1
|
Molina-Montes E, Uzhova I, Verardo V, Artacho R, García-Villanova B, Jesús Guerra-Hernández E, Kapsokefalou M, Malisova O, Vlassopoulos A, Katidi A, Koroušić Seljak B, Modic R, Eftimov T, Hren I, Valenčič E, Šatalić Z, Panjkota Krbavčić I, Vranešić Bender D, Giacalone D, Bom Frøst M, Konic Ristic A, Milesevic J, Nikolic M, Kolay E, Güney M, Kriaucioniene V, Czlapka-Matyasik M, Bykowska-Derda A, Kujundzic E, Taljić I, Brka M, Spiroski I, Cunha Velho S, Patrícia Sousa Pinto S, Nascimento Monteiro I, Adriana Pereira J, Dolores Ruíz-López M, Rodríguez-Pérez C. Impact of COVID-19 confinement on eating behaviours across 16 European countries: The COVIDiet cross-national study. Food Qual Prefer 2021; 93:104231. [PMID: 36569642 PMCID: PMC9759462 DOI: 10.1016/j.foodqual.2021.104231] [Citation(s) in RCA: 34] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 02/08/2021] [Accepted: 03/04/2021] [Indexed: 12/27/2022]
Abstract
We aimed to evaluate the changes in eating behaviours of the adult population across 16 European countries due to the COVID-19 confinement and to evaluate whether these changes were somehow related to the severity of the containment measures applied in each country. An anonymous online self-reported questionnaire on socio-demographic characteristics, validated 14-items Mediterranean diet (MedDiet) Adherence Screener (MEDAS) as a reference of a healthy diet, eating and lifestyle behaviours prior to and during the COVID-19 confinement was used to collect data. The study included an adult population residing in 16 European countries at the time of the survey. Aggregated Stringency Index (SI) score, based on data from the Oxford COVID-19 Government Response Tracker, was calculated for each country at the time the questionnaire was distributed (range: 0-100). A total of 36,185 participants completed the questionnaire (77.6% female, 75.2% with high educational level and 42.7% aged between 21 and 35 years). In comparison to pre-confinement, a significantly higher adherence to the MedDiet during the confinement was observed across all countries (overall MEDAS score prior to- and during confinement: 5.23 ± 2.06 vs. 6.15 ± 2.06; p < 0.001), with the largest increase seen in Greece and North Macedonia. The highest adherence to MedDiet during confinement was found in Spain and Portugal (7.18 ± 1.84 and 7.34 ± 1.95, respectively). Stricter contingency restrictions seemed to lead to a significantly higher increase in the adherence to the MedDiet. The findings from this cross-sectional study could be used to inform current diet-related public health guidelines to ensure optimal nutrition is followed among the population, which in turn would help to alleviate the current public health crisis.
Collapse
Affiliation(s)
- Esther Molina-Montes
- Department of Nutrition and Food Science, University of Granada, Campus of Cartuja, 18071 Granada, Spain,Institute of Nutrition and Food Technology (INYTA) ‘José Mataix’, Biomedical Research Centre, University of Granada, Avenida del Conocimiento s/n, E-18071 Granada, Spain,Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain,Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública CIBERESP, Madrid, Spain
| | - Irina Uzhova
- Department of Health and Nutritional Sciences, Institute of Technology Sligo, Ash Ln, Bellanode, Sligo F91 YW50, Ireland
| | - Vito Verardo
- Department of Nutrition and Food Science, University of Granada, Campus of Cartuja, 18071 Granada, Spain,Institute of Nutrition and Food Technology (INYTA) ‘José Mataix’, Biomedical Research Centre, University of Granada, Avenida del Conocimiento s/n, E-18071 Granada, Spain
| | - Reyes Artacho
- Department of Nutrition and Food Science, University of Granada, Campus of Cartuja, 18071 Granada, Spain
| | - Belén García-Villanova
- Department of Nutrition and Food Science, University of Granada, Campus of Cartuja, 18071 Granada, Spain
| | | | - Maria Kapsokefalou
- Department of Food Science and Nutrition, Agricultural University of Athens, Iera Odos 75, Athens 11855, Greece
| | - Olga Malisova
- Department of Food Science and Nutrition, Agricultural University of Athens, Iera Odos 75, Athens 11855, Greece
| | - Antonis Vlassopoulos
- Department of Food Science and Nutrition, Agricultural University of Athens, Iera Odos 75, Athens 11855, Greece
| | - Alexandra Katidi
