Eating habits, sleep quality, and lifestyle changes during the COVID-19 crisis: a national survey from Palestine

Abstract

BackgroundThe COVID-19 pandemic and the consequences of safety measures, such as lockdowns, have impacted not only the physical health of individuals but also their lifestyle, psychosocial health, and mental health. In this analysis, we aimed to explore the effect of the COVID-19 pandemic on lifestyle, eating habits, and sleep quality in the Palestinian population. Furthermore, the current study aimed to determine the factors associated with poor sleep.MethodsThe study was carried out between November 2021 and February 2022 after a long lockdown. We adopted a cross-sectional design to achieve the objectives of this study. The questionnaire included information on sociodemographic characteristics and other characteristics. In addition, questions related to lifestyle changes and items related to changes in the consumption of certain types of food were included. Furthermore, in the present study, two scales were used to assess sleep quality: the Epworth Sleepiness Scale (ESS) and the Pittsburgh Sleep Quality Index (PSQI).ResultsA total of 978 participants were included in this study; 508 (51.9%) were women, and 465 (47.5%) were aged between 17 and 30 years. 41% of the participants added one meal or more, and almost 43% skipped one meal or more. A total of 39.2% believed that their habits worsened as a result of the COVID-19 pandemic. A significant portion of the population increased their vitamin intake by 62.5%. In general, nuts, fast food, fried food, coffee, snacks, cans, and homemade baked foods were consumed at higher rates overall. The median ESS score, which measures general levels of daytime drowsiness, was 20.00 (18.00–22.00). Residency (p = 0.008), living status (p < 0.001), salary (p < 0.001), education level (p = 0.002), job status (p = 0.015), and vitamin intake (p < 0.001) were significantly associated with the ESS score. The PSQI score, which evaluates adult sleep patterns and quality, has a median value of 5.00. (4.00–7.00). Living status (p < 0.001), salary (p = 0.006), job status (p = 0.002), smoking status (p = 0.030), chronic diseases (p = 0.002), and vitamin use (p < 0.001) were significantly associated with the PSQI score. Only taking multivitamins was a predictor of having a lower score on both the ESS (p = 0.001) and PSQI (p < 0.001).ConclusionsOur findings clearly showed that the COVID-19 pandemic has substantially affected the Palestinian population in different aspects of life. We recommend that health authorities and healthcare providers continually share knowledge and awareness about good eating habits, sleep quality, and other aspects of lifestyles.