Official websites use. Share sensitive information only on official, secure websites. Correspondence: saoussen. Lockdown instigation during the COVID pandemic has affected eating habits and lifestyles, highlighting the need to analyze the healthiness of new consumption patterns.
We conducted a survey to assess lifestyle change in Tunisian adults and their MD adherence. A total of respondents completed a self-administered online survey designed to assess their food and lifestyle habits. Location, age, profession, and household welfare proxy were the main determinants of high MD adherence. When adjusting for sociodemographic variables, location and income remained statistically significant. Regarding lifestyle changes, confinement had contributed to an overall reduction in cigarette consumption, sleeping hours, and physical activity.
Long-term consequences of these changes on health outcomes must be further explored. In December , a new infectious respiratory disease was first reported in Wuhan, Hubei Province, China.
At the time of writing, this paper 3 August , more than million confirmed cases and 6 million deaths have been reported worldwide [ 2 ]. Globally, Tunisia experienced five waves of coronavirus. Breaking a record number of daily contaminations, the country was ranked on 6 July as the first in the Arab world and Africa in terms of number of contaminations and deaths [ 3 ].
To mitigate the spread of the disease, a variety of measures have been implemented, such as the banning of all social activities and cancellation of public events, up to the establishment of curfews and partial and complete lockdowns. In a recent cross-sectional study, we showed that of Tunisian adults, The MD is commonly accepted as a likely dietary model for the prevention and control of chronic noncommunicable diseases throughout life, and the protective effect of the MD against these diseases has been accurately reported by many studies [ 8 , 9 , 10 , 11 ].
