Comportamento alimentar durante o confinamento por COVID-19 (CoV-Eat Project): protocolo de um estudo transversal em países de língua espanhola

In December 2019, cases of pneumonia of unknown etiology emerged, which were later classified as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). On March 11st, the pandemic by COVID-19 disease was declared, and since then it has been used transmission containment measures such as social distancing and confinement, measures with known effects as stressors that can influence eating behavior. Therefore, the aim of this research protocol is to identify eating behavior through dietary restriction, emotional feeding, and uncontrolled intake and to explore the factors associated with these adult behaviors during the COVID-19 pandemic in Spanish-speaking countries.En diciembre de 2019 surgieron casos de neumonía de etiología desconocida, que más tarde fueron clasificados como coronavirus del síndrome respiratorio agudo grave de tipo 2 (SARS-CoV-2). El 11 de marzo se declaró la pandemia por la enfermedad respiratoria coronavirus disease 2019 (COVID-19), por lo que se recurrió a medidas de contención de la transmisión, como el distanciamiento social y confinamiento, medidas con conocidos efectos estresores que pueden influir en la conducta alimentaria. Por ello, el objetivo de esta investigación es identificar la conducta alimentaria a través de la restricción dietética, alimentación emocional e ingesta incontrolada, y explorar los factores asociados con estas conductas en adultos durante el confinamiento por COVID-19 en países hispanohablantes.Em dezembro de 2019 surgiram casos de pneumonia de etiologia desconhecida, posteriormente classificados como coronavírus de síndrome respiratória aguda grave do tipo 2 (SARS-CoV-2). No dia 11 de março, foi declarada a pandemia pela doença respiratória coronavirus disease 2019 (COVID-19), por isto foram utilizadas medidas de contenção da transmissão, como o distanciamento social e o confinamento, medidas com conhecidos efeitos estressantes que podem influenciar o comportamento alimentar. Portanto, o objetivo desta pesquisa é identificar o comportamento alimentar por meio da restrição dietética, a alimentação emocional e a ingestão descontrolada, e explorar os fatores associados a esses comportamentos em adultos durante o confinamento por COVID-19 em países de língua espanhola

Conductas alimentarias de riesgo en jóvenes adultos de dos comunas de la región de Ñuble en Chile durante pandemia COVID-19: Risky eating behaviors in young adults from two communes of the Ñuble region in Chile during COVID-19 pandemic

Objective: To analyze risky eating behaviors in relation to nutritional status and physical activity in young adults during the COVID-19 pandemic in the communes of Chillán and Chillán Viejo. Methods: Observational and cross-sectional design. A sample of 184 young adults of both sexes, who lived in two communes in the Ñuble region (Chile) during the period of confinement due to COVID-19 pandemic, was obtained. A personal history questionnaire and the SCOFF scale that assesses the risk of eating behavior disorders (EDs) were applied. Results: A 37.16% risk for ED was found (95% CI: 30.23 – 44.63%). The risk of eating behavior disorders was related to the variables: physical activity (p=0.01 bivariate analysis) and nutritional status (p=0.03, adjusted analysis). Conclusion: It was possible to identify a higher proportion than that recorded in the literature and the factors associated with eating disorders were those that were expected to be found.Objetivo: Analizar las conductas alimentarias de riesgo, en relación al estado nutricional y actividad física en jóvenes adultos durante la pandemia COVID-19 en las comunas de Chillán y Chillán Viejo. Método: Diseño observacional y transversal. Se obtuvo una muestra de 184 adultos jóvenes de ambos sexos, que residían en dos comunas de la región de Ñuble (Chile) durante el periodo de confinamiento por la pandemia COVID-19. Se les aplicó un cuestionario de antecedentes personales y la escala SCOFF que evalúa el riesgo de trastornos de la conducta alimentaria (TCA). Resultados:Se encontró un 37,16% de riesgo para TCA (IC 95%: 30,23 – 44,63%). El riesgo de trastornos de la conducta alimentaria tuvo relación con las variables: actividad física (p = 0.01 análisis bivariante) y estado nutricional (p = 0.03, análisis ajustado). Conclusión: Se logró identificar una proporción superior a la registrada en la literatura y los factores asociados a TCA eran los que se esperaban encontrar

Factors Associated with Dietary Restriction and Emotional and Uncontrolled Eating in Adults from Spanish-Speaking Countries during the COVID-19 Confinement: Results of the CoV-Eat Project

The first COVID-19 confinement has led to changes in the population’s behaviour. However, little has been analysed about the changes in eating behaviour beyond the decrease in adherence to healthy dietary patterns. The aim of the CoV-Eat project was to identify factors related to each of the following eating behaviours (EB): cognitive restraints (CR), uncontrolled eating (UE), and emotional eating (EE) in adults from Spanish-speaking countries. Participants completed an anonymous online survey. EB was assessed using the Three-Factor Eating Questionnaire and the scores were classified into tertiles. Socio-demographic characteristics and lifestyle habits including physical activity, sleep quality, screen use, smoking consumption, and relationship with food were also collected. A total of 9849 participants from 21 countries were included in this study. The median of CR, UE, and EE behaviours was 15, 24, and 9, respectively. We observed that higher age, days of confinement, number of times leaving home in the last week, changes in sleep quality, and their relationship with food were negatively associated with CR, EE, and UE, while being a man was positively associated with an increased in all these EBs. A higher household income was negatively associated with a higher score of CR, and a higher education level (>primary) was positively associated with a medium score of EE. Lower physical activity was a factor negatively associated with a medium score of EE and UE. Higher screen use showed the same negative association for a medium score of EE and UE and a high score of CR. In addition, higher tobacco consumption was found to be a protective factor against having a medium or high score of CR and EE. In conclusion, some sociodemographic characteristics and lifestyle changes may be important factors for EB and should be considered in emergency situations such as confinement to prevent risky eating behaviour