COVID -19 pandemic and lifestyle changes: Impact on school students

Main Article Content

Raghad Fayez Alfayez
Nawal Abdullah Albadr
Ali Ismail Abdelsamad
Soheir Ahmed Al-Masri
Shaista Arzoo
Mohammed Fayez Alfayez


COVID-19, pandemic, physical activity, dietary, screen time


Background: Due to COVID-19, a pandemic of acute respiratory syndrome in humans (SARS-CoV-2) led to the social isolation globally as a precautionary step to save humans. There is concern regarding the impact of COVID-19 pandemic lockdown on dietary habits, screen time, sleep duration and physical activity of young children and adolescents. Accordingly, the present study analyzed the lifestyle behaviors of school going children residing in Saudi Arabia.
Methods: The present study was conducted using an online survey platform and its designated link was distributed through social media. The study sample was composed of 432 (166 males and 266 females) school students. The questionnaire was divided into three sections. The first section included general and anthropometric characteristics of the participants. The second section included the information related to dietary pattern and the third section included the information related to changes in the activity pattern among participants.
Results: Some good habits such as slight increase in physical activity and sleep duration, increase in the number of meals, increased consumption of fruit, vegetables and red meat has been observed among all age groups, but at the same time increased consumption of unhealthy food, too much increased screen time has also been observed among all.
Conclusion: Public health officials are suggested to increase their focus on lifestyle management of school students especially in tragic times like COVID-19 to enhance the wellbeing of population.

