Improving complementary feeding practices through a comprehensive health systems strengthening approach: experiences from Egypt. (Special section on complementary feeding in emergencies.)

This article describes experiences of improving complementary feeding practices using a systems approach with particular focus on health systems strengthening. Achievements included: the development of national guidelines for optimum complementary feeding for children 6-23 months of age, inclusion of a specific indicator for complementary feeding in the new National Food and Nutrition Strategy, updated training packages to improve health worker counselling skills and strengthened social behaviour change communication activities. A systems approach requires strong coordination between all partners across sectors to ensure communities benefit from the synergistic effects of complementary interventions, while system strengthening was noted to improve the resilience of the Ministry of Health and Population to withstand the shocks of the COVID-19 pandemic and the subsequent Ukraine crisis.

Food insecurity and eating behavior prior to the COVID-19 pandemic. An exploratory study in Venezuela.

Background: The aim of this research was to explore how food insecurity affected food behavior prior to the COVID-19 pandemic (year 2018-2019) in a sample of people residing in nine administrative regions of Venezuela. Method(s): 1099 people aged between 17 and 75 years participated, with a majority residing in the Andes, Capital and Central regions of the country. A reduced version of a modified national survey on living conditions (Encovi-2017) composed of 11 questions was administered. Estimates with chi square (chi2) were made to verify associations between the characteristics of the sample (age, region of origin and sex) with the approaches of the administered survey. Result(s): A high degree of food insecurity was observed as people reported concerns about food access (88.95%), or lack of them (55.79%), periods of food deprivation and alteration of eating patterns. Those participants under 21 years were more likely to alter their daily intake pattern (p = 0.01), with women being the most affected in terms of the family running out of food in the last three months (p = 0.020) and if in the last trimester a whole day had gone without eating (p = 0.05). Conclusion(s): The study shows that women and young people under 21 years of age or middle-aged adults and inhabitants of the Capital region turn out to be the people most affected by food insecurity as they consumed less food or ate fewer servings per day. The data reveal a worsening of the food situation.Copyright © 2022 Sociedad Espanola de Nutricion Comunitaria. All rights reserved.

Association between refraining from going out and weight gain after the spread of COVID-19 infection in Japan: JACSIS study

Objectives: In April 2020, a state of emergency was declared regarding COVID-19, and refraining from going out was requested. Although there is concern about weight gain after the spread of the infection, there are few reports of studies in Japan. The present study examined the association between refraining from going out and weight gain after the spread of COVID-19 infection. Methods: Cross-sectional and longitudinal analyses were conducted. Cross-sectional: Data from an internet survey conducted in August 2020 among the general population in Japan were used. Of the 25482 valid responses, 18116 persons aged 20-64 were included in the analysis. Information on refraining from going out was ascertained by a self-administered questionnaire. The outcome variable, subjective weight gain, was categorized as "increased" or "same as before/reduced" based on the question of subjective weight change in the last month compared to before January 2020. Longitudinal: In addition to cross-sectional data, data from the February 2019, February 2020, and February 2021 surveys were collated;4399 individuals participated in all four time points, of which 4337 were included in the analysis after excluding outliers. Two outcome variables were used: (1) weight change of "> 0 kg" from February 2020 to February 2021, and (2) weight change of "> 0 kg" from February 2020 to February 2021 and subjective weight change of "increased". Logistic regression analysis was used for analysis, adjusting for sex, age, occupation, hospitalization, breakfast deprivation, and snacking (in the longitudinal, the rate of weight change in the year before baseline was also adjusted). In addition, the indirect effect of snacking was examined using the Sobel test. Results: Cross-sectional: 5168 (28.5%) of 18116 subjects reported weight gain. Multivariate-adjusted odds ratios (95% confidence intervals) for weight gain in comparison with "never refrained" were 1.46 (1.16-1.83) for "almost never refrained," 1.87 (1.54-2.27) for "sometimes refrained," and 2.07 (1.71-2.51) for "always refrained" (p-trend < 0.001). Snacking had a significant indirect effect on the association between refraining from going out and weight gain (p < 0.001). Longitudinal (1) No significant association was found (p-trend =0.401). Longitudinal (2) Similar to the cross-sectional, we found a significant association (p-trend =0.003) and a significant indirect effect of snacking (p < 0.001). Conclusions: Our results implied that refraining from going out after the spread of COVID-19 infection contributed to weight gain, and snacking mediated this association.

