A qualidade da dieta estava relacionada aos estados de depressão e medo da COVID-19 em adultos durante a pandemia de COVID-19 na Turquia?
Palavras-chave:
Covid-19, Depressão, Qualidade da dieta, Hábitos alimentaresResumo
Objetivo
Este estudo foi projetado para examinar a qualidade da dieta e sua associação com depressão e estados de medo em relação ao COVID-19 entre adultos, na Turquia.
Métodos
Um total de 105 voluntários, 56 (53,3%) do sexo feminino e 49 (46,7%) do sexo masculino com idades entre os 19 e 64 anos, participaram em um estudo transversal online. O questionário foi preparado para identificar informações sobre características demográficas dos participantes, hábitos alimentares, medo do COVID-19 (FCV-19S), depressão, ansiedade, níveis de estresse (DASS-21) e qualidade da dieta (Índice de Alimentação Saudável, HEI-2015).
Resultados
Foi identificado que 42,9% dos participantes aumentaram a comida feita em casa e 51,4% deles diminuíram o consumo de refeições prontas durante a COVID-19 (p<0,05). As médias dos resultados FCV-19S e DASS-21 das mulheres foram maiores que as dos homens (F/M:20,3±6,40/16,9±6,78, p=0,012; 36/16, p=0,036; respectivamente). Também 19,6% das mulheres tiveram depressão moderada e 16,3% dos homens tiveram depressão extremamente grave. Foi encontrada correlação estatisticamente significativa entre FCV-19S e DASS-21 (r=0,416, p<0,001). Nenhuma correlação significativa foi encontrada entre HEI-2015, FCV-19S e DASS-21. Os resultados médios do HEI-2015 de mulheres e homens identificaram respectivamente 64,0±13,07 e 55,3±11,62 (p<0,001). A ingestão diária de energia, carboidrato e gordura apresentaram correlação negativa com o HEI-2015 (0,000). A ingestão diária de carboidratos correlacionou-se negativamente entre DASS-21 (r=-0,209; p=0,033).
Conclusão
Reduzir os níveis de depressão, stress, ansiedade e medo durante a pandemia assegurará um bom nível de qualidade da dieta, afetando os hábitos nutricionais dos indivíduos. Por esta razão, acredita-se que será essencial que os indivíduos recebam apoio de uma equipe multidisciplinar de nutricionistas e psicólogos.
Referências
Cucinotta D, Vanelli M. WHO Declares COVID-19 a pandemic. Acta Biomed. 2020;91(1):157-60. https://doi.org/10.23750/abm.v91i1.9397
Barlas G, Öztürk H, Pehlivantürk G, Aydin S. Turkey’s response to COVID-19 pandemic: Strategy and key actions. Turk J Med Sci. 2021;51(SI-1):3150-6. https://doi.org/10.3906/sag-2106-212
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet. 2020;395(10227):912-20. https://doi.org/10.1016/S0140-6736(20)30460-8
Genç K. COVID-19 in Turkey: A nation on edge. Lancet. 2021;397(10287):1794-6. https://doi.org/10.1016/S0140-6736(21)01098-9
Ministry of Interior of the Republic of Turkey. Within the Scope of Combating Coronavirus - New Restrictions and Measures Circulars. 2020 [cited 2022 Mar 15]. Available from: https://www.icisleri.gov.tr/koronavirusile-mucadele-kapsaminda-sokaga-cikma-kisitlamalari---yeni-kisitlama-ve-tedbirler-genelgeleri
Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020;89:531-42. https://doi.org/10.1016/j.bbi.2020.05.048
Santini ZI, Jose PE, York Cornwell E, Koyanagi A, Nielsen L, Hinrichsen C, et al. Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): A longitudinal mediation analysis. Lancet Public Health. 2020;5(1):e62-e70. https://doi.org/10.1016/S2468-2667(19)30230-0
Di Renzo L, Gualtieri P, Pivari F, Soldati L, Attina A, Cinelli G, et al. Eating habits and lifestyle changes during COVID-19 lockdown: An Italian survey. J Transl Med. 2020;18(1):229. https://doi.org/10.1186/s12967-020-02399-5
Sidor A, Rzymski P. Dietary Choices and Habits during COVID-19 Lockdown: Experience from Poland. Nutrients. 2020;12(6):1657. https://doi.org/10.3390/nu12061657
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. https://doi.org/10.3390/nu12061583
Scarmozzino F, Visioli F. Covid-19 and the subsequent lockdown modified dietary habits of almost half the population in an Italian Sample. Foods. 2020;9(5):675. https://doi.org/10.3390/foods9050675
