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Open Access 17-09-2024 | COVID-19 | Original Contribution

Assessing through a longitudinal study of dietary habits among Romanian school children: effects of COVID-19 pandemic as well as of a school based educational program for promotion of healthy nutrition

Authors: Anda-Valentina Trandafir, Lucia Maria Lotrean

Published in: European Journal of Nutrition

Abstract

Purpose

The outbreak of COVID-19 has forced implementation of safety measures, leading to changes in people’s lives. This study investigated several dietary habits among Romanian children before and during the pandemic. Also, it assessed the effectiveness of an educational program promoting healthy diet and evaluated factors influencing certain eating habits.

Methods

A longitudinal study was conducted in schools. Students were assigned to Control and Intervention groups. Data were collected at baseline (T1) (October -November 2019, 880 children) and post-intervention (T2) (December 2020-February 2021, 484 students). 350 children participated in both assessments.

Results

Baseline measurements revealed inadequate consumptions of fruits, vegetables, dairy products, and increased intake of soft drinks and sweets. At follow-up, the Intervention showed significant improvements on average intake of fruits and vegetables and in children eating ≥ 5 servings/day, compared to its baseline. Regarding self-perceptions on dietary habits during confinement, children from both groups reported healthier behaviors, with a significant decrease of comfort food. Compared to the Control group, Intervention increased its average intake of fruits and vegetables, consumed more ≥ 5 portions/day, reduced the number ≥ 2 cups/day of carbonated beverages and ≥ 3 portions/day of sweets. Age, gender, weight management, body mass index were associated with dietary habits at T1. Age, gender, Intervention group, weight management influenced eating patterns at T2. Eating behaviors at T1 influenced dietary habits at T2.

Conclusion

Our program demonstrated positive changes in students’ dietary habits, despite challenges of COVID-19. Results highlight the role of health education and emphasize the importance of integrating such programs consistently in schools.

Jia P (2021) A changed research landscape of youth’s obesogenic behaviours and environments in the post-COVID‐19 era. Obes Rev 22. https://doi.org/10.1111/obr.13162

Velavan TP, Meyer CG (2020) The COVID-19 epidemic. Trop Med Int Health 25:278–280. https://doi.org/10.1111/tmi.13383PubMedPubMedCentralCrossRef

Cancello R, Soranna D, Zambra G et al (2020) Determinants of the lifestyle changes during COVID-19 pandemic in the residents of Northern Italy. Int J Environ Res Public Health 17:6287. https://doi.org/10.3390/ijerph17176287PubMedPubMedCentralCrossRef

Dascalu S (2020) The successes and failures of the initial COVID-19 pandemic response in Romania. Front Public Health 8:344. https://doi.org/10.3389/fpubh.2020.00344PubMedPubMedCentralCrossRef

Rossi L, Behme N, Breuer C (2021) Physical activity of children and adolescents during the COVID-19 Pandemic—A scoping review. Int J Environ Res Public Health 18:11440. https://doi.org/10.3390/ijerph182111440PubMedPubMedCentralCrossRef

Ministerio de la Presidencia, Relaciones con las Cortes y Memoria Democrática (2020) Real Decreto 463/2020, de 14 de marzo, por el que se declara el estado de alarma para la gestión de la situación de crisis sanitaria ocasionada por el COVID-19. https://www.boe.es/eli/es/rd/2020/03/14/463. Accessed 15 May 2022

Ventura PS, Ortigoza AF, Castillo Y et al (2021) Children’s Health habits and COVID-19 Lockdown in Catalonia: implications for obesity and non-communicable diseases. Nutrients 13:1657. https://doi.org/10.3390/nu13051657PubMedPubMedCentralCrossRef

Van Der Horst K, Oenema A, Ferreira I et al (2006) A systematic review of environmental correlates of obesity-related dietary behaviors in youth. Health Educ Res 22:203–226. https://doi.org/10.1093/her/cyl069PubMedCrossRef

de Vlieger N, van Rossum J, Riley N et al (2020) Nutrition Education in the Australian New South Wales Primary School Curriculum: knowledge and attitudes of students and parents. Children 7:24. https://doi.org/10.3390/children7040024PubMedPubMedCentralCrossRef

10.

