Skip to main content
Top
Published in: Journal of Translational Medicine 1/2020

01-12-2020 | Coronavirus | Research

Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey

Authors: Laura Di Renzo, Paola Gualtieri, Francesca Pivari, Laura Soldati, Alda Attinà, Giulia Cinelli, Claudia Leggeri, Giovanna Caparello, Luigi Barrea, Francesco Scerbo, Ernesto Esposito, Antonino De Lorenzo

Published in: Journal of Translational Medicine | Issue 1/2020

Login to get access

Abstract

Background

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.

Methods

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.

Results

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.

Conclusions

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.
Appendix
Available only for authorised users
Literature
1.
go back to reference Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020;365:470–3.CrossRef Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020;365:470–3.CrossRef
2.
go back to reference Velavan TP, Meyer CG. The COVID-19 epidemic. Trop Med Int Heal. 2020;25:278–80.CrossRef Velavan TP, Meyer CG. The COVID-19 epidemic. Trop Med Int Heal. 2020;25:278–80.CrossRef
6.
go back to reference Moynihan AB, van Tilburg WAP, Igou ER, Wisman A, Donnelly AE, Mulcaire JB. Eaten up by boredom: consuming food to escape awareness of the bored self. Front Psychol. 2015;6:369.CrossRef Moynihan AB, van Tilburg WAP, Igou ER, Wisman A, Donnelly AE, Mulcaire JB. Eaten up by boredom: consuming food to escape awareness of the bored self. Front Psychol. 2015;6:369.CrossRef
7.
go back to reference Yılmaz C, Gökmen V. Neuroactive compounds in foods: occurrence, mechanism and potential health effects. Food Res. 2020;128:108744.CrossRef Yılmaz C, Gökmen V. Neuroactive compounds in foods: occurrence, mechanism and potential health effects. Food Res. 2020;128:108744.CrossRef
8.
go back to reference Rodríguez-Martín BC, Meule A. Food craving: new contributions on its assessment, moderators, and consequences. Front Psychol. 2015;6:21.PubMedPubMedCentral Rodríguez-Martín BC, Meule A. Food craving: new contributions on its assessment, moderators, and consequences. Front Psychol. 2015;6:21.PubMedPubMedCentral
9.
go back to reference Ma Y, Ratnasabapathy R, Gardiner J. Carbohydrate craving: not everything is sweet. Curr Opin Clin Nutr Metab Care. 2017;20:261–5.CrossRef Ma Y, Ratnasabapathy R, Gardiner J. Carbohydrate craving: not everything is sweet. Curr Opin Clin Nutr Metab Care. 2017;20:261–5.CrossRef
11.
go back to reference Muscogiuri G, Pugliese G, Barrea L, Savastano S, Colao A. Obesity: the “Achilles heel” for COVID-19? Metabolism. 2020;108:154251.CrossRef Muscogiuri G, Pugliese G, Barrea L, Savastano S, Colao A. Obesity: the “Achilles heel” for COVID-19? Metabolism. 2020;108:154251.CrossRef
12.
go back to reference Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17:1729.CrossRef Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17:1729.CrossRef
14.
go back to reference van Strien T. Causes of emotional eating and matched treatment of obesity. Rep: Curr Diab; 2018.CrossRef van Strien T. Causes of emotional eating and matched treatment of obesity. Rep: Curr Diab; 2018.CrossRef
15.
go back to reference Evers C, Dingemans A, Junghans AF, Boevé A. Feeling bad or feeling good, does emotion affect your consumption of food? A meta-analysis of the experimental evidence. Rev: Neurosci. Biobehav; 2018.CrossRef Evers C, Dingemans A, Junghans AF, Boevé A. Feeling bad or feeling good, does emotion affect your consumption of food? A meta-analysis of the experimental evidence. Rev: Neurosci. Biobehav; 2018.CrossRef
