Changes in Ultra-Processed Food Consumption and Lifestyle Behaviors Following COVID-19 Shelter-in-Place: A Retrospective Study

Ultra-processed food (UPF) consumption poses a potential risk to public health and may be related to shelter-in-place orders. This study utilized the level of food processing as a lens by which to examine the relationships between diet, weight change, and lifestyle changes (including cooking, snacki...

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Main Authors: Walter Sobba, Matthew J. Landry, Kristen M. Cunanan, Alessandra Marcone, Christopher D. Gardner
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Foods
Subjects:
Online Access:https://www.mdpi.com/2304-8158/10/11/2553
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author Walter Sobba
Matthew J. Landry
Kristen M. Cunanan
Alessandra Marcone
Christopher D. Gardner
author_facet Walter Sobba
Matthew J. Landry
Kristen M. Cunanan
Alessandra Marcone
Christopher D. Gardner
author_sort Walter Sobba
collection DOAJ
description Ultra-processed food (UPF) consumption poses a potential risk to public health and may be related to shelter-in-place orders. This study utilized the level of food processing as a lens by which to examine the relationships between diet, weight change, and lifestyle changes (including cooking, snacking, and sedentary activity) that occurred during regional shelter-in-place orders. This study used a cross-sectional, retrospective survey (<i>n</i> = 589) to assess baseline demographics, changes in lifestyle behaviors using a Likert scale, and changes in dietary behaviors using a modified food frequency questionnaire from mid-March to May 2020; data were collected in the California Bay Area from August to October 2020. Foods were categorized by level of processing (minimally processed, processed, and ultra-processed) using the NOVA scale. Stepwise multiple linear regression and univariate linear regression models were used to determine the associations between these factors. Increased snacking was positively associated with a change in the percent of the calories derived from UPF and weight gain (β = 1.0, <i>p</i> < 0.001; β = 0.8 kg, <i>p</i> < 0.001) and negatively associated with the share of MPF calories consumed (β = −0.9, <i>p</i> < 0.001). These relationships have public health implications as interventions designed around decreased snacking may positively impact diet and weight management and thereby mitigate negative health outcomes.
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spelling doaj.art-baaae65f0358467b97089b62754398e52023-11-22T23:18:32ZengMDPI AGFoods2304-81582021-10-011011255310.3390/foods10112553Changes in Ultra-Processed Food Consumption and Lifestyle Behaviors Following COVID-19 Shelter-in-Place: A Retrospective StudyWalter Sobba0Matthew J. Landry1Kristen M. Cunanan2Alessandra Marcone3Christopher D. Gardner4Stanford Prevention Research Center, School of Medicine, Stanford University, Stanford, CA 94305, USAStanford Prevention Research Center, School of Medicine, Stanford University, Stanford, CA 94305, USAQuantitative Sciences Unit, School of Medicine, Stanford University, Stanford, CA 94305, USAStanford Prevention Research Center, School of Medicine, Stanford University, Stanford, CA 94305, USAStanford Prevention Research Center, School of Medicine, Stanford University, Stanford, CA 94305, USAUltra-processed food (UPF) consumption poses a potential risk to public health and may be related to shelter-in-place orders. This study utilized the level of food processing as a lens by which to examine the relationships between diet, weight change, and lifestyle changes (including cooking, snacking, and sedentary activity) that occurred during regional shelter-in-place orders. This study used a cross-sectional, retrospective survey (<i>n</i> = 589) to assess baseline demographics, changes in lifestyle behaviors using a Likert scale, and changes in dietary behaviors using a modified food frequency questionnaire from mid-March to May 2020; data were collected in the California Bay Area from August to October 2020. Foods were categorized by level of processing (minimally processed, processed, and ultra-processed) using the NOVA scale. Stepwise multiple linear regression and univariate linear regression models were used to determine the associations between these factors. Increased snacking was positively associated with a change in the percent of the calories derived from UPF and weight gain (β = 1.0, <i>p</i> < 0.001; β = 0.8 kg, <i>p</i> < 0.001) and negatively associated with the share of MPF calories consumed (β = −0.9, <i>p</i> < 0.001). These relationships have public health implications as interventions designed around decreased snacking may positively impact diet and weight management and thereby mitigate negative health outcomes.https://www.mdpi.com/2304-8158/10/11/2553ultra-processed foodsshelter-in-placesnackingCOVID-19dietlifestyle behaviors
spellingShingle Walter Sobba
Matthew J. Landry
Kristen M. Cunanan
Alessandra Marcone
Christopher D. Gardner
Changes in Ultra-Processed Food Consumption and Lifestyle Behaviors Following COVID-19 Shelter-in-Place: A Retrospective Study
Foods
ultra-processed foods
shelter-in-place
snacking
COVID-19
diet
lifestyle behaviors
title Changes in Ultra-Processed Food Consumption and Lifestyle Behaviors Following COVID-19 Shelter-in-Place: A Retrospective Study
title_full Changes in Ultra-Processed Food Consumption and Lifestyle Behaviors Following COVID-19 Shelter-in-Place: A Retrospective Study
title_fullStr Changes in Ultra-Processed Food Consumption and Lifestyle Behaviors Following COVID-19 Shelter-in-Place: A Retrospective Study
title_full_unstemmed Changes in Ultra-Processed Food Consumption and Lifestyle Behaviors Following COVID-19 Shelter-in-Place: A Retrospective Study
title_short Changes in Ultra-Processed Food Consumption and Lifestyle Behaviors Following COVID-19 Shelter-in-Place: A Retrospective Study
title_sort changes in ultra processed food consumption and lifestyle behaviors following covid 19 shelter in place a retrospective study
topic ultra-processed foods
shelter-in-place
snacking
COVID-19
diet
lifestyle behaviors
url https://www.mdpi.com/2304-8158/10/11/2553
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