A study on the dietary behavior of Korean adults: focus on dietary supplement intake, household size, and COVID-19

Objectives: This study investigates dietary supplement intakes by examining the characteristics of dietary and health-related behaviors. Data were obtained from the Korea National Health and Nutrition Examination Survey (KNHANES). Dietary and health-related behaviors were also examined before and after the occurrence of COVID-19 and household types (multi-members vs. single person). Methods: Data used in this study were collected from the 2019-2020 KNHANES by including adults aged 19 to 64 years. Pregnant, lactating, and subjects consuming calories less than 500 and more than 5,000 were excluded. Differences in dietary and health-related behaviors before and after COVID-19, and between the two types of households were analyzed by Chi-square analyses using Rao-Scott. Logistic regression analyses were applied to determine which dietary and health-related behaviors affected the dietary supplement intakes. In addition, descriptive analysis was run for demographic characteristics. Results: The dietary supplement intake rate differed significantly with respect to the gender, age, education, marital status, and household income. Dietary supplement intakes, frequency of eating out, obesity, and body weight changes were significantly different before and after COVID-19. In addition, meal evaluation, frequency of eating out, drinking, smoking, activity, subjective health evaluation, and body weight changes showed significant differences by household type. Attitude towards nutrition, activity, meal evaluation, obesity, and smoking were factors that affected the intake of dietary supplements. Conclusions: While increased intake of dietary supplements is a prevalent phenomenon, this intake needs to be monitored and studied closely, considering the sociodemographic characteristics and dietary and health-related behaviors. Furthermore, the dietary supplement intake trend after COVID-19 needs to be studied along with food intake.

Lifestyle modifications of Chilean adolescents during the first COVID-19 confinement

Background: Confinement is an effective measure to control COVID-19, but it can have repercussions on lifestyle-related behaviors, especially among adolescents. Poor quality diet and low physical activity could trigger weight gain and the appearance of chronic non-communicable diseases at an early age. Aim: To study the changes in eating and physical activity patterns before and during the first COVID-19 confinement in Chilean adolescents. Material and Methods: Chilean adolescents aged between 10 and 19 years were invited to answer an online survey with 47 questions about dietary habits and physical activity. Results: The survey was answered by 420 participants and only four adolescents declined to answer it. Changes in eating patterns were evidenced, such as an increase in lunch consumption from 54.1 to 83%, and a decrease in the consumption of both healthy and unhealthy foods. Also, significant changes were observed in physical activity patterns, and an increase in the time spent sitting, from 4.7 to 5.8 hours during confinement. Conclusions: The first confinement for COVID-19 modified eating and physical activity patterns in Chilean adolescents towards unhealthy habits, which if maintained, could negatively affect their health and quality of life.

I work hungry delivering food every day: precarious work and eating practices among food app delivery men in the COVID-19 pandemic

This paper proposed an analysis of aspects of violation of the Human Right to Adequate Food in experiences of food app delivery men in the city of Sao Paulo, as portrayed in journalistic materials published until September 2020 amid the COVID-19 pandemic. This work was a case study in an undergraduate course in Nutrition, through a project focused on situations of inequality and vulnerability. Journalistic materials were selected if food practices and/or demands associated with labor activities were present. Contents were approached through the definition of the Human Right to Adequate Food in the Brazilian National Food Policy of the Ministry of Health, considering recommendations from the Brazilian Dietary Guidelines and discussions of the sociology of work. Violations of the Human Right to Adequate Food were noted regarding: difficulties in access to food in proper quantity and quality, with a high consumption of ultra-processed foods;inadequate food practices regarding the act of eating and commensality, with a preponderance of an attitude toward "satisfying the hunger";and the insertion of delivery men in a food system characterized by unfair labor relationships, and unsustainable environmental and health aspects. Through the recognition of the circumstances of hunger and the demands presented by food app delivery men, this analysis highlighted the humanizing potential of food in stimulating such claims, especially in a pandemic context aggravated by the absence of labor rights. Better work conditions along with public policies that mitigate hunger and injustice are needed to promote healthier food environments and systems.

