954945 PMCID: PMC9368138 DOI: 10.3390/ijerph19159591] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 07/20/2022] [Accepted: 08/03/2022] [Indexed: 11/17/2022]
Abstract
In the light of the changing pattern of the consumption of dietary supplements among adults in other countries during the COVID-19 pandemic, we aim to assess the prevalence of the consumption of dietary supplements with respect to the purpose of consumption and sociodemographic factors among adults in Lithuania. This study included two samples of adults from Lithuania: 870 in 2019 and 1600 in 2021. Anonymous original questionnaires were used to collect the data about the consumption of dietary supplements before and during the pandemic. The consumption of dietary supplements was prevalent among 67.2% and 78.1% of the samples, respectively. Although the majority (73.7%) of the respondents indicated that the pandemic had no effect on their use of dietary supplements, every fourth respondent’s (24.6%) consumption increased. In 2021, the consumption was more prevalent among females, respondents with university education, urban citizens, employed respondents, respondents without children, with higher income, and those who knew a person with COVID-19 (p < 0.05). During the pandemic, the strengthening of the immune system and the body were the leading reasons for consumption (49.0% and 43.5%, respectively). The consumption of dietary supplements appropriate for these purposes increased among 63.3% and 66.9% of respondents, respectively. To conclude, the consumption of dietary supplements among adults in Lithuania increased during the COVID-19 pandemic.
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de Carvalho NC, Amaral CAA, Liboredo JC. Cooking or Consuming Food from Away Home after the COVID-19 Lockdown in Brazil? JOURNAL OF CULINARY SCIENCE & TECHNOLOGY 2022. [DOI: 10.1080/15428052.2022.2104772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Affiliation(s)
| | | | - Juliana Costa Liboredo
- Department of food, School of Nutrition, Universidade Federal de Ouro Preto, Ouro Preto, Brazil
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Kyprianidou M, Chrysostomou S, Christophi CA, Giannakou K. Change of Dietary and Lifestyle Habits during and after the COVID-19 Lockdown in Cyprus: An Analysis of Two Observational Studies. Foods 2022; 11:foods11141994. [PMID: 35885238 PMCID: PMC9319624 DOI: 10.3390/foods11141994] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Revised: 07/01/2022] [Accepted: 07/03/2022] [Indexed: 12/22/2022] Open
Abstract
Background: People’s dietary and lifestyle habits appeared to be influenced by restrictive measures imposed in response to the COVID-19 pandemic. This study examines the differences in dietary and lifestyle habits during and after the lockdown measures in Cyprus. Methods: Two online cross-sectional surveys were conducted, using a self-administered, anonymous questionnaire to collect information on sociodemographic and anthropometric characteristics, smoking habits, physical activity, and dietary habits. The first survey was conducted between 6 April 2020 and 20 June 2020 (during national lockdown) while the second survey was conducted between 27 October 2021 and 20 January 2022 (post-lockdown). Results: A total of 2503 individuals participated in the study. A higher consumption of fruits, vegetables, legumes/pulses, fish, and poultry was identified during lockdown compared to the period after the lockdown. Moreover, a greater daily intake of olive oil and a lower consumption of alcohol was found during the confinement period compared to the post-confinement period. During lockdown, most participants (43.0%) never or rarely used delivery services, while the largest proportion of the participants after lockdown used delivery services 1−3 times per month (37.0%) (p < 0.001). During lockdown, around 66% of the participants were physically active, compared to 55.5% after lockdown (p < 0.001). Furthermore, when compared to those with a normal BMI, more overweight and obese respondents ordered food 1−2 times per week in both periods (p < 0.001). Conclusions: Dietary and lifestyle habits of the participants were healthier throughout the lockdown period than after the end of the restrictive measures due to the COVID-19 pandemic. It is critical to encourage the Cypriot population to maintain the healthy dietary and lifestyle habits established during the lockdown in their daily lives after the confinement.
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Affiliation(s)
- Maria Kyprianidou
- Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia 1516, Cyprus;
| | - Stavri Chrysostomou
- Department of Life Sciences, School of Sciences, European University Cyprus, Nicosia 1516, Cyprus;
| | - Costas A. Christophi
- Cyprus International Institute for Environmental and Public Health, Cyprus University of Technology, Limassol 3036, Cyprus;
| | - Konstantinos Giannakou
- Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia 1516, Cyprus;
- Correspondence: ; Tel.: +357-22559656
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Cong N, Zhao A, Kwan MP, Yang J, Gong P. An Indicator Measuring the Influence of the Online Public Food Environment: An Analytical Framework and Case Study. Front Nutr 2022; 9:818374. [PMID: 35845771 PMCID: PMC9281549 DOI: 10.3389/fnut.2022.818374] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Accepted: 05/23/2022] [Indexed: 12/03/2022] Open
Abstract
The online public food environment (OPFE) has had a considerable impact on people's lifestyles over the past decade; however, research on its exposure is sparse. The results of the existing research on the impact of the food environment on human health are inconsistent. In response to the lack of food elements in the definition of the food environment and the lack of a clear method to assess the health attributes and the impact degree of the food environment, we proposed a new analytical framework based on the latest disease burden research, combining the characteristics of China's current food environment, from the perspective of environmental science. We redefined the food environment and proposed that food and its physical space are two core elements of the food environment. Accordingly, we extracted four domains of characteristics to describe the basic components of the food environment. Using the sales records, we designed an approach by referring to the standard process of environmental health indicators, including the health attributes and the impact degree of the food environment, to measure the OPFE of takeaway food outlets. Further, we conducted a case study and extracted three domains of characteristics for more than 18,000 effective takeaway meals from 812 takeaway food outlets located in 10 administrative subdivisions in the Haidian District and Xicheng District of Beijing Municipality. The results showed that more than 60% of single meals sold by takeaway food outlets were considered as healthy, and only 15% of takeaway food outlets sold healthy meals exclusively. Additionally, there were significant differences in health effects among different types of food environments, and high-risk areas of different types of food environments can be spatially identified. Compared with the counting method in the availability of food environment, the proposed new approach can depict food environment characteristics not only in the macro-scale like the counting method but also in the meal-scale. The indicators could be useful for large-scale and long-term monitoring of food environmental changes due to their simple calculation and design depending on the food delivery platform.
