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Negative Impacts of COVID-19 Induced Lockdown on Changes in Eating Behavior, Physical Activity, and Mental Health as Modified by Digital Healthy Diet Literacy and eHealth Literacy.
Nguyen, Tham T; Nguyen, Minh H; Pham, Thu T M; Le, Vinh-Tuyen T; Nguyen, Tan T; Luong, Thuc C; Do, Binh N; Dao, Hung K; Nguyen, Huu C; Ha, Tung H; Pham, Linh V; Nguyen, Phuoc B; Nguyen, Hoai T T; Do, Thinh V; Nguyen, Hung Q; Trinh, Manh V; Le, Thuy T; Tra, Anh L; Nguyen, Thao T P; Nguyen, Kien T; Phan, Dung T; Pham, Khue M; Bai, Chyi-Huey; Duong, Tuyen Van.
  • Nguyen TT; Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Haiphong, Vietnam.
  • Nguyen MH; International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
  • Pham TTM; Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Haiphong, Vietnam.
  • Le VT; School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan.
  • Nguyen TT; Department of Pharmacognosy-Traditional Pharmacy-Pharmaceutical Botanic, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.
  • Luong TC; Ph.D. Program in Clinical Drug Development of Herbal Medicine, College of Pharmacy, Taipei Medical University, Taipei, Taiwan.
  • Do BN; Department of Orthopedics, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.
  • Dao HK; Director Office, Can Tho University of Medicine and Pharmacy Hospital, Can Tho, Vietnam.
  • Nguyen HC; Director Office, Military Hospital 103, Hanoi, Vietnam.
  • Ha TH; Department of Cardiology, Cardiovascular Center, Military Hospital 103, Hanoi, Vietnam.
  • Pham LV; Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam.
  • Nguyen PB; Division of Military Science, Military Hospital 103, Hanoi, Vietnam.
  • Nguyen HTT; Director Office, Bac Ninh Obstetrics and Pediatrics Hospital, Bac Ninh, Vietnam.
  • Do TV; Director Office, E Hospital, Hanoi, Vietnam.
  • Nguyen HQ; Department of Thoracic and Cardiovascular Surgery, E Hospital, Hanoi, Vietnam.
  • Trinh MV; Director Office, General Hospital of Agricultural, Hanoi, Vietnam.
  • Le TT; Department of Pulmonary & Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong, Vietnam.
  • Tra AL; Director Office, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong, Vietnam.
  • Nguyen TTP; Director Office, Kien An Hospital, Hai Phong, Vietnam.
  • Nguyen KT; Training and Direction of Healthcare Activity Center, Kien An Hospital, Hai Phong, Vietnam.
  • Phan DT; Director Office, Bai Chay Hospital, Quang Ninh, Vietnam.
  • Pham KM; Director Office, Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh, Vietnam.
  • Bai CH; Director Office, Quang Ninh General Hospital, Quang Ninh, Vietnam.
  • Duong TV; Faculty of Medical Laboratory Science, Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam.
Front Nutr ; 8: 774328, 2021.
Article in English | MEDLINE | ID: covidwho-1555869
ABSTRACT

Background:

The COVID-19-induced lockdown has been implemented in many countries, which may cause unfavorable changes in lifestyles and psychological health. People's health literacy, healthy diet, and lifestyles play important roles in mitigating the negative impacts of the pandemic. Therefore, we aimed to examine associations of COVID-19 lockdown with changes in eating behavior, physical activity, and mental health; and the modification effects by digital healthy diet literacy (DDL) and eHealth literacy (eHEALS) on the associations.

Methods:

We conducted an observational study on 4,348 outpatients from 7th April to 31st May 2020. Data from 11 hospitals in Vietnam included demographic characteristics, DDL, eHEALS, eating behavior, physical activity, and mental health changes. Multiple logistic regression and interaction models were performed to examine associations.

Results:

Patients under lockdown had a lower likelihood of having "unchanged or healthier" eating behavior (odds ratio, OR, 0.38; 95% confidence interval, 95%CI, 0.29 to 0.51; p < 0.001), "unchanged or more" physical activity (OR, 0.79; 95% CI, 0.69 to 0.90; p < 0.001), and "stable or better" mental health (OR, 0.77; 95% CI, 0.67 to 0.89; p < 0.001), as compared to those after lockdown. In interaction models, as compared to patients after lockdown and with the lowest DDL score, those under lockdown and with a one-score increment of DDL had a higher likelihood of having "unchanged or healthier" eating behavior (OR, 1.05; 95% CI, 1.02 to 1.07; p < 0.001), and "stable or better" mental health (OR, 1.02; 95% CI, 1.01 to 1.04; p < 0.001). Similarly, as compared to patients after lockdown and with the lowest eHEALS score, those under lockdown and with a one-score increment of eHEALS had a higher likelihood of having an "unchanged or more" physical activity (OR, 1.03; 95% CI, 1.01 to 1.05; p < 0.001).

Conclusion:

The COVID-19 lockdown measure could negatively affect eating behavior, physical activity, and mental health among outpatients. Better DDL and eHEALS were found to mitigate the negative impacts of the lockdown, which may empower outpatients to maintain healthy lifestyles and protect mental health. However, this study holds several limitations that may undermine the certainty of reported findings.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Journal: Front Nutr Year: 2021 Document Type: Article Affiliation country: Fnut.2021.774328

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Journal: Front Nutr Year: 2021 Document Type: Article Affiliation country: Fnut.2021.774328