Little is known on potential socioeconomic and gender disparities in dietary changes during the COVID-19 pandemic. We conducted a telephone-based survey during fall 2020 on 4400 participants representative of the population aged 65–99 years living in Lombardy, Italy. Changes in a Mediterranean lifestyle were assessed retrospectively by scoring modifications in the consumption of nine food groups and five diet-related behaviours compared to 2019. A Mediterranean COVID-19 Pandemic Score (MedCovid-19 Score) was computed, reflecting changes during pandemic, with increasing values indicating improvements in line with a Mediterranean lifestyle. Predictors of favourable dietary changes (MedCovid-19 Score ≥ 1) were education (odds ratio [OR] = 1.52; 95% confidence interval 1.19–1.95 for postgraduate vs. lower), wealth (OR = 1.52; 1.14–2.02 for high vs. low) and skilled manual occupations (OR = 1.57; 1.28–1.92 vs. white collars). Women were more likely than men to move away from a Mediterranean lifestyle (OR = 1.86; 1.58–2.21). In conclusions, changes towards a Mediterranean lifestyle were disproportionately distributed across gender and socioeconomic strata.

Changes in a Mediterranean lifestyle during the COVID-19 pandemic among elderly Italians: an analysis of gender and socioeconomic inequalities in the “LOST in Lombardia” study / Bonaccio, M.; Gianfagna, F.; Stival, C.; Amerio, A.; Bosetti, C.; D'Oro, L. C.; Odone, A.; Stuckler, D.; Zucchi, A.; Gallus, S.; Iacoviello, L.; Jarach, C. M.; Lugo, A.; Serafini, G.; Amore, M.; De Sena, R.; Ghislandi, S.; Wang, Y.; Ghulam, A.; Signorelli, C.; Mosconi, G.; Vigezzi, G.; Paroni, L.; Rognoni, M.; Ciampichini, R.. - In: INTERNATIONAL JOURNAL OF FOOD SCIENCES AND NUTRITION. - ISSN 0963-7486. - 73:5(2022), pp. 683-692. [10.1080/09637486.2022.2040009]

Changes in a Mediterranean lifestyle during the COVID-19 pandemic among elderly Italians: an analysis of gender and socioeconomic inequalities in the “LOST in Lombardia” study

Odone A.;Signorelli C.;Vigezzi G.;
2022-01-01

Abstract

Little is known on potential socioeconomic and gender disparities in dietary changes during the COVID-19 pandemic. We conducted a telephone-based survey during fall 2020 on 4400 participants representative of the population aged 65–99 years living in Lombardy, Italy. Changes in a Mediterranean lifestyle were assessed retrospectively by scoring modifications in the consumption of nine food groups and five diet-related behaviours compared to 2019. A Mediterranean COVID-19 Pandemic Score (MedCovid-19 Score) was computed, reflecting changes during pandemic, with increasing values indicating improvements in line with a Mediterranean lifestyle. Predictors of favourable dietary changes (MedCovid-19 Score ≥ 1) were education (odds ratio [OR] = 1.52; 95% confidence interval 1.19–1.95 for postgraduate vs. lower), wealth (OR = 1.52; 1.14–2.02 for high vs. low) and skilled manual occupations (OR = 1.57; 1.28–1.92 vs. white collars). Women were more likely than men to move away from a Mediterranean lifestyle (OR = 1.86; 1.58–2.21). In conclusions, changes towards a Mediterranean lifestyle were disproportionately distributed across gender and socioeconomic strata.
2022
COVID-19 pandemic
elderly
general population
lifestyles
Mediterranean diet
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/150131
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