Consumer behaviour during COVID-19 pandemic

Background. COVID-19 pandemic poses a significant threat in area of public health. In the light of dynamic increase of infections European countries decided to implement special safety measures in order to stop spread of SARS-CoV-2 virus. Reduction of the activity of shopping galleries, grocery stores and gastronomy directly impacted the change of consumer behaviours. Objective. The aim of this research was the analysis of consumer behaviour during COVID-19 pandemic regarding the use of gastronomical services, grocery shopping and undertaken safety measures. Material and methods. The main instrument was original survey conducted on-line in November 2020. The form consisted of metrics and close-ended questions about consumer behaviour during COVID-19 pandemic. 1080 respondents took part in the study (females - 850; men - 230). Results were mapped out in Statistics 13.1 program and graphical representation was prepared in Microsoft Excel. Results. More than half of respondents were working people (n=629; 58%). Vast majority of working respondents during the study were working stationary (n=304; 48%), while remotely only 33% (n=208). Among young respondents almost half of the group was unemployed (n=158; 45%), while the rest of the group was employed (n=195; 55%). Professional activities in the group of respondents that were still learning was mostly stationary/ physic (n=57; 29%). During the pandemic the stationary form of working switched into remote in every third of respondent (n=307; 28%). Conclusions. Global pandemic of COVID-19 forced people to change their current behaviours - both consumer and social. Consumers are aware of risks borne by SARS-CoV-2 infection, which may be concluded from undertaken safety measures.

Assessment of the knowledge of nutritional recommendations and way of nutrition in vegetarians and vegans

Background. People following a vegetarian diet can obtain all the essential nutrients from a variety of foods. Among the nutrients, protein, iron, calcium, zinc, and vitamins B12 and D3 require special attention. Objective. To assess the knowledge of dietary recommendations among different groups of vegetarians and the diet they follow. Material and methods. The study involved a total of 390 subjects (360 women and 30 men), aged 18–60 years, who were following different vegetarian diets. The study was conducted in November 2020 via Facebook using the Computerassisted web interviewing (CAWI) method. Participation in the study was voluntary and anonymous, and sample selection was intentional (participants were members of groups for vegetarians in Facebook). Statistical analysis was carried out using the Chi2 test, using Statistica 13.3 (at p=0.05). Results. To develop the results, the respondents were divided into 4 groups according to their diet: vegan, pescovegetarian, lactovegetarian, and people following other types of diets. The body mass index of nearly 2/3 of the respondents was within the normal range, and more than 80% of the respondents rated their health as good or very good. An analysis of the frequency of consumption of food products showed that, regardless of the type of vegetarian diet they followed, the participants adhered to the principles of proper nutrition. The respondents who rated their nutritional knowledge as very good were more likely to consume vegetables, fruits, legumes, and whole-grain cereals, and rarely consumed sweet and salty snacks, alcoholic and energizing drinks, or fast food. Vegans more frequently consumed fruits, vegetables, legumes, vegetable fats, and vegetable substitutes for meat and dairy products compared to other vegetarians. In addition to plant products, pesco- and lactovegetarians included selected animal-derived products in their food rations, thus skillfully diversifying the diet. More than 80% of the vegetarians used dietary supplements, mainly vitamins D and B12. Conclusions. Regardless of the type of vegetarian diet followed, the participants seemed to be aware of how to balance their diet and the ingredients that should be supplemented, even though a vast majority of them did not consult a diet specialist.

Body composition and Hashimoto disease

Background. Body weight or BMI do not provide any information about the content of muscle tissue, water content, body fat and its distribution in the body. Thyroid dysfunction is associated with a change in body weight, but also its composition regardless of physical activity. Objective. The aim of the study was to compare the body composition of female patients diagnosed with Hashimoto's disease (HD) and the body composition of healthy women who have never been treated before due to thyroid diseases. Materials and methods. The study involved 47 women diagnosed with Hashimoto disease (HD) and 65 women declaring good health. Body mass and height and body composition analysis using bioelectrical impedance analysis were performed using the TANITA multi-frequency segmental body composition analyzer. Variables having a distribution similar to the normal distribution were analyzed by the analysis of variance (ANOVA), otherwise the Kruskal-Wallis test was used. Results. Women with Hashimoto disease were characterized by significantly higher values of body weight, and thus BMI index, than healthy women (respectively 73.64 kg vs. 64.36 kg, p <0.0001; 27.65 kg/m2 vs. 23.95 kg/m2, p <0.001).The problem of excess body fat in the body statistically significantly more often affected women with Hashimoto disease than healthy women (44.7% vs. 13.8%, p <0.001). Conclusions. The results regarding the weight and composition of the patients treated for thyroid disease indicate the need for further in-depth analyses. Even small abnormalities of the thyroid function in the range of reference values may result in the development of many adverse changes in the body.

