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Shifts in Lifestyle and Dietary Patterns during the COVID-19 Pandemic: A Comparative Study of Habit Changes and Health Outcomes

https://doi.org/10.35627/2219-5238/2025-33-8-19-28

Abstract

Summary Background: The COVID-19 pandemic has significantly impacted daily life, including lifestyle and dietary habits. This study investigates these changes to understand their effects on health behavior patterns.

Objective: To examine the alterations in smoking habits, physical activity, sleep patterns, dietary behaviors, and supplement use during the COVID-19 pandemic.

Materials and Methods: A cross-sectional survey was conducted with 400 participants to assess their lifestyle and dietary habits before and during the COVID-19 pandemic. Data were analyzed using SPSS 26 IBM, with statistical significance determined through chi-square tests, McNemar tests, and Mann-Whitney U tests.

Results: The study found a decrease in heavy smoking from 11 % to 9.8 % and a significant rise in sedentary behavior from 44.3 % to 55.5 % (p < 0.001). Sleep patterns shifted, with a reduction in inadequate sleep and increased excessive sleep. Dietary changes included a rise in supplement use from 25.3 % to 41.8 % (p < 0.001) and increased appetite, leading to weight gain (48.3 %). Adherence to the Mediterranean diet showed variability, with some aspects being less adhered to during the pandemic.

Conclusions: The COVID-19 pandemic has led to significant changes in lifestyle and dietary habits, including increased sedentary behavior, altered sleep patterns, and shifts in dietary practices. Public health interventions should focus on promoting physical activity, balanced nutrition, and appropriate supplement use. Future research should explore the long-term impacts of these changes and potential strategies for mitigating negative health outcomes.

About the Authors

S. Çakmak Kavsara
Department of Gastronomy and Culinary Arts, Faculty of Fine Arts, Maltepe University; Department of Gastronomy and Culinary Arts, Institute of Graduate Programs, Ankara Hacı Bayram Veli University
Turkey

Seda Çakmak Kavsara, PhD (c), Lecturer, Department of Gastronomy and Culinary Arts; Postgraduate

Marmara Education Village, Maltepe/İstanbul, 34840

323/1 Sokak No:10/1, Gölbaşi/Ankara, 06830



H. K. Kavsara
Department of Nutrition and Dietetics, Faculty of Health Sciences, Yeditepe University
Turkey

Hasan Kaan Kavsara, PhD in Nutrition and Dietetics, Lecturer

İnönü Mah, 326А Kayışdağı Street, İstanbul, 34755



References

1. Hauner H, Blanken CPS, Holzapfel C. Long-lasting effects of the COVID-19 pandemic on lifestyle and body weight: results of representative cross-sectional surveys in adults in Germany. BMC Public Health; 24. Epub ahead of print 2024. DOI: 10.1186/s12889-024-18680-x.

2. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395: 497–506.

3. Wu C, Chen X, Cai Y, et al. Risk Factors Associated With Acute Respiratory Distress Syndrome and Death in Patients With Coronavirus Disease 2019 Pneumonia in Wuhan, China. JAMA Intern Med 2020; 180: 934.

4. Wang C, Pan R, Wan X, 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; 17. Epub ahead of print 1 March 2020. DOI: 10.3390/IJERPH17051729.

5. Evers C, Dingemans A, Junghans AF, et al. Feeling bad or feeling good, does emotion affect your consumption of food? A meta-analysis of the experimental evidence. Neurosci Biobehav Rev 2018; 92: 195–208.

6. dos Santos Quaresma MV, Marques CG, Magalhães ACO, et al. Emotional eating, binge eating, physical inactivity, and vespertine chronotype are negative predictors of dietary practices during COVID-19 social isolation: A cross-sectional study. Nutrition 2021; 90: 111223.

7. Dragun R, Veček NN, Marendić M, et al. Have Lifestyle Habits and Psychological Well-Being Changed among Adolescents and Medical Students Due to COVID-19 Lockdown in Croatia? Nutrients 2021; 13: 1–16.

8. Tosti V, Bertozzi B, Fontana L. Health Benefits of the Mediterranean Diet: Metabolic and Molecular Mechanisms. J Gerontol A Biol Sci Med Sci 2018; 73: 318.

