Vanke School of Public Health, Tsinghua University, Beijing 100091, China.
School of Public Health, Peking University, Beijing 100191, China.
Nutrients. 2020 Oct 26;12(11):3269. doi: 10.3390/nu12113269.
Coronavirus disease 2019 (COVID-19) has imposed enormous challenges on people's lifestyles. People in China have gradually returned to normal life; however, in the protracted pandemic, people may still follow certain dietary behaviors to cope with COVID-19. This study was the second stage of a longitudinal nutritional survey conducted in post-lockdown China that was aimed at exploring post-lockdown dietary behaviors and their effects on dietary diversity. In line with the first stage of the survey, the current dietary behaviors used to cope with COVID-19 and ways of purchasing food were determined. In addition, changes in dietary behavior compared to the same period in 2019 and those behaviors recommended to ensure food safety were also investigated. The Household Dietary Diversity Score (HDDS) was used to assess dietary diversity; this was also used in the first stage of the survey. Linear regression was used to model the associations between the HDDS, participants' characteristics, and dietary behaviors. The data of 1994 participants were included in the analysis. The overall mean HDDS was 9.2 ± 2.0. Compared to the same period in 2019, a substantial proportion of participants self-reported that they had recently decreased eating in restaurants (61.6%) and reduced intakes of seafood (53.1%), imported frozen food (57.1%), and raw food (60.5%), while 64.8% of participants reported increased cooking at home. People with an increased consumption of seafood (adjusted OR (95%CI) = 0.56 (0.07, 1.04)) and raw food (adjusted OR (95%CI) = 0.74 (0.27, 1.21)) had a significantly higher HDDS. Participants who changed their consumption of imported frozen food (both increased and decreased) had a higher HDDS (adjusted OR (95%CI) = 0.56 (0.07, 1.04) and 0.27 (0.09, 0.44), respectively). People who depended more on purchasing food online had a significantly higher HDDS (adjusted OR (95%CI) = 0.29 (0.02, 0.55)). Compared to the data from stage 1, the proportion of people choosing healthy products to cope with COVID-19 did not greatly change and those people had a higher HDDS (adjusted OR (95%CI) = 0.31 (0.19, 0.42)). Although this study found that the proportion of people who chose to use alcohol or vinegar to prevent COVID-19 had decreased substantially compared to during lockdown, there were still 5.3% and 9.8% who followed these irrational behaviors. Regarding the dietary behavior regarding food safety, except for cooking food fully, fewer than half of participants followed the recommended dietary behaviors, including individual food servings (44.2%), using serving chopsticks and spoons (44.8%), and preparing raw and cooked food separately (43.3%). People who followed these behaviors had a better dietary diversity. In conclusion, during the post-lockdown period, people still followed certain dietary behaviors to cope with COVID-19. While some dietary behaviors were adopted to help prevent infection, irrational dietary behaviors were still followed. These behaviors were associated with the dietary diversity in Chinese adults.
新型冠状病毒肺炎(COVID-19)给人们的生活方式带来了巨大挑战。中国人已逐渐回归正常生活,但在这场旷日持久的大流行中,人们可能仍会遵循某些饮食行为来应对 COVID-19。本研究是在中国封控后进行的一项纵向营养调查的第二阶段,旨在探索封控后的饮食行为及其对饮食多样性的影响。本研究沿用了第一阶段的调查方法,确定了用于应对 COVID-19 的当前饮食行为和购买食物的方式。此外,还调查了与 2019 年同期相比饮食行为的变化,以及为确保食品安全而推荐的饮食行为。本研究使用家庭饮食多样性评分(HDDS)来评估饮食多样性;该评分也用于第一阶段的调查。线性回归用于建立 HDDS 与参与者特征和饮食行为之间的关联模型。本研究共纳入了 1994 名参与者的数据。总的平均 HDDS 为 9.2 ± 2.0。与 2019 年同期相比,相当一部分参与者报告最近减少了外出就餐(61.6%),减少了海鲜(53.1%)、进口冷冻食品(57.1%)和生食(60.5%)的摄入量,而 64.8%的参与者报告增加了在家做饭。海鲜(调整后的 OR(95%CI)=0.56(0.07,1.04))和生食(调整后的 OR(95%CI)=0.74(0.27,1.21))摄入量增加的人群 HDDS 显著更高。改变进口冷冻食品(增加和减少)摄入量的参与者 HDDS 更高(调整后的 OR(95%CI)=0.56(0.07,1.04)和 0.27(0.09,0.44))。更多依赖网上购买食物的人 HDDS 显著更高(调整后的 OR(95%CI)=0.29(0.02,0.55))。与第一阶段的数据相比,选择健康产品应对 COVID-19 的人群比例没有大幅变化,这些人群的 HDDS 更高(调整后的 OR(95%CI)=0.31(0.19,0.42))。尽管本研究发现,与封控期间相比,选择使用酒精或醋预防 COVID-19 的人群比例大幅下降,但仍有 5.3%和 9.8%的人遵循这些不合理的行为。关于食品安全相关的饮食行为,除了彻底煮熟食物外,不到一半的参与者遵循了推荐的饮食行为,包括个人食物份量(44.2%)、使用公用筷子和勺子(44.8%)以及将生熟食物分开(43.3%)。遵循这些行为的人饮食多样性更好。总之,在封控后期间,人们仍遵循某些饮食行为来应对 COVID-19。虽然一些饮食行为是为了帮助预防感染,但仍有一些不合理的饮食行为。这些行为与中国成年人的饮食多样性有关。