Kim SY, Yoo DM, Min C, Choi HG (2021) Changes in Dietary habits and Exercise Pattern of Korean adolescents from prior to during the COVID-19 pandemic. Nutrients 13:3314. https://doi.org/10.3390/nu13103314PubMedPubMedCentralCrossRef

11.

Izzo L, Santonastaso A, Cotticelli G et al (2021) An Italian survey on Dietary habits and changes during the COVID-19 Lockdown. Nutrients 13:1197. https://doi.org/10.3390/nu13041197PubMedPubMedCentralCrossRef

12.

Moore SA, Faulkner G, Rhodes RE et al (2020) Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth: a national survey. Int J Behav Nutr Phys Act 17:85. https://doi.org/10.1186/s12966-020-00987-8PubMedPubMedCentralCrossRef

13.

Dunton GF, Do B, Wang SD (2020) Early effects of the COVID-19 pandemic on physical activity and sedentary behavior in children living in the U.S. BMC Public Health 20:1351. https://doi.org/10.1186/s12889-020-09429-3PubMedCrossRef

14.

Margaritis I, Houdart S, El Ouadrhiri Y et al (2020) How to deal with COVID-19 epidemic-related lockdown physical inactivity and sedentary increase in youth? Adaptation of Anses’ benchmarks. Arch Public Health 78:52. https://doi.org/10.1186/s13690-020-00432-zPubMedPubMedCentralCrossRef

15.

Di Daniele N (2019) The role of Preventive Nutrition in Chronic Non-communicable diseases. Nutrients 11:1074. https://doi.org/10.3390/nu11051074PubMedPubMedCentralCrossRef

16.

Kaufman-Shriqui V, Fraser D, Friger M et al (2016) Effect of a School-based intervention on Nutritional Knowledge and habits of low-socioeconomic School children in Israel: a cluster-randomized controlled trial. Nutrients 8:234. https://doi.org/10.3390/nu8040234PubMedPubMedCentralCrossRef

17.

Fothergill E, Guo J, Howard L et al (2016) Persistent metabolic adaptation 6 years after the biggest loser competition: persistent metabolic adaptation. Obesity 24:1612–1619. https://doi.org/10.1002/oby.21538PubMedCrossRef

18.

Dietary Guidelines for Americans (2010) https://health.gov/sites/default/files/2020-01/DietaryGuidelines2010.pdf. Accessed 19 Aug 2024

19.

WHO (2002) World Health Assembly Global Strategy on Diet, Physical Activity and Health. Resolution WHA55.23. World Health Organization, Geneva

20.

WHO guideline: sugar consumption recommendation https://www.who.int/news/item/04-03-2015-who-calls-on-countries-to-reduce-sugars-intake-among-adults-and-children. Accessed 19 Aug 2024

21.

Beal T, Morris SS, Tumilowicz A (2019) Global Patterns of Adolescent Fruit, Vegetable, Carbonated Soft drink, and fast-food consumption: a Meta-analysis of Global School-based student health surveys. Food Nutr Bull 40:444–459. https://doi.org/10.1177/0379572119848287PubMedCrossRef

22.

Liu RH (2013) Health-promoting components of fruits and vegetables in the diet. Adv Nutr 4:384S–392S. https://doi.org/10.3945/an.112.003517

23.

Mesana MI, Hilbig A, Androutsos O et al (2018) Dietary sources of sugars in adolescents’ diet: the HELENA study. Eur J Nutr 57:629–641. https://doi.org/10.1007/s00394-016-1349-zPubMedCrossRef

24.

Alexy U, Sichert-Hellert W, Kersting M (2003) Associations between intake of added sugars and intakes of nutrients and food groups in the diets of German children and adolescents. Br J Nutr 90:441–447. https://doi.org/10.1079/BJN2003904PubMedCrossRef

25.

Marshall TA, Eichenberger Gilmore JM, Broffitt B et al (2005) Diet Quality in Young Children is influenced by Beverage Consumption. J Am Coll Nutr 24:65–75. https://doi.org/10.1080/07315724.2005.10719445PubMedCrossRef

26.

Alsubaie ASR (2017) Consumption and correlates of sweet foods, carbonated beverages, and energy drinks among primary school children in Saudi Arabia. Saudi Med J 38:1045–1050. https://doi.org/10.15537/smj.2017.10.19849PubMedPubMedCentralCrossRef

27.

