Variations in health behaviors among pregnant women during the COVID-19 pandemic

Whitaker, Kara M.; Hung, Peiyin; Alberg, Anthony J.; Hair, Nicole; Liu, Jihong

doi:10.1016/j.midw.2021.102929

Cited by 46 publications

(50 citation statements)

References 30 publications

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“…In this study, 43.8% of women were less physically active during Alert Level 4 lockdown, similar to other studies that observed a significant reduction in physical activity levels of pregnant women without diabetes during the COVID-19 restrictions [13,24]. This was also reflected in the general population with 43e50% of people reducing their physical activity levels during the restrictions [25,26].…”

Section: Discussionsupporting

confidence: 89%

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The Impact of COVID-19 on diet and lifestyle behaviours for pregnant women with diabetes

Amataiti

Hood

Krebs

et al. 2021

Clinical Nutrition ESPEN

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Background/aims: A self-reported online survey was performed to investigate the immediate effect of COVID-19 lockdown restrictions in New Zealand on dietary intake, and lifestyle behaviours among pregnant women with diabetes. Participants/methods: The survey was sent to 82 pregnant women who had Type 1, Type 2 Diabetes, or Gestational Diabetes and attended the Diabetes in Pregnancy Clinic in Wellington, New Zealand in May 2020, while the most restrictive COVID-19 lockdown measures were in place. All women received standard pregnancy nutrition advice provided by a dietitian, were monitoring blood glucose levels with nursing support, and seeing specialist endocrinologists and obstetricians for their pregnancy care. Results: Fifty women (61%) responded to the survey. There was no evidence of differences in dietary intake during the restrictions, compared to before, for most food items. During the restriction's women consumed more bread (Odds Ratio (95% CI): 0.39 (0.18e0.83) p ¼ 0.02); less battered fish: 3.11 (1.20 e8.05) p ¼ 0.02; and less hot chips/fries: 6.32 (2.67e14.93) p < 0.0001. During the restriction's women consumed more meals at home: 0.05 (0.14e0.15) p < 0.0001; less takeaways: 3.63 (1.54e7.34) p ¼ 0.003; and less restaurant and caf e meals: 15.05 (6.03e37.59) p < 0.0001, when the services reopened. Conclusions: The nutrition of pregnant women with diabetes was not compromised during a brief COVID-19 lockdown restriction. This finding is reassuring, with countries worldwide adopting brief intermittent lockdown periods to restrict the spread of the COVID-19 virus.

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Section: Discussionsupporting

confidence: 89%

“…Forty-eight percent of the general population reported fear of contracting the COVID-19 virus when supermarket shopping during the pandemic, particularly in women [23]. Changes to social connections have also been shown to have a detrimental impact on lifestyle behaviours among pregnant women during the COVID-19 pandemic [24].…”

Section: Discussionmentioning

confidence: 99%

The Impact of COVID-19 on diet and lifestyle behaviours for pregnant women with diabetes

Amataiti

Hood

Krebs

et al. 2021

Clinical Nutrition ESPEN

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show abstract

“…In our study, only 15.4% of primiparas and 20.3% of multiparas changed their lifestyle due to the COVID-19 pandemic. The proportions were lower than expected based on previous studies [2,6,26]. One possible reason for this is that perhaps the number of patients with COVID-19 was not high during the investigation period in our survey area.…”

Section: Discussioncontrasting

confidence: 76%

“…The COVID-19 pandemic has been reported to affect lifestyle during pregnancy, including dietary intake and physical activity [2][3][4]. In a study of American women after 8 weeks of gestation [2], nearly 60% experienced dietary changes during the COVID-19 pandemic. Approximately 17% of women reported that their diets worsened during the COVID-19 pandemic, while 42% reported an improvement.…”