The content of lead, cadmium, arsenic, mercury and tin in fruit and their products based on monitoring studies – exposure assessment

Background. Fruit and fruit products are important part of our daily diet. In addition to the ingredients necessary for the proper functioning of the body, these products can also be a source of intake elements harmful to human health. Objective. Analysis of the results of monitoring studies conducted in Poland in 2015 concerning contamination of lead (Pb), cadmium (Cd), arsenic (As), mercury (Hg) and tin (Sn) in fruit and fruit products and exposure assessment. Material and methods. Approximately 600 samples of fresh, frozen, dried fruits, fruit preserves and canned fruits were tested. The laboratories of State Sanitary Inspection were involved in testing. Accredited and validated analytical methods were used. The test samples were prepared in accordance with the standard PN-EN 13804:2013. The contents of lead, cadmium and tin were determined by using flame atomic absorption spectrometry (FAAS) or flameless with electrothermal atomization spectrometry (GFAAS); arsenic by using hydride generation atomic absorption spectrometry method (HGAAS) and mercury the "cold vapor" atomic absorption spectrometry (CVAAS) method. Results. Contamination of investigated samples with elements harmful to human health (Pb, Ca, As, Hg and Sn does not rise concern to human health and was in most cases comparable with contamination reported in other European Union countries. The estimated average exposure of adults and children to lead intake with fruit and fruit products ranged from 0.5% to 14.6% of the respective Benchmark Dose Lower Confidence Limit (BMDL) established by the European Food Safety Authority (EFSA). The mean intake of cadmium with these groups of foodstuffs was in the range 0.3 - 8.5% of the TWI value (Tolerable Weekly Intake) established by EFSA for adults and children (0.1 - 3.6% of the PTMI (Provisional Tolerable Monthly Intake) established by JECFA. In case of arsenic mean intake was in the range 0.5 - 1.6% BMDL whilst for mercury (inorganic form) intake represented 0.5 - 1.4% of TWI value established by JECFA and then confirmed by EFSA. Conclusions. Based on the obtained results, it was found that content of Pb, Cd, As, Hg and Sn in the tested samples of fruit and their products does not pose a risk to consumer health. Estimated exposure of consumers does not exceed tolerable doses established by EFSA and JECFA for these elements.

Dietary patterns of Polish seniors in retirees’ households

Background. About 7 million people in Poland receive pensions. The amount of benefits paid to pensioners is reflected in the income at their households and expenses, including food expenses. Objective. The aim of the study was to evaluate the dietary patterns of Polish seniors in the retirees` households on the basis of an analysis of food consumption and energy and nutrient intake. Material and method. Food consumption evaluation was based on household budget survey conducted by Statistics Poland in 2019 throughout the whole country. Energy and nutrient intake were calculated using the conversion factors. Results. The consumption of unprocessed red meat in retirees’ households was 1.83 kg/person/month, meat products – 2.90 kg and kitchen salt – 0.24 kg. 6.52 kg of vegetables and 5.99 kg of fruit were consumed per person per month. The mean energy intake in members of these households was 2387 kcal/day. The proportion of energy from fat was high – 36.6%. 14.2% of energy was derived from protein and 49.6% from digestible carbohydrates. The share of animal fat (55.0 g) was higher than vegetable fat (43.7 g). It was associated with a high percentage of energy from saturated fatty acids – 13.4%. The content of polyunsaturated fatty acids was less than half of the saturated fatty acids. Calcium and vitamin D intake was low (658 mg and 3.8 μg respectively). Conclusions. Red meat, processed meat and salt consumption by seniors was too high in relation to the nutritional recommendations. Vegetables and fruit were consumed in amounts that are recommended. Seniors diet was improperly balanced, e.g. due to the high percentage of energy from fat, including saturated fatty acids. However, the intake of polyunsaturated fatty acids was low. Calcium and vitamin D intake was lower than Reference Intakes.