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1. Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y. Early transmission dynamics in Wuhan, China, of novel coronavirus–infected pneumonia. N Engl J Med 2020; 382:1199–07.
2. Fernández-Quintela A, Milton-Laskibar I, Trepiana J, et al. Key Aspects in nutritional management of COVID-19 patients. J Clin Med 2020; 9:2589.
3. Pan Y, Li X, Yang G, et al. Serological immunochromatographic approach in diagnosis with SARS-CoV-2 infected COVID-19 patients. J Infect 2020; 81: e28-32.
4. Brann DH, Tsukahara T, Weinreb C, et al. Non-neuronal expression of SARS-CoV-2 entry genes in the olfactory system suggests mechanisms underlying COVID-19-associated anosmia. Sci Adv 2020; 6: eabc5801.
5. Oliveira BA, de Oliveira LC, Sabino EC, Okay TS. SARS-CoV-2 and the COVID-19 disease: a mini review on diagnostic methods. Rev Inst Med Trop São Paulo 2020; 62: e44.
6. Wu D, Wu T, Liu Q, Yang Z. The SARS-CoV-2 outbreak: what we know. Int J Infect Dis 2020; 94: 44-8.
7. Yue H, Bai X, Wang J, et al. Clinical characteristics of coronavirus disease 2019 in Gansu province, China. Ann Palliat Med 2020; 9:1404-12.
8. Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun 2020; 109:102433.
9. Yan CH, Faraji F, Prajapati DP, Boone CE, De Conde AS. Association of chemosensory dysfunction and Covid-19 in patients presenting with influenza-like symptoms. Int Forum Allergy Rhinol 2020; 10:806-13.
10. Ding L, Wang L, Ma W, He H. Efficacy and safety of early prone positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study. Crit Care 2020; 24:28
11. Dhand R, Li J. Coughs and Sneezes: Their role in transmission of respiratory viral infections, including SARS-CoV-2. Am J Respir Crit Care Med 2020; 202:651-9.
12. World Health Organization. WHO Director-General's Opening Remarks at the Media Briefing on COVID-19. Accessed on July 25, 2021. Available on:
13. Nurunnabi M. The preventive strategies of COVID-19 pandemic in Saudi Arabia. J Microbiol Immunol Infect 2021; 54:127-28.
14. Wang G, Zhang Y, Zhao J, Zhang J, Jiang F. Mitigate the effects of home confinement on children during the COVID-19 outbreak. The Lancet 2020; 395: 945–7.
15. Singh S, Roy D, Sinha K, Parveen S, Sharma G, Joshi G. Impact of COVID-19 and lockdown on mental health of children and adolescents: A narrative review with recommendations. Psychiatry Res 2020; 293:113429.
16. Gomez-Pinilla F. The influences of diet and exercise on mental health through hormesis. Ageing Res Rev 2008; 7: 49–62.
17. Muscogiuri G, Barrea L, Annunziata G, et al. Obesity and sleep disturbance: the chicken or the egg? Crit Rev Food Sci Nutr 2019; 59:2158–65.
18. Pugliese G, Barrea L, Laudisio D, et al. Sleep apnea, obesity, and disturbed glucose homeostasis: epidemiologic evidence, biologic insights, and therapeutic strategies. Curr Obes Rep 2020; 9:30–8
19. Di Renzo L, Gualtieri P, Romano L, et al. Role of personalized nutrition in chronic-degenerative diseases. Nutrients 2019; 11:1707.
20. Di Renzo L, Gualtieri P, Pivari F, Soldati L, Attinà A, Cinelli G. Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. J Transl Med 2020; 18:1–15.
21. Shenoy S, Rao C, Saoshekar AR. Effect of lockdown during the novel coronavirus pandemic on diet and lifestyle of Indian children. Sri Lanka J Child Health 2022; 50: 482-488
22. García Ron A, Cuéllar-Flores I. Psychological impact of lockdown (confinement) on young children and how to mitigate its effects: Rapid review of the evidence. A Pediatr (Engl Ed) 2020; 93: 57-8.
23. Mohler-Kuo M, Dzemaili S, Foster S, Werlen L, Walitza S. Stress and mental health among children/adolescents, their parents, and young adults during the first COVID-19 own in Switzerland. Int J Environ Res Public Health 2021; 18: 4668.
24. Jiao WY, Wang LN, Liu J. Behavioral and emotional disorders in children during the COVID-19 epidemic. J Pediatr 2020; 221: 264-6.
25. Orgilés M, Morales A, Delvecchi E, Mazzeschi C, Espada JP. Immediate psychological effects of the COVID-19 quarantine in youth from Italy and Spain. Front Psychol 2020; 11:579038.
26. Rodriguez-Perez C, Molina-Montes E, Verardo V, et al. Changes in dietary behaviours during the COVID-19 outbreak confinement in the Spanish COVIDiet Study. Nutrients 2020; 12: 1730.
27. Tambalis KD, Panagiotakos DB, Psarra G, Sidossis LS. Insufficient sleep duration is associated with dietary habits, screen time and obesity in children. J Clin Sleep Med 2018; 14: 1689–96.
28. Scaglioni S, De Cosmi V, Ciappolino V, Parazzini F, Brambilla P, Agostoni C. Factors influencing children’s eating behaviours. Nutrients 2018; 10: 706.
29. Gubbels JS. Environmental influences on dietary intake of children and adolescents. Nutrients 2020; 12: 922.
30. Hirshkowitz M, Whiton K, Albert SM, et al. National sleep foundation’s sleep time duration recommendations: methodology and results summary. SLEH 2015; 1: 40– 3.
31. Lee J. Mental health effects of school closures during COVID-19. Lancet Child Adolesc Health 2020; 4:421.
32. Matsuoka Y, Hamazaki K. Considering mental health from the viewpoint of diet: The role and possibilities of nutritional psychiatry. Seishin Shinkeigaku Zasshi 2016; 118: 880–94.
33. Ruiz-Roso MB, de Carvalho Padilha P, Mantilla-Escalante DC, et al. Covid-19 confinement and changes of adolescent’s dietary trends in Italy, Spain, Chile, Colombia and Brazil. Nutrients 2020; 12: 1807.
34. Nugent NR, Tyrka AR, Carpenter LL, Price LH. Gene-environment interactions: early life stress and risk for depressive and anxiety disorders. Psychopharmacology (Berl) 2011; 214:175-96.
