TY - JOUR T1 - Evaluation of Body Mass Index Changes, Nutritional Habits and Food Literacy Levels of Individuals Receiving Nutrition and Dietary Counseling During the COVID-19 Lockdown Period; Ankara, Pursaklar TT - Beslenme ve Diyet Danışmanlığı Alan Bireylerin COVID-19 Kısıtlama Sürecindeki Beden Kitle İndeksi Değişimleri, Beslenme Alışkanlıkları ve Gıda Okuryazarlığı Düzeylerinin İncelenmesi; Ankara, Pursaklar AU - Altundal, Eylem Gözde AU - Ünal, Egemen AU - Gökler, Mehmet Enes PY - 2025 DA - February Y2 - 2025 DO - 10.70852/tmj.1639053 JF - Turkish Medical Journal JO - TMJ PB - Ankara Yıldırım Beyazıt Üniversitesi Yenimahalle Eğitim ve Araştırma Hastanesi WT - DergiPark SN - 3023-8196 SP - 16 EP - 24 VL - 10 IS - 1 LA - en AB - Objectives: In this study, it was aimed to evaluate the BMI values, changes in nutritional habits and food literacy levels of individuals who had previously received nutrition and diet counseling during the COVID-19 restriction process. Method: The study was cross-sectional and was conducted with 44 individuals over the age of 18 who received nutrition and diet counseling at Pursaklar District Health Directorate. After the individuals were called by phone and their verbal consent was obtained, they were directed to a questionnaire consisting of questions about sociodemographic characteristics, anthropometric data, nutrition and lifestyle habits, and the short food literacy questionnaire. Results: The mean age of the participants was 40.20±9.08 years and 93.2% were women. The mean BMI of the participants was 33.87±6.36 before the restriction period and 32.84±5.87 after the restriction period. During the restriction period, 47.7% of the participants reported that their eating habits worsened and 36.4% reported that their appetite increased. 22.7% of the group stated that they skipped main meals during the period, while 20.5% added to main and snacks. The mean food literacy scale score of the participants was 33.54±5.8. As the education level of the participants increased, the food literacy score increased. Discussion: Individuals’ exercise, screen time and eating habits were negatively affected during the COVID-19 restriction process. KW - COVID-19 KW - Eating Habits KW - Food Literacy N2 - Amaç: Bu çalışmada, daha önce beslenme ve diyet danışmanlığı alan bireylerin, COVID-19 kısıtlama sürecinde BKİ değerleri, beslenme alışkanlıkları değişiklikleri ve gıda okuryazarlığı düzeylerinin incelenmesi amaçlanmıştır. Yöntem: Araştırma kesitsel tipte olup çalışma, Pursaklar İlçe Sağlık Müdürlüğü’nde beslenme ve diyet danışmanlığı alan 18 yaş üzeri 44 kişi ile yürütüldü. Bireyler telefonla aranarak sözlü onamlarının alınması sonrasında sosyodemografik özellikler, antropometrik veriler, beslenme ve yaşam tarzı alışkanlıkları ile ilgili sorulardan ve gıda okuryazarlığı ölçeğinden oluşan anket soruları yönlendirildi.Bulgular: Katılımcıların yaş ortalaması 40,20±9,08 yıl olup %93,2’sini kadınlar oluşturdu. Katılımcıların kısıtlama sürecinden önce BKİ değerleri ortalaması 33,87±6,36 iken süreç sonunda 32,84±5,87 olduğu izlendi. Kısıtlama döneminde katılımcıların %47,7’si yeme alışkanlığının kötüleştiğini ve %36,4’ü iştahının arttığını bildirdi. Grubun %22,7’si süreçte ana öğünleri atladığını, %20,5’i ise ana ve ara öğünlere ekleme yaptığını ifade etti. Katılımcıların gıda okuryazarlığı ölçek puan ortalamaları 33,54±5,8 bulunmuştur. Katılımcıların eğitim düzeyi artıkça gıda okuryazarlığı puanı yükselmiştir. Sonuç: Bireylerin, COVID-19 kısıtlama sürecinde egzersiz yapmaları, ekran kullanım süreleri ve yeme alışkanlıkları olumsuz etkilenmiştir. CR - Ammar, A., Brach, M., Trabelsi, K., Chtourou, H., Boukhris, O., Masmoudi, L., Bouaziz, B., Bentlage, E., How, D., Ahmed, M., Müller, P., Müller, N., Aloui, A., Hammouda, O., Paineiras-Domingos, L. L., Braakman-Jansen, A., Wrede, C., Bastoni, S., Pernambuco, C. S., … Hoekelmann, A. (2020). Effects of COVID-19 home confinement on eating behaviour and physical activity: Results of the ECLB-COVID19 international online survey. Nutrients, 12(6). https://doi.org/10.3390/nu12061583 