Haddad Chadia, Zakhour Maha, Bou Kheir Maria, Haddad Rima, Al Hachach Myriam, Sacre Hala, Salameh Pascale
Research Department, Psychiatric Hospital of the Cross, P.O. Box 60096, Jall-Eddib, Lebanon.
INSERM, Univ. Limoges, CH Esquirol, IRD, U1094 Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France.
J Eat Disord. 2020 Sep 1;8:40. doi: 10.1186/s40337-020-00317-0. eCollection 2020.
Quarantine/confinement is an effective measure to face the Coronavirus disease 2019 (COVID-19). Consequently, in response to this stressful situation, people confined to their homes may change their everyday eating behavior. Therefore, the primary objective of this study is to evaluate the association between quarantine/confinement stressors and eating behavior during the COVID-19 outbreak. The secondary objective is to compare the association of quarantine/confinement stressors and diet behavior between two groups of participants, those attending diet clinics and those not (general population).
A cross-sectional web-based online survey carried out between April 3 and 18, 2020, enrolled 407 participants from the Lebanese population. Eating Disorder Examination - Questionnaire (EDE-Q) were used to measure the behavioral features of eating disorders.
More than half of the sample (53.0%) abide by the home quarantine/confinement, 95.4% were living with someone in the quarantine/confinement, and 39.6% continued to work from home. Higher fear of COVID-19 was found in 182 (44.8%) participants, higher boredom in 200 (49.2%) participants, higher anger in 187 (46.3%), and higher anxiety in 197 (48.5%) participants. Higher fear of COVID-19 (Beta = 0.02), higher BMI (Beta = 0.05), and physical activity (Beta = 1.04) were significantly associated with a higher restraint score. Higher anxiety, higher fear of COVID-19, higher BMI, practicing physical exercise, and a higher number of adults living in the quarantine/confinement were significantly associated with higher shape and weight concerns.
Our results showed that the fear of COVID-19 was correlated with more eating restraint, weight, and shape concerns in the whole sample, but more specifically in the dietitian clients group. Public health control measures are needed to reduce the detrimental effects of psychological distress associated with quarantine/confinement on eating behaviors during the COVID-19 outbreak.
隔离/居家限制是应对2019冠状病毒病（COVID-19）的有效措施。因此，面对这种压力状况，居家隔离的人们可能会改变日常饮食行为。所以，本研究的主要目的是评估COVID-19疫情期间隔离/居家限制压力源与饮食行为之间的关联。次要目的是比较两组参与者（参加饮食诊所的人和未参加的人，即普通人群）中隔离/居家限制压力源与饮食行为之间的关联。
2020年4月3日至18日进行了一项基于网络的横断面在线调查，招募了407名黎巴嫩参与者。使用饮食失调检查问卷（EDE-Q）来测量饮食失调的行为特征。
超过一半的样本（53.0%）遵守居家隔离/限制，95.4%的人与他人一起处于隔离/限制状态，39.6%的人继续在家工作。182名（44.8%）参与者对COVID-19的恐惧较高，200名（49.2%）参与者无聊感较高，187名（46.3%）参与者愤怒感较高，197名（48.5%）参与者焦虑感较高。对COVID-19的恐惧较高（β=0.02）、体重指数较高（β=0.05）以及进行体育活动（β=1.04）与更高的克制得分显著相关。焦虑感较高、对COVID-19的恐惧较高、体重指数较高、进行体育锻炼以及处于隔离/限制状态的成年人数量较多与对体型和体重的更高关注显著相关。
我们的结果表明，在整个样本中，尤其是在营养师客户组中担忧，对COVID-19的恐惧与更多的饮食克制、对体重和体型的担忧相关。需要采取公共卫生控制措施，以减少COVID-19疫情期间与隔离/居家限制相关的心理困扰对饮食行为的不利影响。
