Dietary patterns, social determinants, and emotions during COVID-19 confinement in Panama: An online survey.

Aim: We aimed to evaluate health and nutrition behaviors among the Panamanian population during the confinement period corresponding to the first wave of the COVID-19 pandemic. Methods: We conducted a cross-sectional study using an online survey for data collection with a total of 2475 participants over the age of 18 using an online survey. We also completed 64 face-to-face interviews. After data validation, 1561 surveys were included in the study. Most respondents were women (74.2%) between 18 and 49 years old. Among the respondents, 83.3% had a university education level, and 49.9% reported a monthly family income of fewer than 1000 USD. In addition, more than 50% self-reported as overweight or obese. Results: We identified three dietary patterns: a healthy, a non-healthy, and a mixed dietary pattern. The respondents with healthy and nonhealthy dietary patterns reported better socioeconomic conditions than participants from the mixed dietary pattern. Individuals with mixed dietary patterns had lower incomes, less education, and higher unemployment rates. Regarding emotions, we found that women experienced more negative emotions, such as fear, worry, and anxiety, during the lockdown period. Conclusions: Taken together, these results indicate that the mobility restriction measures imposed during the COVID-19 pandemic could have affected dietary patterns by exacerbating existing inequalities. Directing resources toward promoting healthy nutrition strategies with the most significant positive impacts on public health is a priority, especially in critical situations such as the COVID-19 pandemic.