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Affiliation(s)
- Na Cong
- Department of Earth System Science, Institute for Global Change Studies, Ministry of Education Ecological Field Station for East Asian Migratory Birds, Tsinghua University, Beijing, China
| | - Ai Zhao
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Mei-Po Kwan
- Department of Geography and Resource Management and Institute of Space and Earth Information Science, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China
| | - Jun Yang
- Department of Earth System Science, Institute for Global Change Studies, Ministry of Education Ecological Field Station for East Asian Migratory Birds, Tsinghua University, Beijing, China
| | - Peng Gong
- Ministry of Education Ecological Field Station for East Asian Migratory Birds, Tsinghua University, Beijing, China
- Department of Geography and Earth Sciences, The University of Hong Kong, Pok Fu Lam, Hong Kong SAR, China
- *Correspondence: Peng Gong
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36
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Han X, Guo Y, Xue P, Wang X, Zhu W. Impacts of COVID-19 on Nutritional Intake in Rural China: Panel Data Evidence. Nutrients 2022; 14:2704. [PMID: 35807889 PMCID: PMC9268832 DOI: 10.3390/nu14132704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2022] [Revised: 06/24/2022] [Accepted: 06/27/2022] [Indexed: 01/27/2023] Open
Abstract
The COVID-19 pandemic introduced risks and challenges to global food and nutrition security. In this paper, we examine the impact of the COVID-19 pandemic on the nutritional intake of China’s rural residents using panel data and a fixed effects model. The data were collected in 2019 and 2020 and covered nine provinces and 2631 households in rural China. The results reveal that an increase of 100 confirmed cases in a county resulted in a 1.30% (p < 0.01), 1.42% (p < 0.01), 1.65% (p < 0.01), and 1.15% (p < 0.01) decrease in per capita intake of dietary energy, carbohydrates, fats, and proteins, respectively. Moreover, the COVID-19 pandemic had a significant and negative effect on dietary macronutrient intake in the low-income group at the 5% level of significance. Our study indicates that the potential insufficient nutrition situation, nutritional imbalance, and dietary imbalance of low-income rural residents should be addressed appropriately.
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Affiliation(s)
- Xinru Han
- Institute of Agricultural Economics and Development, Chinese Academy of Agricultural Sciences, Beijing 100081, China; (X.H.); (P.X.); (X.W.)
| | - Yufei Guo
- School of Advanced Agricultural Sciences, Peking University, Beijing 100871, China;
- School of Economics, Central University of Finance and Economics, Beijing 102206, China
| | - Ping Xue
- Institute of Agricultural Economics and Development, Chinese Academy of Agricultural Sciences, Beijing 100081, China; (X.H.); (P.X.); (X.W.)
| | - Xiudong Wang
- Institute of Agricultural Economics and Development, Chinese Academy of Agricultural Sciences, Beijing 100081, China; (X.H.); (P.X.); (X.W.)
| | - Wenbo Zhu
- Rural Development Institute, Chinese Academy of Social Sciences, Beijing 100732, China
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Boon or Bane? Urban Food Security and Online Food Purchasing during the COVID-19 Epidemic in Nanjing, China. LAND 2022. [DOI: 10.3390/land11060945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This paper examines the relationship between the rapid growth of online food purchasing and household food security during the first wave of the COVID-19 pandemic in China using the city of Nanjing as a case study. The paper presents the results of an online survey of 968 households in Nanjing in March 2020 focused on their food purchasing behavior and levels of food security during the early weeks of the pandemic. While online food purchasing has increased rapidly in many countries during the COVID-19 pandemic, little research attention has been paid to the relationship between online food purchasing and household food security. This paper provides detailed insights into this relationship in China. The medium- and longer-term food security and other consequences of the pandemic pivot to online food purchasing are a fertile area for future research in China and elsewhere.
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Behavioral and Emotional Changes One Year after the First Lockdown Induced by COVID-19 in a French Adult Population. Healthcare (Basel) 2022; 10:healthcare10061042. [PMID: 35742093 PMCID: PMC9222852 DOI: 10.3390/healthcare10061042] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 05/24/2022] [Accepted: 05/31/2022] [Indexed: 02/04/2023] Open
Abstract
(1) Background: The lockdown had various consequences on physical activity and food consumption behaviors. The post-lockdown has been much less studied. The aim of this study is to compare behaviors one year after the first lockdown in a group of normal-weight (NW) or overweight French adults (OW). (2) Methods: Over a period of 4 days, both at the beginning of May 2020 (lockdown) and in June 2021 (free living post-lockdown), the same French adults used the WellBeNet smartphone application to record their sedentary behavior, physical activity (PA), food consumption and emotions. (3) Results: One year post first lockdown, the weight and body mass index increased (+1.1 kg; +0.4 kg.m−2, p < 0.01), and sedentary behaviors increased (+5.5%, p < 0.01) to the detriment of light-intensity activities (−3.3%, p = 0.10) in the whole group. Some food categories, such as alcohol, tended to be consumed more (+0.15 portion/day, p = 0.09), while fatty, salty and sugary products decreased (−0.25 portion/d, p = 0.02) but without a change in the food balance score. A higher number of both positive and negative emotions were scored per day (+9.5, p < 0.0001; +2.9, p = 0.03), and the positive ones were perceived stronger (+0.23, p = 0.09). Simultaneously, the desire to eat was lower (−11.6/100, p < 0.0001), and the desire to move remained constant. Sedentary/active behaviors and the desire to eat changed differently in NW and OW adults after the lockdown. (4) Conclusions: In general, the post-lockdown period was less favorable for physical activity practice and resulted in a similar food balance score but was more conducive to mental wellbeing.