Poor self-regulation in eating behaviour during the COVID-19 lockdown contributes to weight gain among young adults in Malaysia

This cross-sectional study aims to investigate physical activity, self-regulation in eating behaviour, and their associations with body weight trajectory during the COVID-19 nationwide lockdown (Movement Control Order, MCO) in Malaysia. The International Physical Activity Questionnaire-Short Form (IPAQ-SF) was used to assess physical activity and sitting time during the MCO. Self-regulation in eating behaviour was evaluated with the Self-Regulation of Eating Behaviour Questionnaire (SREBQ), while weight trajectory was self-reported by the respondents. Of the 200 young adults, 82.0% were reported to be physically active during the MCO, with a weekly physical activity intensity of 4551.16 +or- 4744.89 MET-minute. Young adults in this study spent 8.63 +or- 4.47 hours/day on sedentary activities during the MCO. It is also noted that the majority (71.0%) had medium self-regulation in eating behaviour during the lockdown, with a mean score of 3.08 +or- 0.49. Slightly more than half of the young adults (57.0%) gained weight since the MCO enforcement, with an average weight increment of 1.28 +or- 0.60 kg. Findings from the multinomial logistic regression suggested that self-regulation in eating behaviour was a significant predictor for weight trajectory during the MCO. Young adults who attained a higher score in SREBQ were more likely in sustained weight (AOR = 2.514, p = 0.024, CI: 1.129-5.597) and weight loss (AOR = 2.624, p = 0.011, CI: 1.250-5.507) categories. In conclusion, poor response to food cues (poor self-regulation in eating behaviour), but not physical inactivity, led to weight gain during the MCO in Malaysia.

Public perception of citrus fruit consumption during the COVID-19 pandemic in Brazil

Adequate nutrition has become a priority for the psychologically and emotionally affected population, especially those under stress due to quarantine and people affected by Coronavirus Disease in 2019 (COVID-19). However, records on eating behavior variations due to Brazil's pandemic are still incipient, and it is crucial to know and identify frequent incentives that arouse interest in a class of products. Therefore, this study aimed to analyze the final consumer behaviors and the consumption influence of citrus fruits and their products, as a vitamin C source, in the COVID-19 pandemic in Brazil. By applying an online questionnaire prepared on the Google.. Forms platform, a survey was conducted with the voluntary participation of 546 unidentified respondents. The answers obtained made it possible to trace the participants' sociodemographic characteristics and consumption habits. According to the interviewees, there was a predominance of adults between 25 and 34 years old, female, single, living in the Southeast macro-region, and people with a master's and doctorate. level education. With the onset of the COVID-19 pandemic, most of the population interviewed did not change their consumption of citrus fruits and their products, but the place of purchase changed, possibly due to social isolation. Marketing is of fundamental importance in the Brazilian citrus industry, which is facing the challenge of encouraging a healthier diet and searching for expansion of the fresh fruit market.

Life Habits of Healthcare Professionals during the Third Wave of COVID-19: A Cross-Sectional Study in a Spanish Hospital.

