Patterns of Change in Dietary Habits and Physical Activity during Lockdown in Spain Due to the COVID-19 Pandemic
Tóm tắt
Background: Lockdown due to COVID-19 influenced food habits and lifestyles with potential negative health impact. This study aims to identify patterns of change in eating habits and physical activity during COVID-19 lockdown in Spain and to identify associations with sociodemographic factors and usual habits. Methods: This cross-sectional study included 1155 adults recruited online to answer a 10-section questionnaire. The protocol assessed usual diet by means of a semi-quantitative food frequency questionnaire, usual physical activity (PA) and supplement use, dietary changes, sedentary time, PA, exposure to sunlight, sleep quality, and smoking during confinement. Patterns of dietary change were identified by factor analysis. Factor scores were included in cluster analysis together with change in PA. Results: Six patterns of dietary change were identified that together with PA changes during lockdown defined three clusters of lifestyle change: a cluster less active, a more active cluster, and a third cluster as active as usual. People who were usually less active were more likely to be classified in the cluster that increased physical activity in confinement. Scores of the Healthy Mediterranean-Style dietary pattern were higher in this group. Conclusions: Different patterns of change in lifestyles in confinement suggest the need to tailor support and advice to different population groups.
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Tài liệu tham khảo
(2020, December 01). COVID 19 Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University of Medicine Coronavirus Resource Center. Available online: https://coronavirus.jhu.edu/map.html.
Anderson, 2020, How will country-based mitigation measures influence the course of the COVID-19 epidemic?, Lancet, 285, 931, 10.1016/S0140-6736(20)30567-5
BOE núm. 67 (2020, November 20). Real Decreto 463/2020, de 14 de Marzo, Por el que se Declara el Estado de Alarma Para la Gestión de la Situación de Crisis Sanitaria Ocasionada por el COVID-19. Available online: https://www.boe.es/eli/es/rd/2020/03/14/463/con.
Brooks, 2020, The psychological impact of quarantine and how to reduce it: Rapid review of the evidence, Lancet, 395, 912, 10.1016/S0140-6736(20)30460-8
Ingram, 2020, Changes in diet, sleep, and physical activity are associated with differences in negative mood during COVID-19 lockdown, Front. Psychol., 11, 588604, 10.3389/fpsyg.2020.588604
Laguna, 2020, The impact of COVID-19 lockdown on food priorities. Results from a preliminary study using social media and an online survey with Spanish consumers, Food Qual. Prefer., 86, 104028, 10.1016/j.foodqual.2020.104028
Rodríguez-Pérez, C., Molina-Montes, E., Verardo, V., Artacho, R., García-Villanova, B., Guerra-Hernández, E.J., and Ruíz-López, M.D. (2020). Changes in dietary behaviours during the COVID-19 outbreak confinement in the Spanish COVIDiet Study. Nutrients, 12.
Ruiz-Roso, M.B., de Carvalho Padilha, P., Mantilla-Escalante, D.C., Ulloa, N., Brun, P., Acevedo-Correa, D., Arantes Ferreira Peres, W., Martorell, M., Aires, M.T., and de Oliveira Cardoso, L. (2020). COVID-19 Confinement and Changes of Adolescent’s Dietary Trends in Italy, Spain, Chile, Colombia and Brazil. Nutrients, 12.
Scarmozzino, F., and Visioli, F. (2020). COVID-19 and the subsequent lockdown modified dietary habits of almost half the population in an Italian sample. Foods, 9.
Zhao, A., Li, A., Ke, Y., Huo, S., Ma, Y., Zhang, Y., Zhang, J., and Ren, Z. (2020). Dietary diversity among Chinese residents during the COVID-19 outbreak and its associated factors. Nutrients, 12.
Pietrobelli, 2020, Effects of COVID-19 lockdown on lifestyle behaviors in children with obesity living in Verona, Italy: A longitudinal study, Obesity, 28, 1382, 10.1002/oby.22861
Robinson, 2021, Obesity, eating behavior and physical activity during COVID-19 lockdown: A study of UK adults, Appetite, 156, 104853, 10.1016/j.appet.2020.104853
Castañeda-Babarro, A., Arbillaga-Etxarri, A., Gutiérrez-Santamaría, B., and Coca, A. (2020). Physical activity change during COVID-19 confinement. Int. J. Environ. Res. Public Health, 17.