Niclasen B, Rasmussen M, Borup I, Schnohr C (2011) The intake of fruit and sweets in rural and urban Greenland — development from 1994 to 2006. Int J Circumpolar Health 70:186–194. https://doi.org/10.3402/ijch.v70i2.17808PubMedCrossRef

28.

Rupérez AI, Mesana MI, Moreno LA (2019) Dietary sugars, metabolic effects and child health. Curr Opin Clin Nutr Metab Care 22:206–216. https://doi.org/10.1097/MCO.0000000000000553PubMedCrossRef

29.

Newens KJ, Walton J (2016) A review of sugar consumption from nationally representative dietary surveys across the world. J Hum Nutr Diet 29:225–240. https://doi.org/10.1111/jhn.12338PubMedCrossRef

30.

2015–2020 Dietary Guidelines | health.gov. https://health.gov/our-work/nutrition-physical-activity/dietary-guidelines/previous-dietary-guidelines/2015. Accessed 6 Aug 2024

31.

Wang L, Martínez Steele E, Du M et al (2021) Trends in Consumption of Ultraprocessed Foods among US youths aged 2–19 years, 1999–2018. JAMA 326:519–530. https://doi.org/10.1001/jama.2021.10238PubMedPubMedCentralCrossRef

32.

Bailey R, Fulgoni V, Cowan A, Gaine P (2018) Sources of added sugars in Young Children, adolescents, and adults with Low and high intakes of added sugars. Nutrients 10:102. https://doi.org/10.3390/nu10010102PubMedPubMedCentralCrossRef

33.

Nasreddine L, Hwalla N, Al Zahraa Chokor F et al (2022) Food and nutrient intake of school-aged children in Lebanon and their adherence to dietary guidelines and recommendations. BMC Public Health 22:922. https://doi.org/10.1186/s12889-022-13186-wPubMedPubMedCentralCrossRef

34.

Jensen ML, Dillman Carpentier FR, Corvalán C et al (2022) Television viewing and using screens while eating: associations with dietary intake in children and adolescents. Appetite 168:105670. https://doi.org/10.1016/j.appet.2021.105670PubMedCrossRef

35.

Avery A, Anderson C, McCullough F (2017) Associations between children’s diet quality and watching television during meal or snack consumption: a systematic review. Matern Child Nutr 13:e12428. https://doi.org/10.1111/mcn.12428PubMedPubMedCentralCrossRef

36.

Zou Y, Huang L, He M et al (2023) Sedentary activities and food intake among children and adolescents in the Zhejiang Province of China: a cross-sectional study. Nutrients 15:3745. https://doi.org/10.3390/nu15173745PubMedPubMedCentralCrossRef

37.

Wijnhoven TM, Van Raaij JM, Spinelli A et al (2014) WHO European Childhood Obesity Surveillance Initiative: body mass index and level of overweight among 6–9-year-old children from school year 2007/2008 to school year 2009/2010. BMC Public Health 14:806. https://doi.org/10.1186/1471-2458-14-806PubMedPubMedCentralCrossRef

38.

Mantziki K, Renders C, Seidell J (2017) Water Consumption in European Children: associations with Intake of Fruit Juices, Soft drinks and related parenting practices. Int J Environ Res Public Health 14:583. https://doi.org/10.3390/ijerph14060583PubMedPubMedCentralCrossRef

39.

Mariz LS, Medeiros CCM, Vieira CENK et al (2013) Changes in the frequency of food intake among children and teenagers: monitoring in a reference service. Rev Lat Am Enfermagem 21:973–981. https://doi.org/10.1590/S0104-11692013000400020PubMedCrossRef

40.

Pérez-Rodrigo C, Wind M, Hildonen C et al (2005) The Pro Children intervention: applying the intervention mapping protocol to develop a school-based Fruit and Vegetable Promotion Programme. Ann Nutr Metab 49:267–277. https://doi.org/10.1159/000087249PubMedCrossRef

41.

El Harake M, Kharroubi S, Hamadeh S, Jomaa L (2018) Impact of a Pilot School-Based Nutrition intervention on Dietary Knowledge, attitudes, Behavior and Nutritional Status of Syrian Refugee children in the Bekaa. Leban Nutrients 10:913. https://doi.org/10.3390/nu10070913CrossRef

42.