Özenoğlu A, Çevik E, Çolak H, Altıntaş T, Alakuş K. Changes in nutrition and lifestyle habits during the COVID-19 pandemic in Turkey and the effects of healthy eating attitudes. Mediterr J Nutr Metab. 2021;14(3):325-41. https://doi.org/10.3233/MNM-210562
Urhan M, Okut Aysin E. Nutritional and health behaviour predictors of the weight gain during the COVID-19 pandemic. Eur J Nutr. 2022;61(6):2993-3002. https://doi.org/10.1007/s00394-022-02862-7
Kaya S, Uzdil Z, Cakiroğlu FP. Evaluation of the effects of fear and anxiety on nutrition during the COVID-19 pandemic in Turkey. Public Health Nutr. 2021;24(2):282-9. https://doi.org/10.1017/S1368980020003845
Ceri V, Cicek I. Psychological well-being, depression and stress during COVID-19 Pandemic in Turkey: A comparative study of healthcare professionals and non-healthcare professionals. Psychol Health Med. 2021;26(1):85-97. https://doi.org/10.1080/13548506.2020.1859566
World Health Organization. A healthy lifestyle - WHO recommendations. Geneva: WHO; 2010 [cited 2022 May 12]. Available from: https://www.who.int/europe/news-room/fact-sheets/item/a-healthylifestyle---who-recommendations
Ahorsu DKLC, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: Development and Initial Validation. Int J Ment Health Addict. 2020;20(3):1537-45. https://doi.org/10.1007/s11469-020-00270-8
Satici B, Gocet-Tekin E, Deniz ME, Satici SA. Adaptation of the Fear of COVID-19 scale: Its Association with Psychological Distress and Life Satisfaction in Turkey. Int J Ment Health Addict. 2021;19(6):1980-8. https://doi.org/10.1007/s11469-020-00294-0
Lovibond PF, Lovibond S. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther. 1995;33(3):335-43. https://doi.org/10.1016/0005-7967(94)00075-U
Brown TA, Chorpita B, Korotitsch W, Barlow DH. Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behav Res Ther. 1997;35(1):79-89. https://doi.org/10.1016/S0005-7967(96)00068-X
Yılmaz Ö, Boz H, Arslan A. The validity and reliability of depression stress and anxiety scale (DASS21) Turkish Short Form. Res Finan Econ Soc Stud. 2017;2(2):78-91.
Krebs-Smith SM, Pannucci TE, Subar AF, Kirkpatrick SI, Lerman JL, Tooze JA, et al. Update of the Healthy Eating Index: HEI-2015. J Acad Nutr Diet. 2018;118(9):1591-602. https://doi.org/10.1016/j.jand.2018.05.021
Guenther PM, Casavale KO, Reedy J, Kirkpatrick SI, Hiza HA, Kuczynski KJ, et al. Update of the Healthy Eating Index: HEI-2010. J Acad Nutr Diet. 2013;113(4):569-80. https://doi.org/10.1016/j.jand.2018.05.021
Tan M, He FJ, MacGregor GA. Obesity and covid-19: The role of the food industry. BMJ. 2020;369:m2237. https://doi.org/10.1136/bmj.m2237
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. https://doi.org/10.1002/oby.22861
Robinson E, Boyland E, Chisholm A, Harrold J, Maloney NG, Marty L, et al. Obesity, eating behavior and physical activity during COVID-19 lockdown: A study of UK adults. Appetite. 2021;156:104853. https://doi.org/10.1016/j.appet.2020.104853
Kriaucioniene V, Bagdonaviciene L, Rodríguez-Pérez C, Petkeviciene J. Associations between changes in health behaviours and body weight during the COVID-19 quarantine in Lithuania: The Lithuanian COVIDiet Study. Nutrients. 2020;12(10):3119. https://doi.org/10.3390/nu12103119
Zhu Q, Li M, Ji Y, Shi Y, Zhou J, Li Q, et al. “Stay-at-Home” Lifestyle Effect on Weight Gain during the COVID-19 Outbreak Confinement in China. Int J Environ Res Public Health. 2021;18(4):1813. https://doi.org/10.3390/ijerph18041813
Yaman GB, Hocaoğlu Ç. Examination of eating and nutritional habits in health care workers during the COVID-19 pandemic. Nutrition. 2023;105:111839. https://doi.org/10.1016/j.nut.2022.111839
International Food Information Council (IFIC). 2020 Food and Health Survey. 2020 [cited 2022 May 5]. Available from: https://foodinsight.org/2020-food-and-health-survey/
