Changes in the pattern of eating habit and physical activity during the pandemic of COVID-19 in Malaysia: data from COMET-G international multi-country study 10.55131/jphd/2023/210112

Main Article Content

Salmi Razali
Nurul Azreen Hashim
Saw Jo Anne
Nor Jannah Nasution Raduan
Dina Tukhvatullina
Daria Smirnova
Konstantinos N. Fountoulakis

Abstract

Lockdown during the COVID-19 pandemic had led to lifestyle changes among Malaysians. These changes were due to people being confined to work and study at home and stress due to the risk of COVID-19 transmission. Our study aimed to observe changes in the patterns of eating habits and physical activity during the pandemic of COVID-19 in Malaysia and look for the associations with sociodemographic factors, people living together, living conditions and mental health status. This study was an online cross-sectional survey among 963 participants who completed self-administrated questionnaires on socio-demography, Likert scales on eating habits and physical activity and the Center for Epidemiologic Studies Depression Scale for mental health status. The data were analyzed using descriptive statistics, one-way ANOVA, Pearson correlations and independent t tests. Marital status has a significant association with the frequency and intensity of physical workouts during this pandemic and lockdown, changes in eating amount, and changes in body weight (p<0.001). Employment had a significant association with all components of eating habits and physical activities except the level of physical activity affected by the pandemic (p<0.001). Those with normal mental health status found exercise to be helpful in preventing anxiety, practicing healthy eating, and having more changes in body weight, compared to those who were depressed (p<0.001). There was a significant difference in how the vulnerable group practiced healthy eating compared to the non-vulnerable group (p<0.001). The vulnerable group had significant changes in eating amount and body weight (p<0.001). In conclusion, the COVID-19 pandemic has brought changes in eating habits and body weight which were also influenced by sociodemographic factors and mental health status.

Article Details

How to Cite
1.
Razali S, Hashim NA, Anne SJ, Raduan NJN, Tukhvatullina D, Smirnova D, Fountoulakis KN. Changes in the pattern of eating habit and physical activity during the pandemic of COVID-19 in Malaysia: data from COMET-G international multi-country study: 10.55131/jphd/2023/210112. J Public Hlth Dev [Internet]. 2022 Dec. 24 [cited 2024 May 2];21(1):161-73. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/260612
Section
Original Articles
Author Biographies

Salmi Razali, Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia

Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia

Nurul Azreen Hashim, Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia

Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia

Saw Jo Anne, Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia

Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia

Nor Jannah Nasution Raduan, Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia

Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia

Dina Tukhvatullina, Centre for Global Public Health, Institute of Population Health Sciences, Queen Mary University of London, London, United Kingdom

Centre for Global Public Health, Institute of Population Health Sciences, Queen Mary University of London, London, United Kingdom

Daria Smirnova, International Centre for Education and Research in Neuropsychiatry (ICERN), Samara State Medical University, Samara, Russia

International Centre for Education and Research in Neuropsychiatry (ICERN), Samara State Medical University, Samara, Russia

Department of Psychiatry, Narcology, Psychotherapy and Clinical Psychology, Samara State Medical University, Samara, Russia

Konstantinos N. Fountoulakis, 3rd Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki Greece, Thessaloniki, Greece

3rd Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki Greece, Thessaloniki, Greece

References

Cotula L. Towards a political economy of the COVID-19 crisis: Reflections on an agenda for research and action. World Dev. 2021;138:105235.

Kaur H, Singh T, Arya YK, Mittal S. Physical Fitness and Exercise During the COVID-19 Pandemic: A Qualitative Enquiry. Front Psychol. 2020;11:590172.

Janssen M, Chang BPI, Hristov H, Pravst I, Profeta A, Millard J. Changes in Food Consumption During the COVID-19 Pandemic: Analysis of Consumer Survey Data From the First Lockdown Period in Denmark, Germany, and Slovenia. Front Nutr. 2021;8:635859.

Puccinelli PJ, da Costa TS, Seffrin A, de Lira CAB, Vancini RL, Nikolaidis PT, et al. Reduced level of physical activity during COVID-19 pandemic is associated with depression and anxiety levels: an internet-based survey. BMC Public Health. 2021;21(1):425.

