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. 2023 Feb 9;20(4):3034.
doi: 10.3390/ijerph20043034.

Changes in Student's Breakfast and Snack Consumption during the Second COVID-19 Lockdown in Portugal: A Five-Wave Study

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Changes in Student's Breakfast and Snack Consumption during the Second COVID-19 Lockdown in Portugal: A Five-Wave Study

Paula Magalhães et al. Int J Environ Res Public Health. .

Abstract

The circumstances of the COVID-19 lockdown affected many students' life spheres, including their feeding patterns and snack intake. The main goals of the present study were to: (a) analyze the changes in students' breakfast and snacking consumption during lockdown, and (b) analyze changes in the content of the students' snacks using the Healthy Eating Index. This study analyzed data from a sample of 726 students from 36 classes from the late elementary (i.e., fifth grade) through high school (i.e., twelfth grade) from two public schools in the north of Portugal. Data were collected in five moments during the 2020/2021 school year, pre-, during, and post-second lockdown moments. Throughout the five moments, almost 90% of the students ate breakfast, and the majority brought snacks from home to eat in school. Surprisingly, there was an increase in the quality of the snacks consumed during lockdown compared to the pre-lockdown moments (e.g., consumption of more whole and total fruits and less consumption of food with added sugar, saturated fats, refined grains, and fatty acids). Suggestions for healthy behavior promotion will be discussed, such as improving the school food environment and teaching children to prepare healthy lunch boxes.

Keywords: COVID-19; breakfast; children; feeding patterns; healthy behavior promotion; healthy eating index; lockdown; snacking; students.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flowchart of the participants’ inclusion/exclusion process for each study goal: breakfast consumption, snacking, and bring analysis (i.e., where the snack was acquired) for the first goal; qualitative analysis for the second goal (black boxes refer to the participants included in the study, and the grey ones refer to participants excluded from the study).
Figure 2
Figure 2
Example of a part of an observational grid.
Figure 3
Figure 3
Data collection timeline: time frame for each data collection (T1–T5), classification into pre-, during, and post-second lockdown, and instruments collected in each moment.
Figure 4
Figure 4
Graphic for the HEI components consumed among moments. Each angle of the graphic represents a distinct component (i.e., TF—Total Fruits, WF—Whole Fruits, WG—Whole Grains, D—Dairy, TPF—Total Protein Foods, SPP—Seafood and Plant Protein, FA—Fatty Acids, RG—Refined Grains, S—Sodium, AS—Added Sugars, SF—Saturated Fats), and a distinct line represents each moment. Unity of measures = portions.

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References

    1. World Health Organization Regional Office for the Eastern Mediterranean Regional Strategy to Improve Access to Medicines and Vaccines in the Eastern Mediterranean, 2020–2030, Including Lessons from the COVID-19 Pandemic. [(accessed on 23 February 2021)]. Available online: https://apps.who.int/iris/handle/10665/335952.
    1. Mikkilä V., Räsänen L., Raitakari O.T., Pietinen P., Viikari J. Consistent Dietary Patterns Identified from Childhood to Adulthood: The Cardiovascular Risk in Young Finns Study. Br. J. Nutr. 2005;93:923–931. doi: 10.1079/BJN20051418. - DOI - PubMed
    1. Croezen S., Visscher T.L.S., ter Bogt N.C.W., Veling M.L., Haveman-Nies A. Skipping Breakfast, Alcohol Consumption and Physical Inactivity as Risk Factors for Overweight and Obesity in Adolescents: Results of the E-MOVO Project. Eur. J. Clin. Nutr. 2009;63:405–412. doi: 10.1038/sj.ejcn.1602950. - DOI - PubMed
    1. Wang D., Van der Horst K., Jacquier E.F., Afeiche M.C., Eldridge A.L. Snacking Patterns in Children: A Comparison between Australia, China, Mexico, and the US. Nutrients. 2018;10:198. doi: 10.3390/nu10020198. - DOI - PMC - PubMed
    1. Kerr M.A., Rennie K.L., McCaffrey T.A., Wallace J.M.W., Hannon-Fletcher M.P., Livingstone M.B.E. Snacking Patterns among Adolescents: A Comparison of Type, Frequency and Portion Size between Britain in 1997 and Northern Ireland in 2005. Br. J. Nutr. 2008;101:122–131. doi: 10.1017/S0007114508994769. - DOI - PubMed

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