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Shuvo SD, Hossain MS, Riazuddin M, Mazumdar S, Roy D. Factors influencing low-income households' food insecurity in Bangladesh during the COVID-19 lockdown. PLoS One 2022; 17:e0267488. [PMID: 35536850 PMCID: PMC9089875 DOI: 10.1371/journal.pone.0267488] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Accepted: 04/08/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic and countrywide lockdown could negatively impact household food insecurity among low-income households. This study aimed to investigate the prevalence of household food insecurity and its influencing factors among low-income people in Bangladesh during the lockdown of COVID-19. METHODS This cross-sectional study was conducted through face-to-face interviews from 500 low-income households during the countrywide COVID-19 lockdown. A pretested, structured and validated questionnaire was used to collect socioeconomic characteristics, household income conditions, and food accessibility. Household Food Insecurity Access Scale (HFIAS) and Dietary Diversity Score (DDS) were used to measure food insecurity. Multinomial logistic regression models were estimated to evaluate and predict risk factors that influence food insecurity. RESULTS The study found that above 67% of households was mild-to-moderate food insecure while 23% experienced severe food insecurity. Significantly, 88%, 97.4%, and 93.4% of the households had anxiety and uncertainty, inadequate quality, and inadequate quantity of food, respectively. The regression analysis revealed the age 36-50 years (RRR: 4.86; 95% CI: 2.31-7.44, RRR: 4.16; 95% CI: 2.25-6.10) and monthly income <58.3 USD (RRR: 3.04; 95% CI: 1.12-5.14, RRR: 3.26; 95% CI: 1.79-4.71) were significantly associated with food insecurity (p <0.001). Likewise, less-income (RRR: 3.87; 95% CI: 1.37-6.46, RRR: 2.99; 95% CI: 1.16-4.83), increase in food prices (RRR: 1.29; 95% CI: 0.32-2.33, RRR: 1.08; 95% CI: 0.05-1.12), and those who did not have same type of earning as before during the COVID-19 lockdown (RRR: 3.41; 95% CI: 1.33-5.62, RRR: 2.60; 95% CI: 0.99-4.24) were potential risk factor for MMFI and FI. CONCLUSION This study found that households become more susceptible to food insecurity during the COVID-19 pandemic and lockdown period. Based on the findings, we suggest some essential food policies and adequate food assistance to mitigate these negative consequences.
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Affiliation(s)
- Suvasish Das Shuvo
- Department of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Md. Sakhawot Hossain
- Department of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Md. Riazuddin
- Department of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Sanaullah Mazumdar
- Department of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Deepa Roy
- Department of Mathematics, Jashore University of Science and Technology, Jashore, Bangladesh
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Li Z, Ma Y, Huo S, Ke Y, Zhao A. Impact of COVID-19 Vaccination Status and Confidence on Dietary Practices among Chinese Residents. Foods 2022; 11:foods11091365. [PMID: 35564088 PMCID: PMC9104347 DOI: 10.3390/foods11091365] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 04/30/2022] [Accepted: 05/04/2022] [Indexed: 12/12/2022] Open
Abstract
Healthy diets promote immune functions and have been shown to reduce COVID-19 severity. In 2021, COVID-19 vaccines have become available to the general public. However, whether vaccination status could affect individual and populational health behaviors is unknown. This study aimed to investigate the impacts of vaccination status and confidence on dietary practices. An online survey was conducted in August 2021. We collected data on dietary intake, diversity and behaviors, vaccination status and confidence and socio-demographic characteristics. Among the 5107 responses received, a total of 4873 study participants were included in the final analysis. Most of our participants aged between 18 and 45 years and 82% of them were fully vaccinated against COVID-19. Household level dietary diversity was found to be higher among people who were fully vaccinated (β = 0.321, 95%CI: 0.024 to 0.618) or who were more confident in the protectiveness of the vaccine (β for tertile 3 comparing with lowest tertile = 0.544, 95%CI: 0.407, 0.682). Vaccination promoted the intake of seafood, but it was also positively associated with the consumption of sugar, preserved, fried and barbequed foods and reduced vegetable intake. Higher vaccination confidence was associated with increased consumption of seafood, bean, fruits and vegetables and reduced fat intake. Changes in dietary behaviors compared with early 2021 (when vaccination was not common) were observed and differed by vaccination status and confidence level. Conclusion: COVID-19 vaccination status and confidence had varied, and possibly negative, impacts on dietary intake and behaviors. Our results suggest that vaccination status and confidence might be significant influencing factors affecting people’s health behaviors and highlight that healthy eating should be consistently promoted to prevent poor dietary practices during global health crisis.