17.
go back to reference Havermans RC, Vancleef L, Kalamatianos A, Nederkoorn C. Eating and inflicting pain out of boredom. Appetite. 2015;85:52–7.CrossRef Havermans RC, Vancleef L, Kalamatianos A, Nederkoorn C. Eating and inflicting pain out of boredom. Appetite. 2015;85:52–7.CrossRef
18.
go back to reference Crockett AC, Myhre SK, Rokke PD. Boredom proneness and emotion regulation predict emotional eating. J Health Psychol. 2015;20:670–80.CrossRef Crockett AC, Myhre SK, Rokke PD. Boredom proneness and emotion regulation predict emotional eating. J Health Psychol. 2015;20:670–80.CrossRef
19.
go back to reference Muscogiuri G, Barrea L, Annunziata G, Di Somma C, Laudisio D, Colao A, et al. Obesity and sleep disturbance: the chicken or the egg? Crit Rev Food Sci Nutr. 2019;59:2158–65.CrossRef Muscogiuri G, Barrea L, Annunziata G, Di Somma C, Laudisio D, Colao A, et al. Obesity and sleep disturbance: the chicken or the egg? Crit Rev Food Sci Nutr. 2019;59:2158–65.CrossRef
20.
go back to reference Pugliese G, Barrea L, Laudisio D, Salzano C, Aprano S, Colao A, et al. Sleep apnea, obesity, and disturbed glucose homeostasis: epidemiologic evidence, biologic insights, and therapeutic strategies. Curr Obes Rep. 2020;9:30–8.CrossRef Pugliese G, Barrea L, Laudisio D, Salzano C, Aprano S, Colao A, et al. Sleep apnea, obesity, and disturbed glucose homeostasis: epidemiologic evidence, biologic insights, and therapeutic strategies. Curr Obes Rep. 2020;9:30–8.CrossRef
21.
go back to reference Muscogiuri G, Barrea L, Aprano S, Framondi L, Di Matteo R, Laudisio D, et al. Sleep quality in obesity: does adherence to the mediterranean diet matter? Nutrients. 2020;12:1364.CrossRef Muscogiuri G, Barrea L, Aprano S, Framondi L, Di Matteo R, Laudisio D, et al. Sleep quality in obesity: does adherence to the mediterranean diet matter? Nutrients. 2020;12:1364.CrossRef
23.
go back to reference Panahi S, Tremblay A. Sedentariness and health: is sedentary behavior more than just physical inactivity? Front Public Heal. 2018;6:258.CrossRef Panahi S, Tremblay A. Sedentariness and health: is sedentary behavior more than just physical inactivity? Front Public Heal. 2018;6:258.CrossRef
25.
go back to reference Hauner H. Secretory factors from human adipose tissue and their functional role. Proc Nutr Soc. 2005;64:163–9.CrossRef Hauner H. Secretory factors from human adipose tissue and their functional role. Proc Nutr Soc. 2005;64:163–9.CrossRef
27.
go back to reference Di Renzo L, Gualtieri P, Romano L, Marrone G, Noce A, Pujia A, et al. Role of personalized nutrition in chronic-degenerative diseases. Nutrients. 2019;11(8):1707.CrossRef Di Renzo L, Gualtieri P, Romano L, Marrone G, Noce A, Pujia A, et al. Role of personalized nutrition in chronic-degenerative diseases. Nutrients. 2019;11(8):1707.CrossRef
28.
go back to reference De Lorenzo A, Bernardini S, Gualtieri P, Cabibbo A, Perrone MA, Giambini I, et al. Mediterranean meal versus Western meal effects on postprandial ox-LDL, oxidative and inflammatory gene expression in healthy subjects: a randomized controlled trial for nutrigenomic approach in cardiometabolic risk. Acta Diabetol. 2017;54:141–9.CrossRef De Lorenzo A, Bernardini S, Gualtieri P, Cabibbo A, Perrone MA, Giambini I, et al. Mediterranean meal versus Western meal effects on postprandial ox-LDL, oxidative and inflammatory gene expression in healthy subjects: a randomized controlled trial for nutrigenomic approach in cardiometabolic risk. Acta Diabetol. 2017;54:141–9.CrossRef