Food and Agriculture Organization; World Health Oraganization. Sustainable healthy diets – Guiding principles. Rome: FAO, WHO; 2019 [cited 2022 May 5]. Available from: https://www.fao.org/3/ca6640en/ca6640en.pdf
Alnazly E, Khraisat OM, Al-Bashaireh AM, Bryant CL. Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers. PLoS One. 2021;16(3):e0247679. https://doi.org/10.1371/journal.pone.0247679
Yoldas Ilktac H, Savci C, Cil Akinci A. Nutritional behavior during the COVID-19 pandemic: The association of fear and sleep quality with emotional eating. Eat Weight Disord. 2022;27(7):2673-83. https://doi.org/10.1007/s40519-022-01409-3
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020;17(5):1729. https://doi.org/10.3390/ijerph17051729
Asmundson GJG, Taylor S. Coronaphobia: Fear and the 2019-nCoV outbreak. J Anxiety Disord 2020(70):102196. https://doi.org/10.1016/j.janxdis.2020.102196
Giordani RCF, Zanoni da Silva M, Muhl C, Giolo SR. Fear of COVID-19 scale: Assessing fear of the coronavirus pandemic in Brazil. J Health Psychol. 2022;27(4):901-12. https://doi.org/10.1177/1359105320982035
Mendes R, Baccon WC, Laranjeira C. Fear of COVID-19, mental health and resilient coping in young adult male inmates: A portuguese cross-sectional study. Int J Environ Res Public Health. 2023;14;20(8):5510. https://doi.org/10.3390/ijerph20085510
Bakioğlu F, Korkmaz O, Ercan H. Fear of COVID-19 and positivity: Mediating role of intolerance of uncertainty, depression, anxiety, and stress. Int J Ment Health Addict. 2021;19(6):2369-82. https://doi.org/10.1007/s11469-020-00331-y
Korukcu O, Ozkaya M, Faruk Boran O, Boran M. The effect of the COVID-19 pandemic on community mental health: A psychometric and prevalence study in Turkey. Health Soc Care Community. 2021;29(5):e204-e13. https://doi.org/10.1111/hsc.13270
Aksoy A, Abiç A, Değirmenci F, Vefikuluçay Yılmaz D. The relationship between quality of life and fear of Turkish individuals during the COVID-19 pandemic: A cross-sectional study. Arch Psychiatr Nurs. 2021;35(5):472-8. https://doi.org/10.1016/j.apnu.2021.06.003
Koçak O, Koçak ÖE, Younis MZ. The psychological consequences of COVID-19 fear and the moderator effects of individual’s underlying illness and witnessing infected friends and family. Int J Environ Res Public Health. 2021;18(4):1836. https://doi.org/10.3390/ijerph18041836
Kaya S, Uzdil Z, Cakiroğlu FP. Evaluation of the effects of fear and anxiety on nutrition during the COVID-19 pandemic in Turkey. Public Health Nutr. 2021;24(2):282-9. https://doi.org/10.1017/S1368980020003845
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: APA; 2013.
Tee ML, Tee CA, Anlacan JP, Aligam KJG, Reyes PWC, Kuruchittham V, et al. Psychological impact of COVID-19 pandemic in the Philippines. J Affect Disord. 2020;277:379-91. https://doi.org/10.1016/j.jad.2020.08.043
Shah SMA, Mohammad D, Qureshi MFH, Abbas MZ, Aleem S. Prevalence, psychological responses and associated correlates of depression, anxiety and stress in a global population, during the coronavirus disease (COVID-19) pandemic. Community Ment Health J. 2021;57(1):101-10. https://doi.org/10.1007/s10597-020-00728-y
Özdin S, Bayrak Özdin Ş. Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. Int J Soc Psychiatry. 2020;66(5):504-11. https://doi.org/10.1177/0020764020927051
Overfield T. Biological variation in health and illness: Race, age, sex. 2nd ed. Boca Raton: CRC Press; 2018.
Kowalczuk I, Gębski J. Impact of fear of contracting COVID-19 and complying with the rules of isolation on nutritional behaviors of polish adults. Int J Environ Res Public Health. 2021;9;18(4):1631. https://doi.org/10.3390/ijerph18041631
Lamarche B, Brassard D, Lapointe A, Laramée C, Kearney M, Côté M, et al. Changes in diet quality and food security among adults during the COVID-19-related early lockdown: Results from NutriQuébec. Am J Clin Nutr. 2021;113(4):984-92. https://doi.org/10.1093/ajcn/nqaa363
Erçim RE, Pekcan G. Genç Yetişkinlerin Beslenme Durumunun Sağlıklı Yeme İndeksi-2005 İle Değerlendirilmesi. Beslenme ve Diyet Dergisi. 2014;42(2):91-8.
