Tebar William R, Christofaro Diego G D, Diniz Tiego A, Lofrano-Prado Mara Cristina, Botero Joao Paulo, Correia Marilia de Almeida, Cucato Gabriel G, Ritti-Dias Raphael Mendes, do Prado Wagner Luiz
São Paulo State University (UNESP), Faculty of Science and Technology, Presidente Prudente, Brazil.
University of São Paulo-USP, Post-graduation Program in Cell and Tissue Biology, São Paulo, Brazil.
Front Nutr. 2021 Mar 24;8:630586. doi: 10.3389/fnut.2021.630586. eCollection 2021.
Elevated screen time has been associated with addictive behaviors, such as alcohol and sugar intake and smoking. Considering the substantial increase in screen time caused by social isolation policies, this study aimed to analyze the association of increased screen time in different devices during the COVID-19 pandemic with consumption and increased desire of alcohol, smoking, and sweetened foods in adults. A sample of 1,897 adults with a mean age of 37.9 (13.3) years was assessed by an online survey, being composed by 58% of women. Participants were asked whether screen time in television, cell phone, and computer increased during the pandemic, as well as how much time is spent in each device. Closed questions assessed the frequency of alcohol and sweetened food consumption, smoking, and an increased desire to drink and smoke during the pandemic. Educational level, age, sex, feeling of stress, anxiety, depression, and use of a screen device for physical activity were covariates. Binary logistic regression models considered adjustment for covariates and for mutual habits. Increased television time was associated with increased desire to drink (OR = 1.46, 95% CI: 1.12; 1.89) and increased sweetened food consumption (OR = 1.53, 95% CI: 1.18; 1.99), while an increase in computer use was negatively associated with consumption of alcohol (OR = 0.68, 95% CI: 0.53; 0.86) and sweetened foods (OR = 0.78, 95% CI: 0.62; 0.98). Increased cell phone time was associated with increased sweetened food consumption during the pandemic (OR = 1.78, 95% CI: 1.18; 2.67). Participants with increased time in the three devices were less likely to consume sweetened foods for ≥5 days per week (OR = 0.63, 95% CI: 0.39; 0.99) but were twice as likely to have sweetened food consumption increased during pandemic (OR = 2.04, 95% CI: 1.07; 3.88). Increased screen time was differently associated with consumption and desire for alcohol and sweets according to screen devices. Increased time in television and cell phones need to be considered for further investigations of behavioral impairments caused by the pandemic.
屏幕使用时间的增加与成瘾行为有关,如酒精和糖分摄入以及吸烟。考虑到社交隔离政策导致屏幕使用时间大幅增加,本研究旨在分析在新冠疫情期间不同设备上屏幕使用时间的增加与成年人酒精、吸烟及甜食消费和欲望增加之间的关联。通过在线调查对1897名平均年龄为37.9(13.3)岁的成年人进行了评估,其中女性占58%。参与者被问及疫情期间电视、手机和电脑的屏幕使用时间是否增加,以及在每种设备上花费的时间。封闭式问题评估了疫情期间酒精和甜食消费的频率、吸烟情况以及饮酒和吸烟欲望的增加。教育程度、年龄、性别、压力感、焦虑、抑郁以及使用屏幕设备进行体育活动等为协变量。二元逻辑回归模型考虑了对协变量和相互习惯的调整。电视使用时间的增加与饮酒欲望增加(比值比=1.46,95%置信区间:1.12;1.89)和甜食消费增加(比值比=1.53,95%置信区间:1.18;1.99)相关,而电脑使用时间的增加与酒精消费(比值比=0.68,95%置信区间:0.53;0.86)和甜食消费(比值比=0.78,95%置信区间:0.62;0.98)呈负相关。手机使用时间的增加与疫情期间甜食消费增加相关(比值比=1.78,95%置信区间:1.18;2.67)。在三种设备上使用时间都增加的参与者每周食用甜食≥5天的可能性较小(比值比=0.63,95%置信区间:0.39;0.99),但在疫情期间甜食消费增加的可能性是原来的两倍(比值比=2.04,95%置信区间:1.07;3.88)。根据屏幕设备的不同,屏幕使用时间的增加与酒精和甜食的消费及欲望存在不同的关联。电视和手机使用时间的增加需要进一步研究疫情导致的行为损伤。