29.
go back to reference Soldati L, Di Renzo L, Jirillo E, Ascierto PA, Marincola FM, De Lorenzo A. The influence of diet on anti-cancer immune responsiveness. J Transl Med. 2018;16(1):75.CrossRef Soldati L, Di Renzo L, Jirillo E, Ascierto PA, Marincola FM, De Lorenzo A. The influence of diet on anti-cancer immune responsiveness. J Transl Med. 2018;16(1):75.CrossRef
32.
go back to reference We Are Social & Hootsuite. Digital 2020. Data Reportal. 2020. We Are Social & Hootsuite. Digital 2020. Data Reportal. 2020.
33.
go back to reference Schröder H, Fitó M, Estruch R, Martínez-González MA, Corella D, Salas-Salvadó J, et al. A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women. J Nutr. 2011;141:1140–5.CrossRef Schröder H, Fitó M, Estruch R, Martínez-González MA, Corella D, Salas-Salvadó J, et al. A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women. J Nutr. 2011;141:1140–5.CrossRef
37.
go back to reference Jayawardena R, Sooriyaarachchi P, Chourdakis M, Jeewandara C, Ranasinghe P. Enhancing immunity in viral infections, with special emphasis on COVID-19: a review. Diabetes Metab Syndr Clin Res Rev. 2020;14:367–82.CrossRef Jayawardena R, Sooriyaarachchi P, Chourdakis M, Jeewandara C, Ranasinghe P. Enhancing immunity in viral infections, with special emphasis on COVID-19: a review. Diabetes Metab Syndr Clin Res Rev. 2020;14:367–82.CrossRef
38.
go back to reference Brake SJ, Barnsley K, Lu W, McAlinden KD, Eapen MS, Sohal SS. Smoking upregulates angiotensin-converting enzyme-2 receptor: a potential adhesion site for novel coronavirus SARS-CoV-2 (Covid-19). J Clin Med. 2020;9:841.CrossRef Brake SJ, Barnsley K, Lu W, McAlinden KD, Eapen MS, Sohal SS. Smoking upregulates angiotensin-converting enzyme-2 receptor: a potential adhesion site for novel coronavirus SARS-CoV-2 (Covid-19). J Clin Med. 2020;9:841.CrossRef
39.
go back to reference García OP, Long KZ, Rosado JL. Impact of micronutrient deficiencies on obesity. Nutr Rev. 2009;67:559–72.CrossRef García OP, Long KZ, Rosado JL. Impact of micronutrient deficiencies on obesity. Nutr Rev. 2009;67:559–72.CrossRef
40.
go back to reference Childs CE, Calder PC, Miles EA. Diet and immune function. MDPI AG: Nutrients; 2019.CrossRef Childs CE, Calder PC, Miles EA. Diet and immune function. MDPI AG: Nutrients; 2019.CrossRef
41.
go back to reference Costa de Miranda R, Di Renzo L, Cupertino V, Romano L, De Lorenzo A, Salimei C, et al. Secular trend of childhood nutritional status in Calabria (Italy) and the United States: the spread of obesity. Nutr Res. 2019;62:23–31.CrossRef Costa de Miranda R, Di Renzo L, Cupertino V, Romano L, De Lorenzo A, Salimei C, et al. Secular trend of childhood nutritional status in Calabria (Italy) and the United States: the spread of obesity. Nutr Res. 2019;62:23–31.CrossRef
42.
go back to reference De Lorenzo A, Gratteri S, Gualtieri P, Cammarano A, Bertucci P, Di Renzo L. Why primary obesity is a disease? J Transl Med. 2019;17:169.CrossRef De Lorenzo A, Gratteri S, Gualtieri P, Cammarano A, Bertucci P, Di Renzo L. Why primary obesity is a disease? J Transl Med. 2019;17:169.CrossRef
43.