9. Greene MW, Roberts AP, Frugé AD. Negative Association Between Mediterranean Diet Adherence and COVID-19 Cases and Related Deaths in Spain and 23 OECD Countries: An Ecological Study. Front Nutr; 8. Epub ahead of print 5 March 2021. DOI: 10.3389/FNUT.2021.591964.

10. Pérez-Rodrigo C, Citores MG, Bárbara GH, et al. Patterns of Change in Dietary Habits and Physical Activity during Lockdown in Spain Due to the COVID-19 Pandemic. Nutrients 2021; 13: 1–16.

11. Rahmati M, Fatemi R, Yon DK, et al. The effect of adherence to high‐quality dietary pattern on COVID‐19 outcomes: A systematic review and meta‐analysis. J Med Virol; 95. Epub ahead of print 1 January 2023. DOI: 10.1002/JMV.28298.

12. Cohen L, Manion L, Morrison K. Research methods in education, 6th ed. Routledge/Taylor & Francis Group., https://psycnet.apa.org/record/2007-05446-000 (2007, accessed 14 January 2021).

13. We Are Social. Digital use around the world in July 2020, https://wearesocial.com/uk/blog/2020/07/digital-use-around-the-world-in-july-2020/ (2020, accessed 29 September 2024).

14. World Health Organisation. Global Health Observatory data repository. Body Mass Index (BMI), http://apps.who.int/gho/data/node.main.BMIANTHROPOMETRY?lang=en (1995, accessed 29 September 2024).

15. Pehlivanoğlu Özkan FE, Balcıoğlu H, Ünlüoğlu İ. Turkish Validation and Reliability of Mediterranean Diet Adherence Screener. Osmangazi Journal of Medicine 2020; 42: 160–164.

16. Schröder H, Fitó M, Estruch R, et al. A Short Screener Is Valid for Assessing Mediterranean Diet Adherence among Older Spanish Men and Women. J Nutr 2011; 141: 1140–1145.

17. Di Renzo L, Gualtieri P, Pivari F, et al. Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. J Transl Med 2020; 18: 229.

18. Zhang J, Xu L, Li J, et al. Gender differences in the association between body mass index and health-related quality of life among adults:a cross-sectional study in Shandong, China. BMC Public Health 2019; 19: 1021.

19. Kim K-B, Shin Y-A. Males with Obesity and Overweight. J Obes Metab Syndr 2020; 29: 18–25.

20. Caglayan-Akay E, Ertok-Onurlu M, Komuryakan F. What factors drive gender differences in the body mass index? Evidence from Turkish adults. J Biosoc Sci 2023; 55: 538–563.

21. Al-Hanawi MK, Chirwa GC, Kamninga TM. Decomposition of Gender Differences in Body Mass Index in Saudi Arabia using Unconditional Quantile Regression: Analysis of National-Level Survey Data. Int J Environ Res Public Health; 17. Epub ahead of print 2020. DOI: 10.3390/ijerph17072330.

22. Lee S, Choi M, Kim D, et al. Did the COVID-19 Lockdown Reduce Smoking Rate in Adolescents? Int J Environ Res Public Health; 20. Epub ahead of print 1 January 2023. DOI: 10.3390/IJERPH20010139/S1.

23. Klemperer EM, West JC, Peasley-Miklus C, et al. Change in tobacco and electronic cigarette use and motivation to quit in response to COVID-19. Nicotine and Tobacco Research 2020; 22: 1662–1663.

24. Kayhan Tetik B, Gedik Tekinemre I, Taş S. The Effect of the COVID-19 Pandemic on Smoking Cessation Success. J Community Health 2021; 46: 471–475.

25. Jackson SE, Garnett C, Shahab L, et al. Association of the COVID-19 lockdown with smoking, drinking and attempts to quit in England: an analysis of 2019–20 data. Addiction 2021; 116: 1233–1244.

26. Di Fusco SA, Spinelli A, Castello L, et al. Impact of Working from Home on Cardiovascular Health: An Emerging Issue with the COVID-19 Pandemic. Int J Environ Res Public Health; 18. Epub ahead of print 2021. DOI: 10.3390/ijerph182211882.

