Eating Habits during the COVID-19 Lockdown in Italy: The Nutritional and Lifestyle Side Effects of the Pandemic.
TL;DR: In this article, a cross-sectional study using an online questionnaire was carried out by the Observatory on Food Surplus, Recovery and Waste of CREA Food and Nutrition Centre to evaluate how Italian habits changed during lockdown, the determinants of changes, and the effect on food waste prevention.
Abstract: To limit the spread of coronavirus SARS-CoV-2, a nationwide lockdown started in Italy in March 2020. In this unpredictable situation, a cross-sectional study using an online questionnaire was carried out by the Observatory on Food Surplus, Recovery and Waste of CREA Food and Nutrition Centre. The aim of this work was to evaluate how Italian habits changed during this period, the determinants of changes, and the effect on food waste prevention. In a sample of 2678 respondents, 62% showed low Adherence to the Mediterranean Diet (AMD). During lockdown many of participants improved the quality of their diet, increasing their consumption of fruit (24.4%), vegetables (28.5%), legumes (22.1%), nuts (12%), and fish or shellfish (14%). Unfavorable changes were observed with the excessive consumption of sweets or pastries (36.9%) and comfort foods (22.7%), and a lack of physical activity (37.2%). The main novelty of this study was the examination of dietary changes identified by a cluster analysis. Respondents with generally high AMD improved their eating habits, while the habits of the respondents with generally low AMD remained unchanged. In addition, nearly 80% of respondents were sensitive to food waste. The study provides a useful contribution to the debate on nutritional recommendations in case of further lockdown.
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TL;DR: In this article , the authors investigated the COVID-19 consequences on household income, sustainable food diversity, sustainable energy consumption, and nutritional security challenges, using a self-structured online survey due to non-pharmaceutical restrictions and collected data from 728 households.
Abstract: The COVID-19 pandemic led to an economic crisis and health emergency, threatening energy efficiency consumption, sustainable food diversity, and households’ nutrition security. The literature documented that environmental threats can divert attention from renewable energy and food security challenges that affect humans’ environmental behaviors. The COVID-19 crisis has consistently influenced environmental behaviors, as it primarily decreased income and disrupted food systems worldwide. This study investigated the COVID-19 consequences on household income, sustainable food diversity, sustainable energy consumption, and nutritional security challenges. The study used a self-structured online survey due to non-pharmaceutical restrictions and collected data from 728 households. The investigators applied t-test and logit regression to analyze the data for drawing results. Descriptive statistics show that COVID-19 has adversely affected the income of more than two-thirds (67%) of households. The pandemic has influenced households’ food consumption, energy, and dietary patterns to safeguard their income. The t-test analysis indicated that households’ food diversity and energy consumption significantly declined during the pandemic, and households consumed low-diversified food to meet their dietary needs more than twofold compared to pre-pandemic levels. The results showed that all nutrient consumption remained considerably lower in the COVID-19. Cereals are the primary source of daily dietary needs, accounting for over two-thirds of total energy and half of the nutrient consumption amid COVID-19. The share of vegetables and fruits in household energy consumption dropped by 40 and 30%. Results exhibited that increasing monthly income was inversely associated with worsening food diversity and intake with energy efficiency. Compared with farmers and salaried employment, wage earners were 0.15 and 0.28 times more likely to experience a decline in consuming food diversity. Medium and large households were 1.95 times and 2.64 times more likely than small, to experience decreased food diversity consumption. Launching a nutrition-sensitive program will help minimize the COVID-19 impacts on energy consumption, food diversity, and nutritional security for low-income individuals. This survey relied on the recall ability of the households for the consumed quantities of food commodities, which may lack accuracy. Longitudinal studies employing probability sampling with larger samples can verify this study’s insightful results.
43 citations
TL;DR: In this paper , the authors investigated the changes in dietary intake patterns and their impacts on the weight status of young adults in Malaysia during the COVID-19 lockdown, and found that nearly half of the respondents (48.8%) gained weight during the confinement, with an average increment of 4.06 ± 3.23 kg.
Abstract: The coronavirus disease 2019 (COVID-19) isolation has altered individuals' food purchasing behaviour and dietary intake patterns. Therefore, this study aims to investigate the changes in dietary intake patterns and their impacts on the weight status of young adults in Malaysia during the COVID-19 lockdown.This cross-sectional study involved 1045 young adults in Malaysia. The changes in dietary intake patterns were assessed using the Dietary Diversity Questionnaire with slight modifications, while anthropometric measurements including body height, body weight before the pandemic and current body weight were self-reported.Overall, nearly half of the respondents (48.8%) gained weight during the confinement, with an average increment of 4.06 ± 3.23 kg. Of 1045, 45.3% reported consuming more fruits and 60.2% had higher plain water intake during the pandemic. It is observed that 41.0% to 66.8% of the young adults changed their dietary intake patterns during the pandemic. Increased consumption in cereals and grains (β = 0.084, p = 0.015, 95% CI = 0.017-0.160), as well as oils and fats (β = 0.123, p = 0.001, 95% CI = 0.059-0.241), was positively associated with weight gain during the pandemic. On the contrary, an increased plain water intake was negatively associated with weight gain during the lockdown (β = -0.100, p = 0.003, 95% CI = -0.171--0.034). Findings in the current study also suggested that cutting back cereals and grains (β = 0.156, p < 0.001, 95% CI = 0.122-0.288), as well as oils and fats (β = 0.091, p = 0.012, 95% CI = 0.022-0.183), contributed significantly to weight loss during the pandemic confinement.In conclusion, the enforcement of the Movement Control Order (MCO) drove up the prevalence of overweight/obesity among young adults in Malaysia. Increased consumption of cereals and grains and oils and fats contributed to weight gain in the pandemic lockdown. Nonetheless, a noticeable proportion of young adults in Malaysia shifted to a healthier food choice by increasing the consumption of fruits and vegetables.