The low-FODMAP diet as an effective tool for managing irritable bowel syndrome – an assessment of adult patients’ knowledge of dietary guidelines

Background. Irritable bowel syndrome (IBS) is the most common gastrointestinal disorder that is driven by the gutbrain axis and affects 1-20% of the population. Most patients note that various foods elicit abdominal symptoms, and they eliminate these products from their diets. A diet that is low in fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) is currently one of the mainstays in IBS treatment. Objective. The aim of this study was to assess the knowledge of IBS patients about the disease, treatment and the principles of the low-FODMAP diet that can alleviate gastrointestinal symptoms. Material and methods. The participants were adults diagnosed with IBS, the inclusion criteria were: absence of comorbidities requiring an elimination diet, age over 18 years, and consent to participate in the study. The respondents filled out an anonymous questionnaire containing questions about the IBS diagnosis, disease history and treatment, as well as 45 questions assessing the participants’ knowledge about the low-FODMAP diet. Results. In 28% of the cases, IBS was diagnosed by a general practitioner; in nearly 40% of the cases – by a gastroenterology specialist; in 10% of the cases – by a dietitian, whereas the remaining respondents had arrived at the diagnosis independently or with the help of support groups for IBS patients. After diagnosis, only every fourth respondent sought treatment in a gastroenterology clinic. In the studied population, 237 of the respondents had followed to the low-FODMAP diet, and the differentiating factors were sex (p=0.002), place of residence (city with a population higher than 100,000 vs. rural area; p=0.0001) and education (university vs. vocational school p=0.0043). Respondents who had been recently diagnosed with IBS (less than 12 months vs. more than 12 months before the study) were more likely to follow the FODMAP diet. Conclusions. The surveyed population was characterized by high levels of knowledge about the low-FODMAP diet, but many respondents did not strictly comply with dietary guidelines, in particular the duration of each dietary phase. Age was significantly correlated with the respondents’ knowledge, and the participants’ familiarity with low-FODMAP guidelines decreased with age. Nutritional consultations did not significantly improve the respondents’ knowledge about the low-FODMAP diet.

Study of the association of the nutritional profile of pregnant women with the birth weight of newborns in Morocco

Background. Low birth weight (LBW) is an important predictor of neonatal morbidity and mortality. It reflects the nutritional status of the mother and the quality of health care services during pregnancy. Objective. The objective of this study is to determine the factors associated with low birth weight of children born to Moroccan pregnant women in the province of El Jadida. Material and Methods. This cross-sectional case-control study was carried out in the maternity ward of El Jadida provincial hospital on 344 parturient women, half of whom had given birth to children with an LBW and the other half of children with normal weight (NW) at birth. Information on maternal gestational and socioeconomic characteristics as well as eating habits was collected using a questionnaire and anthropometric measurements were taken on the newborns. Results. The study identified 172 parturient who gave birth to newborns with LBW and 172 parturient who gave birth to newborns of NW. The proportions of LBW are greater in first-time mothers (50.6%) and professionally inactive (86.6%). The mean weight of LBW newborns is 2013.95 ± 372.95g compared to 3380 ± 217.59g for NW newborns. The determined factors associated with LBW are the low socio-economic level (OR = 3.18; 95% CI: 1.09-9.23), insufficient monitoring of prenatal consultation (OR = 2.91; 95% CI: 1, 71-4.95), origin from rural areas (OR = 0.52; 95% CI: 0.30-0.91) and lack of nutritional education (OR = 0.17; 95% CI: 0, 09-0.34). The daily calcium intake in mothers of newborns with LBW is 33.82% of the recommended daily allowance (RDA), the daily iron requirement coverage was 50%, folates 66, 16% and zinc 87.72% of the RDA. Conclusions. Well-targeted and coordinated education and awareness-raising actions on early pregnancy and feeding pregnant women could have a positive impact on improving the birth rate of children with a weight deficit.

