Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
Login Abbonamenti Pubblicazioni Carrello Registrazione Perché registrarsi? Contatti

Ricerca

PDF

Covid-19: come la pandemia ha aumentato la food insecurity e alterato il regime alimentare nelle famiglie italiane

Covid-19: how the pandemic has increased food insecurity and altered the italian families diet

Arianna Dondi1, Egidio Candela2, Francesca Morigi2, Jacopo Lenzi3, Marcello Lanari1

1UOC di Pediatria dUrgenza, Pronto Soccorso e Osservazione Breve Intensiva, IRCCS - AOU di Bologna
2Scuola di Specializzazione in Pediatria - Alma Mater Studiorum, Universit di Bologna, Italia
3Dipartimento di Scienze Biomediche e Neuromotorie, Alma Mater Studiorum, Universit di Bologna

Maggio 2021 - pagg. 315 -320 | DOI: 10.53126/MEB40315

Abstract
Background - The Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) pandemic and subsequent containment measures are causing a worldwide increase in food insecurity (FI). Food insecurity has been related to a number of negative health implications, particularly for the most vulnerable population, including children and adolescents. Aim - To investigate the effects on FI during the lockdown in Italy and the changes in eating habits and body weight in the paediatric population 6 months after the beginning of the pandemic.
Materials and Methods - An online anonymous cross-sectional survey was elaborated and proposed to the parents of children < 18 years old.
Results - 8.3% reported that their families were at risk of FI before the outbreak of SARS-CoV-2 pandemic. This percentage dramatically doubled after the pandemic began. Moreover, 27.3% of the parents reported that their children were eating more, with a concomitant increase in junk food consumption. About one third of respondents declared an increase in childrens weight, while weight loss were uncommon and prevailed among adolescents. It was observed that parents higher age, higher parents school grade and working parents were protective factors against FI.
Conclusion - Since the SARS-CoV-2 pandemic is requiring restrictions again, it is crucial that health care and social protection programmes take into account concepts of equity and sustainability to ensure adequate food and nutrition security for everyone.
Riassunto
La pandemia da sindrome respiratoria acuta severa da coronavirus-2 (SARS-CoV-2) e le conseguenti misure di contenimento stanno causando un aumento della food insecurity (FI) in tutto il mondo. Alla FI sono associate numerose implicazioni negative in ambito sanitario che interessano in particolare i gruppi pi vulnerabili, compresi bambini e adolescenti. Lo scopo del nostro studio stato investigare gli effetti del lockdown in Italia rispetto alla FI, ai cambiamenti del regime dietetico e del peso in una popolazione pediatrica 6 mesi dopo linizio della pandemia. Per tale ragione, abbiamo sviluppato un questionario online rivolto a genitori di figli minorenni e residenti in Italia. L8,3% delle famiglie ha riportato di essere a rischio di FI gi prima della comparsa del Covid-19; questa percentuale drammaticamente raddoppiata dopo linizio della pandemia. Inoltre, il 27,3% dei genitori ha dichiarato che i loro figli si stavano alimentando maggiormente, e a questo si associava un aumento del consumo del cosiddetto cibo spazzatura. Allincirca un terzo degli intervistati ha osservato un aumento ponderale nei figli; al contrario, il calo ponderale stato raro ed prevalso soprattutto tra gli adolescenti. Et pi avanzata, maggior livello di scolarizzazione e posizione lavorativa stabile dei genitori sono risultati fattori protettivi per FI. Poich le restrizioni correlate alla pandemia da SARS-COV-2 sono ancora in atto, fondamentale che il sistema sanitario e i programmi di supporto sociale si ispirino sempre pi a concetti di uguaglianza e sostenibilit, per assicurare sicurezza alimentare e possibilit di procurarsi cibo adeguato per quantit e qualit a ognuno.