20 citations
TL;DR: In this article, the authors assess the knowledge and intake of food supplements during the COVID-19 pandemic in Poland, with particular reference to FS containing zinc and vitamin D. It was noted that both of the above ingredients were used significantly more often by people with higher education (59.0%), with a medical background or related working in the medical field (54.5%), and/or exercising at home (60.1%).
Abstract: Food supplements (FS) are a concentrated source of vitamins, minerals, or other ingredients with nutritional or other physiological effects. Due to their easy availability, widespread advertising, and sometimes low price, increased consumption of this group of preparations has been observed. Therefore, the aim of the study was to assess the knowledge and intake of FS during the COVID-19 pandemic in Poland, with particular reference to FS containing zinc and vitamin D. It was noted that both of the above ingredients were used significantly more often by people with higher education (59.0%), with a medical background or related working in the medical field (54.5%), and/or exercising at home (60.1%). Preparations containing vitamin D were used by 22.8% of the respondents in the first wave, 37.6% in the second wave, and 32.9% in the third wave. To sum up, we showed the highest consumption of vitamin and mineral supplements, and preparations containing zinc and vitamin D were taken significantly more often by people with higher medical and related education. This indicates a high awareness of health aspects and the need for preventive measures in these groups.
18 citations
TL;DR: In this paper , the authors investigated the changes in adherence to a healthy diet and regular physical activity in university students in Italy before and during the COVID-19 pandemic and understand the role of sociodemographic variables in creating the changes above.
Abstract: The COVID-19 pandemic has forced schools and universities to shift their activities online, influencing the adoption of health-related behaviours such as physical activity and healthy dietary habits. The present study investigates the changes in adherence to a healthy diet and regular physical activity in university students in Italy before and during the COVID-19 pandemic and understands the role of sociodemographic variables in creating the changes above. We conducted a repeated cross-sectional survey performing the same sampling strategy at the first data collection (T0) and second data collection (T1) with a combination of convenience and snowball sampling approaches. The sample is composed of a total of 2001 students, 60.2% women and 39.8% men, with an average age of 22.7 (±5.5 SD). At T1, 39.9% of the students reported regular physical activity. During the pandemic, however, many, especially male students, abandoned or reduced physical activity practice (T1 40%), with an increase in social media use (T0 52.1%; T1 90%). A direct association between very low frequency of physical activity and increased sedentary time (r = 0.2, p = 0.001) and between change in dietary style and increased Body Mass Index (BMI) value (r = 0.3, p = 0.002) was found. The multivariate analysis for the total sample showed that some sociodemographic variables such as gender, age, parents’ level of education, area of study, household type, and perception of one’s body influence eating behaviours and physical activity. Our findings suggest that universities should invest in the protection and promotion of the health of their students with specific awareness programmes, and further research should repeat the survey in the post-lockdown period to investigate the long-term effects on health-related behaviours.
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TL;DR: It is revealed that the current Health Canada physical activity guidelines are sufficient to elicit health benefits, especially in previously sedentary people, and that a further increase in physical activity and fitness will lead to additional improvements in health status.
Abstract: The primary purpose of this narrative review was to evaluate the current literature and to provide further insight into the role physical inactivity plays in the development of chronic disease and premature death. We confirm that there is irrefutable evidence of the effectiveness of regular physical activity in the primary and secondary prevention of several chronic diseases (e.g., cardiovascular disease, diabetes, cancer, hypertension, obesity, depression and osteoporosis) and premature death. We also reveal that the current Health Canada physical activity guidelines are sufficient to elicit health benefits, especially in previously sedentary people. There appears to be a linear relation between physical activity and health status, such that a further increase in physical activity and fitness will lead to additional improvements in health status.
6,852 citations
TL;DR: This study provided for the first time data on the Italian population lifestyle, eating habits and adherence to the Mediterranean Diet pattern during the COVID-19 lockdown, and found that the population group aged 18–30 years resulted in having a higher adherence toThe Mediterranean diet when compared to the younger and the elderly population.
