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Effect of COVID-19 Lockdown on Children's Eating Behaviours: A Longitudinal Study
Giuseppina Rosaria Umano1, Giulia Rondinelli1, Giulio Rivetti1
1Department of the Woman, the Child, and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.
Insights
The COVID-19 pandemic lockdown increased children's emotional overeating and food responsiveness. These changes in eating behavior were more pronounced in normal-weight children, potentially increasing obesity risk.
Area of Science:
- Pediatric Nutrition
- Behavioral Psychology
- Epidemiology
Background:
- The COVID-19 pandemic significantly altered children's lifestyles and eating habits, contributing to rising obesity rates.
- Disruptions to daily routines during lockdown periods have psychological consequences impacting child behavior.
- The Children's Eating Behaviour Questionnaire (CEBQ) is a validated tool for assessing eating behaviors in children.
Purpose of the Study:
- To evaluate changes in children's eating behaviors before and during the COVID-19 lockdown.
- To assess the impact of lockdown containment measures on pediatric eating patterns.
- To identify specific eating behaviors affected by pandemic-related lifestyle changes.
Main Methods:
- A prospective cohort study involving children attending a pediatric clinic.
- Utilized the Italian version of the parent-report Children's Eating Behaviour Questionnaire (CEBQ).
- Surveys were conducted before lockdown and repeated via telephone during the lockdown period for 69 children.
Main Results:
- Higher scores in food responsiveness and emotional overeating were observed during lockdown (p=0.009, p=0.001).
- Lower scores for desire to drink and satiety responsiveness were noted during lockdown (p=0.04, p=0.0001).
- Greater changes in eating behaviors were found in normal-weight children compared to those with obesity (p=0.02).
Conclusions:
- COVID-19 containment measures triggered specific eating behaviors that promote an obesogenic lifestyle.
- Lockdown measures influenced key aspects of children's eating behavior, including responsiveness to food cues and emotional eating.
- The study highlights the need to address pandemic-related behavioral shifts to mitigate long-term health consequences like obesity.
Abstract:
The COVID-19 pandemic has had a huge impact on children's lifestyle and eating behaviour, resulting in an increase of obesity prevalence. The CEBQ (Children's Eating Behaviour Questionnaire) is a validate questionnaire that investigates children's eating behaviour. Knowing the psychological consequences of daily routine disruption during lockdown, we evaluated the changes in eating behaviours in a paediatric cohort before and during the lockdown period through the evaluation of the Italian version of the CEBQ. We prospectively enrolled children attending the pediatric clinic of the University of Campania 'Luigi Vanvitelli'. All parents answered the parent-report version of the CEBQ before lockdown containment. During lockdown, the second survey was carried out by telephone call. The study sample included 69 children. Food responsiveness and emotional overeating subscales showed higher scores during lockdown compared to data before lockdown (p = 0.009 and p = 0.001, respectively). Conversely, desire to drink and satiety responsiveness showed lower scores at follow-up (p = 0.04 and p = 0.0001, respectively). No differences were observed for slowness in eating and enjoyment of food. Delta changes were higher in normal-weight children compared to children with obesity (p = 0.02). Our results confirm that containment measures during the COVID-19 pandemic have acted as triggers on certain eating behaviors that mostly predispose to an obesogenic manner.
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