Association between eating behavior and quarantine/confinement stressors during the coronavirus disease 2019 outbreak
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Abstract
BACKGROUND: Quarantine/confinement is an effective measure to face the Coronavirus disease 2019 (COVID-19). Consequently, in response to this stressful situation, people confined to their homes may change their everyday eating behavior. Therefore, the primary objective of this study is to evaluate the association between quarantine/confinement stressors and eating behavior during the COVID-19 outbreak. The secondary objective is to compare the association of quarantine/confinement stressors and diet behavior between two groups of participants, those attending diet clinics and those not (general population). METHOD: A cross-sectional web-based online survey carried out between April 3 and 18, 2020, enrolled 407 participants from the Lebanese population. Eating Disorder Examination - Questionnaire (EDE-Q) were used to measure the behavioral features of eating disorders. RESULTS: More than half of the sample (53.0%) abide by the home quarantine/confinement, 95.4% were living with someone in the quarantine/confinement, and 39.6% continued to work from home. Higher fear of COVID-19 was found in 182 (44.8%) participants, higher boredom in 200 (49.2%) participants, higher anger in 187 (46.3%), and higher anxiety in 197 (48.5%) participants. Higher fear of COVID-19 (Beta = 0.02), higher BMI (Beta = 0.05), and physical activity (Beta = 1.04) were significantly associated with a higher restraint score. Higher anxiety, higher fear of COVID-19, higher BMI, practicing physical exercise, and a higher number of adults living in the quarantine/confinement were significantly associated with higher shape and weight concerns. CONCLUSION: Our results showed that the fear of COVID-19 was correlated with more eating restraint, weight, and shape concerns in the whole sample, but more specifically in the dietitian clients group. Public health control measures are needed to reduce the detrimental effects of psychological distress associated with quarantine/confinement on eating behaviors during the COVID-19 outbreak.
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In Haddad et al. (2020), physical exercise during confinement, female gender, BMI, and high anxiety levels were positively associated with higher severity of EDs, both in diet clinic clients and in the general population.
“Physical exercise during confinement, female gender, BMI, and high anxiety levels were positively associated with higher severity of EDs, both in the clients of a dietician and in the general population.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Haddad et al. (2020)
In Haddad et al. (2020) Lebanon sample, approximately 44% of participants described a high fear of COVID-19.
“Approximately 44% of participants described a high fear of COVID-19.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Haddad et al. (2020)
In Haddad et al. (2020) clients of dieticians, higher severity of EDs was associated with greater fear of COVID-19.
“In the clients group of dieticians, the higher was the severity of EDs and the greater was the fear of COVID-19.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Haddad et al. (2020)
In Haddad et al. (2020), social distancing was associated with shape and weight concerns only in the general population group.
“Social distancing was associated with shape and weight concerns only in the general population group.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Haddad et al. (2020)
Disruption in physical activities and routines was relevant in general population samples and in clinical samples from endocrinology units.
“Disruption in physical activities and routines was relevant also in general population samples or in clinical samples from endocrinology units (Ammar et al., 2020; Barrea et al., 2020; Haddad et al., 2020; Scharmer et al., 2020).”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Haddad et al., 2020
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- Authors
- Haddad, C., Zakhour, M., Bou kheir, M., Haddad, R., Al Hachach, M., Sacre, H., & Salameh, P.
- Affiliations
- Inserm (FR)
- Lebanese University (LB)
- Uppsala University (SE)
- Corresponding author
- Haddad, Chadia
- Salameh, Pascale
- Venue
- Journal of Eating Disorders
- Published
- 2020-09-01
- Volume
- 8
- Issue
- 1
- Pages
- 40-40
- ISSN
- 2050-2974 (ISSN-L)
- PMC
- PMC7458649
- OpenAlex
- W3081740452
- Cited by
- 95
- References
- 81
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 6 · 2023: 19 · 2022: 24 · 2021: 39 · 2019: 1
- FWCI
- 8.21
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Eating Disorders (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- HAL (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- COVID-19 pandemic, quarantine, confinement, dietary habits, eating disorders, fear of COVID-19, anxiety, boredom, dietary restraint, physical activity, body mass index, psychological distress, Lebanon
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