CR - Carroll, N., Sadowski, A., Laila, A., Hruska, V., Nixon, M., Ma, D. W. L., & Haines, J. (2020). The Impact of COVID-19 on Health Behavior, Stress, Financial and Food Security among Middle to High Income Canadian Families with Young Children. Nutrients, 12(8), 1–14. https://doi.org/10.3390/NU12082352 CR - Di Renzo, L., Gualtieri, P., Pivari, F., Soldati, L., Attinà, A., Cinelli, G., Cinelli, G., Leggeri, C., Caparello, G., Barrea, L., Scerbo, F., Esposito, E., & De Lorenzo, A. (2020). Eating habits and lifestyle changes during COVID-19 lockdown: An Italian survey. Journal of Translational Medicine, 18(1). https://doi.org/10.1186/s12967-020-02399-5 CR - Durmus, H., Gökler, M. E., & Havlioglu, S. (2019). Reliability and validity of the Turkish version of the short food literacy questionnaire among university students. Progress in Nutrition, 21(2), 333–338. https://doi.org/10.23751/pn.v21i2.7094 CR - Gréa Krause, C., Beer-Borst, S., Sommerhalder, K., Hayoz, S., & Abel, T. (2018). A short food literacy  questionnaire (SFLQ) for adults: Findings from a Swiss validation study. Appetite, 120, 275–280. https://  doi.org/10.1016/j.appet.2017.08.039 CR - Holmes, E. A., O’Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., Ballard, C., Christensen, H., Cohen Silver, R., Everall, I., Ford, T., John, A., Kabir, T., King, K., Madan, I., Michie, S., Przybylski, A. K., Shafran, R., Sweeney, A., … Bullmore, E. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. The Lancet Psychiatry, 7(6), 547–560. https://doi.org/10.1016/S2215-0366(20)30168-1 CR - Hossain, M. M., Sultana, A., & Purohit, N. (2020). Mental health outcomes of quarantine and isolation for infection prevention: a systematic umbrella review of the global evidence. Epidemiology and Health, 42. https://doi.org/10.4178/epih.e2020038 CR - Khubchandani, J., Kandiah, J., & Saiki, D. (2020). The COVID-19 Pandemic, Stress, and Eating Practices in the United States. European Journal of Investigation in Health, Psychology and Education, 10(4), 950. https://doi.org/10.3390/EJIHPE10040067 CR - Lee, C. K., Liao, L. L., Lai, I. J., & Chang, L. C. (2019). Effects of a healthy-eater self-schema and nutrition literacy on healthy-eating behaviors among Taiwanese college students. Health Promotion International, 34(2), 269–276. https://doi.org/10.1093/HEAPRO/DAX080 CR - Lee, Y., Kim, T., & Jung, H. (2022). The Relationships between Food Literacy, Health Promotion Literacy and Healthy Eating Habits among Young Adults in South Korea. Foods 2022, Vol. 11, Page 2467, 11(16), 2467. https://doi.org/10.3390/FOODS11162467 CR - López-Bueno, R., Calatayud, J., Casaña, J., Casajús, J. A., Smith, L., Tully, M. A., Andersen, L. L., & López-Sánchez, G. F. (2020). COVID-19 Confinement and Health Risk Behaviors in Spain. Frontiers in Psychology, 11, 1426. https://doi.org/10.3389/fpsyg.2020.01426 CR - Mattioli, A. V., Ballerini Puviani, M., Nasi, M., & Farinetti, A. (2020). COVID-19 pandemic: the effects of quarantine on cardiovascular risk. European Journal of Clinical Nutrition, 74(6), 852. https://doi.org/10.1038/S41430-020-0646-Z CR - Moynihan, A. B., Tilburg, W. A. P. van, Igou, E. R., Wisman, A., Donnelly, A. E., & Mulcaire, J. B. (2015). Eaten up by boredom: consuming food to escape awareness of the bored self. Frontiers in Psychology, 6(APR), 369. https://doi.org/10.3389/fpsyg.2015.00369 CR - Opichka, K., Smith, C., & Levine, A. S. (2019). Problematic Eating Behaviors Are More Prevalent in African American Women Who Are Overweight or Obese Than African American Women Who Are Lean or Normal Weight. Family and Community Health, 42(2), 81–89. https://doi.org/10.1097/FCH.0000000000000222 CR - Palumbo, R., Adinolfi, P., Annarumma, C., Catinello, G., Tonelli, M., Troiano, E., Vezzosi, S., & Manna, R. (2019). Unravelling the food literacy puzzle: Evidence from Italy. Food Policy, 83, 104–115. https://doi.org/10.1016/J.FOODPOL.2018.12.004 CR - Pellegrini, M., Ponzo, V., Rosato, R., Scumaci, E., Goitre, I., Benso, A., Belcastro, S., Crespi, C., De