Moore L, Tapper K (2008) The impact of school fruit tuck shops and school food policies on children’s fruit consumption: a cluster randomised trial of schools in deprived areas. J Epidemiol Community Health 62:926–31

43.

Myers G, Wright S, Blane S et al (2018) A process and outcome evaluation of an in-class vegetable promotion program. Appetite 125:182–189. https://doi.org/10.1016/j.appet.2018.01.023PubMedCrossRef

44.

Klepp K-I, Pérez-Rodrigo C, de Bourdeaudhuij I et al (2005) Promoting Fruit and Vegetable Consumption among European Schoolchildren: Rationale, Conceptualization and Design of the Pro Children Project. Ann Nutr Metab 49:212–220. https://doi.org/10.1159/000087245PubMedCrossRef

45.

Murimi MW, Moyeda-Carabaza AF, Nguyen B et al (2018) Factors that contribute to effective nutrition education interventions in children: a systematic review. Nutr Rev 76:553–580. https://doi.org/10.1093/nutrit/nuy020PubMedCrossRef

46.

Te Velde SJ, Brug J, Wind M et al (2008) Effects of a comprehensive fruit- and vegetable-promoting school-based intervention in three European countries: the Pro Children Study. Br J Nutr 99:893–903. https://doi.org/10.1017/S000711450782513XPubMedCrossRef

47.

Hendrie GA, Brindal E, Baird D, Gardner C (2013) Improving children’s dairy food and calcium intake: can intervention work? A systematic review of the literature. Public Health Nutr 16:365–376. https://doi.org/10.1017/S1368980012001322PubMedCrossRef

48.

Dror DK, Allen LH (2014) Dairy product intake in children and adolescents in developed countries: trends, nutritional contribution, and a review of association with health outcomes. Nutr Rev 72:68–81. https://doi.org/10.1111/nure.12078PubMedCrossRef

49.

Green BP, Turner L, Stevenson E, Rumbold PLS (2015) Short communication: patterns of dairy consumption in free-living children and adolescents. J Dairy Sci 98:3701–3705. https://doi.org/10.3168/jds.2014-9161PubMedCrossRef

50.

Parker CE, Vivian WJ, Oddy WH et al (2012) Changes in dairy food and nutrient intakes in Australian adolescents. Nutrients 4:1794–1811. https://doi.org/10.3390/nu4121794PubMedPubMedCentralCrossRef

51.

Greene E, Murrin C (2023) Parental influences on children’s dairy products consumption: a narrative review. Public Health Nutr 26:976–993. https://doi.org/10.1017/S1368980022002555PubMedCrossRef

52.

Inchley J, Currie D, Budisavljevic S, Torsheim T, Jåstad A, Cosma A et al (2020) Spotlight on adolescent health and well-being. Findings from the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey in Europe and Canada. International report. Volume 1. Key findings. WHO Regional Office for Europe, Copenhagen

53.

Inchley J, Currie D, Budisavljevic S, Torsheim T, Jåstad A, Cosma A et al (2020) Spotlight on adolescent health and well-being. Findings from the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey in Europe and Canada. International report. Volume 2. Key data. WHO Regional Office for Europe, Copenhagen

54.

Trandafir A-V, Fraseniuc M, Lotrean LM (2022) Assessment of actual weight, Perceived Weight and Desired Weight of Romanian School children-opinions and practices of children and their parents. Int J Environ Res Public Health 19:3502. https://doi.org/10.3390/ijerph19063502PubMedPubMedCentralCrossRef

55.

Brooks SC (2019) Aug two proportions - sample size. In: Select Statistical Consult https://select-statistics.co.uk/calculators/sample-size-calculator-two-proportions/. Accessed 10 Aug 2019

56.

Lotrean LM, Popa I, Florea M et al (2021) Actual weight, Perceived Weight and Desired Weight of Romanian School children by parents and children. Med 57:333. https://doi.org/10.3390/medicina57040333CrossRef

57.

Lotrean LM, Tutui I (2015) Individual and familial factors associated with fruit and vegetable intake among 11- to 14-year-old Romanian school children. Health Soc Care Community 23:541–549. https://doi.org/10.1111/hsc.12166PubMedCrossRef

58.

Lotrean LM, de Vries H (2016) Healthy lifestyle promotion among pupils: practical guide for teachers and parents. Risoprint, Cluj-Napoca

59.