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Affiliation(s)
- Zhongyu Li
- Vanke School of Public Health, Tsinghua University, Beijing 100091, China;
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, USA
| | - Yidi Ma
- School of Public Health, Peking University, Beijing 100191, China; (Y.M.); (S.H.); (Y.K.)
| | - Shanshan Huo
- School of Public Health, Peking University, Beijing 100191, China; (Y.M.); (S.H.); (Y.K.)
| | - Yalei Ke
- School of Public Health, Peking University, Beijing 100191, China; (Y.M.); (S.H.); (Y.K.)
| | - Ai Zhao
- Vanke School of Public Health, Tsinghua University, Beijing 100091, China;
- Correspondence: ; Tel.: +86-138-1113-1994
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Hamzaid NH, Gumisi ZGR, Ahmad Helme SK, Azmi N, Shahril MR. Lifestyle and Psychological Factors Affecting Eating Habits and Physical Activity Among Government Servants in the States With the Highest Cumulative Cases in Malaysia During the COVID-19 Pandemic. Front Public Health 2022; 10:816530. [PMID: 35517647 PMCID: PMC9062616 DOI: 10.3389/fpubh.2022.816530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 02/28/2022] [Indexed: 11/13/2022] Open
Abstract
IntroductionLike many other countries, the federal government of Malaysia took the initiative to implement nationwide home confinement as a preventive measure in response to the pandemic COVID-19 outbreak, better known as Movement Control Order (MCO). Many have suffered economically, which led to poor states of well-being. This study investigates the relationship between lifestyle, psychological factors affecting eating habits, and physical activity among government servants in states with the highest cumulative cases during the COVID-19 pandemic.MethodsA cross-sectional online survey was conducted among 210 government servants from four states (Selangor, Sabah, Kuala Lumpur, and Johor) from May 2021 to June 2021. Three validated questionnaires were used, namely, Emotional-Eater Questionnaire (EEQ), and Malay International Physical Activity Questionnaire (IPAQ-M) from López-Moreno et al. (1).ResultsThere were significant gender differences (P < 0.001) for supplement intake, with 30.4% among men and 62.3% in women. Almost half (49.1%) were classified as emotional or very emotional eaters. Also, a significant difference (P < 0.005) was found in the perception of boredom and apathy between men (35.7%) and women (31.8%). A majority (56.2%) stated that their mood positively affected their eating habits. The total metabolic equivalent of task (MET) for 132 subjects was 3495.8 ± 3862.7 min/week for physical activity. Significant differences were observed between MET and gender (Mann–Whitney U-test: P = 0.019), with men showing higher MET value (5001.4 ± 5354.0 min/week men, 2864.3 ± 2754.3 min/week women). A significant difference was observed among women for body weight and body mass index (BMI) before and during MCO (P < 0.001). For the emotional eater, there were correlations with eating habits before the MCO for quantity of food intake (P = 0.003), frequency of mealtime (P < 0.001), changes of food habits (P = 0.005), cooking methods (P = 0.016), and frequency of food intake (P = 0.020). There is no correlation (P = 0.577) between psychological factors affecting eating habits and physical activity during COVID-19.ConclusionChanges were reported before and during MCO on lifestyle, eating habits, and physical activity. Such information will help design strategies to improve the economic and health status among government servants in Malaysia during the implementation of MCO or something similar.
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Affiliation(s)
- Nur Hana Hamzaid
- Faculty of Health Sciences, Centre for Rehabilitation and Special Needs Studies (iCaRehab), Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
- Department of Dietetics, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
- Department of Dietetics and Food Service, Children Specialist Hospital, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
- *Correspondence: Nur Hana Hamzaid
| | | | | | - Norhazirah Azmi
- Department of Dietetics, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Mohd. Razif Shahril
- Faculty of Health Sciences, Centre for Healthy Ageing and Wellness (H-CARE), Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
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Han Y, Cheng J, An D, He Y, Tang Z. Occurrence, potential release and health risks of heavy metals in popular take-out food containers from China. ENVIRONMENTAL RESEARCH 2022; 206:112265. [PMID: 34699759 DOI: 10.1016/j.envres.2021.112265] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Revised: 10/13/2021] [Accepted: 10/19/2021] [Indexed: 06/13/2023]
Abstract
Global consumption of take-out food increased rapidly and the chemicals in their containers become a potential source of human exposure. However, available information on heavy metals in the containers is extremely limited and the associated health risks remain poorly understood. We investigated Cd, Cr, Pb, Sb, Mn, Ni and Co in the popular take-out food containers from China and found the concentrations of these metals were moderate in comparison to the concentrations reported in other food contact materials. The metal concentrations in sampled containers by material type differed significantly, and higher concentrations of Cd, Pb, Sb, Mn and Co were observed in expanded polystyrene samples. The metals in the containers likely originated from intentional addition and/or contamination of materials. The potential release of the metals from containers was simulated and found the median leaching rates of Cd, Pb, Sb, Ni and Co in the range of 0.36-4.80% under typical conditions, which depended largely on the material types. Based on the observed leaching rates, we estimated that the summed carcinogenic risks of Cd, Pb, Ni and Co were unacceptable under specific exposure frequency, although the total non-carcinogenic risks from metal intake were low.
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Affiliation(s)
- Yu Han
- Key Laboratory of Ecology and Environment in Minority Areas (Minzu University of China), National Ethnic Affairs Commission, Beijing, 100081, China; College of Life and Environmental Sciences, Minzu University of China, Beijing, 100081, China; Environmental Research Institute/School of Environment, Guangdong Provincial Key Laboratory of Chemical Pollution and Environmental Safety & MOE Key Laboratory of Theoretical Chemistry of Environment, South China Normal University, Guangzhou, 510006, China.
| | - Jiali Cheng
- Key Laboratory of Trace Element Nutrition of the National Health Commission, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, 100050, China.
| | - Di An
- Key Laboratory of Ecology and Environment in Minority Areas (Minzu University of China), National Ethnic Affairs Commission, Beijing, 100081, China; College of Life and Environmental Sciences, Minzu University of China, Beijing, 100081, China.
| | - Ying He
- Key Laboratory of Ecology and Environment in Minority Areas (Minzu University of China), National Ethnic Affairs Commission, Beijing, 100081, China; College of Life and Environmental Sciences, Minzu University of China, Beijing, 100081, China.
| | - Zhenwu Tang
- Key Laboratory of Ecology and Environment in Minority Areas (Minzu University of China), National Ethnic Affairs Commission, Beijing, 100081, China; College of Life and Environmental Sciences, Minzu University of China, Beijing, 100081, China.
