ABSTRACT
Background. Social isolation turned out to be a new experience that affected many aspects, including those related to the lifestyle of people all around the world. Changing dietary habits, combined with reduced physical activity, may contribute to an increased risk of obesity among children and adolescents. The aim of the study was to determine the impact of the social isolation related to the COVID-19 pandemic on the eating behavior of children and adolescents. The research tool was a questionnaire consisting of open-ended and choice questions concerning issues related to eating behaviors, regularity and frequency of meals, specific product groups and supplements used. Results and conclusion. Most respondents were teenagers aged 13 ÷ 15 and 16 ÷ 18 living in rural areas. Weight gain during the social isolation related to the COVID-19 pandemic was declared by 28.5 % of girls and 36.3 % of boys. The main reasons were a remote learning mode, decreased physical activity, depressed mood, stress, eating and sleep disorders. There were no significant differences in the number of meals consumed before and during the pandemic between boys and girls. Before the pandemic, both groups were comprised mainly by people eating three meals. During the social isolation, the number of people eating five or more meals a day increased in both groups. An increase in the consumption of coffee, tea and salty and sweet snacks was observed. During the pandemic, the number of people undertaking physical activity decreased, so did the average time spend on sports. © 2022, Polskie Towarzystwo Technologow Zywnosci Wydawnictwo Naukowe PTTZ. All rights reserved.
ABSTRACT
Background: The SARS-CoV-2 virus has caused a worldwide health crisis. Patients with infammatory arthritis are at higher risk of hospitalization and death by COVID-19 due to comorbidities or immunosuppressive treatments. Vaccination is one the most important strategies to control the pandemic. Objectives: To evaluate the incident cases of SARS-CoV-2 infection in a multi-centric cohort of infammatory arthritis in Brazil. Methods: BiobadaBrasil is a multicentric registry-based cohort study of Brazilian patients with rheumatic diseases starting their frst bDMARD or tsDMARD (1). The present analysis is a retrospective evaluation of adult patients with infam-matory arthritis (rheumatoid arthritis-RA, spondylarthritis-SpA and psoriatic arthritis-PsA) that were alive since the beginning of the COVID-19 pandemics in Brazil in February 2020. We evaluated the incidence and severity of COVID-19 infection and the adherence to anti-SARS-CoV-2 vaccines schedules, up to January 2022. Results: A total of 300 patients were interviewed and 69 (23.0%) reported con-frmed anti-SARS-CoV infection and 5 (1.7%) had a second infection. Among known infected patients, 18.8% need hospitalization and oxygen support, 7.2% were admitted at ICU, and 5.8% died. After COVID-19 infection, 31.8% reported worsening of disease activity but only 6.1% had modifcation in medication due to disease activity. Distribution of cases followed the pattern of waves observed in Brazil (Figure 1). Regarding vaccination, 285 (95%) reported to have received at least one dose of any anti-SARS-CoV-2 vaccine: 43% received the frst with the adenovirus ChAdOx1 nCoV-19 (AstraZeneca) adenovirus vaccine, 32% received the Sinovac-CoronaVac inactivated vaccine, 22% received the BNT162b2 (Pfzer-BioNtech) mRNA vaccine and 3% received the BNT162b2 (Pfzer-BioNtech) adenovirus vaccine. Almost all (98.1%) of these patients had already received the second dose of vaccine and after the frst and second vaccine doses, 6% and 4% of patients, respectively, reported worsening of articular disease activity, while, after the third dose, no patient reported disease activity worsening. Conclusion: During the pandemics, patients with infammatory arthritis had a pattern of distribution of cases very similar to general population. Adherence to vaccination is high and well tolerated.