Bemanian M, Mæland S, Blomhoff R, Rabben Å K, Arnesen EK, Skogen JC, et al. Emotional Eating in Relation to Worries and Psychological Distress Amid the COVID-19 Pandemic: A Population-Based Survey on Adults in Norway. Int J Environ Res Public Health. 2020;18(1).

Giacalone D, Frøst MB, Rodríguez-Pérez C. Reported Changes in Dietary Habits During the COVID-19 Lockdown in the Danish Population: The Danish COVIDiet Study. Front Nutr. 2020;7:592112.

Bennett G, Young E, Butler I, Coe S. The Impact of Lockdown During the COVID-19 Outbreak on Dietary Habits in Various Population Groups: A Scoping Review. Front Nutr. 2021;8:626432. doi: 10.3389/fnut.2021.626432

Lamy E, Viegas C, Rocha A, Raquel Lucas M, Tavares S, Capela ESF, et al. Changes in food behavior during the first lockdown of COVID-19 pandemic: A multi-country study about changes in eating habits, motivations, and food-related behaviors. Food Qual Prefer. 2022;99:104559. doi: 10.1016/j.foodqual.2022.104559.

Sidor A, Rzymski P. Dietary Choices and Habits during COVID-19 Lockdown: Experience from Poland. Nutrients. 2020;12(6):1657.

Di Renzo L, Gualtieri P, Pivari F, Soldati L, Attinà A, Cinelli G, et al. Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. J Transl Med. 2020;18(1):229. doi: 10.1186/s12967-020-02399-5

González-Monroy C, Gómez-Gómez I, Olarte-Sánchez CM, Motrico E. Eating Behaviour Changes during the COVID-19 Pandemic: A Systematic Review of Longitudinal Studies. Int J Environ Res Public Health. 2021;18(21):11130.

Jurak G, Morrison SA, Leskošek B, Kovač M, Hadžić V, Vodičar J, et al. Physical activity recommendations during the coronavirus disease-2019 virus outbreak. J Sport Health Sci. 2020;9(4):325-7. doi: 10.1016/j.jshs.2020.05.003

Chin YS, Woon FC, Chan YM. The impact of Movement Control Order during the COVID-19 pandemic on lifestyle behaviours and body weight changes: Findings from the MyNutriLifeCOVID-19 online survey. PLOS ONE. 2022;17(1):e0262332.

Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients. 2020;12(6):1583.

Fountoulakis KN, Karakatsoulis G, Abraham S, Adorjan K, Ahmed HU, Alarcón RD, et al. Results of the COVID-19 mental health international for the general population (COMET-G) study. Eur Neuropsychopharmacol. 2022;54:21-40. doi: 10.1016/j.euroneuro.2021.10.004

Fountoulakis K, Iacovides A, Kleanthous S, Samolis S, Kaprinis SG, Sitzoglou K, et al. Reliability, validity and psychometric properties of the Greek translation of the Center for Epidemiological Studies-Depression (CES-D) Scale. BMC Psychiatry. 2001;1:3.

Ghazali SR, Elklit A, Balang RV, Sultan MA, Chen YY. Determining The Cut-Off Score For A Malay Language Version Of The Centre For Epidemiologic Studies Depression Scale (CESD). ASEAN Journal of Psychiatry. 2014;15(2):146–52.

Phillipou A, Meyer D, Neill E, Tan EJ, Toh WL, Van Rheenen TE, et al. Eating and exercise behaviors in eating disorders and the general population during the COVID-19 pandemic in Australia: Initial results from the COLLATE project. Int J Eat Disord. 2020;53(7):1158-65. doi: 10.1002/eat.23317

Madan J, Blonquist T, Rao E, Marwaha A, Mehra J, Bharti R, et al. Effect of COVID-19 Pandemic-Induced Dietary and Lifestyle Changes and Their Associations with Perceived Health Status and Self-Reported Body Weight Changes in India: A Cross-Sectional Survey. Nutrients. 2021;13(11). doi: 10.3390/nu13113682

AlMughamis N, AlAsfour S, Mehmood S. Poor eating habits and predictors of weight gain during the COVID-19 quarantine measures in Kuwait: a cross sectional study. F1000Res. 2020;9:914.