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Miles H, Apeldoorn B, McKerchar C, Curl A, Crossin R. Describing and characterising on-demand delivery of unhealthy commodities in New Zealand. Aust N Z J Public Health 2022; 46:429-437. [PMID: 35357727 DOI: 10.1111/1753-6405.13230] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 12/01/2021] [Accepted: 02/01/2022] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVE To determine the geographical location and characteristics of on-demand delivery services operating in New Zealand. METHODS We systematically searched the web and application (app) stores for on-demand services offering rapid delivery of food, alcohol, cigarettes or vaping products in New Zealand and mapped their geographic location as of May 2021. Using desktop review, data on service characteristics were collected and stratified including: types of commodities available, promotion strategies, and the legal aspects of access to age-restricted items. RESULTS On-demand services for food, alcohol and nicotine products operate across urban and rural New Zealand. All services offered personal memberships and 97% used promotions. All services offering restricted items had an age verification process, however, only 87% had birth date entry and 73% had an 18+ message pop-up on website entry. Only 60% of services appeared to have number limits on restricted items. CONCLUSIONS Much of New Zealand is serviced by on-demand delivery services. IMPLICATIONS FOR PUBLIC HEALTH The trend towards on-demand delivery services may increase unhealthy food, alcohol and nicotine-related harms and it undermines current government actions, e.g. the Smokefree 2025 goal. This research informs policy to reduce the future health burden.
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Affiliation(s)
| | | | - Christina McKerchar
- Department of Population Health, University of Otago Christchurch, New Zealand
| | - Angela Curl
- Department of Population Health, University of Otago Christchurch, New Zealand
| | - Rose Crossin
- Department of Population Health, University of Otago Christchurch, New Zealand
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Banna MHA, Sayeed A, Kundu S, Kagstrom A, Sultana MS, Begum MR, Khan MSI. Factors associated with household food insecurity and dietary diversity among day laborers amid the COVID-19 pandemic in Bangladesh. BMC Nutr 2022; 8:25. [PMID: 35321757 PMCID: PMC8941835 DOI: 10.1186/s40795-022-00517-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Accepted: 03/09/2022] [Indexed: 12/23/2022] Open
Abstract
Backgrounds Food insecurity and dietary diversity remain a public health concern in developing countries like Bangladesh which is exacerbated by the COVID-19 especially for day laborers’ families in Bangladesh. This study aimed to determine factors associated with household food insecurity and household dietary diversity among day laborers during the COVID-19 pandemic in Bangladesh. Methods This cross-sectional study was conducted among 343 households of day laborers in Bangladesh using a semi-structured questionnaire. Household food security (HFS) and Household dietary diversity (HDD) scores were assessed using the HFS scale and household’s 24-h recall of intake of 12 food groups, respectively. Results The overall mean scores of HFS and HDD were 26.80 (SD, 4.83) and 4.08 (SD, 1.15). Having household head aged > 40 years and monthly household income > 5000 Bangladeshi Taka (BDT) were positively associated with HDD scores. Having an education level above secondary, monthly household income > 5000 BDT, and having a refrigerator were associated with the higher HFS scores, whereas having family members > 5 was a potential determinant of lower HFS scores. Pandemic-induced work loss and food scarcity were also potential determinants of lower HFS and HDD scores. Approximately 94% of respondents reported their wages were reduced, and 76% were deprived of the same quantity of food as pre-pandemic periods. Conclusions Lower socio-economic status and pandemic-induced work loss affect the HFS and HDD. Interventions with financial aid and complemented food distributions, particularly among the wage looser, may improve the HFS and HDD of day laborers. Supplementary Information The online version contains supplementary material available at 10.1186/s40795-022-00517-8.
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Affiliation(s)
- Md Hasan Al Banna
- Department of Food Microbiology, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, 8602, Bangladesh
| | - Abu Sayeed
- Department of Post-Harvest Technology and Marketing, Patuakhali Science and Technology University, Patuakhali, 8602, Bangladesh
| | - Satyajit Kundu
- School of Public Health, Southeast University, Nanjing, 210009, China. .,Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, 8602, Bangladesh.
