RT Journal Article SR Electronic T1 COVID-19, body weight and the neighbourhood: food system dimensions and consumption associated with changes in body weight of Peruvian adults during first wave lockdowns JF BMJ Nutrition, Prevention & Health JO BMJ Nutrition FD BMJ Publishing Group Ltd SP 87 OP 97 DO 10.1136/bmjnph-2021-000416 VO 5 IS 1 A1 Rojas Huayta, Violeta Magdalena A1 Galvez-Davila, Rocio A1 Calvo-Torres, Oscar A1 Cardozo Alarcón, Vanessa A1 Aparco, Juan Pablo A1 Silva Fhon, Jack Roberto A1 Estrada-Acero, Bill A1 Jaimes-Velásquez, Carlos A1 Céspedes-Panduro, Bernardo A1 Espinoza-Bernardo, Sissy A1 Dolores-Maldonado, Gandy A1 Ramírez Ramírez, Rofilia A1 Gallo Ruelas, Mariano A1 Arteaga-Romero, Irene A1 Higa, Ana Maria YR 2022 UL http://nutrition.bmj.com/content/5/1/87.abstract AB Objective The objective of this study is to assess changes in the dimensions of the food system and consumption associated with body weight variations during the first month’s lockdown in Peruvian adults in Metropolitan Lima.Methods A cross-sectional study conducted during the first months of lockdowns in Peru. 694 adults completed a web-based survey about changes experienced in the process of acquiring food during lockdown, changes in their intake and self-perceived body weight. A multinomial logistic regression analysis was conducted to evaluate the factors associated with changes in body weight.Results Weight gain was perceived in 38% of the participants and 22.8% perceived weight loss. 39.2% did not perceive changes in their weight. Risk factors for body weight gain were increased alcohol consumption (OR=4.510, 95% CI 1.764 to 11.531) and decreased fruit consumption (OR=2.129, 95% CI 1.290 to 3.515), while decreasing cereal intake (OR=0.498, 95% CI 0.269 to 0.922) and choosing nutritious food as a driver for purchase (OR=0.512, 95% CI 0.320 to 0.821) were found to be protective against gaining weight. Decreasing food intake during the pandemic (OR=2.188, 95% CI 1.348 to 3.550) and having to miss important foods (OR=2.354, 95% CI 1.393 to 3.978), were associated with weight loss.Conclusions During confinement, weight gain was mostly associated with food consumption and personal food system factors. Meanwhile, weight loss was associated with external food system factors.The data that support the findings of this study are available on request from the corresponding author (VMRH).