The pandemic caused by the SARS-CoV-2 virus has produced significant changes in socio-cultural life, diet, and interpersonal relationships across the world’s population. The present study aims to identify changes in lifestyle and diet among the Romanian population one year after the onset of the COVID-19 pandemic. An online questionnaire with 58 items (addressing the following aspects: socio-demographic and anthropometric data, current eating habits, and lifestyle changes) was distributed using institutional mailing lists and social media. A total number of 2040 respondents participated in the study, of whom 1464 were women, and 576 men. Among the respondents, 1598 came from urban areas and 442 from rural areas. The processing of the collected data showed significant changes in the behavior of the respondents caused by the pandemic situation with psycho-affective changes in some cases. The number of people who had anxiety, depression and nervousness increased by up to 20%. The majority of respondents (over 57%) were up to 30 years old, either students (43.50%) or employees going to workplaces (33.20%). Analyzing eating habits, we found that diet modification was needed to increase the daily consumption of fruits, vegetables, fish, and seafood. Regarding weight status during the pandemic, we noticed that 34.7% of normal-weight respondents said that they gained weight while 49.7% of overweight people and 52.5% of obese people said that they gained weight (p < 0.0001). Regarding psycho-emotional behavior, 11.81% of the surveyed women stated that they frequently had depressive states during the pandemic period and 11.63% of the men stated that they frequently presented depressive states during the pandemic (p = 0.005).
In this paper an approach is achieved integrated health system in Romania in terms of performance indicators and center with responsibility for patient concerns. Practical study highlights the characteristics differentiated the Romanian system of state health system and private health system. Using BSC method as a tool to obtain an image of the reality of the health system in Romania aswell as the source for the formulation of future strategies. The implementation of medical ethical principles through a management of medical ethics will presuppose first, an adaptation of health system to patients' needs, respect for patients' rights, which come from the directive concerning crossborder medical assistance. To conclude ethical principles in health care must be promoted since only due to these principles people will benefit from patient-centred care, will be provided respectful and responsive health care and above all will actually benefit from their right to health care.
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