(1) Background: To describe sleep quality, eating behaviour and alcohol, tobacco and illicit drug use among healthcare staff in a Spanish public hospital. (2) Methods: Cross-sectional descriptive study examining sleep quality (Pittsburg Sleep Quality Index), eating behaviour (Three Factor Eating Questionnaire (R18)), tobacco and drug use (ESTUDES questionnaire) and alcohol use (Cut down, Annoyed, Guilty, Eye-opener). (3) Results: 178 people, of whom 87.1% (155) were women, with an average age of 41.59 ± 10.9 years. A total of 59.6% of the healthcare workers had sleep problems, to a greater or lesser degree. The average daily consumption was 10.56 ± 6.74 cigarettes. The most commonly used drugs included cannabis, occasionally used by 88.37%, cocaine (4.75%), ecstasy (4.65%) and amphetamines (2.33%). A total of 22.73% of participants had increased their drug use, and 22.73% had increased their consumption during the pandemic, with beer and wine accounting for 87.2% of drinks consumed during this period. (4) Conclusions: In addition to the psychological and emotional impact already demonstrated, the COVID-19 crisis has repercussions on sleep quality, eating behaviour and alcohol, tobacco and drug consumption. Psychological disturbances have repercussions on physical and functional aspects of healthcare workers. It is feasible that these alterations are due to stress, and it is necessary to act through treatment and prevention as well as promote healthy habits.

Associations between breastfeeding intention, breastfeeding practices and post-natal depression during the COVID-19 pandemic: A multi-country cross-sectional study.

Associations between breastfeeding intention, duration and post-natal depression (PND) have been shown in pre-COVID-19 studies. However, studies during COVID-19 have not examined the associations between breastfeeding intention, breastfeeding practices, and PND in an international sample of post-natal women, taking into consideration COVID-19 related factors. This is the first study to address this gap as both PND and breastfeeding may be affected by COVID-19, and have important long-term effects on women's and infant's health. A cross-sectional internet-based survey was conducted with 3253 post-natal women from five countries: Brazil, South Korea, Taiwan, Thailand, and the United Kingdom from July to November 2021. The results showed that women who intended to breastfeed during pregnancy had lower odds of having PND than women who did not intend to. Women who had no breastfeeding intention but actually breastfed had greater odds (AOR 1.75) of having PND than women who intended to breastfeed and actually breastfed. While there was no statistical significance in expressed breast milk feeding in multivariable logistic regression models, women who had shorter duration of breastfeeding directly on breast than they planned had greater odds (AOR 1.58) of having PND than those who breastfed longer than they planned even after adjusting for covariates including COVID-19-related variables. These findings suggested the importance of working with women on their breastfeeding intention. Tailored support is required to ensure women's breastfeeding needs are met and at the same time care for maternal mental health during and beyond the pandemic.

Dietary and eating behaviours during COVID-19 pandemic: with an emphasis on the impact of self-isolation and quarantine on body weight

The COVID-19 pandemic and its subsequent restrictions have profoundly influenced the lifestyle and eating habits of global citizens, which may affect their body weight. This review aims to explore the effects of quarantine on body weight, eating behaviours, and dietary patterns of adults. This paper reviewed 21 papers with 29,899 participants. The majority of the studied populations did not depict an outlook of unhealthy eating behaviors. A considerable percentage of reviewed populations gained weight, and a relatively higher percentage exhibited emotional eating. Approximately half of the studied populations practised healthy eating. More country-based research is needed during the COVID-19 quarantine.

Patterns of adolescent eating behavior during the COVID-19 pandemic

The ongoing COVID-19 pandemic has exacerbated problems of ensuring food security for all strata of the population of many countries of the world, including Russia. For scientific research of these problems, development and implementation of effective practical recommendations in the international scientific community has developed an interdisciplinary the concept of "food security". Food security is a stable condition processes, mechanisms, infrastructures, relationships and influences related to food production, storage, transportation, supply, consumption and disposal food waste. The concept of food security it is the key to studying the problems of providing for the population food economists, lawyers, specialists management and logistics, marketers, social psychologists, nutritionists, as well as specialists in the field of other sciences. Its place in comprehensive security research food security is also found by the sociology of nutrition, which studies food systems, first of all, in its links such as the consumption of food by various social groups and food waste management. During the third stage of the sociological research, the topic which was the change in the eating behavior of various socio-demographic groups of Russian society in the conditions of ongoing pandemics, the author's team conducted an analysis of food practices children and adolescents in the conditions of the COVID-19 pandemic. Methods of conducting smart survey and in-depth interviews were selected for the research. Analysis the results of the study allowed us to formulate recommendations, which can be used in educational and educational institutions, as well as in families for the formation of a food culture children and adolescents, improving food security of the specified socio-demographic group.

