Negative Impacts of COVID-19 Induced Lockdown on Changes in Eating Behavior, Physical Activity, and Mental Health as Modified by Digital Healthy Diet Literacy and eHealth Literacy

Background: The COVID-19-induced lockdown has been implemented in many countries, which may cause unfavorable changes in lifestyles and psychological health. People's health literacy, healthy diet, and lifestyles play important roles in mitigating the negative impacts of the pandemic. Therefore...

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Autores principales:	Tham T. Nguyen, Minh H. Nguyen, Thu T. M. Pham, Vinh-Tuyen T. Le, Tan T. Nguyen, Thuc C. Luong, Binh N. Do, Hung K. Dao, Huu C. Nguyen, Tung H. Ha, Linh V. Pham, Phuoc B. Nguyen, Hoai T. T. Nguyen, Thinh V. Do, Hung Q. Nguyen, Manh V. Trinh, Thuy T. Le, Anh L. Tra, Thao T. P. Nguyen, Kien T. Nguyen, Dung T. Phan, Khue M. Pham, Chyi-Huey Bai, Tuyen Van Duong
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	lockdown mental health digital healthy diet literacy eHealth literacy eating behavior outpatient Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/dfe6e666726a44c2a3356045f8e2602d
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spelling	oai:doaj.org-article:dfe6e666726a44c2a3356045f8e2602d2021-11-12T16:41:21ZNegative Impacts of COVID-19 Induced Lockdown on Changes in Eating Behavior, Physical Activity, and Mental Health as Modified by Digital Healthy Diet Literacy and eHealth Literacy2296-861X10.3389/fnut.2021.774328https://doaj.org/article/dfe6e666726a44c2a3356045f8e2602d2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fnut.2021.774328/fullhttps://doaj.org/toc/2296-861XBackground: The COVID-19-induced lockdown has been implemented in many countries, which may cause unfavorable changes in lifestyles and psychological health. People's health literacy, healthy diet, and lifestyles play important roles in mitigating the negative impacts of the pandemic. Therefore, we aimed to examine associations of COVID-19 lockdown with changes in eating behavior, physical activity, and mental health; and the modification effects by digital healthy diet literacy (DDL) and eHealth literacy (eHEALS) on the associations.Methods: We conducted an observational study on 4,348 outpatients from 7th April to 31st May 2020. Data from 11 hospitals in Vietnam included demographic characteristics, DDL, eHEALS, eating behavior, physical activity, and mental health changes. Multiple logistic regression and interaction models were performed to examine associations.Results: Patients under lockdown had a lower likelihood of having “unchanged or healthier” eating behavior (odds ratio, OR, 0.38; 95% confidence interval, 95%CI, 0.29 to 0.51; p < 0.001), “unchanged or more” physical activity (OR, 0.79; 95% CI, 0.69 to 0.90; p < 0.001), and “stable or better” mental health (OR, 0.77; 95% CI, 0.67 to 0.89; p < 0.001), as compared to those after lockdown. In interaction models, as compared to patients after lockdown and with the lowest DDL score, those under lockdown and with a one-score increment of DDL had a higher likelihood of having “unchanged or healthier” eating behavior (OR, 1.05; 95% CI, 1.02 to 1.07; p < 0.001), and “stable or better” mental health (OR, 1.02; 95% CI, 1.01 to 1.04; p < 0.001). Similarly, as compared to patients after lockdown and with the lowest eHEALS score, those under lockdown and with a one-score increment of eHEALS had a higher likelihood of having an “unchanged or more” physical activity (OR, 1.03; 95% CI, 1.01 to 1.05; p < 0.001).Conclusion: The COVID-19 lockdown measure could negatively affect eating behavior, physical activity, and mental health among outpatients. Better DDL and eHEALS were found to mitigate the negative impacts of the lockdown, which may empower outpatients to maintain healthy lifestyles and protect mental health. However, this study holds several limitations that may undermine the certainty of reported findings.Tham T. NguyenMinh