Impact of the COVID-19 Pandemic on Unhealthy Eating in Populations with Obesity
Impact of the COVID-19 Pandemic on Unhealthy Eating in Populations with Obesity
复制标题
COVID-19 大流行对肥胖人群不健康饮食的影响
DOI：
10.1002/oby.22940
复制
发表时间：
2020-08-20
期刊：
影响因子：
6.9
通讯作者：
Ashby, Nathaniel J. S.
中科院分区：
文献类型：
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作者：
Ashby, Nathaniel J. S.
目的探讨冠状病毒病(新冠肺炎)大流行对肥胖人群中不健康饮食场所顾客光顾的影响。方法收集和合并2019年12月1日至2020年4月期间美国138,989个不健康饮食地点约10%的设备的匿名移动数据，并收集和合并65%的美国县的成年人肥胖率、贫困率和食物环境指数。采用聚类法修正泊松样条法进行回归分析，预测每天的食客人数、机构所在县的成人肥胖率、贫困率、食物环境指数，以及它们之间的相互作用。结果成年人肥胖比例较高时，不健康饮食场所的光顾比例较高。食物环境指数较低的县也出现了类似的情况。随着新冠肺炎疫情的蔓延，这些差距似乎有所扩大。结论这些结果表明，在新冠肺炎大流行期间，在已经处于危险状态的人群中，不健康的饮食模式更高。政策制定者可以利用这些发现来激励干预措施和项目，旨在危机期间增加高危社区的健康食品摄入量。
Objective This study aimed to examine the impact of the coronavirus disease (COVID-19) pandemic on patronage to unhealthy eating establishments in populations with obesity. Methods Anonymized movement data accounting for roughly 10% of devices in the United States at 138,989 unhealthy eating locations from December 1, 2019, through April 2020 and the percentage of adults with obesity, the poverty rate, and the food environment index in 65% of United States counties were collected and merged. A cluster corrected Poisson spline regression was performed predicting patronage by day, the percentage of adults with obesity in the establishment's county, the county's poverty rate, and its food environment index, as well as their interactions. Results Patronage to unhealthy eating establishments was higher where there was a higher percentage of the adult population with obesity. A similar pattern was observed for counties with a lower food environment index. These disparities appear to have increased as the COVID-19 pandemic spread. Conclusions These results suggest unhealthy eating patterns during the COVID-19 pandemic are higher in already at-risk populations. Policy makers can use these findings to motivate interventions and programs aimed at increasing healthy food intake in at-risk communities during crises.