| | - Anna Kagstrom
- Department of Public Mental Health, National Institute of Mental Health, Topolová 748, Klecany, 250 67, Czech Republic.,Department of Psychiatry and Medical Psychology, Third Faculty of Medicine, Charles University, Prague, Czech Republic
| | - Mst Sadia Sultana
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| | - Musammet Rasheda Begum
- Department of Agricultural Economics and Social Sciences, Chattogram Veterinary and Animal Sciences University, Chattogram, 4225, Bangladesh
| | - Md Shafiqul Islam Khan
- Department of Food Microbiology, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, 8602, Bangladesh
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de Souza Cunha C, Haikal DS, Silva RRV, de Pinho L, das Graças Pena G, Bicalho AH, de Souza Costa Sobrinho P, Nobre LN. Association between lifestyle and emotional aspects of food consumption during the COVID-19 pandemic. Nutr Metab Cardiovasc Dis 2022; 32:734-742. [PMID: 35120776 PMCID: PMC8702634 DOI: 10.1016/j.numecd.2021.12.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 11/23/2021] [Accepted: 12/20/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND AND AIMS Adequate nutrition during infectious outbreaks require a personal management strategy, especially when there are emotional factors involved. To evaluate the association between lifestyle and emotional aspects of food consumption during the pandemic COVID-19. METHODS AND RESULTS Cross-sectional study using online self-applied questionnaire with 15,372 active schoolteachers who worked in primary education (kindergarten, elementary and high school) from Minas Gerais, Brazil. Poisson Regression model with robust variance was used to determine the association between lifestyle and emotional aspects and food consumption. Greater adherence to the healthy consumption profile showed a statistically significant association with decreased weight (PR = 1.58; p = 0.000), decreased physical activity (PR = 1.27; p = 0.000), reduced income, (PR = 1.26; p = 0.000), reduced alcohol consumption (PR = 1.22; p = 0.000), and changes in mental health (PR = 1.19; p = 0.000). Unhealthy consumption profile was significantly correlated with weight gain (PR = 1.54; p = 0.000), consuming more alcohol, or started drinking during the pandemic (PR = 1.44; p = 0.000), increased physical activity (PR = 1.43; p = 0.000); increased cigarette consumption (PR = 1.17; p = 0.000), and being a younger adult (PR = 1.17; p = 0.000). CONCLUSIONS The COVID-19 pandemic influenced the food profiles of basic education teachers in the Minas Gerais state education system in a bidirectional manner, favoring the practice of consuming healthy or unhealthy foods.
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Affiliation(s)
- Chayze de Souza Cunha
- Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina Postgraduate Program in Sciences of Nutrition, Minas Gerais, Brazil.
| | - Desirée Sant'Ana Haikal
- Postgraduate Program in Health Sciences, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, Minas Gerais, Brazil.
| | - Rosângela Ramos Veloso Silva
- Postgraduate Program in Health Sciences, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, Minas Gerais, Brazil; Postgraduate Program in Primary Health Care, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, Minas Gerais, Brazil.
| | - Lucineia de Pinho
- Postgraduate Program in Health Sciences, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, Minas Gerais, Brazil; Postgraduate Program in Primary Health Care, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, Minas Gerais, Brazil.
| | - Geórgia das Graças Pena
- Postgraduate Program in Health Sciences, Universidade Federal de Uberlândia (UFU), Uberlândia, Minas Gerais, Brazil.
| | - Audrey Handyara Bicalho
- Instituto Federal de Educação Ciência e Tecnologia do Norte de Minas Gerais, IFNMG Montes Claros, Minas Gerais, Brazil.
| | - Paulo de Souza Costa Sobrinho
- Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina Postgraduate Program in Sciences of Nutrition, Minas Gerais, Brazil.
| | - Luciana Neri Nobre
- Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina Postgraduate Program in Sciences of Nutrition, Minas Gerais, Brazil.
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Delving the role of nutritional psychiatry to mitigate the COVID-19 pandemic induced stress, anxiety and depression. Trends Food Sci Technol 2022; 120:25-35. [PMID: 35002078 PMCID: PMC8720048 DOI: 10.1016/j.tifs.2021.12.035] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2021] [Revised: 12/14/2021] [Accepted: 12/29/2021] [Indexed: 02/08/2023]
Abstract
BACKGROUND The distressing COVID-19 pandemic has had a substantial impact on public mental health, and the importance of food and nutrients in several aspects of mental health has been recognized. People in isolation or quarantine suffer from severe stress, anger, panic attack, and anxiety. SCOPE AND APPROACH Although, people who have improved and progressed through medications or vaccines have reduced anxiety levels to some extent yet the efficacy of these measures, in the long run, remains a question. The review depicts that such negative emotional reactions were particularly higher in elderly individuals in the first wave than in other phases. The emotional and behavioral response to the COVID-19 pandemic is multifactorial. From different research studies, it has been found that stress scores were considerably higher for those engaging in unhealthy eating practices. This factor relies not only on external components but on personal and innate ones as well. In the present pandemic, the sustainable development of the food system would have been a major issue; this should be carefully restored to avoid a food crisis in the future. KEY FINDINGS AND CONCLUSIONS Changes in mind-body interactions are triggered by psychosocial stresses such as interpersonal loss and social rejection. Physiological response (in terms of psychological stress) in COVID-19 affected patients varies due to individual physical health status. This review explores the relationship between nutrition and mental health as what we eat and think is interlinked with the gut-brain-axis. The role of dietary components along with the Mediterranean diet, DASH diet and use of psychobiotics in improving psychological distress in pandemic induced stress, anxiety and depression has also been discussed.
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Supply Chain Sustainability during COVID-19: Last Mile Food Delivery in China. SUSTAINABILITY 2022. [DOI: 10.3390/su14031484] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
The COVID-19 pandemic triggered a strict 100-day lockdown period in Spring of 2020 in China. One of the consequences of the lockdown was the disruption of the food supply chain for the millions of people confined to their homes. The well-established online food delivery service (OFDS) in China were disrupted by pressure to scale up rapidly to resolve the last mile of food delivery. The importance of the OFDS during periods of crises became apparent, as did the realization that uninterrupted food distribution was only possible due to the presence and scalability of the existing delivery network. Focusing on the importance of an established OFDS as a foundation for food distribution, this paper seeks to explore factors that affect consumers’ perception and acceptance of the retail food delivery system in urban China. By applying the extended theory of planned behavior (TPB), mean value calculation, univariate linear regression, and multiple linear regression have been adopted to test the hypotheses. Data obtained online from 260 participants demonstrate that the software’s characteristics concerning hedonic motivation (HM), convenience motivation (CM), perceived ease of use (PEOU), navigational design (ND), information quality (IQ), privacy and security (PS), restaurant credibility (RC), and perceived severity (Psev) have positive and significant impacts on customers’ intention to use (ITU), and thus, affects the actual use (AU) of the application in a positive way. The findings of this research contribute to the existing literature by consolidating, validating, and extending the TPB model, especially under the large-scale public health crisis circumstances. Customized practical insights are provided to emphasize developing HM, CM, Psev, and RC factors with maximal marginal effects that promote consumer acceptance; this is a prerequisite to the development of a robust OFDS. which can be repurposed during periods of crises to provide sustainable last-mile food delivery networks.