- Department of Food Science and Nutrition, Agricultural University of Athens, Iera Odos 75, Athens 11855, Greece
| | | | - Robert Modic
- Computer Systems Department, Jožef Stefan Institute, Jamova cesta 39, Ljubljana, Slovenia
| | - Tome Eftimov
- Computer Systems Department, Jožef Stefan Institute, Jamova cesta 39, Ljubljana, Slovenia
| | - Irena Hren
- General Hospital Novo mesto, Šmihelska cesta 1, 8000 Novo mesto, Slovenia
| | - Eva Valenčič
- Computer Systems Department, Jožef Stefan Institute, Jamova cesta 39, Ljubljana, Slovenia
| | - Zvonimir Šatalić
- University of Zagreb, Faculty of Food Technology and Biotechnology, Pierottijeva ul. 6, 10000 Zagreb, Croatia
| | - Ines Panjkota Krbavčić
- University of Zagreb, Faculty of Food Technology and Biotechnology, Pierottijeva ul. 6, 10000 Zagreb, Croatia
| | - Darija Vranešić Bender
- University Hospital Centre Zagreb, Department of Internal Medicine, Division of Gastroenterology and Hepatology & Unit of Clinical Nutrition, Kišpatićeva ul. 12, 10000 Zagreb, Croatia
| | - Davide Giacalone
- Department of Technology and Innovation, University of Southern Denmark, Campusvej 55, DK5230 Odense, Denmark
| | - Michael Bom Frøst
- Department of Food Science, University of Copenhagen, Rolighedsvej 26, DK-1958 Frederiksberg, Denmark
| | - Aleksandra Konic Ristic
- Institute for Medical Research, Centre of Research Excellence in Nutrition and Metabolism, University of Belgrade, National Institute of Serbia, Beograd, Tadeuša Košćuška 1, PAK 104 201, 11158 Belgrade, Serbia,Institute of Food and Health, University College Dublin, Belfield, Dublin 4, Ireland
| | - Jelena Milesevic
- Institute for Medical Research, Centre of Research Excellence in Nutrition and Metabolism, University of Belgrade, National Institute of Serbia, Beograd, Tadeuša Košćuška 1, PAK 104 201, 11158 Belgrade, Serbia
| | - Marina Nikolic
- Institute for Medical Research, Centre of Research Excellence in Nutrition and Metabolism, University of Belgrade, National Institute of Serbia, Beograd, Tadeuša Košćuška 1, PAK 104 201, 11158 Belgrade, Serbia
| | - Ezgi Kolay
- Poznan University of Life Sciences, Department of Human Nutrition and Dietetics, Wojska Polskiego 28, 60-637 Poznan, Poland
| | - Merve Güney
- Bezmialem Vakif University, Medical Faculty Hospital, Nutrition and Diet Department, Vatan Cad. 34093, Istanbul, Turkey
| | - Vilma Kriaucioniene
- Faculty of Public Health, Lithuanian University of Health Sciences, Tilzes str. 18, LT-47181 Kaunas, Lithuania
| | - Magdalena Czlapka-Matyasik
- Poznan University of Life Sciences, Department of Human Nutrition and Dietetics, Wojska Polskiego 28, 60-637 Poznan, Poland
| | - Aleksandra Bykowska-Derda
- Poznan University of Life Sciences, Department of Human Nutrition and Dietetics, Wojska Polskiego 28, 60-637 Poznan, Poland
| | - Enisa Kujundzic
- Center for Health Ecology of Institute of Public Health of Montenegro, Dzona Dzeksona bb, 81 000 Podgorica, Montenegro
| | - Irzada Taljić
- Faculty of Agriculture and Food Sciences, University of Sarajevo, Sarajevo, Bosnia and Herzegovina, Zmaja od Bosne 8, 71000 Sarajevo, Bosnia and Herzegovina
| | - Muhamed Brka
- Faculty of Agriculture and Food Sciences, University of Sarajevo, Sarajevo, Bosnia and Herzegovina, Zmaja od Bosne 8, 71000 Sarajevo, Bosnia and Herzegovina
| | - Igor Spiroski
- Institute of Public Health, 50. Divizija 6, 1000 Skopje, Macedonia,Faculty of Medicine, Ss. Cyril and Methodius University, 50. Divizija 6, 1000 Skopje, Macedonia
| | | | | | | | | | - María Dolores Ruíz-López
- Department of Nutrition and Food Science, University of Granada, Campus of Cartuja, 18071 Granada, Spain,Institute of Nutrition and Food Technology (INYTA) ‘José Mataix’, Biomedical Research Centre, University of Granada, Avenida del Conocimiento s/n, E-18071 Granada, Spain
| | - Celia Rodríguez-Pérez
- Institute of Nutrition and Food Technology (INYTA) ‘José Mataix’, Biomedical Research Centre, University of Granada, Avenida del Conocimiento s/n, E-18071 Granada, Spain,Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain,Department of Nutrition and Food Science, University of Granada, Campus of Melilla, Calle Santander, 1. 52071, Melilla, Spain,Corresponding author at: Department of Nutrition and Food Science, University of Granada, Campus of Melilla, Calle Santander, 1. 52071, Melilla, Spain
| |
Collapse
|