COVID-19: How the pandemic has increased food insecurity and altered the Italian families’ diet

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 SARSCoV-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 children’s 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.