go back to reference Dhurandhar NV, Bailey D, Thomas D. Interaction of obesity and infections. Obes Rev. 2015;16:1017–29.CrossRef Dhurandhar NV, Bailey D, Thomas D. Interaction of obesity and infections. Obes Rev. 2015;16:1017–29.CrossRef
44.
go back to reference De Lorenzo A, Romano L, Di Renzo L, Di Lorenzo N, Cenname G, Gualtieri P. Obesity: a preventable, treatable, but relapsing disease. Nutrition. 2020;71:110615.CrossRef De Lorenzo A, Romano L, Di Renzo L, Di Lorenzo N, Cenname G, Gualtieri P. Obesity: a preventable, treatable, but relapsing disease. Nutrition. 2020;71:110615.CrossRef
45.
go back to reference Nappi F, Barrea L, Di Somma C, Savanelli MC, Muscogiuri G, Orio F, et al. Endocrine aspects of environmental “obesogen” pollutants. MDPI AG: Int J Environ Res Public Health; 2016.CrossRef Nappi F, Barrea L, Di Somma C, Savanelli MC, Muscogiuri G, Orio F, et al. Endocrine aspects of environmental “obesogen” pollutants. MDPI AG: Int J Environ Res Public Health; 2016.CrossRef
46.
go back to reference Denoth F, Scalese M, Siciliano V, Di Renzo L, De Lorenzo A, Molinaro S. Clustering eating habits: frequent consumption of different dietary patterns among the Italian general population in the association with obesity, physical activity, sociocultural characteristics and psychological factors. Eat Weight Disord. 2016;21:257–68.CrossRef Denoth F, Scalese M, Siciliano V, Di Renzo L, De Lorenzo A, Molinaro S. Clustering eating habits: frequent consumption of different dietary patterns among the Italian general population in the association with obesity, physical activity, sociocultural characteristics and psychological factors. Eat Weight Disord. 2016;21:257–68.CrossRef
47.
go back to reference Beck MA, Handy J, Levander OA. Host nutritional status: The neglected virulence factor. Trends Microbiol. 2004;12:417–23.CrossRef Beck MA, Handy J, Levander OA. Host nutritional status: The neglected virulence factor. Trends Microbiol. 2004;12:417–23.CrossRef
48.
go back to reference Romano L, Bilotta F, Dauri M, Macheda S, Pujia A, De Santis GL, et al. Short report—medical nutrition therapy for critically ill patients with COVID-19. Sci: Eur Rev Med Pharmacol; 2020. Romano L, Bilotta F, Dauri M, Macheda S, Pujia A, De Santis GL, et al. Short report—medical nutrition therapy for critically ill patients with COVID-19. Sci: Eur Rev Med Pharmacol; 2020.
50.
go back to reference Di Renzo L, Merra G, Botta R, Gualtieri P, Manzo A, Perrone MA, et al. Post-prandial effects of hazelnut-enriched high fat meal on LDL oxidative status, oxidative and inflammatory gene expression of healthy subjects: a randomized trial. Eur Rev Med Pharmacol Sci. 2017;21:1610–26.PubMed Di Renzo L, Merra G, Botta R, Gualtieri P, Manzo A, Perrone MA, et al. Post-prandial effects of hazelnut-enriched high fat meal on LDL oxidative status, oxidative and inflammatory gene expression of healthy subjects: a randomized trial. Eur Rev Med Pharmacol Sci. 2017;21:1610–26.PubMed
Metadata
Title
Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey
Authors
Laura Di Renzo
Paola Gualtieri
Francesca Pivari
Laura Soldati
Alda Attinà
Giulia Cinelli
Claudia Leggeri
Giovanna Caparello
Luigi Barrea
Francesco Scerbo
Ernesto Esposito
Antonino De Lorenzo
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Journal of Translational Medicine / Issue 1/2020
Electronic ISSN: 1479-5876
DOI
https://doi.org/10.1186/s12967-020-02399-5

Other articles of this Issue 1/2020

Journal of Translational Medicine 1/2020 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.