Evans CE, Christian MS, Cleghorn CL et al (2012) Systematic review and meta-analysis of school-based interventions to improve daily fruit and vegetable intake in children aged 5 to 12 y. Am J Clin Nutr 96:889–901. https://doi.org/10.3945/ajcn.111.030270PubMedCrossRef

60.

Healthy diet https://www.who.int/news-room/fact-sheets/detail/healthy-diet. Accessed 14 Jul 2023

61.

Lupșa T, Lotrean LM (2019) Consumption of fruits and vegetables among secondary school students from Cluj county. J School Univ Med 6:21–26

62.

Louie JCY, Flood VM, Gopinath B et al (2014) Pattern and predictors of dairy consumption during adolescence. J Nutr Intermed Metab 1:40. https://doi.org/10.1016/j.jnim.2014.10.147CrossRef

63.

Tambalis KD, Panagiotakos D, Psarra G, Sidossis LS (2022) Recommended dairy intake is associated with healthy dietary habits, better physical fitness, less obesity and a healthier lifestyle profile in school age children. Br J Nutr 128:2046–2053. https://doi.org/10.1017/S0007114521005006PubMedCrossRef

64.

Fraschetti EC, Skelly LE, Ahmed M et al (2022) The influence of increased dairy product consumption, as part of a lifestyle modification intervention, on Diet Quality and eating patterns in female adolescents with Overweight/Obesity. Children 9:1703. https://doi.org/10.3390/children9111703PubMedPubMedCentralCrossRef

65.

Campmans-Kuijpers MJE, Singh-Povel C, Steijns J, Beulens JWJ (2016) The association of dairy intake of children and adolescents with different food and nutrient intakes in the Netherlands. BMC Pediatr 16:2. https://doi.org/10.1186/s12887-015-0524-3PubMedPubMedCentralCrossRef

66.

Rangan AM, Flood VM, Denyer G et al (2012) Dairy consumption and Diet Quality in a sample of Australian children. J Am Coll Nutr 31:185–193. https://doi.org/10.1080/07315724.2012.10720026PubMedCrossRef

67.

Nicklas TA, Jahns L, Bogle ML et al (2013) Barriers and facilitators for consumer adherence to the Dietary guidelines for americans: the HEALTH Study. J Acad Nutr Diet 113:1317–1331. https://doi.org/10.1016/j.jand.2013.05.004PubMedCrossRef

68.

Suggs LS, Della Bella S, Marques-Vidal P (2016) Low adherence of Swiss children to national dietary guidelines. Prev Med Rep 3:244–249. https://doi.org/10.1016/j.pmedr.2016.03.004PubMedPubMedCentralCrossRef

69.

Shriver LH, Marriage BJ, Bloch TD et al (2018) Contribution of snacks to dietary intakes of young children in the United States. Matern Child Nutr 14:e12454. https://doi.org/10.1111/mcn.12454PubMedCrossRef

70.

New WHO/HBSC report finds alarming disparities in diet, exercise, and weight among adolescents | HBSC study. https://hbsc.org/new-who-hbsc-report-finds-alarming-disparities-in-diet-exercise-and-weight-among-adolescents/. Accessed 6 Aug 2024

71.

Rakić JG, Hamrik Z, Dzielska A et al. (‎2024)‎. A focus on adolescent physical activity, eating behaviours, weight status and body image in Europe, central Asia and Canada: Health Behaviour in School-aged Children international report from the 2021/2022 survey. Volume 4. WHO Regional Office for Europe, Copenhagen

72.

Changes in children’s total fat intakes and their food group sources of fat (1989) -91 versus 1994-95: Implications for diet quality - ProQuest. https://www.proquest.com/openview/218edf2d1374c8c8bb1fa4aa56df86e7/1?pq-origsite=gscholar&cbl=6796. Accessed 27 Jun 2023

73.

Lytle LA, Seifert S, Greenstein J, McGovern P (2000) How do children’s eating patterns and Food choices Change over Time? Results from a Cohort Study. Am J Health Promot 14:222–228. https://doi.org/10.4278/0890-1171-14.4.222PubMedCrossRef

74.

Lotrean LM, Stan O, Lencu C, Laza V (2018) Dietary patterns, physical activity, body mass index, weight-related behaviours and their interrelationship among Romanian university students-trends from 2003 to 2016. Nutr Hosp 35:375–383. https://doi.org/10.20960/nh.1296PubMedCrossRef

75.