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Mukattash TL, Alkhalidy H, Alzu'bi B, Abu-Farha R, Itani R, Karout S, Khojah HMJ, Khdour M, El-Dahiyat F, Jarab A. Dietary supplements intake during the second wave of COVID-19 pandemic: A multinational Middle Eastern study. Eur J Integr Med 2022; 49:102102. [PMID: 35039757 PMCID: PMC8754456 DOI: 10.1016/j.eujim.2022.102102] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 12/24/2021] [Accepted: 01/09/2022] [Indexed: 02/08/2023]
Abstract
Introduction Despite the controversy about the benefits of dietary supplements in treating or preventing COVID-19, their use has increased worldwide even with the introduction of relevant vaccines. Thus, this study aimed to investigate the perception of the Middle Eastern Arab public of dietary supplements as prophylactic or therapeutic agents against COVID-19, and their consumption during the second wave of the COVID-19 pandemic. Methods A validated, pilot tested online survey was distributed through social networking platforms in Lebanon, the Kingdom of Saudi Arabia, Palestine, Jordan, and the United Arab Emirates. Responses underwent various statistical analyses. Results A total of 2,100 responses were included. Around 44% of participants reported changes in their dietary behavior during COVID-19, and 70% believed that healthy habits may prevent the infection. Moreover, 21% believed that dietary supplements surely protect against COVID-19 and 45% thought they aid in treating it. Users of supplements during the second wave of the pandemic counted for 47%, who declared they were influenced by the media, healthcare providers, or close contacts. Most used supplements included Vitamins C and D and zinc. Only 34% of participants read supplement leaflets. The use of supplements was significantly correlated with being female and exercising, as revealed by the odds ratio and logistic regression analysis. Conclusions In line with other areas of the world, the use of dietary supplements in the Middle East against COVID-19 is not evidence-based. Competent health authorities should play their role in spreading sound awareness among the public regarding this issue.
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Affiliation(s)
- Tareq L Mukattash
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, P. O. Box 3030, Irbid, Jordan
| | - Hana Alkhalidy
- Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, P. O. Box 3030, Irbid, Jordan
| | - Buthaina Alzu'bi
- Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, P. O. Box 3030, Irbid, Jordan
| | - Rana Abu-Farha
- Clinical Pharmacy and Therapeutics Department, Faculty of Pharmacy, Applied Science Private University, Amman, Jordan
| | - Rania Itani
- Pharmacy Practice Department, Faculty of Pharmacy, Beirut Arab University, P.O. Box 11-5020, Riad El Solh, 1107 2809, Beirut, Lebanon
| | - Samar Karout
- Pharmacy Practice Department, Faculty of Pharmacy, Beirut Arab University, P.O. Box 11-5020, Riad El Solh, 1107 2809, Beirut, Lebanon
| | - Hani M J Khojah
- Department of Clinical and Hospital Pharmacy, College of Pharmacy, Taibah University, P.O. Box: 30051, 41477, Madinah, Kingdom of Saudi Arabia
| | - Maher Khdour
- Faculty of Pharmacy, Al-Quds University, Jerusalem, Palestine
| | - Faris El-Dahiyat
- Clinical Pharmacy Program, College of Pharmacy, Al-Ain University, P. O. Box 64141, Al Ain, United Arab Emirates
| | - Anan Jarab
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, P. O. Box 3030, Irbid, Jordan
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Zhang GX, Zhao RZ, Zhang WT, Yu WJ, Zhang XJ, Gao SS, Leal IRO, Carrilllo-Vico A, Toledo MC, O'Farrill ZL, Amoedo RP, Zhu JY, Zhao G, Izquierdo G. The social and occupational consequences of the COVID-19 pandemic among patients with multiple sclerosis in three distinct populations: A web-based cross-sectional survey. NEUROLOGY PERSPECTIVES 2022; 2:9-20. [PMID: 38620860 PMCID: PMC8574073 DOI: 10.1016/j.neurop.2021.10.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2021] [Accepted: 10/17/2021] [Indexed: 12/27/2023]
Abstract
Background The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes the disease COVID-19, has caused a pandemic that has rapidly affected the whole world and caused a significant threat to public health. The aim of this study was to investigate and analyze the social and occupational effects of the COVID-19 pandemic on patients with multiple sclerosis (MS) in three different countries: China, Spain, and Cuba. Methods A cross-sectional survey was designed to assess the social and occupational effects of the COVID-19 pandemic in MS patients in these three countries, using a 25-item anonymous online questionnaire, structured into three sections. Quantitative data are expressed as mean (standard deviation), and quantitative data as absolute frequency and percentage. Results A total of 361 participants responded to the questionnaire: 194 from China, 104 from Spain, and 63 from Cuba. We found no cases of COVID-19 among Chinese patients with MS, and few cases in Spain and Cuba. Respondents reported different levels of impact on relationships with friends, family, and colleagues, and patients in all three countries described increased use of digital or social media platforms. Spanish patients reported a significantly less negative impact than those in Cuba and China. Mental and cognitive effects were similar in all three countries, although China seemed to have a better situation. We also found that the time spent exercising decreased at specific points during the pandemic, but with few changes in dietary habits. Patients reported little or no change in their means of transport in all three countries. Most patients in all three countries reported little or no physical deterioration, especially in Chinese patients (82.47%), compared to the Spanish (70.20%) and Cuban respondents (73.02%). In general, patients from all three countries demonstrated confidence in overcoming the COVID-19 pandemic, although to a lesser extent among Spanish respondents. Conclusions During the pandemic, family support was more effective in China than in Cuba and Spain. Neither COVID-19 infections nor the number of MS relapses increased significantly during lockdown in any of the three countries. Regarding their economic situation, Spanish MS patients reported a significantly less severe negative impact than those in Cuba and China. Patients from all three countries used digital or social media platforms more frequently, probably to maintain personal relationships. Chinese and Cuban respondents were more confident of the control of the pandemic than the Spanish, who were more pessimistic.