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.

Research by surveying the influence of coronavirus on fruit consumption

Fruit consumption has experienced a huge increase over the past decade as the results of numerous studies indicate a positive effect of fruit ingredients on human health. The spread of the new coronavirus, SARS-CoV-2 and COVID-19 disease is having an unprecedented effect on all food markets, including the fruit and vegetable market. The aim of the study was to determine whether the COVID-19 virus pandemic has an impact on fruit consumption. The survey was conducted via a Google form within which a survey was conducted which was then posted on the social network Facebook. A total of 463 responses were received. When asked whether they believe that fruit consumption affects the state of the immune system, 97.2% of respondents answered in the affirmative, which speaks volumes about sufficient education and the importance of fruit consumption. According to a survey, 85.1% of respondents believe that the situation caused by the COVID-19 virus did not make it difficult to obtain fresh fruit. 86.4% of respondents believe that their eating habits related to fruit consumption during the pandemic caused by the COVID-19 virus have not changed.

Food behavior of the Algerian population at the time of the COVID-19: the first survey carried out in the western Algerian region

The world has been dealing with a coronavirus 2019 (COVID-19) pandemic since January 2020, which is caused by the severe acute respiratory syndrome coronavirus 2. To avoid the spread of the disease, drastic measures were implemented. These measures, however, can have a negative impact on people's health because they influence their behavior. The COVID-19 pandemic has had an impact on people's lifestyles, including food consumption, when combined with quarantine measures. In order to shed light on the Algerian population's food habits during the pandemic, an observational and descriptive epidemiological study on 640 people, whether or not they were infected with COVID-19, was conducted in the western region of Algeria. The study used an online and face-to-face interview questionnaire focused on the pandemic's elapsed period between February and September 2020. Our findings showed that half of our participants had influenza during the study period, but only 37.53% of them had COVID-19. As a result, almost all of our test-positive respondents (95%) followed a medical protocol automatically. Furthermore, 31.57% of them stated that they were following a specific diet to avoid COVID-19 contamination. This resulted in a clear shift in Algerian cuisine (70.31%), with processed foods (3.47%) and modern dishes (5%) made outside the home consumed at low levels, while consumption of vegetables (22.39%), fruits (15.87%), and traditional dishes (11.95%) increased. Vulnerable people, such as breastfeeding mothers, were faced with the double burden of nourishing their babies while being Covid-positive, causing 35/40 cases to discontinue breastfeeding completely. Overall, 83.09% of our participants were malnourished. This study is the first draft in the understanding of Algerians' dietary behavior during the COVID-19 pandemic, and it could be used effectively in the delineation of strategies for correction and support of citizens in underdeveloped countries.

Adherence to the Mediterranean diet and COVID-19: a segmentation analysis of Italian and US consumers

The COVID-19 pandemic has led many countries to implement restrictions on individual freedom to stop the contagion. The imposition of lockdowns has affected many socio-economic aspects and, in particular, eating habits, highlighting the need to analyse the healthiness of new consumption patterns. The aim of our study was to investigate the changes in adherence to the Mediterranean diet, a dietary model universally recognized as healthy, that have occurred both during and since the lockdown. The subsequent profiling of consumers allowed us to understand which sociodemographic and psychographic factors favoured the development of more or less adherence to Mediterranean diet consumption patterns. The study was conducted by administering a questionnaire to a representative sample of Italians and New Yorkers. Both groups, defined by deep socio-economic differences and by their own eating habits compared to the Mediterranean diet model, were affected by similar lockdown measures. The data collected were processed by cluster analysis that allowed to identify four homogeneous groups with respect to the adherence to the Mediterranean diet model. The results highlight a worrying situation with respect to the impacts of the pandemic on maintaining a proper dietary style according to the principles of the Mediterranean diet. In fact, there has been a general worsening trend due to an increase in consumption, in part linked to emotional eating, which is a cause for concern about the potential future impacts on the health of consumers. The study highlights the need, therefore, to implement actions by public decision-makers aimed at raising the awareness of citizens on the issue of correct eating habits and at developing adequate food policies to stem the trend towards unhealthy diets.