Section: Introductionmentioning

confidence: 99%

Association of Lifestyle Changes Due to the COVID-19 Pandemic with Nutrient Intake and Physical Activity Levels during Pregnancy in Japan

et al. 2021

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The coronavirus disease 2019 (COVID-19) pandemic has introduced changes in our lifestyles, such as refraining from unnecessary outings. This study aimed to clarify the association of lifestyle changes due to the COVID-19 pandemic with nutrient intake and physical activity levels during pregnancy in Japan. A cross-sectional study involving 168 healthy pregnant Japanese women was conducted in 2020. Nutrient intake and physical activity levels were assessed using validated self-administered questionnaires. Participants who reported experiencing changes in both dietary habits and physical activity due to the COVID-19 pandemic were classified as the lifestyle-affected group. Analysis of covariance was used. Among primiparas, intake of the following nutrients was significantly higher in the lifestyle-affected group (n = 14) than in the unaffected group (n = 77): protein, potassium, calcium, magnesium, and vitamin B6. Among multiparas, the intake of dietary fiber and β-carotene were significantly lower in the lifestyle-affected group (n = 13) than in the unaffected group (n = 64). No significant differences in physical activity levels were observed in accordance with the lifestyle changes. These findings suggest that lifestyle changes due to the COVID-19 pandemic have positive effects on nutrient intake during pregnancy in primiparas, whereas in multiparas, these changes have negative effects.

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“…In addition to the potential impact of changes in food shopping habits on food choices, in the current study, COVID-19-related income loss, an increased number of meals consumed with household members in front of the television, increased food advertisement exposure, increased perceived stress, and better perceived current health were found to be significant predictors of a perceived increase in dietary healthfulness during the pandemic. The result indicating that COVID-19-related income loss was associated with a perceived increase in dietary healthfulness is not consistent with the findings of a study conducted among pregnant women in the US earlier in the pandemic period; the study conducted among pregnant women indicated that loss of income due to COVID-19 was associated with adverse lifestyle changes, including the adoption of worse dietary habits [ 44 ]. However, circumstances changed rapidly as the pandemic wore on, and some of those changes might have played a role in the results of this study, which was conducted later in the pandemic.…”

Section: Discussionmentioning

confidence: 80%

Predictors of COVID-19-Related Perceived Improvements in Dietary Health: Results from a US Cross-Sectional Study

Cosgrove

Wharton

2021

Nutrients

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The COVID-19 pandemic resulted in substantial lifestyle changes. No US study has identified predictors of perceived dietary healthfulness changes during the pandemic period. This study included analyses of lifestyle and dietary healthfulness changes using 958 survey responses from US primary household food purchasers. Information was collected related to demographics, COVID-19-related household changes, and health-related habits before and during the pandemic. Binary logistic regression identified predictors of perceived increase in dietary healthfulness during the pandemic period. Overall, 59.8%, 16.4%, and 23.4% of participants reported that their eating habits likely changed, may have changed, and likely did not change, respectively. Of the participants whose dietary habits likely or may have changed, 64.1%, 16.8%, and 19% reported healthier, neither healthier nor less healthy, and less healthy eating habits, respectively. COVID-19-related income loss, more meals consumed with household members in front of the television, an increase in food advertisement exposure, increased perceived stress, and better perceived current health were significant predictors of a perceived increase in dietary healthfulness. Overall, dietary habits were perceived to become healthier during the pandemic. The predictors of perceived improvement in dietary healthfulness were surprising and indicate the need for further study of these factors in crisis and noncrisis situations.

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Variations in health behaviors among pregnant women during the COVID-19 pandemic

Cited by 46 publications

References 30 publications

The Impact of COVID-19 on diet and lifestyle behaviours for pregnant women with diabetes

The Impact of COVID-19 on diet and lifestyle behaviours for pregnant women with diabetes

Association of Lifestyle Changes Due to the COVID-19 Pandemic with Nutrient Intake and Physical Activity Levels during Pregnancy in Japan

Predictors of COVID-19-Related Perceived Improvements in Dietary Health: Results from a US Cross-Sectional Study

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