Considerable decreased fruits and snack consumption in Iran population during COVID-19 lockdown:  a cross-sectional web-based survey National Food and Nutrition Surveillance

Maryam Amini; Azam Doustmohammadian; Bahareh Nikooyeh; Cain C. T. Clark; Samira Rabiei; Delaram Ghodsi; Hamid Rasekhi; Zahra Abdollahi; Mina Minaie; Farzaneh Sadeghi Ghotbabadi; Tirang R. Neyestani

doi:10.1186/s40066-023-00427-3

Considerable decreased fruits and snack consumption in Iran population during COVID-19 lockdown: a cross-sectional web-based survey National Food and Nutrition Surveillance

Maryam Amini, Azam Doustmohammadian, Bahareh Nikooyeh, Cain C. T. Clark, Samira Rabiei, Delaram Ghodsi, Hamid Rasekhi, Zahra Abdollahi, Mina Minaie, Farzaneh Sadeghi Ghotbabadi, Tirang R. Neyestani

Centre for Healthcare and Communities

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

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Abstract

Background: Inadequate fruits and vegetables intake is associated with several diseases. This study aimed to explore changes in fruits and snack consumption during the COVID-19-related lockdown in Iran. Methods: An online cross-sectional survey among Iranian households was conducted from the 4th to 25th April 2020, during the COVID-19 lockdown. Data were collected about any changes in frequency consumption of the fruits and snacks and the reasons for the changes. Ordinal logistic regression was performed to examine which factors contributed to changes in consumption. To account for the complex sampling design and allow inferences valid for the population, sampling weights were used in all analyses. Results: A total of 21,290 households took part in the survey. During the epidemic, consumption of fruits and snacks decreased by 35% and 44%, respectively. Among the households whose fruit intake was decreased, about 21% fully omitted it from their food baskets. Residing in rural areas, having more than six members in the household, income loss, and residing in deprived provinces were directly associated with decreased consumption of fruits and snacks. Being a female-headed household was positively associated, and having persons with COVID-19 in the households was inversely associated, with decreased consumption of fruits. The main reason for reducing fruit and snack consumption was income loss. Conclusions: A significant decline in fruit and snack consumption because of COVID-19 lockdown was seen among the Iranian households. It is likely that these changes in dietary habits will become longstanding with consequent adverse health outcomes.

Original language	English
Article number	21
Number of pages	10
Journal	Agriculture & Food Security
Volume	12
Issue number	1
Early online date	9 Aug 2023
DOIs	https://doi.org/10.1186/s40066-023-00427-3
Publication status	E-pub ahead of print - 9 Aug 2023

Bibliographical note

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Funder

This study received COVID-19 research grant from Shahid Beheshti University of Medical Sciences (No. 25777).

Keywords

Survey
Lockdown
Snack
COVID-19
Fruit

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Cite this

Amini, M., Doustmohammadian, A., Nikooyeh, B., Clark, C. C. T., Rabiei, S., Ghodsi, D., Rasekhi, H., Abdollahi, Z., Minaie, M., Sadeghi Ghotbabadi, F., & Neyestani, T. R. (2023). Considerable decreased fruits and snack consumption in Iran population during COVID-19 lockdown: a cross-sectional web-based survey National Food and Nutrition Surveillance. Agriculture & Food Security, 12(1), Article 21. Advance online publication. https://doi.org/10.1186/s40066-023-00427-3

Considerable decreased fruits and snack consumption in Iran population during COVID-19 lockdown: a cross-sectional web-based survey National Food and Nutrition Surveillance. / Amini, Maryam; Doustmohammadian, Azam; Nikooyeh, Bahareh et al.
In: Agriculture & Food Security, Vol. 12, No. 1, 21, 09.08.2023.

Research output: Contribution to journal › Article › peer-review

Amini, M, Doustmohammadian, A, Nikooyeh, B, Clark, CCT, Rabiei, S, Ghodsi, D, Rasekhi, H, Abdollahi, Z, Minaie, M, Sadeghi Ghotbabadi, F & Neyestani, TR 2023, 'Considerable decreased fruits and snack consumption in Iran population during COVID-19 lockdown: a cross-sectional web-based survey National Food and Nutrition Surveillance', Agriculture & Food Security, vol. 12, no. 1, 21. https://doi.org/10.1186/s40066-023-00427-3

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abstract = "Background: Inadequate fruits and vegetables intake is associated with several diseases. This study aimed to explore changes in fruits and snack consumption during the COVID-19-related lockdown in Iran. Methods: An online cross-sectional survey among Iranian households was conducted from the 4th to 25th April 2020, during the COVID-19 lockdown. Data were collected about any changes in frequency consumption of the fruits and snacks and the reasons for the changes. Ordinal logistic regression was performed to examine which factors contributed to changes in consumption. To account for the complex sampling design and allow inferences valid for the population, sampling weights were used in all analyses. Results: A total of 21,290 households took part in the survey. During the epidemic, consumption of fruits and snacks decreased by 35% and 44%, respectively. Among the households whose fruit intake was decreased, about 21% fully omitted it from their food baskets. Residing in rural areas, having more than six members in the household, income loss, and residing in deprived provinces were directly associated with decreased consumption of fruits and snacks. Being a female-headed household was positively associated, and having persons with COVID-19 in the households was inversely associated, with decreased consumption of fruits. The main reason for reducing fruit and snack consumption was income loss. Conclusions: A significant decline in fruit and snack consumption because of COVID-19 lockdown was seen among the Iranian households. It is likely that these changes in dietary habits will become longstanding with consequent adverse health outcomes.",

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AU - Nikooyeh, Bahareh

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AU - Rabiei, Samira

AU - Ghodsi, Delaram

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N2 - Background: Inadequate fruits and vegetables intake is associated with several diseases. This study aimed to explore changes in fruits and snack consumption during the COVID-19-related lockdown in Iran. Methods: An online cross-sectional survey among Iranian households was conducted from the 4th to 25th April 2020, during the COVID-19 lockdown. Data were collected about any changes in frequency consumption of the fruits and snacks and the reasons for the changes. Ordinal logistic regression was performed to examine which factors contributed to changes in consumption. To account for the complex sampling design and allow inferences valid for the population, sampling weights were used in all analyses. Results: A total of 21,290 households took part in the survey. During the epidemic, consumption of fruits and snacks decreased by 35% and 44%, respectively. Among the households whose fruit intake was decreased, about 21% fully omitted it from their food baskets. Residing in rural areas, having more than six members in the household, income loss, and residing in deprived provinces were directly associated with decreased consumption of fruits and snacks. Being a female-headed household was positively associated, and having persons with COVID-19 in the households was inversely associated, with decreased consumption of fruits. The main reason for reducing fruit and snack consumption was income loss. Conclusions: A significant decline in fruit and snack consumption because of COVID-19 lockdown was seen among the Iranian households. It is likely that these changes in dietary habits will become longstanding with consequent adverse health outcomes.

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