Abstract: On December 12th 2019, a new coronavirus (SARS-Cov2) emerged in Wuhan, China, sparking a pandemic of acute respiratory syndrome in humans (COVID-19). On the 24th of April 2020, the number of COVID-19 deaths in the world, according to the COVID-Case Tracker by Johns Hopkins University, was 195,313, and the number of COVID-19 confirmed cases was 2,783,512. The COVID-19 pandemic represents a massive impact on human health, causing sudden lifestyle changes, through social distancing and isolation at home, with social and economic consequences. Optimizing public health during this pandemic requires not only knowledge from the medical and biological sciences, but also of all human sciences related to lifestyle, social and behavioural studies, including dietary habits and lifestyle. Our study aimed to investigate the immediate impact of the COVID-19 pandemic on eating habits and lifestyle changes among the Italian population aged ≥ 12 years. The study comprised a structured questionnaire packet that inquired demographic information (age, gender, place of residence, current employment); anthropometric data (reported weight and height); dietary habits information (adherence to the Mediterranean diet, daily intake of certain foods, food frequency, and number of meals/day); lifestyle habits information (grocery shopping, habit of smoking, sleep quality and physical activity). The survey was conducted from the 5th to the 24th of April 2020. A total of 3533 respondents have been included in the study, aged between 12 and 86 years (76.1% females). The perception of weight gain was observed in 48.6% of the population; 3.3% of smokers decided to quit smoking; a slight increased physical activity has been reported, especially for bodyweight training, in 38.3% of respondents; the population group aged 18–30 years resulted in having a higher adherence to the Mediterranean diet when compared to the younger and the elderly population (p < 0.001; p < 0.001, respectively); 15% of respondents turned to farmers or organic, purchasing fruits and vegetables, especially in the North and Center of Italy, where BMI values were lower. In this study, we have provided for the first time data on the Italian population lifestyle, eating habits and adherence to the Mediterranean Diet pattern during the COVID-19 lockdown. However, as the COVID-19 pandemic is ongoing, our data need to be confirmed and investigated in future more extensive population studies.
1,343 citations
University of Sfax1, University of Münster2, German Center for Neurodegenerative Diseases3, Otto-von-Guericke University Magdeburg4, University of Gafsa5, Rio de Janeiro State University6, University of Twente7, Catholic University of the Sacred Heart8, Estácio S.A.9, American University in the Emirates10, Imam Khomeini International University11, University of Paris12, University of Genoa13, University of Arkansas14, Stanford University15, University of Toulouse16, Assiut University17, Karlsruhe Institute of Technology18, Georgia Southern University19, Government of Extremadura20, University Medical Center Groningen21, University of Ulm22, Yarmouk University23, University of Jordan24, University of Porto25, Loughborough University26, Paris West University Nanterre La Défense27
TL;DR: Results indicate that isolation is a necessary measure to protect public health, but results indicate that it alters physical activity and eating behaviours in a health compromising direction.
Abstract: Background: Public health recommendations and governmental measures during the COVID-19 pandemic have resulted in numerous restrictions on daily living including social distancing, isolation and home confinement. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on health behaviours and lifestyles at home is undefined. Therefore, an international online survey was launched in April 2020, in seven languages, to elucidate the behavioural and lifestyle consequences of COVID-19 restrictions. This report presents the results from the first thousand responders on physical activity (PA) and nutrition behaviours. Methods: Following a structured review of the literature, the “Effects of home Confinement on multiple Lifestyle Behaviours during the COVID-19 outbreak (ECLB-COVID19)” Electronic survey was designed by a steering group of multidisciplinary scientists and academics. The survey was uploaded and shared on the Google online survey platform. Thirty-five research organisations from Europe, North-Africa, Western Asia and the Americas promoted the survey in English, German, French, Arabic, Spanish, Portuguese and Slovenian languages. Questions were presented in a differential format, with questions related to responses “before” and “during” confinement conditions. Results: 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%) were included in the analysis. The COVID-19 home confinement had a negative effect on all PA intensity levels (vigorous, moderate, walking and overall). Additionally, daily sitting time increased from 5 to 8 h per day. Food consumption and meal patterns (the type of food, eating out of control, snacks between meals, number of main meals) were more unhealthy during confinement, with only alcohol binge drinking decreasing significantly. Conclusion: While isolation is a necessary measure to protect public health, results indicate that it alters physical activity and eating behaviours in a health compromising direction. A more detailed analysis of survey data will allow for a segregation of these responses in different age groups, countries and other subgroups, which will help develop interventions to mitigate the negative lifestyle behaviours that have manifested during the COVID-19 confinement.
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TL;DR: The authors discusses the various meanings attached to the concept and suggests that it can be a useful measure of household and individual welfare, particularly if combined with estimates of household food aquisition and allocation behavior.
Abstract: The term “food security” has been used over time to mean different things. This brief article discusses the various meanings attached to the concept and suggests that it can be a useful measure of household and individual welfare, particularly if combined with estimates of household food aquisition and allocation behavior. If nutritional security is the goal of interest, estimates of access to food should be combined with estimates of access to clean water and good sanitation. Anthrometric measures are likely to be more appropriate than food security estimates to target policies and programs to improved child nutrition.
871 citations