35. Gunnar M, Quevedo K. The neurobiology of stress and development. Annu Rev Psychol 2007; 58: 145-73.
36. Lampert C, Arcego DM, de Sá Couto-Pereira N, et al. Short post-weaning social isolation induces long-term changes in the dopaminergic system and increases susceptibility to psychostimulants in female rats. Int J Dev Neurosci 2017; 61:21-30.
37. Moynihan AB, van Tilburg WAP, Igou ER, Wisman A, Donnelly AE, Mulcaire JB. Eaten up by boredom: Consuming food to escape awareness of the bored self. Front Psychol 2015; 6:369.
38. Finger BC, Dinan TG, Cryan JF. High fat diet selectively protects against the effects of chronic social stress in mouse. Neuroscience 2011; 192: 351-60.
39. Singh M. Mood, food and obesity. Front Psychol 2014; 5:1–35.
40. Pietrobelli A, Pecoraro L, Ferruzzi A, et al. Effects of COVID-19 lockdown on lifestyle behaviors in children with obesity living in Verona, Italy: a longitudinal study. Obesity 2020; 28:1382–5.
41. Xiang M, Zhang Z, Kuwahara K. Impact of COVID-19 pandemic on children and adolescents’ lifestyle behavior larger than expected. Prog Cardiovasc Dis 2020; 63:531-32.
42. Alhusseini N, Alqahtani A. Covid -19 pandemic’s impact on eating habits in Saudi Arabia. J Public Health Res 2020; 9:1868
43. Martin-Biggers J, Quick V, Zhang M, Jin Y, Byrd-Bredbenner, C. Relationships of family conflict, cohesion, and chaos in the home environment on maternal and child food-related behaviours. Matern Child Nutr 2018; 14: e12540.
44. Welsh EM, Frenc SA, Wall M. Examining the relationship between family meal frequency and individual dietary intake: Does family cohesion play a role? J Nutr Educ Behav 2011; 43: 229–35.
45. Androutsos O, Perperidi M, Georgiou C, Chouliaras G. 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 2021; 13:930.
46. Hashem SA, El Refay AS, Mostafa HH, Kamel IH, Sherif LS. Impact of coronavirus disease-19 lockdown on Egyptian children and adolescents: Dietary pattern changes health risk. Open Access Maced J Med Sci 2020; 8:561-9.
47. Allabadi H, Dabis J, Aghabekian V, Khader A, Khammash U. Impact of COVID-19 lockdown on dietary and lifestyle behaviours among adolescents in Palestine. Dyn Hum Health 2020; 7:1-11.
48. Sidor A, Rzymski P. Dietary choices and habits during COVID-19 lockdown: Experience from Poland. Nutrients 2020; 12: E1657.
49. Maggini S, Pierre A, Calder PC. Immune function and micronutrient requirements change over the life course. Nutrients 2018; 10:1531.
50. Childs CE, Calder PC, Miles EA. Diet and immune function. Nutrients 2019; 11:1933.
51. Dhurandhar NV, Bailey D, Thomas D. Interaction of obesity and infections. Obes Rev 2015; 16:1017–29.
52. Scarmozzino F, Visioli F. Covid-19 and the subsequent lockdown modified dietary habits of almost half the population in an Italian sample. Foods. 2020; 9:675.
53. Alshehri LM and Al Agha AE. Impact of Covid-19 lockdown on the unhealthy dietary habits and physical activity of children and adolescents living in the Kingdom of Saudi Arabia. Ann Med Health Sci Res 2021; 11: S2 26-31.
54. Jia P, Zhang L, Yu W, et al. Impact of COVID-19 lockdown on activity patterns and weight status among youths in China: The COVID-19 impact on lifestyle change survey (COINLICS). Int J Obes (Lond) 2020; 4:1–5.
55. Samarkandy M, Abou Abbas O. Reducing the psychological impact of quarantine (sic) due to the COVID-19 pandemic on children in Saudi Arabia. Divers Equal Health Care 2020; 17:153-157.
56. Panahi S, Tremblay A. Sedentariness and health: sedentary behavior more than just physical inactivity? Front Public Health 2018; 6:258
57. Cooper, K. Don't let children be the hidden victims of COVID-19 pandemic. 2020. Accessed on July 25, 2021. Available on:
58. Duan L, Shao X, Wang Y, et al. An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19. J Affect Disord 2020; 275:112-118.
59. Hashem SA, El Refay AS, Mostafa HH, Kamel IH, Sherif LS. Impact of coronavirus disease-19 lockdown on Egyptian children and adolescents: Dietary pattern changes health risk. J Med Sci 2020; 8:561-569.
60. Kahraman Ö, Demirci EÖ. Internet addiction and attention‐deficit–hyperactivity disorder: effects of anxiety, depression and self‐esteem. Pediatr Int 2018; 60:529–34.
61. Soni R, Upadhyay R, Jain M. Prevalence of smart phone addiction, sleep quality and associated behaviour problems in adolescents. Int J Res Med Sci 2017; 5:515–19.
62. Schlarb AA, Claßen M, Hellmann SM, Vögele C, Gulewitsch MD. Sleep and somatic complaints in university students. J Pain Res 2017; 10:1189.
63. Nagane M, Suge R, Watanabe S-I. Relationship between psychosomatic complaints and circadian rhythm irregularity assessed by salivary levels of melatonin and growth hormone. J Circadian Rhythms 2011; 9:9.
64. Nagane M, Oyama Y, Suge R, Watanabe S-I. Psychosomatic conditions in university students related to melatonin biological rhythm and cortisol morning levels. Biol Rhythm Res 2020; 51:543-51.
65. Panjwani AA, Millar BM, Revenson TA. Tolerating Uncertainty in the Dark: Insomnia symptoms, distress, and well-being among parents of adolescents and young adults with cancer. Int J Behav Med 2021; 28:14-20.
66. Lauriola M, Carleton RN, Tempesta D, et al. A correlational analysis of the relationships among intolerance of uncertainty, anxiety sensitivity, subjective sleep quality, and insomnia symptoms. Int J Environ Res Public Health 2019; 16:3253.
67. Muscogiuri G, Barrea L, Aprano S, et al. Sleep quality in obesity: Does adherence to the mediterranean diet matter? Nutrients 2020; 12:1364.

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