Centre of Cardiovascular Research and Education in Therapeutics, School of Public Health & Preventive Medicine, 553 St Kilda Rd, Melbourne, Victoria3004, Australia.
Global and Women's Health, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Public Health Nutr. 2021 Feb;24(2):275-281. doi: 10.1017/S1368980020003833. Epub 2020 Sep 25.
As a result of the coronavirus-19 disease (COVID-19) pandemic, Australia adopted emergency measures on 22 March 2020. This study reports the effect of the COVID-19 lockdown on appetite and overeating in Australian adults during the first month of emergency measures.
This study reports analysis of data from the population-based, self-completed survey. The main outcome measure was an item from the Patient Health Questionnaire 9 asking: 'Over the past 2 weeks, how often have you been bothered by poor appetite or overeating?'. Data on sociodemographic factors, symptoms of anxiety and depression, and the impact of COVID-19 and lockdown were also collected. Multivariable logistic regression was used to examine associations with poor appetite or overeating.
An anonymous online survey available from 3 April to 2 May 2020.
A total of 13 829 Australian residents aged 18 years or over.
The weighted prevalence of being bothered by poor appetite or overeating in the past 2 weeks was 53·6 %, with 11·6 % (95 % CI 10·6, 12·6) of the cohort reporting poor appetite or overeating nearly every day. High levels of anxiety, concern about contracting COVID-19, being in lockdown with children and reporting a severe impact of the lockdown were associated with increased odds of poor appetite or overeating.
Given the widespread prevalence of being bothered by poor appetite or overeating, universal public health interventions to address emotion-focused or situational eating during periods of lockdown may be appropriate.
由于冠状病毒-19 疾病(COVID-19)大流行,澳大利亚于 2020 年 3 月 22 日采取了紧急措施。本研究报告了 COVID-19 封锁对澳大利亚成年人在紧急措施实施的第一个月的食欲和暴饮暴食的影响。
本研究报告了一项基于人群的自我完成调查的数据分析。主要结局指标是患者健康问卷 9 中的一个项目,询问:“在过去的 2 周内,您因食欲不振或暴饮暴食而感到困扰的频率是多少?”还收集了社会人口因素、焦虑和抑郁症状以及 COVID-19 和封锁的影响的数据。使用多变量逻辑回归来检查与食欲不振或暴饮暴食相关的关联。
2020 年 4 月 3 日至 5 月 2 日期间提供的匿名在线调查。
共有 13829 名 18 岁或以上的澳大利亚居民。
过去两周内因食欲不振或暴饮暴食而感到困扰的加权患病率为 53.6%,其中 11.6%(95%CI10.6,12.6)的队列报告几乎每天都有食欲不振或暴饮暴食。高水平的焦虑、对感染 COVID-19 的担忧、与孩子一起被封锁以及报告封锁的严重影响与食欲不振或暴饮暴食的几率增加相关。
鉴于食欲不振或暴饮暴食的普遍流行,在封锁期间针对情绪关注或情境性进食的普遍公共卫生干预措施可能是合适的。