H. NguyenThu T. M. PhamThu T. M. PhamVinh-Tuyen T. LeVinh-Tuyen T. LeTan T. NguyenTan T. NguyenThuc C. LuongThuc C. LuongBinh N. DoBinh N. DoHung K. DaoHuu C. NguyenHuu C. NguyenTung H. HaLinh V. PhamLinh V. PhamPhuoc B. NguyenHoai T. T. NguyenThinh V. DoHung Q. NguyenManh V. TrinhThuy T. LeThuy T. LeAnh L. TraThao T. P. NguyenKien T. NguyenDung T. PhanDung T. PhanKhue M. PhamKhue M. PhamChyi-Huey BaiChyi-Huey BaiChyi-Huey BaiTuyen Van DuongFrontiers Media S.A.articlelockdownmental healthdigital healthy diet literacyeHealth literacyeating behavioroutpatientNutrition. Foods and food supplyTX341-641ENFrontiers in Nutrition, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	lockdown mental health digital healthy diet literacy eHealth literacy eating behavior outpatient Nutrition. Foods and food supply TX341-641
spellingShingle	lockdown mental health digital healthy diet literacy eHealth literacy eating behavior outpatient Nutrition. Foods and food supply TX341-641 Tham T. Nguyen Minh H. Nguyen Thu T. M. Pham Thu T. M. Pham Vinh-Tuyen T. Le Vinh-Tuyen T. Le Tan T. Nguyen Tan T. Nguyen Thuc C. Luong Thuc C. Luong Binh N. Do Binh N. Do Hung K. Dao Huu C. Nguyen Huu C. Nguyen Tung H. Ha Linh V. Pham Linh V. Pham Phuoc B. Nguyen Hoai T. T. Nguyen Thinh V. Do Hung Q. Nguyen Manh V. Trinh Thuy T. Le Thuy T. Le Anh L. Tra Thao T. P. Nguyen Kien T. Nguyen Dung T. Phan Dung T. Phan Khue M. Pham Khue M. Pham Chyi-Huey Bai Chyi-Huey Bai Chyi-Huey Bai Tuyen Van Duong Negative Impacts of COVID-19 Induced Lockdown on Changes in Eating Behavior, Physical Activity, and Mental Health as Modified by Digital Healthy Diet Literacy and eHealth Literacy
description	Background: The COVID-19-induced lockdown has been implemented in many countries, which may cause unfavorable changes in lifestyles and psychological health. People's health literacy, healthy diet, and lifestyles play important roles in mitigating the negative impacts of the pandemic. Therefore, we aimed to examine associations of COVID-19 lockdown with changes in eating behavior, physical activity, and mental health; and the modification effects by digital healthy diet literacy (DDL) and eHealth literacy (eHEALS) on the associations.Methods: We conducted an observational study on 4,348 outpatients from 7th April to 31st May 2020. Data from 11 hospitals in Vietnam included demographic characteristics, DDL, eHEALS, eating behavior, physical activity, and mental health changes. Multiple logistic regression and interaction models were performed to examine associations.Results: Patients under lockdown had a lower likelihood of having “unchanged or healthier” eating behavior (odds ratio, OR, 0.38; 95% confidence interval, 95%CI, 0.29 to 0.51; p < 0.001), “unchanged or more” physical activity (OR, 0.79; 95% CI, 0.69 to 0.90; p < 0.001), and “stable or better” mental health (OR, 0.77; 95% CI, 0.67 to 0.89; p < 0.001), as compared to those after lockdown. In interaction models, as compared to patients after lockdown and with the lowest DDL score, those under lockdown and with a one-score increment of DDL had a higher likelihood of having “unchanged or healthier” eating behavior (OR, 1.05; 95% CI, 1.02 to 1.07; p < 0.001), and “stable or better” mental health (OR, 1.02; 95% CI, 1.01 to 1.04; p < 0.001). Similarly, as compared to patients after lockdown and with the lowest eHEALS score, those under lockdown and with a one-score increment of eHEALS had a higher likelihood of having an “unchanged or more” physical activity (OR, 1.03; 95% CI, 1.01 to 1.05; p < 0.001).Conclusion: The COVID-19 lockdown measure could negatively affect eating behavior, physical activity, and mental health among outpatients. Better DDL and eHEALS were found to mitigate the negative impacts of the lockdown, which may empower outpatients to maintain healthy lifestyles and protect mental health. However, this study holds several limitations that may undermine the certainty of reported findings.
