Effect of the COVID-19-induced lockdown on nutrition, health and lifestyle patterns among adults in Zimbabwe.
Effect of the COVID-19-induced lockdown on nutrition, health and lifestyle patterns among adults in Zimbabwe.
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DOI：
10.1136/bmjnph-2020-000124
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发表时间：
2020-12
影响因子：
--
通讯作者：
Chopera P
中科院分区：
文献类型：
--
作者：
Matsungo TM;Chopera P
COVID-19是一场全球突发公共卫生事件，导致封锁、相关饮食和生活方式改变以及公共卫生服务受限。调查津巴布韦新冠肺炎疫情导致的封锁对津巴布韦18岁以上人口营养、身体活动、饮酒和吸烟的影响。使用结构化问卷进行了横断面在线调查，以收集人口统计信息（年龄、性别、居住地、当前就业）、食物系统维度、饮食和身体活动模式、压力和焦虑、身体形象感知、生活方式行为（如吸烟、饮酒、屏幕时间和获得卫生服务的便利性）。结果507例患者以女性为主（63.0%），年龄在31 ~ 40岁之间（48.1%），受过高等教育（91.3%）。封锁导致食品价格上涨（94.8%），营养食品供应减少（64%）。大多数（62.5%）的参与者报告说他们的体力活动水平下降了。广泛性焦虑障碍（GAD）患病率为40.4%，以女性为主（63.5%,p=0.909）， 31-40岁年龄组（49.6%,p=0.886）。根据基于身体质量指数的轮廓匹配测试（BMI-SMT）， 44.5%的人体重增加，24.3%的人体重减轻，31.2%的人体重没有变化。配对样本t检验显示，感知体重显著增加（p<0.001）。超过一半（59.6%）的人报告难以获得药品，37.8%的人报告难以获得增长监测服务。封锁期间与食品价格上涨、饮食多样化减少、广泛性焦虑症症状加剧、饮食和消费模式中断有关。在封锁期间，身体活动水平低，体重增加，从而增加了超重和肥胖的风险。有必要对不同社会经济地位的参与者进行进一步的研究，以获得更确凿的结果。
The COVID-19 is a global public health emergency resulting in lockdowns, associated diet and lifestyle changes and constrained public health delivery. To investigate the impacts of the COVID-19-induced lockdown in Zimbabwe on nutrition, physical activity, alcohol consumption and smoking among Zimbabwean population aged ≥18 years. A cross-sectional online survey was conducted using a structured questionnaire to collect information on demographics (age, gender, place of residence, current employment), food system dimensions, diet and physical activity patterns, stress and anxiety, body image perceptions, lifestyle behaviours like smoking, alcohol intake, screen time and ease of access to health services. Results The participants (n=507) were mostly women (63.0%) between the ages of 31 and 40 years (48.1%) and had tertiary education (91.3%). The lockdown resulted in increase in food prices (94.8%) and decrease in availability of nutritious foods (64%). Most (62.5%) of the participants reported a reduction in their physical activity levels. The prevalence of generalised anxiety disorder (GAD) was 40.4% and mostly affecting woman (63.5%, p=0.909), 31–40 years age group (49.6%, p=0.886). Based on the Body Mass Index-based Silhouette Matching Test (BMI-SMT) 44.5% gained weight, 24.3% lost weight and 31.2% did not have weight change. The paired samples t-test showed that there was a significant increase in perceived body weight (p<0.001). More than half (59.6%) reported having difficulties accessing medicinal drugs and 37.8% growth monitoring services. The lockdown period was associated with increase in food prices, decrease in dietary diversification, elevated GAD symptoms, disrupted diet and consumption patterns. There were low levels of physical activity and perceived weight gained during the lockdown period, thus increasing the risk of overweight and obesity. Further studies incorporating participants of different socioeconomic status are warranted to get more conclusive results.
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DOI：
10.1111/cjag.12237
发表时间：
2020-05-03
影响因子：
9
作者：
Hobbs, Jill E.
通讯作者：
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影响因子：
13.5
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DOI：
10.1038/oby.2004.204
发表时间：
2004-10-01
期刊：
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影响因子：
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作者：
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通讯作者：
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影响因子：
5.2
作者：
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影响因子：
13.6
作者：
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