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Affiliation(s)
- G-X Zhang
- Multiple Sclerosis Unit, Neurology Service, Vithas Nisa Hospital, Seville, Spain
- Department of Neurology, Yanan University Medical College, No.3 Affiliated Hospital, Shaanxi, China
- International Doctoral School, University of Seville, Seville, Spain
| | - R-Z Zhao
- Department of Ophthalmology, Hermanos Ameijeiras Hospital, Havana, Cuba
| | - W-T Zhang
- International Doctoral School, University of Seville, Seville, Spain
| | - W-J Yu
- Department of Neurology, Yanan University Medical College, No.3 Affiliated Hospital, Shaanxi, China
- Northwestern University Medical College, Shaanxi, China
| | - X-J Zhang
- Department of Neurology, Yanan University Medical College, No.3 Affiliated Hospital, Shaanxi, China
| | - S-S Gao
- International Doctoral School, University of Seville, Seville, Spain
| | - I R O Leal
- Department of Neurology, Hermanos Ameijeiras Hospital, Havana, Cuba
| | - A Carrilllo-Vico
- Institute of Biomedicine of Seville, IBiS (University of Seville, HUVR, Government of Andalusia, CSIC), Seville, Spain
- Department of Medical Biochemistry and Molecular Biology and Immunology, University of Seville, Seville, Spain
| | - M C Toledo
- Department of Ophthalmology, Hermanos Ameijeiras Hospital, Havana, Cuba
| | - Z L O'Farrill
- Department of Neurology, Institute of Neurology, Havana, Cuba
| | - R P Amoedo
- Multiple Sclerosis Unit, Neurology Service, Vithas Nisa Hospital, Seville, Spain
| | - J-Y Zhu
- Department of Neurology, Yanan University Medical College, No.3 Affiliated Hospital, Shaanxi, China
| | - G Zhao
- Northwestern University Medical College, Shaanxi, China
| | - G Izquierdo
- Multiple Sclerosis Unit, Neurology Service, Vithas Nisa Hospital, Seville, Spain
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50
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Xu X, Yan AF, Wang Y, Shi Z. Dietary Patterns and Changes in Weight Status Among Chinese Men and Women During the COVID-19 Pandemic. Front Public Health 2021; 9:709535. [PMID: 34966710 PMCID: PMC8710477 DOI: 10.3389/fpubh.2021.709535] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Accepted: 11/05/2021] [Indexed: 11/15/2022] Open
Abstract
Aims: To identify dietary patterns during the coronavirus disease-2019 (COVID-19) pandemic and to examine their association with changes in weight status in the Chinese population. Methods: The 2020 China COVID-19 cross-sectional survey is an anonymous 74-item survey administered via social media across 31 provinces in mainland China between April and May 2020. Dietary data were assessed by a Food Frequency Questionnaire and the changes in weight status were self-reported. Exploratory factor analysis using the principal component analysis method was applied to identify dietary patterns. The multinomial regression models were conducted, and forest plots were used to present the associations between dietary patterns and changes in weight status. Results: Of a total of 10,545 adults (aged ≥18 years), more than half of participants reported to have weight gain, with 18.6% of men and 16.3% of women having weight gain >2.5 kg. Approximately 8% of participants reported to have weight loss, with 2.1% of men and 2.5% women having weight loss >2.5 kg. Two dietary patterns, namely, the modern and prudent dietary patterns, were identified during the COVID-19 pandemic. The modern dietary pattern was loaded heavily with soft drinks, fried foods, pickles, and inversely with fresh vegetables. The prudent dietary pattern was characterized by high intake of fresh fruits, vegetables, and inversely with soft drinks and fried food. The modern dietary pattern was positively associated with weight gain in men and women, while the prudent dietary pattern was negatively associated with both weight gain and loss in men and women during the COVID-19 pandemic. Conclusion: Dietary patterns during COVID-19 are significantly associated with the changes in weight status, which may subsequently increase the risk of diet-related non-communicable disease among the Chinese population.
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Affiliation(s)
- Xiaoyue Xu
- Faculty of Medicine, School of Population Health, University of New South Wales, Kensington, NSW, Australia
| | - Alice F Yan
- Division of General Internal Medicine, Department of Medicine, Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, WI, United States
| | - Youfa Wang
- School of Public Health, Global Health Institute, Xi'an Jiaotong University Health Science Center, Xi'an, China
| | - Zumin Shi
- Human Nutrition Department, College of Health Sciences, QU Health, Qatar University, Doha, Qatar
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