Changes in ultra-processed food consumption during the first Italian lockdown following the COVID-19 pandemic and major correlates: results from two population-based cohorts

被引:27
作者
Bonaccio, Marialaura [1 ]
Costanzo, Simona [1 ]
Ruggiero, Emilia [1 ]
Persichillo, Mariarosaria [1 ]
Esposito, Simona [1 ]
Olivieri, Marco [3 ]
Di Castelnuovo, Augusto [2 ]
Cerletti, Chiara [1 ]
Donati, Maria Benedetta [1 ]
de Gaetano, Giovanni [1 ]
Iacoviello, Licia [1 ,4 ]
机构
[1] IRCCS Neuromed, Dept Epidemiol & Prevent, Via Elettron, I-86077 Pozzilli, IS, Italy
[2] Mediterranea Cardioctr, Naples, Italy
[3] Assoc Cuore Sano ONLUS, Campobasso, Italy
[4] Univ Insubria, Res Ctr Epidemiol & Prevent Med EPIMED, Dept Med & Surg, Varese, Italy
关键词
COVID-19; Lockdown; Dietary changes; Ultra-processed food; Diet quality;
D O I
10.1017/S1368980021000999
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To evaluate changes in ultra-processed food (UPF) intake and its major correlates during the first Italian lockdown (9 March-3 May 2020). Design: Retrospective observational study. Setting: Italy. Participants: We analysed 2992 subjects (mean age 57 center dot 9 +/- 15 center dot 3 years, 40 center dot 4 % men). Individual participant data were pooled from two retrospective cohorts: (1) The Moli-LOCK cohort consists of 1501 adults, a portion of the larger Moli-sani study (n 24 325; 2005-2010) who were administered a phone-based questionnaire to assess lifestyles and psychological factors during confinement and (2) the Analysis of Long Term Risk of Covid-19 Emergency is a web-based survey of 1491 individuals distributed throughout Italy who self-responded to the same questionnaire by using Google forms. UPF was defined according to NOVA classification based on degree of food processing. An UPF score was created by assigning 1 point to increased consumption, -1 to decreased and 0 point for unchanged intakes of nineteen food items, with higher values indicating an increase in UPF during confinement. Results: Overall, 37 center dot 5 % of the population reported some increase in UPF (UPF score >= 1). Adults were more likely to decrease UPF (multivariable regression coefficient beta = -1 center dot 94; 95 % CI -2 center dot 72, -1 center dot 17 for individuals aged >75 years as compared with 18-39 years) as did individuals from southern Italian regions as compared with Northern inhabitants (beta = -1 center dot 32; 95 % CI -1 center dot 80, -0 center dot 84), while UPF lowering associated with increased exercise (beta = -0 center dot 90; 95 % CI -1 center dot 46, -0 center dot 35) and weight loss (beta = -1 center dot 05; 95 % CI -1 center dot 51, -0 center dot 59) during confinement. Conclusions: During the first Italian lockdown, about 40 % of our population switched to unfavourable eating as reflected by increased UPF intake and this may have long-term effects for health.
引用
收藏
页码:3905 / 3915
页数:11
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