Balanced nutrition practiced with limitations during the COVID-19 pandemic: the experience of teachers in Subang District, West Java, Indonesia

The purpose of the study is to assess the knowledge on Balanced Nutrition and its practices among pre-school teachers in Subang district, West Java, Indonesia before and during the COVID-19 pandemic (before March 2020 vs. October 2021) and to seek differences in the knowledge and practices of teachers who attended nutrition training and those who did not attend any nutrition training. We evaluated the knowledge and practice of 142 teachers based on 10 messages of the 2014 Indonesian Balanced Nutrition Guidelines, using google online survey platform. The top three messages mostly selected by the teachers were consuming a variety of staple foods (87%), drinking adequate and safe water (87%), and eating plenty of vegetables and fruits (86%), while the least selected were enjoying a variety of foods (41%) and reading food labels (28%). A slight increase was found in teachers who consumed fruits daily, while the practice of washing hands before and during the pandemic was statistically and significantly increased (58% to 72%;p < 0.05). A slight decrease was found in teachers who consumed vegetables and animal protein, as well as performed physical exercise daily. Majority of teachers (80%) participated in some kinds of nutrition training in the last four years. The top three gaps of knowledge between trained and non-trained teachers were on physical activity and maintaining ideal body weight (64% vs. 33%;statistically significant at p < 0.05);limit intake of sweet, salty, and fatty food;and consuming high protein food, with the range between 20 to 35 percentage points. We concluded that teachers acquired knowledge on nutrition to some degree, but its application faced limitations during the pandemic. Dissemination of Balanced Nutrition should continue.

COVID-19 phobia, mindful eating, eating habits and body weight change among university students during pandemic: A pilot study

To evaluate the effects of the COVID-19 phobia on mindful eating, eating habits and body weight change among university students. This study was carried out with 385 university students who have been in social isolation at home for at least 2 months. The online survey was constituted via an internet-based questionnaire on Google forms. The survey includes demographics features, body weight, eating habits, change in appetite and consumption of food/food groups. COVID-19 Phobia Scale (C19P-S) and the Mindful Eating Questionnaire (MEQ) were used.

COVID-19 phenomenon on restaurant consumer: an evidence from Indonesia

This research aims to find changes in the consumption behavior of restaurant consumers during the COVID-19 pandemic, taking into account the attributes of the COVID-19 Protocol and Halal and Tayyib. This research uses a quantitative method. Through 681 responses, the sample of this research only uses 666 restaurant consumers in Indonesia during pandemic Covid-19. The data used are primary data through the distribution of questionnaires to respondents. Structural Equation Model (SEM) with Partial Least Square (PLS) is conducted for data analysis to verify the relationship between variables. The findings of this study are COVID-19 Protocol attributes are the essential variables on buying intention during the COVID-19 pandemic in Indonesia. Other attributes tested proved to have a change in the effect on satisfaction and to purchase intent of restaurant consumers. The implications of this research are to bridge the needs of industry and research related to restaurant consumers. Restaurant industry players can use the results of this study to adjust the attributes they have to remain able to flow revenue during the COVID-19 pandemic. This research focuses on restaurant consumers during the COVID-19 pandemic by improving variables related to the COVID-19 Protocol and Halal and Tayyib.

Covid-19 Salgını Döneminde Spor Bilimleri Fakültesi Öğrencilerinin Yeme Tutumu Durumlarının Íncelenmesi

Aim: The aim of the study is to examine the eating attitudes of the students studying at the Nigde ..mer Halisdemir University Faculty of Sports Sciences during the Covid-19 epidemic.