Sato K, Kobayashi S, Yamaguchi M, Sakata R, Sasaki Y, Murayama C, et al. Working from home and dietary changes during the COVID-19 pandemic: A longitudinal study of health app (CALO mama) users. Appetite. 2021;165:105323. doi: 10.1016/j.appet.2021.105323

Zachary Z, Brianna F, Brianna L, Garrett P, Jade W, Alyssa D, et al. Self-quarantine and weight gain related risk factors during the COVID-19 pandemic. Obes Res Clin Pract. 2020;14(3):210-6. doi: 10.1016/j.orcp.2020.05.004

Pellegrini M, Ponzo V, Rosato R, Scumaci E, Goitre I, Benso A, et al. Changes in Weight and Nutritional Habits in Adults with Obesity during the “Lockdown” Period Caused by the COVID-19 Virus Emergency. Nutrients. 2020;12(7):2016.

Rodríguez-Pérez C, Molina-Montes E, Verardo V, Artacho R, García-Villanova B, Guerra-Hernández EJ, et al. Changes in Dietary Behaviours during the COVID-19 Outbreak Confinement in the Spanish COVIDiet Study. Nutrients. 2020;12(6). doi: 10.3390/nu12061730.

Pietrobelli A, Pecoraro L, Ferruzzi A, Heo M, Faith M, Zoller T, et al. Effects of COVID-19 Lockdown on Lifestyle Behaviors in Children with Obesity Living in Verona, Italy: A Longitudinal Study. Obesity (Silver Spring). 2020;28(8):1382-5.

Ruiz-Roso MB, de Carvalho Padilha P, Mantilla-Escalante DC, Ulloa N, Brun P, Acevedo-Correa D, et al. Covid-19 Confinement and Changes of Adolescent's Dietary Trends in Italy, Spain, Chile, Colombia and Brazil. Nutrients. 2020;12(6). doi: 10.3390/nu12061807

Stockwell S, Trott M, Tully M, Shin J, Barnett Y, Butler L, et al. Changes in physical activity and sedentary behaviours from before to during the COVID-19 pandemic lockdown: a systematic review. BMJ Open Sport Exerc Med. 2021;7(1):e000960. doi: 10.1136/bmjsem-2020-000960

Constandt B, Thibaut E, De Bosscher V, Scheerder J, Ricour M, Willem A. Exercising in Times of Lockdown: An Analysis of the Impact of COVID-19 on Levels and Patterns of Exercise among Adults in Belgium. Int J Environ Res Public Health. 2020;17(11). doi: 10.3390/ijerph17114144

Giustino V, Parroco A, Gennaro A, Musumeci G, Palma A, Battaglia G. Physical Activity Levels and Related Energy Expenditure during COVID-19 Quarantine among the Sicilian Active Population: A Cross-Sectional Online Survey Study. Sustainability. 2020;12:4356.

Eng Yao L, Krishnan Vasanthi R, Praveen R, Md Nadzalan A, Jayaprabha Surendran P. Perceived barriers to physical activity among Malaysian adults during COVID-19 pandemic- a cross-sectional study. Revista Pesquisa em Fisioterapia. 2021;11(4):702–10.

Mitra R, Moore SA, Gillespie M, Faulkner G, Vanderloo LM, Chulak-Bozzer T, et al. Healthy movement behaviours in children and youth during the COVID-19 pandemic: Exploring the role of the neighbourhood environment. Health Place. 2020;65:102418. doi: 10.1016/j.healthplace.2020.102418

Ali M, de Azevedo ARG, Marvila MT, Khan MI, Memon AM, Masood F, et al. The Influence of COVID-19-Induced Daily Activities on Health Parameters—A Case Study in Malaysia. Sustainability. 2021;13(13):7465.

Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012;380(9838):247-57.