Abstract

Purpose: The aim of this study was to explore the dietary patterns, adherence to Food-Based Dietary Guidelines, and the ultra-processed consumption during the COVID-19 lockdown among a Spanish young population aged 3–17 years.Methods: Parents/legal guardians of preschoolers, children, and adolescents aged 3–17 years were enrolled through social networks. The eating habits were assessed by a Food Propensity Questionnaire applied in the ENALIA (Encuesta Nacional de Alimentación en la población Infantil y Adolescente) Spanish survey, which aims to collect food intake information and other data about eating habits on children and adolescents (0–18 years old). Participants were dichotomized following the Food-Based Dietary Guidelines for the Spanish young population offered by the Spanish Society of Community Nutrition. The ultra-processed food score was determined following the principles established in the NOVA classification.Results: Data from 604 children and adolescents were included. An association between age group and the recommendations of snacks (p = 0.002), fruits (p = 0.010), and diaries (p < 0.001) was found. Adolescents showed a lower mean compliance with these guidelines than children (p = 0.004) and preschoolers (p < 0.001). Similarly, children reported lower Food-Based Dietary Guidelines than preschoolers (p = 0.015). Regarding ultra-processed consumption, it was also observed a higher intake in adolescents than in children (p = 0.037), as well as in preschoolers (p < 0.001).Conclusions: The associations that were found highlight the low proportion of the young population (especially adolescents) meeting the Food-Based Dietary Guidelines and the high consumption of ultra-processed foods during COVID-19 lockdown.

Highlights

  • As a result of the current COVID-19 crisis, public health recommendations and Spanish governmental measures have implemented restrictions and lockdown, such as stay-at-home orders, mandatory mask requirements, limitation of the freedom of people movement, suspension of the on-site educational activities, and/or close of the public establishments [1]

  • Providing assistance based on evidence for healthier lifestyles and dietary patterns could exert an essential role for public health [5]

  • Participants were dichotomized following the Food-Based Dietary Guidelines for the Spanish young population offered by the Spanish Society of Community Nutrition (SENC) [22]

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Summary

Introduction

As a result of the current COVID-19 crisis, public health recommendations and Spanish governmental measures have implemented restrictions and lockdown, such as stay-at-home orders, mandatory mask requirements, limitation of the freedom of people movement, suspension of the on-site educational activities (replaced by online educational activities), and/or close of the public establishments (with the exception of those essential) [1] These strategies assist to decrease the rate of infection, such restrictions (e.g., increased social distancing) involve adverse consequences by restraining engagement in physical activity, normal day-to-day routines, and access and travel to several ways of exercise [2]. Food-based dietary guidelines are helpful tools for public health strategies and nutrition policies to encourage healthier eating habits [6, 7]

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