Bibliografia

1. Nord M, Andrews MS, Carlson S. Household Food Security in the United States, 2008; Department of Agriculture, Economic Research Service: Washington, DC, USA, 2008. 2. Cook JT, Frank DA, Levenson SM, et al. Child food insecurity increases risks posed by household food insecurity to young childrens health. J Nutr 2006;136(4):1073-6. doi: 10.1093/jn/136.4.1073. 3. Cook JT, Frank DA, Berkowitz C, et al. Food insecurity is associated with adverse health outcomes among human infants and toddlers. J Nutr 2004;134(6):1432-8. doi: 10. 1093/jn/134.6.##. 4. Loopstra R, Reeves A, Stuckler D. Rising food insecurity in Europe. Lancet 2015;385 (9982):2041. doi: 10.1016/S0140-6736(15) 60983-7. 5. Loopstra R, Reeves A, McKee M, Stuckler D. Food insecurity and social protection in Europe: Quasi-natural experiment of Europes great recessions 2004-2012. Prev Med 2016;89:44-50. doi: 10.1016/j.ypmed.2016. 05.010. 6. Zae D, Di Pietro ML, Caprini F, de Waure C, Ricciardi W. Prevalence and correlates of food insecurity among children in high-income European countries. A systematic review. Ann Ist Super Sanita 2020;56(1):90-8. doi: 10.4415/ANN_20_01_13. 7. European Union. European Commission Database. EUROSTAT. Available online: http://ec.europa.eu/eurostat/data/database (accessed on 18 March 2018). 8. Koo JR, Cook AR, Park M, et al. Interventions to mitigate early spread of SARS-CoV-2 in Singapore: A modelling study. Lancet Infect Dis 2020;20(6):678-88. doi: 10.1016/ S1473-3099(20)30162-6. 9. Smith MD, Wesselbaum D. Covid-19, food insecurity and migration. J Nutr 2020;150 (11):2855-8. doi: 10.1093/jn/nxaa270. 10. Committee on World Food Security. High-Level Panel of Experts on Food Security and Nutrition (HLPE). Impact of Covid-19 on Food Security and Nutrition (FSN). Interim HLPE 2020;1:1-8. 11. Niles MT, Bertmann F, Belarmino EH, Wentworth T, Biehl E, Neff R. The early food insecurity impact of Covid-19. Nutrients 2020;12(7):2096. doi: 10.3390/nu12072096. 12. World Food Programme. Global Monitoring of School Meals During Covid-19 School Closures. 2020 (accessed on 16 November 2020). 13. Martini M, Gazzaniga V, Bragazzi NL, Barberis I. The Spanish influenza pandemic: a lesson from history 100 years after 1918. J Prev Med Hyg 2019;60(1):E64-E67. doi: 10. 15167/2421-4248/jpmh2019.60.1.1205. 14. Althoff RR, Ametti M, Bertmann F. The role of food insecurity in developmental psychopathology. Prev Med 2016;92:106-109. doi: 10.1016/j.ypmed.2016.08.012. 15. Post JD. Famine, mortality, and epidemic disease in the process of modernization. Econ. Hist Rev 1976;29(1):14-37. doi: 10.1111/j.1468-0289.1976.tb00238.x. 16. Belanger MJ, Hill MA, Angelidi AM, Dalamaga M, Sowers JR, Mantzoros CS. Covid-19 and disparities in nutrition and obesity. N Engl J Med 2020;383(11):e69. doi: 10.1056/ NEJMp2021264. 17. Razzoli M, Pearson C, Crow S, Bartolomucci A. Stress, overeating, and obesity: Insights from human studies and preclinical models. Neurosci Biobehav Rev 2017;76(Pt A):154-62. doi: 10.1016/j.neubiorev.2017. 01.026. 18. I determinanti sociali della salute: che cosa sono e come influenzano la nostra salute? di A. Rinaldi e Maurizio Marceca. Riflessioni Sistemiche 16 giugno 2017:104-19. 19. Marmot M. La salute disuguale. La sfida di un mondo ingiusto. Roma: Il Pensiero Scientifico Editore, 2016. 20. Maciocco G. I determinanti della salute. Una nuova, originale cornice concettuale. Salute Internazionale. 25 gennaio 2009. 21. Costa G, Stroscia M, Zengarini N, Demaria M (a cura di). 40 anni di salute a Torino, spunti per leggere i bisogni e i risultati delle politiche. Milano: Inferenze, 2017. 22. Hager ER, Quigg AM, Black MM, et al. Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics 2010;126(1):e26-32. doi: 10.1542/ peds.2009-3146. 23. The Lancet Global Health. Food insecurity will be the sting in the tail of Covid-19. Lancet Glob Health 2020;8(6):e737. doi: 10.1016/S2214-109X(20)30228-X. 24. Prez-Escamilla R, Cunningham K, Moran VH. Covid-19 and maternal and child food and nutrition insecurity: a complex syndemic. Matern Child Nutr 2020;16(3):e13036. doi: 10.1111/mcn.13036. 25. World Food Program. Covid-19 Will Double Number of People Facing Food Crisis Unless Swift Action is Taken. 2020. 26. Eurostat. GDP per Capita in EU Regions. Regional GDP per Capita Ranged from 30% to 263% of the EU Average in 2018. 