This cross-sectional study of 428 Chilean schoolchildren found that less structured daily routines for eating, playing, and studying during COVID-19 school closures were associated with higher consumption of ultra-processed foods.
Public Health Nutrition · 5 authors, 4 centres
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This cross-sectional study of 428 Chilean schoolchildren found that less structured daily routines for eating, playing, and studying during COVID-19 school closures were associated with higher consumption of ultra-processed foods.
This cross-sectional study assessed associations between ultra-processed food (UPF) consumption and home-school learning environment characteristics among 428 Chilean elementary schoolchildren during COVID-19 school closures. The primary outcome was UPF consumption measured by a validated Nova screener. Using the structured days hypothesis, the study analyzed three constructs: school preparedness for online teaching, school closure difficulties for caregivers, and child daily routine. After adjusting for child and school characteristics, a statistically significant negative association was found between child routine for eating, play and study and UPF consumption (β = –0.20). No significant associations were found for school preparedness or school closure difficulties. Limitations include the cross-sectional design preventing causal inference and the use of an ad hoc scoring scale for home-school environment constructs. The findings suggest that disruptions to structured daily routines during school closures were associated with higher UPF intake, highlighting the potential regulatory role of the school environment on children's eating behaviors.