在马来西亚的 COVID-19 封锁期间，与健康相关的生活方式的变化和食物不安全及其与生活质量的关系。
Changes in health-related lifestyles and food insecurity and its association with quality of life during the COVID-19 lockdown in Malaysia.
机构信息
Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kampus Gong Badak, 21300, Kuala Nerus, Terengganu, Malaysia.
Nuffield Department of Primary Care Health Sciences, Radcliffe Primary Care Building, University of Oxford, OX2 6GG, Oxford, UK.
出版信息
BMC Public Health. 2022 Jun 9;22(1):1150. doi: 10.1186/s12889-022-13568-0.
BACKGROUND
The pandemic of SARS CoV2 virus has severely impacted the entire world population. The lockdown imposed during the pandemic has created enormous challenges particularly on the health, economic and social life of most individuals. This study aimed to investigate the changes in health-related lifestyle and food security during the lockdown and how they influenced the quality of life (QoL) of Malaysian adults.
METHODS
An online survey using a structured questionnaire consisting of sociodemographic, body weight, diet quality, physical activity, sleep quality, food insecurity, and QoL was conducted among adult respondents across Malaysia. Multivariate linear regression analyses were conducted to assess the associations between the changes in each component and QoL based on the total score before and during the lockdown.
RESULTS
A total of 759 valid responses were included in the final analysis (75% female and 24.5% male). There was a significant improvement in diet quality during the lockdown while sleep quality and food insecurity worsened significantly. As for physical activity, metabolic equivalents (METs) in moderate activity increased significantly, whilst there was a significant decrease in the METs in walking and total minutes spent on physical activity during the lockdown. Overall, independent of age, gender, ethnicity, and religion, there were significant associations between QoL during lockdown and changes in BMI, METs of moderate activity, sleep quality, and food insecurity.
CONCLUSIONS
The unprecedented COVID-19 outbreak and the lockdown measure during the pandemic have caused significant negative changes in health-related lifestyles and affected the QoL of Malaysian adults. Despite the new norms and rules to prevent disease transmission, efforts to maintain a healthy lifestyle and food security among the population must be rolled out to improve the QoL and prevent further adverse mental and physical health outcomes.
背景
SARS-CoV2 病毒的大流行严重影响了全球人口。大流行期间实施的封锁给大多数人的健康、经济和社会生活带来了巨大挑战。本研究旨在调查封锁期间与健康相关的生活方式和粮食安全的变化，以及它们如何影响马来西亚成年人的生活质量（QoL）。
方法
在马来西亚各地的成年受访者中，使用包含社会人口统计学、体重、饮食质量、身体活动、睡眠质量、粮食不安全和 QoL 的结构化问卷进行了在线调查。使用多元线性回归分析，根据封锁前后的总分，评估每个组成部分的变化与 QoL 之间的关联。
结果
共有 759 份有效回复纳入最终分析（75%为女性，24.5%为男性）。封锁期间饮食质量显著改善，而睡眠质量和粮食不安全显著恶化。至于身体活动，中等强度活动的代谢当量（METs）显著增加，而在封锁期间，步行和身体活动总分钟数的 METs 显著减少。总的来说，与年龄、性别、种族和宗教无关，封锁期间 QoL 与 BMI、中等强度活动的 METs、睡眠质量和粮食不安全的变化之间存在显著关联。
结论
前所未有的 COVID-19 爆发和大流行期间的封锁措施导致马来西亚成年人的健康相关生活方式发生了重大负面变化，并影响了他们的生活质量。尽管有新的规范和规则来防止疾病传播，但必须在民众中开展努力，以维持健康的生活方式和粮食安全，以提高生活质量并防止进一步出现不良的身心健康后果。
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