27. GBD 2017 Italy Collaborators. Italys health performance, 1990-2017: Findings from the Global Burden of Disease Study 2017. Lancet Public Health 2019;4(12):e645-e657. doi: 10.1016/S2468-2667(19)30189-6. 28. Tarasuk V, Fafard St-Germain AA, Mitchell A. Geographic and socio-demographic predictors of household food insecurity in Canada, 2011-2012. BMC Public Health 2019;19(1):12. doi: 10.1186/s12889-018-6344-2. 29. Dudek H, Myszkowska-Ryciak J. The Prevalence and Socio-Demographic Correlates of Food Insecurity in Poland. Int. J Environ Res Public Health 2020;17(17):6221. doi: 10.3390/ijerph17176221. 30. Demoskopika. La performance sanitaria. Indice di Misurazione e Valutazione dei Sistemi Regionali Italiani. 2019. http:77www. quotidianosanita.it/allegati/allegato8783063.pdf. 31. Dondi A, Piccinno V, Morigi F, Sureshkumar S, Gori D, Lanari M. Food Insecurity and Major Diet-Related Morbidities in Migrating Children: A Systematic Review. Nutrients 2020;12(2):379. doi: 10.3390/ nu12020379. 32. Morales DX, Morales SA, Beltran TF. Racial/ethnic disparities in household food insecurity during the Covid-19 pandemic: a nationally representative study. J. Racial Ethn Health Disparities 2020;1-15. doi: 10.1007/ s40615-020-00892-7. 33. Adams EL, Caccavale LJ, Smith D, Bean MK. Food insecurity, the home food environment, and parent feeding practices in the era of Covid-19. Obesity 2020;28(11):2056-63. doi: 10.1002/oby.22996. 34. Pietrobelli A, Pecoraro L, Ferruzzi A, et al. Effects of Covid-19 lockdown on lifestyle behaviors in children with obesity living in Verona, Italy: a longitudinal study. Obesity 2020;28(8):1382-5. doi: 10.1002/oby.22861. 35. Baysun Ş, Akar MN. Weight gain in children during the Covid-19 quarantine period. J Paediatr Child Health 2020;56(9):1487-1488. doi: 10.1111/jpc.15105. 36. He M, Xian Y, Lv X, He J, Ren Y. Changes in body weight, physical activity, and lifestyle during the semi-lockdown period after the outbreak of Covid-19 in China: an online survey. Disaster Med Public Health Prep 2020;1-6. doi: 10.1017/dmp.2020.237. 37. Sidor A, Rzymski P. Dietary Choices and Habits during Covid-19 Lockdown: Experience from Poland. Nutrients 2020;12(6):1657. doi: 10.3390/nu12061657. 38. Barrea L, Pugliese G, Framondi L, et al. Does Sars-Cov-2 threaten our dreams? Effect of quarantine on sleep quality and body mass index. J Transl Med 2020;18(1):318. doi: 10.1186/s12967-020-02465-y. 39. Zachary Z, Brianna F, Brianna L, et al. Self-quarantine and weight gain related risk factors during the Covid-19 pandemic. Obes Res Clin Pract 2020;14(3):210-6. doi: 10. 1016/j.orcp.2020.05.004. 40. Michels N, Sioen I, Boone L, et al. Longitudinal association between child stress and lifestyle. Health Psychol 2015;34(1):40-50. doi: 10.1037/hea0000108. 41. Fernandez-Rio J, Cecchini JA, Mendez-Gimenez A, Carriedo A. Weight changes during the Covid-19 home confinement. Effects on psychosocial variables. Obes Res Clin Pract 2020;14(4):383-5. doi: 10.1016/j.orcp. 2020.07.006. 42. Hoffmann S, Corts-Garca L, Warschburger P. Weight/shape and muscularity concerns and emotional problems in adolescent boys and girls: A cross-lagged panel analysis. J Adolesc 2018;68:70-7. doi: 10.1016/j.adolescence.2018.07.005. 43. Oliveira TC, Abranches MV, Lana RM. Food (in)security in Brazil in the context of the SARS-CoV-2 pandemic. Cad Saude Publica 2020;36(4):e00055220. doi: 10.1590/0102-311X00055220. 44. Torero M. Without food, there can be no exit from the pandemic. Nature 2020;580 (7805):588-9. doi: 10.1038/d41586-020-01181-3. 45. Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395(10227):912-20. doi: 10.1016/S0140-6736(20)30460-8. 46. Razzoli M, Bartolomucci A. The Dichotomous Effect of Chronic Stress on Obesity. Trends Endocrinol. Metab. 2016, 27, 504-515. 47. Polivy J, Herman CP. Mental health and eating behaviours: A bi-directional relation. Can. J. Public Health 2005;27(7):504-15. doi: 10.1016/j.tem.2016.04.007. 48. Tamburlini G. Limpatto della pandemia Covid-19 sulla salute globale dei bambini. Medico e Bambino 2020;39(10):629-32. 49. Food and Agriculture Organization of the United Nations (FAO). Addressing the Impacts of Covid-19 in Food Crises (accessed on 19 December 2020).

Corrispondenza: egidiocandela@gmail.com