27. Mattioli AV, Ballerini Puviani M, Nasi M, et al. COVID-19 pandemic: the effects of quarantine on cardiovascular risk. Eur J Clin Nutr 2020; 74: 852–855.

28. Auriemma RS, Pirchio R, Liccardi A, et al. Metabolic syndrome in the era of COVID-19 outbreak: impact of lockdown on cardiometabolic health. J Endocrinol Invest 2021; 44: 2845–2847.

29. Sidor A, Rzymski P. Dietary choices and habits during COVID-19 lockdown: Experience from Poland. Nutrients; 12. Epub ahead of print 1 June 2020. DOI: 10.3390/nu12061657.

30. Arshad MS, Khan U, Sadiq A, et al. Coronavirus disease (COVID-19) and immunity booster green foods: A mini review. Food Sci Nutr 2020; 8: 3971–3976.

31. Gonella K, Nayak SP, Garg M, et al. Impact of the COVID-19 pandemic on immune boosting food consumption and overall dietary pattern among selected Indian adults: An observational study. Clin Epidemiol Glob Health 2022; 15: 101056.

32. Sami R, Alshehry G, Elgarni E, et al. SAUDI COMMUNITY CARE AWARENESS FOOD FACTS, NUTRIENTS, IMMUNE SYSTEM AND COVID-19 PREVENTION IN TAIF CITY AMONG DIFFERENT AGE CATEGORIES. African Journal of Food, Agriculture, Nutrition and Development 2021; 21: 17213–17233.

33. Singh NA, Kumar P, Kumar N. Spices and herbs: Potential antiviral preventives and immunity boosters during COVID-19. Phytotherapy Research 2021; 35: 2745–2757.

34. Ammar A, Brach M, Trabelsi K, et al. Effects of COVID-19 home confinement on eating behaviour and physical activity: Results of the ECLB-COVID19 international online survey. Nutrients; 12. Epub ahead of print 1 June 2020. DOI: 10.3390/nu12061583.

35. Grant WB, Lahore H, McDonnell SL, et al. Evidence that Vitamin D Supplementation Could Reduce Risk of Influenza and COVID-19 Infections and Deaths. Nutrients; 12. Epub ahead of print 2020. DOI: 10.3390/nu12040988.

36. Cerullo G, Negro M, Parimbelli M, et al. The Long History of Vitamin C: From Prevention of the Common Cold to Potential Aid in the Treatment of COVID-19. Frontiers in Immunology; 11. Epub ahead of print 28 October 2020. DOI: 10.3389/fimmu.2020.574029.

37. Hamulka J, Jeruszka-Bielak M, Górnicka M, et al. Dietary supplements during covid-19 outbreak. Results of google trends analysis supported by plifecovid-19 online studies. Nutrients 2021; 13: 1–17.

38. Wardle J, Haase AM, Steptoe A, et al. Gender differences in food choice: The contribution of health beliefs and dieting. Annals of Behavioral Medicine 2004; 27: 107–116.

39. Andrade V, Jorge R, García-Conesa MT, et al. Mediterranean diet adherence and subjective well-being in a sample of portuguese adults. Nutrients 2020; 12: 1–15.

40. Nelson ME, Hamm MW, Hu FB, et al. Alignment of healthy dietary patterns and environmental sustainability: A systematic review. Advances in Nutrition 2016; 7: 1005–1025.

41. Barrea L, Verde L, Suárez R, et al. Sex-differences in Mediterranean diet: a key piece to explain sex-related cardiovascular risk in obesity? A cross-sectional study. J Transl Med; 22. Epub ahead of print 1 December 2024. DOI: 10.1186/s12967-023-04814-z.

42. Rose L, Wood A, Gill T. Gender differences in adherence and retention in Mediterranean diet interventions with a weight-loss outcome: A systematic review and meta-analysis. Obesity Reviews. Epub ahead of print 2024. DOI: 10.1111/obr.13824.


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For citations:


Çakmak Kavsara S., Kavsara H.K. Shifts in Lifestyle and Dietary Patterns during the COVID-19 Pandemic: A Comparative Study of Habit Changes and Health Outcomes. Public Health and Life Environment – PH&LE. 2025;33(8):19-28. https://doi.org/10.35627/2219-5238/2025-33-8-19-28

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