format	article
author	Tham T. Nguyen Minh H. Nguyen Thu T. M. Pham Thu T. M. Pham Vinh-Tuyen T. Le Vinh-Tuyen T. Le Tan T. Nguyen Tan T. Nguyen Thuc C. Luong Thuc C. Luong Binh N. Do Binh N. Do Hung K. Dao Huu C. Nguyen Huu C. Nguyen Tung H. Ha Linh V. Pham Linh V. Pham Phuoc B. Nguyen Hoai T. T. Nguyen Thinh V. Do Hung Q. Nguyen Manh V. Trinh Thuy T. Le Thuy T. Le Anh L. Tra Thao T. P. Nguyen Kien T. Nguyen Dung T. Phan Dung T. Phan Khue M. Pham Khue M. Pham Chyi-Huey Bai Chyi-Huey Bai Chyi-Huey Bai Tuyen Van Duong
author_facet	Tham T. Nguyen Minh H. Nguyen Thu T. M. Pham Thu T. M. Pham Vinh-Tuyen T. Le Vinh-Tuyen T. Le Tan T. Nguyen Tan T. Nguyen Thuc C. Luong Thuc C. Luong Binh N. Do Binh N. Do Hung K. Dao Huu C. Nguyen Huu C. Nguyen Tung H. Ha Linh V. Pham Linh V. Pham Phuoc B. Nguyen Hoai T. T. Nguyen Thinh V. Do Hung Q. Nguyen Manh V. Trinh Thuy T. Le Thuy T. Le Anh L. Tra Thao T. P. Nguyen Kien T. Nguyen Dung T. Phan Dung T. Phan Khue M. Pham Khue M. Pham Chyi-Huey Bai Chyi-Huey Bai Chyi-Huey Bai Tuyen Van Duong
author_sort	Tham T. Nguyen
title	Negative Impacts of COVID-19 Induced Lockdown on Changes in Eating Behavior, Physical Activity, and Mental Health as Modified by Digital Healthy Diet Literacy and eHealth Literacy
title_short	Negative Impacts of COVID-19 Induced Lockdown on Changes in Eating Behavior, Physical Activity, and Mental Health as Modified by Digital Healthy Diet Literacy and eHealth Literacy
title_full	Negative Impacts of COVID-19 Induced Lockdown on Changes in Eating Behavior, Physical Activity, and Mental Health as Modified by Digital Healthy Diet Literacy and eHealth Literacy
title_fullStr	Negative Impacts of COVID-19 Induced Lockdown on Changes in Eating Behavior, Physical Activity, and Mental Health as Modified by Digital Healthy Diet Literacy and eHealth Literacy
title_full_unstemmed	Negative Impacts of COVID-19 Induced Lockdown on Changes in Eating Behavior, Physical Activity, and Mental Health as Modified by Digital Healthy Diet Literacy and eHealth Literacy
title_sort	negative impacts of covid-19 induced lockdown on changes in eating behavior, physical activity, and mental health as modified by digital healthy diet literacy and ehealth literacy
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/dfe6e666726a44c2a3356045f8e2602d
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Negative Impacts of COVID-19 Induced Lockdown on Changes in Eating Behavior, Physical Activity, and Mental Health as Modified by Digital Healthy Diet Literacy and eHealth Literacy

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