Koksal E, Karacil Ermumcu MS, Mortas H. Description of the healthy eating indices-based diet quality in Turkish adults: A cross-sectional study. Environ Health Prev Med. 2017;22(1):12. https://doi.org/10.1186/s12199-017-0613-z
de Rijk MG, Slotegraaf AI, Brouwer-Brolsma EM, Perenboom CWM, Feskens EJM, de Vries JHM. Development and evaluation of a diet quality screener to assess adherence to the Dutch food-based dietary guidelines. Br J Nutr. 2021;15,128(8):1-11. https://doi.org/10.1017/S0007114521004499
Kundu S, Rejwana N, Al Banna MH, Kawuki J, Ghosh S, Alshahrani NZ, et al. Linking depressive and anxiety symptoms with diet quality of university students: A cross-sectional study during the COVID-19 pandemic in India. Healthcare (Basel). 2022;10(10):1848. https://doi.org/10.3390/healthcare10101848
Chi X, Liang K, Chen ST, Huang Q, Huang L, Yu Q, et al. Mental health problems among Chinese adolescents during the COVID-19: The importance of nutrition and physical activity. Int J Clin Health Psychol. 2021;21(3):100218. https://doi.org/10.1016/j.ijchp.2020.100218
Amatori S, Donati Zeppa S, Preti A, Gervasi M, Gobbi E, Ferrini F, et al. Dietary habits and psychological states during COVID-19 home isolation in Italian College students: The role of physical exercise. Nutrients. 2020;28(12):3660. https://doi.org/10.3390/nu12123660
Abbas AM, Kamel MM. Dietary habits in adults during quarantine in the context of COVID-19 Pandemic. Obes Med. 2020;19:100254. https://doi.org/10.1016/j.obmed.2020.100254
Farhadnejad H, Neshatbini Tehrani A, Salehpour A, Hekmatdoost A. Antioxidant vitamin intakes and risk of depression, anxiety and stress among female adolescents. Clin Nutr ESPEN. 2020;40:257-62. https://doi.org/10.1016/j.clnesp.2020.09.010
Harrison S, Brassard D, Lemieux S, Lamarche B. Dietary saturated fats from different food sources show variable associations with the 2015 healthy eating index in the canadian population. J Nutr. 2020;150(12):3288-95. https://doi.org/10.1093/jn/nxaa300
Vahid F, Jalili M, Rahmani W, Nasiri Z, Bohn T. A higher healthy eating index is associated with decreased markers of inflammation and lower odds for being overweight/obese based on a case-control study. Nutrients. 2022;14(23):5127. https://doi.org/10.3390/nu14235127
Zeballos E, Todd JE. The effects of skipping a meal on daily energy intake and diet quality. Public Health Nutr. 2020;23(18):3346-55. https://doi.org/10.1017/S1368980020000683
Sangsefidi ZS, Salehi-Abarghouei A, Sangsefidi ZS, Mirzaei M, Hosseinzadeh M. The relation between low carbohydrate diet score and psychological disorders among Iranian adults. Nutr Metab (Lond). 2021;18(1):16. https://doi.org/10.1186/s12986-021-00546-3
Campos V, Tappy L, Bally L, Sievenpiper JL, Lê KA. Importance of carbohydrate quality: What does it mean and how to measure it? J Nutr. 2022;152(5):1200-6. https://doi.org/10.1093/jn/nxac039
Clemente-Suárez VJ, Mielgo-Ayuso J, Martín-Rodríguez A, Ramos-Campo DJ, Redondo-Flórez L, Tornero-Aguilera JF. The burden of carbohydrates in health and disease. Nutrients. 2022;14(18):3809. https://doi.org/10.3390/nu14183809
Scott KA, Melhorn SJ, Sakai RR. Effects of chronic social stress on obesity. Curr Obes Rep. 2012;1(1):16-25. https://doi.org/10.1007/s13679-011-0006-3
Roy SK, Jahan K, Alam N, Rois R, Ferdaus A, Israt S, et al. Perceived stress, eating behavior, and overweight and obesity among urban adolescents. J Health Popul Nutr. 2021;40(1):54. https://doi.org/10.1186/s41043-021-00279-2
Amiri S, Behnezhad S. Obesity and anxiety symptoms: A systematic review and meta-analysis. Neuropsychiatr. 2019;33(2):72-89. https://doi.org/10.1007/s40211-019-0302-9
Mehrabi F, Amiri P, Cheraghi L, Kheradmand A, Hosseinpanah F, Azizi F. Emotional states of different obesity phenotypes: A sex-specific study in a west-Asian population. BMC Psychiatry. 2021;21(1):124. https://doi.org/10.1186/s12888-021-03131-3
Kalkan Uğurlu Y, Mataracı Değirmenci D, Durgun H, Gök Uğur H. The examination of the relationship between nursing student’s depression, anxiety and stress levels and restrictive, emotional, and external eating behaviors in COVID-19 social isolation process. Perspect Psychiatr Care. 2021;57(2):507-16. https://doi.org/10.1111/ppc.12703
Althubaiti AJ. Information bias in health research: Definition, pitfalls, and adjustment methods. Multidiscip Health. 2016;9:211-7. https://doi.org/10.2147/JMDH.S104807
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2025 Bilge Erdogan, Hanife Avci, Aylin Acikgoz Pinar

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.