Pertuz-Cruz, Sonia L.Molina-Montes, EstherRodríguez-Pérez, CeliaGuerra-Hernández, Eduardo J.Cobos de Rangel, Olga P.Artacho, ReyesVerardo, VitoRuiz-Lopez, María DoloresGarcía-Villanova, Belén2022-09-282022-09-282021-04-12Pertuz-Cruz SL, Molina-Montes E, Rodríguez-Pérez C, Guerra-Hernández EJ, Cobos de Rangel OP, Artacho R, Verardo V, et al. Exploring Dietary Behavior Changes Due to the COVID-19 Confinement in Colombia: A National and Regional Survey Study. Front Nutr. 2021 Apr 12;8:644800http://hdl.handle.net/10668/4176The aim of this study was to evaluate the impact of coronavirus SARS-Cov2 (COVID-19) confinement measures in Colombia on the dietary behaviors of a large population sample, at national and regional levels. A survey was conducted to assess dietary behaviors during the COVID-19 confinement. The survey involved 2,745 participants, aged 18 years or older, from six regions of the country (Atlántica, Bogotá, Central, Oriental, Orinoquía and Amazonía, and Pacífica). Dietary intake of foods and foods groups in grams per day before and during the confinement was estimated by considering standard serving sizes of foods. One-way ANOVA was used to analyze differences between the regions with regard to dietary behavior changes during the confinement. Differences were deemed significant at p-value < 0.05. Dietary patterns (DPs) before and during the confinement were derived from principal component analysis. Certain dietary habits were adopted by the study population during the confinement (e.g., higher frequency of snacking and home cooking), with significant differences by regions with regard to these habits, as well as regarding culinary processes. The levels of consumption of several foods also changed during the confinement, nationally and regionally. We identified three DPs before the confinement (protein-rich, carbohydrate-rich, and sugar foods patterns) and four DPs during the confinement (westernized, carbohydrate-rich, protein-rich, fish and fruits-vegetable patterns), with an explained total variance of 33 and 45%, respectively. The profile of these DPs varied to some extent between the regions; their adherence to each DP also varied (p-value < 0.001). Our results show that there were marked differences by regions in the dietary behaviors of this population during the confinement, with an overall trend toward unhealthier DPs. These results may help to shape public health nutrition interventions in Colombia during the COVID-19 pandemic and in a post-COVID stage.enAtribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/Dietary patternsDietary habitsNutritional surveyCulinary processesCOVID-19 confinementEatingCookingDieta occidentalConducta alimentariaEncuestas nutricionalesCulinariaMedical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::HumansMedical Subject Headings::Organisms::Eukaryota::Plants::Plants, Edible::VegetablesMedical Subject Headings::Chemicals and Drugs::Nucleic Acids, Nucleotides, and Nucleosides::Nucleic Acids::RNA::RNA, ViralMedical Subject Headings::Technology and Food and Beverages::Food and Beverages::Food::FruitMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Principal Component AnalysisMedical Subject Headings::Diseases::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus InfectionsMedical Subject Headings::Geographical Locations::Geographic Locations::Americas::South America::ColombiaMedical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::Diet::Serving SizeMedical Subject Headings::Technology and Food and Beverages::Food and Beverages::Food::Meals::SnacksMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Feeding BehaviorMedical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::DietMedical Subject Headings::Phenomena and Processes::Digestive System and Oral Physiological Phenomena::Digestive System Physiological Phenomena::Digestive System Processes::EatingMedical Subject Headings::Chemicals and Drugs::CarbohydratesMedical Subject Headings::Technology and Food and Beverages::Technology, Industry, and Agriculture::Industry::Food Industry::Food Handling::CookingMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::HabitsMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Analysis of Varianceresearch article33912582Acceso abierto10.3389/fnut.2021.6448002296-861XPMC8072011