Nutritional status of sub-Saharans residing in the city of El Jadida - Morocco: weight in relation to socio-economic status

Background. Onset of overweight and obesity has been previously reported as a result of population migration to western countries. Objective. To determine the nutritional status, weight status and their association with socioeconomic status in sub-Saharan settled in El Jadida city in a Mediterranean country Morocco. Materials and methods. A descriptive study was carried out in 2018 on 256 sub-Saharans migrants living in the city of El Jadida in Morocco. Information on socio-economic and socio-demographic characteristics as well as anthropometric measurements was collected. The body mass index (BMI) and abdominal obesity by measuring waist circumference (WC) and waist circumference to hip ratio (WHR) and the distribution of body fat by calculating the sum of skin folds are determined. Results. Analysis results indicate that height, waist circumference, hip circumference, sum of trunk skinfolds, total sum of skinfolds, and BMI increase with age. The prevalence of underweight decreases with age, overweight was 38.7% in the youngest age group (18-25 years) and reached higher values after 35 years (44.10%). In addition, the prevalence of general obesity (based on BMI) increased with age and abdominal obesity (based on WHR and WC) was more marked in sub-Saharan people aged 26 to 35 years. These results also reveal the coexistence of underweight, overweight and obesity in all age groups. The analysis revealed a significant association between several variables and obesity. Significant associations were found between age and BMI (P=0.04), between level of education (university) and WHR (p=0.02), between sex and WHR, and between sex and WC (p=0.049). The study revealed also that the majority of the study sample gained weight after their settling in the host country. Conclusions. The study data show that obesity including overweight and abdominal obesity were prevalent among sub-Saharan migrants residing in the city of El Jadida. This prevalence is associated with socio-demographic and socioeconomic factors.

Effect of heat exposure on dehydration and kidney function among sea salt workers in Thailand

Background. Excessive heat exposure and dehydration among agricultural workers have been reported to reduce kidney function and lead to chronic kidney disease of unknown etiology (CKDu). Objective. This cross-sectional study aimed to assess heat exposure, factors related to dehydration and the relationship between dehydration and biomarkers of kidney function among sea salt workers in Thailand. Material and methods. Wet bulb globe temperature (WBGT) was used at the time workers started work outdoors on salt farms. Urine-specific gravity, urine osmolarity, and serum creatinine were collected from 50 workers after work. Results. The results showed that more than 50% of the participants were dehydrated after work. The maximum hours spent working per day was 10. The average water intake was 1.51 L. Urine specific gravity was highly significant correlated with urine osmolality (rs = 0.400, p<0.01), and urine osmolality was significantly correlated with the estimated glomerular filtration rate (eGFR) (rs = 0.349, p<0.05). In bivariate analysis adjusted for age, sex, and current alcohol consumption, we found that a WBGTTWA ≥ 30°C (OR = 0.08, 95% CI = 0.01-0.44, p = 0.003) and hours spent working (OR=2.22, 95% CI = 1.42-3.47, p <0.001) were independently associated with dehydration. This suggests that workers should increase their time spent on breaks and increase water consumption. Conclusions. Educational program on heat exposure and heat-related illness prevention strategies should be provided

Quality and methods of adulteration of meat and fish products on the Polish market in 2010-2020

Background. Globalisation is the direct or indirect source and cause of many economic, social, political and cultural processes and phenomena. These processes also affect agribusiness and food production. One of the important developments in recent decades is the ever-increasing scale of food adulteration. Its consequence is a reduction in the level of food safety, both in its health and economic aspects. The latter is due to the presence of impaired, or even adulterated, food on the market, which exposes consumers to non-equivalent exchanges. Sectors particularly vulnerable to these illegal trade practices include meat and fish products. Objective. The aim of the article is to identify the dominating methods/categories of food adulteration using the example of the Polish market for the food production sectors of meat and fish. Material and methods. The research was conducted using data from the Agricultural and Food Quality Inspection (AFQI), the official food control institution responsible for quality and food adulteration controls in Poland. The study covered the period from 2010 to 2020. Results. Research has shown an exceptionally significant level and diversity of methods of adulterating meat and fish products. These products are adulterate much more often than other food products. The conducted research has shown many methods and ways of adulterating both meat and fish products. It is worth emphasizing that the greater concentration of counterfeiting methods concerns meat products. The study revealed an extremely significant variety of adulterating methods for meat and fish products, significantly beyond those typically cited in the literature. Conclusions. The results of the research indicate the need to intensify official food controls on the Polish market. In particular, this should apply to the group of meat and fish products due to their high level of adulteration.