Purpose: To determine the relationship between symptoms of anxiety and/or anhedonia and diet quality during the confinement due to COVID-19 in rural population.
Methods: Multicentric, cross-sectional study. An online survey was applied, which included the Beck Anxiety Inventory (BAI), the Snaith-Hamilton Pleasure Scale (SHAPS) for assessing the presence of anhedonia, the Food Intake Questionnaire, and sociodemographic questions.
Findings: The study included 10552 people from 11 countries; 708 participants lived in rural areas. More than half of the participants were quarantined at the moment of the survey. Diet quality was inversely associated with anhedonia (p < 0.001) and anxiety (p = 0.003). In addition, a healthier diet was associated with being female (p = 0.030), having a higher level of education (p = 0.008) and country or residence (p = 0.001).
Conclusions: Among the rural population, a worse diet quality is associated with symptoms of anhedonia and anxiety, as well as lower level of education and being male during the COVID-19 pandemic. Proposals to improve the quality of the diet could include interventions aimed at people's mental health.