Michieli, F., Ghigo, E., Broglio, F., & Bo, S. (2020). Changes in Weight and Nutritional Habits in Adults with Obesity during the “Lockdown” Period Caused by the COVID-19 Virus Emergency. Nutrients, 12(7), 1–11. https://doi.org/10.3390/NU12072016 CR - Phillipou, A., Meyer, D., Neill, E., Tan, E. J., Toh, W. L., Van Rheenen, T. E., & Rossell, S. L. (2020). Eating and exercise behaviors in eating disorders and the general population during the COVID-19 pandemic in Australia: Initial results from the COLLATE project. The International Journal of Eating Disorders, 53(7), 1158–1165. https://doi.org/10.1002/EAT.23317 CR - Poelman, M. P., Dijkstra, S. C., Sponselee, H., Kamphuis, C. B. M., Battjes-Fries, M. C. E., Gillebaart, M., & Seidell, J. C. (2018). Towards the measurement of food literacy with respect to healthy eating: the development and validation of the self perceived food literacy scale among an adult sample in the Netherlands. The International Journal of Behavioral Nutrition and Physical Activity, 15(1). https://doi.org/10.1186/S12966-018-0687-Z CR - Poelman, M. P., Gillebaart, M., Schlinkert, C., Dijkstra, S. C., Derksen, E., Mensink, F., Hermans, R. C. J., Aardening, P., de Ridder, D., & de Vet, E. (2021). Eating behavior and food purchases during the COVID-19 lockdown: A cross-sectional study among adults in the Netherlands. Appetite, 157, 105002. https://doi.org/10.1016/J.APPET.2020.105002 CR - Puhl, R. M., Lessard, L. M., Larson, N., Eisenberg, M. E., & Neumark-Stzainer, D. (2020). Weight Stigma as a Predictor of Distress and Maladaptive Eating Behaviors During COVID-19: Longitudinal Findings From the EAT Study. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 54(10), 738. https:// doi.org/10.1093/ABM/KAAA077 CR - Robinson, E., Boyland, E., Chisholm, A., Harrold, J., Maloney, N. G., Marty, L., Mead, B. R., Noonan, R., & Hardman, C. A. (2021). Obesity, eating behavior and physical activity during COVID-19 lockdown: A study of UK adults. Appetite, 156, 104853. https://doi.org/10.1016/J.APPET.2020.104853 CR - Rodgers, R. F., Lombardo, C., Cerolini, S., Franko, D. L., Omori, M., Fuller-Tyszkiewicz, M., Linardon, J., Courtet, P., & Guillaume, S. (2020). The impact of the COVID‐19 pandemic on eating disorder risk and symptoms. The International Journal of Eating Disorders, 53(7), 1166. https://doi.org/10.1002/EAT.23318 CR - Sánchez-Sánchez, E., Ramírez-Vargas, G., Avellaneda-López, Y., Orellana-Pecino, J. I., García-Marín, E., & Díaz-Jimenez, J. (2020). Eating Habits and Physical Activity of the Spanish Population during the COVID-19 Pandemic Period. Nutrients, 12(9), 1–12. https://doi.org/10.3390/NU12092826 CR - Scarmozzino, F., & Visioli, F. (2020). Covid-19 and the Subsequent Lockdown Modified Dietary Habits of Almost Half the Population in an Italian Sample. Foods, 9(5). https://doi.org/10.3390/FOODS9050675 CR - Sidor, A., & Rzymski, P. (2020). Dietary Choices and Habits during COVID-19 Lockdown: Experience from Poland. Nutrients, 12(6). https://doi.org/10.3390/NU12061657 CR - T.C. İçişleri Bakanlığı. (2020a). 81 İl Valiliğine Coronavirüs Tedbirleri Konulu Ek Genelge https://ww.icisleri.gov.tr/81-il-valiligine-koronavirus-tedbirleri-konulu-ek-genelge- gonderildi CR - T.C. İçişleri Bakanlığı. (2020b). Koronavirüs ile Mücadele Kapsamında - Yeni Kısıtlama ve Tedbirler Genelgeleri. https://www.icisleri.gov.tr/koronavirus-ile-mucadele-kapsaminda-sokaga-cikma-kisitlamalari---yeni-kisitlama-ve-tedbirler-genelgeleri CR - T.C. Sağlık Bakanlığı. (2020). COVID-19 (SARS-CoV-2 ENFEKSİYONU) GENEL BİLGİLER, EPİDEMİYOLOJİ VE TANI. T.C. Sağlık Bakanlığı. CR - Trieste, L., Bazzani, A., Faraguna, U., & Turchetti, G. (2021). Food literacy and food choice-a survey-based psychometric profiling of consumer behaviour. British Food Journal, 123(13), 124–141. https://doi.org/10.1108/BFJ-09-2020-0845 CR - Yau, Y. H. C., & Potenza, M. N. (2013). Stress and eating behaviors. In Minerva Endocrinologica (Vol. 38, Issue 3, pp. 255–267). NIH Public Access. UR - https://doi.org/10.70852/tmj.1639053 L1 - https://dergipark.org.tr/tr/download/article-file/4605924 ER -