Sex-related differences in eating behaviors during COVID-19 pandemic: A systematic review with metanalysis

IF 4.6 2区医学 Q1 BEHAVIORAL SCIENCES

Appetite Pub Date : 2024-10-22 DOI:10.1016/j.appet.2024.107727

Simone Gonzaga do Carmo , Maísa Miranda Araújo , Maria Eduarda Coelho Bittencourt Cavalcanti , Ana Claudia Morais Godoy Figueiredo , Kênia Mara Baiocchi de Carvalho , Patrícia Borges Botelho

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引用次数: 0

Abstract

Eating behavior can be influenced by external factors; however, there is no consensus on the existence of differences in eating behavior between the sexes in stressful situations, such as the COVID-19 pandemic. This systematic review assessed whether there was a difference in eating behavior between sexes during the COVID-19 pandemic. A search of nine databases (Medline/Pubmed, Embase, Scielo, VHL, Scopus, PsycINFO, Web of Science, ProQuest, Google Scholar) was conducted in October 2023. Studies reporting eating behaviors in males and females during the COVID-19 pandemic were included. Methodological quality was assessed using the Joanna Briggs Institute Critical Appraisal Instrument. Stratified meta-analyses were conducted using the STATA software. Of the 2388 studies identified, 45 were included in the qualitative synthesis, and 36 in the meta-analysis, encompassing a total of 35,792 participants. Validated questionnaires were used to assess eating behavior, including the TFEQ (33.3%), DEBQ (24.4%), EEQ (22.2%), EES (11.1%), EOQ-5 (2.2%), AEBQ (2.2%), EAS (2.2%), and EMAQ (2.2%). Overall, males exhibited lower scores in emotional eating (Cohen's d = −0.32, 95%CI: 0.46 to −0.17) and restrained eating (Hedges'g = −0.11, 95%CI: 0.16 to −0.06) compared to females. However, the subgroup analysis indicated no differences in emotional eating (subgroup difference p = 0.39) or restrained eating (subgroup difference p = 0.30) according to the year of pandemic. These findings underscore the importance of sex-specific interventions, the address eating behaviors during periods of heightened insecurity in worldwide health emergencies, such as the COVID-19 pandemic. Additionally, our results emphasize the necessity for public health strategies to monitor and promote healthy eating behaviors to mitigate their impact on overall health outcomes, even in males, as their eating behavior may be affected over the course of a global health crisis, as well as females.

查看原文本刊更多论文

COVID-19 流行期间饮食行为的性别差异：系统回顾与荟萃分析。

进食行为可能会受到外部因素的影响；然而，对于在 COVID-19 大流行等压力情况下两性之间的进食行为是否存在差异，目前还没有达成共识。本系统性综述评估了 COVID-19 大流行期间两性饮食行为是否存在差异。2023 年 10 月，我们检索了九个数据库（Medline/Pubmed、Embase、Scielo、VHL、Scopus、PsycINFO、Web of Science、ProQuest、Google Scholar）。纳入了报告 COVID-19 大流行期间男性和女性饮食行为的研究。研究方法的质量采用乔安娜-布里格斯研究所（Joanna Briggs Institute）的 "关键评估工具"（Critical Appraisal Instrument）进行评估。使用 STATA 软件进行了分层荟萃分析。在确定的 2388 项研究中，45 项纳入了定性综合，36 项纳入了荟萃分析，共有 35,792 人参与。研究采用了经过验证的问卷来评估进食行为，包括TFEQ（33.3%）、DEBQ（24.4%）、EEQ（22.2%）、EES（11.1%）、EOQ-5（2.2%）、AEBQ（2.2%）、EAS（2.2%）和EMAQ（2.2%）。总体而言，与女性相比，男性在情绪性进食（Cohen's d = -0.32，95%CI：0.46 至 -0.17）和克制性进食（Hedges'g = -0.11，95%CI：0.16 至 -0.06）方面的得分较低。然而，亚组分析表明，根据大流行的年份，情绪化进食（亚组差异 p = 0.39）或克制性进食（亚组差异 p = 0.30）没有差异。这些发现强调了针对不同性别的干预措施的重要性，这些干预措施可在 COVID-19 大流行等全球卫生紧急情况下的高度不安全时期解决进食行为问题。此外，我们的研究结果还强调了公共卫生策略监测和促进健康饮食行为的必要性，以减轻其对整体健康结果的影响，即使是男性也不例外，因为在全球卫生危机期间，他们的饮食行为可能会和女性一样受到影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Appetite 医学-行为科学

CiteScore

9.10

自引率

11.10%

发文量

566

审稿时长

13.4 weeks

期刊介绍： Appetite is an international research journal specializing in cultural, social, psychological, sensory and physiological influences on the selection and intake of foods and drinks. It covers normal and disordered eating and drinking and welcomes studies of both human and non-human animal behaviour toward food. Appetite publishes research reports, reviews and commentaries. Thematic special issues appear regularly. From time to time the journal carries abstracts from professional meetings. Submissions to Appetite are expected to be based primarily on observations directly related to the selection and intake of foods and drinks; papers that are primarily focused on topics such as nutrition or obesity will not be considered unless they specifically make a novel scientific contribution to the understanding of appetite in line with the journal's aims and scope.