2020, Physical activity, dietary habits and sleep quality before and during COVID-19 lockdown: A longitudinal study, Appetite, 158, 105019
Cheval, B., Sivaramakrishnan, H., Maltagliati, S., Fessler, L., Forestier, C., Sarrazin, P., Orsholists, D., Chalabaev, A., Sander, D., and Ntoumanis, N. (2020). Relationships between changes in self-reported physical activity and sedentary behaviours and health during the coronavirus (COVID-19) pandemic in France and Switzerland. J. Sports Sci., 1–6.
Qin, F., Song, Y., Nassis, G.P., Zhao, L., Dong, Y., Zhao, C., Feng, Y., and Zhao, J. (2020). Physical activity, screen time, and emotional well-being during the 2019 novel coronavirus outbreak in China. Int. J. Environ. Res. Public Health, 17.
King, 2020, The challenge of maintaining metabolic health during a global pandemic, Sports Med., 50, 1233, 10.1007/s40279-020-01295-8
Chandrasekaran, B., and Ganesan, T.B. (2020). Sedentarism and chronic disease risk in COVID 19 lockdown—A scoping review. Scott. Med. J.
Galmés, S., Serra, F., and Palou, A. (2020). Current state of evidence: Influence of nutritional and nutrigenetic factors on immunity in the COVID-19 pandemic framework. Nutrients, 12.
Grupo de Trabajo Multidisciplinar (GTM), Ministerio de Ciencia e Innovación (2020, December 06). Informe GTM sobre la Práctica y la Investigación en Nutrición en Tiempos de la COVID-19. Available online: https://www.ciencia.gob.es/stfls/MICINN/Ministerio/FICHEROS/propuesta_GTM_nutricion_28102020.pdf.
Calder, P.C., Carr, A.C., Gombart, A.F., and Eggersdorfer, M. (2020). Optimal nutritional status for a well-functioning immune system is an important factor to protect against viral infections. Nutrients, 12.
De Faria Coelho-Ravagnani, C., Corgosinho, F.C., Sanches, F., Prado, C., Laviano, A., and Mota, J.F. (2020). Dietary recommendations during the COVID-19 pandemic. Nutr. Rev., nuaa067.
Alexander, J., Tinkov, A., Strand, T.A., Alehagen, U., Skalny, A., and Aaseth, J. (2020). Early nutritional interventions with zinc, selenium and vitamin d for raising anti-viral resistance against progressive COVID-19. Nutrients, 12.
Pérez-Rodrigo, C., Gianzo Citores, M., Hervás Bárbara, G., Ruiz Litago, F., Casis Sáenz, L., and Aranceta-Bartrina, J. (2020). Collaborative Group for the Dietary Guidelines for the Spanish Population (SENC). Changes in eating habits during lockdown period due to the COVID-19 pandemic in Spain. Rev. Esp. Nutr. Comunitaria, 26.
Scudellari, 2020, How the pandemic might play out in 2021 and beyond, Nature, 584, 22, 10.1038/d41586-020-02278-5
Hodge, 2016, What can we learn from dietary pattern analysis?, Public Health Nutr., 19, 191, 10.1017/S1368980015003730
Meader, N., King, K., Moe-Byrne, T., Wright, K., Graham, H., Petticrew, M., Power, C., White, M., and Sowden, A.J. (2016). A systematic review on the clustering and co-occurrence of multiple risk behaviours. BMC Public Health, 16.
Aranceta-Bartrina, J., Partearroyo, T., López-Sobaler, A.M., Ortega, R.M., Varela-Moreiras, G., Serra-Majem, L., and Pérez-Rodrigo, C. (2019). Collaborative Group for the Dietary Guidelines for the Spanish Population (SENC). Updating the Food-Based Dietary Guidelines for the Spanish Population: The Spanish Society of Community Nutrition (SENC) Proposal. Nutrients, 11.
2016, Prevalence of General Obesity and Abdominal Obesity in the Spanish Adult Population (Aged 25–64 Years) 2014-2015: The ENPE Study, Rev. Esp. Cardiol., 69, 579, 10.1016/j.recesp.2016.02.010
2017, Factors influencing healthcare provider respondent fatigue answering a globally administered in-app survey, PeerJ, 5, e3785, 10.7717/peerj.3785
Bull, 2020, World Health Organization 2020 guidelines on physical activity and sedentary behaviour, Br. J. Sports Med., 54, 1451, 10.1136/bjsports-2020-102955
Milton, 2011, Reliability and validity testing of a single-item physical activity measure, Br. J. Sports Med., 45, 203, 10.1136/bjsm.2009.068395
Ruíz-Roso, M.B., De Carvalho Padilha, P., Matilla-Escalante, D.C., Brun, P., Ulloa, N., Acevedo-Correa, D., Arantes Ferreira Peres, W., Martorell, M., Rangel Bousquet Carrilho, T., and de Oliveira Cardoso, L. (2020). Changes of physical activity and ultra-processed food consumption in adolescents from different countries during COVID-19 pandemic: An observational study. Nutrients, 12.