Jayawardena R, Sooriyaarachchi P, Chourdakis M et al (2020) Enhancing immunity in viral infections, with special emphasis on COVID-19: a review. Diabetes Metab Syndr Clin Res Rev 14:367–382. https://doi.org/10.1016/j.dsx.2020.04.015CrossRef

76.

Nasui BA, Ungur RA, Nasui GA et al (2023) Adolescents’ lifestyle determinants in relation to their Nutritional Status during COVID-19 Pandemic Distance Learning in the North-Western Part of Romania—A cross-sectional study. Children 10:922. https://doi.org/10.3390/children10060922PubMedPubMedCentralCrossRef

77.

Androutsos O, Perperidi M, Georgiou C, Chouliaras G (2021) Lifestyle changes and determinants of children’s and adolescents’ body weight increase during the First COVID-19 Lockdown in Greece: the COV-EAT study. Nutrients 13:930. https://doi.org/10.3390/nu13030930PubMedPubMedCentralCrossRef

78.

Rodríguez-Pérez C, Molina-Montes E, Verardo V et al (2020) Changes in Dietary Behaviours during the COVID-19 outbreak confinement in the Spanish COVIDiet Study. Nutrients 12:1730. https://doi.org/10.3390/nu12061730PubMedPubMedCentralCrossRef

79.

Di Renzo L, Gualtieri P, Pivari F et al (2020) Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. J Transl Med 18:229. https://doi.org/10.1186/s12967-020-02399-5PubMedPubMedCentralCrossRef

80.

Kołota A, Głąbska D (2021) COVID-19 pandemic and Remote Education contributes to Improved Nutritional behaviors and increased screen time in a Polish Population-based sample of Primary School adolescents: Diet and Activity of Youth during COVID-19 (DAY-19) study. Nutrients 13:1596. https://doi.org/10.3390/nu13051596PubMedPubMedCentralCrossRef

81.

Kołota A, Głąbska D (2021) Analysis of Food habits during Pandemic in a Polish Population-based sample of Primary School adolescents: Diet and Activity of Youth during COVID-19 (DAY-19) study. Nutrients 13:3711. https://doi.org/10.3390/nu13113711PubMedPubMedCentralCrossRef

82.

Naylor P-J, McKay HA (2008) Prevention in the first place: schools a setting for action on physical inactivity. Br J Sports Med 43:10–13. https://doi.org/10.1136/bjsm.2008.053447PubMedCrossRef

83.

Arrizabalaga-López M, De Rada-Fernández D, Portillo MDP et al (2020) A theory-based randomized controlled trial in promoting fruit and vegetable intake among schoolchildren: PROFRUVE study. Eur J Nutr 59:3517–3526. https://doi.org/10.1007/s00394-020-02185-5PubMedCrossRef

84.

Pettigrew S, Jongenelis M, Chapman K, Miller C (2015) Factors influencing the frequency of children’s consumption of soft drinks. Appetite 91:393–398. https://doi.org/10.1016/j.appet.2015.04.080PubMedCrossRef

85.

Liu X-T, Xiong J-Y, Xu Y-J et al (2023) Prospective association of family members’ sugar-sweetened beverages intake with children’s sugar-sweetened beverages consumption in China. Eur J Nutr 62:175–184. https://doi.org/10.1007/s00394-022-02971-3PubMedCrossRef

86.

Zahid A, Davey C, Reicks M (2017) Beverage Intake among children: associations with parent and home-related factors. Int J Environ Res Public Health 14:929. https://doi.org/10.3390/ijerph14080929PubMedPubMedCentralCrossRef

Title: Assessing through a longitudinal study of dietary habits among Romanian school children: effects of COVID-19 pandemic as well as of a school based educational program for promotion of healthy nutrition
Authors: Anda-Valentina Trandafir
Lucia Maria Lotrean
Publication date: 17-09-2024
Publisher: Springer Berlin Heidelberg
Keywords: COVID-19
Nutrition
Published in: European Journal of Nutrition
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-024-03492-x

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Assessing through a longitudinal study of dietary habits among Romanian school children: effects of COVID-19 pandemic as well as of a school based educational program for promotion of healthy nutrition

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Abstract

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