Wang, X., Lei, S.M., Le, S., Yang, Y., Zhang, B., Yao, W., Gao, Z., and Cheng, S. (2020). Bidirectional influence of the COVID-19 pandemic lockdowns on health behaviors and quality of life among Chinese adults. Int. J. Environ. Res. Public Health, 17.
Zupo, R., Castellana, F., Sardone, R., Sila, A., Giagulli, V.A., Triggiani, V., Cincione, R.I., Giannelli, G., and De Pergola, G. (2020). Preliminary trajectories in dietary behaviors during the COVID-19 pandemic: A public health call to action to face obesity. Int. J. Environ. Res. Public Health, 17.
Papandreou, 2020, Comparing eating behaviours, and symptoms of depression and anxiety between Spain and Greece during the COVID-19 outbreak: Cross-sectional analysis of two different confinement strategies, Eur. Eat. Disord. Rev., 28, 836, 10.1002/erv.2772
Darmon, 2015, Contribution of food prices and diet cost to socioeconomic disparities in diet quality and health: A systematic review and analysis, Nutr. Rev., 73, 643, 10.1093/nutrit/nuv027
Gea, 2020, Diet quality and nutrient density in subjects with metabolic syndrome: Influence of socioeconomic status and lifestyle factors. A cross-sectional assessment in the PREDIMED-Plus study, Clin. Nutr., 39, 1161, 10.1016/j.clnu.2019.04.032
Carroll, N., Sadowski, A., Laila, A., Hruska, V., Nixon, M., Ma, D.W.L., and Haines, J. (2020). The Impact of COVID-19 on Health Behavior, Stress, Financial and Food Security among Middle to High Income Canadian Families with Young Children. Nutrients, 12.
Crespo, 2020, Exercising in times of COVID-19: What do experts recommend doing within four walls?, Rev. Esp. Cardiol., 73, 527
(2020, November 30). InStyle. Available online: https://www.instyle.es/belleza/cuerpo/ejercicio-fisico-casa-por-coronavirus-calendario-tablas-diarias-marzo_47555.
Fernández, J.G. (2020, December 01). El confinamiento dispara la demanda de clases deportivas virtuales. Expansión 05/04/2020 23:33 Horas. Available online: https://www.expansion.com/economia-digital/companias/2020/04/05/5e85a948e5fdea48438b4587.html.
Ernstsen, L., and Havnen, A. (2020). Mental health and sleep disturbances in physically active adults during the COVID-19 lockdown in Norway: Does change in physical activity level matter?. Sleep Med.
Blume, 2020, Effects of the COVID-19 lockdown on human sleep and rest-activity rhythms, Curr. Biol., 30, R795, 10.1016/j.cub.2020.06.021
Morin, 2020, Canadian Sleep and Circadian Network. Sleep and circadian rhythm in response to the COVID-19 pandemic, Can. J. Public Health, 111, 654, 10.17269/s41997-020-00382-7
Heiskanen, 2020, Sunlight and health: Shifting the focus from vitamin D3 to photobiomodulation by red and near-infrared light, Ageing Res. Rev., 61, 101089, 10.1016/j.arr.2020.101089
Ilie, 2020, The role of vitamin D in the prevention of coronavirus disease 2019 infection and mortality, Aging Clin. Exp. Res., 32, 1195, 10.1007/s40520-020-01570-8
Mitchell, 2020, Vitamin-D and COVID-19: Do deficient risk a poorer outcome?, Lancet Diabetes Endocrinol., 8, 570, 10.1016/S2213-8587(20)30183-2
Murphy, B., Benson, T., McCloat, A., Mooney, E., Elliott, C., Dean, M., and Lavelle, F. (2020). Changes in Consumers’ Food Practices during the COVID-19 Lockdown, Implications for Diet Quality and the Food System: A Cross-Continental Comparison. Nutrients, 13.
Gualtieri, 2020, Eating habits and lifestyle changes during COVID-19 lockdown: An Italian survey, J. Transl. Med., 18, 229, 10.1186/s12967-020-02399-5