Dietary and Lifestyle Habits During the Pandemic of COVID-19 in Greece

Study Overview
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Brief Summary
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The aim of this study was to examine potential changes in children' and adolescents' dietary and lifestyle (physical activity, sedentary behaviour and sleep) habits during the quarantine that was implemented in Greece due to COVID-19. An online survey in a random sample of families across Greece was conducted. Parents self-reported their children's and their own dietary and lifestyle habits, as well as information about their sociodemographic status.

Detailed Description
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Since December 2019, the world is facing a new disease (COVID-19), which is caused by the Coronavirus (Sars CoV-2). WHO declared the disease of COVID-19 as a pandemic in February 2020. Since then, many countries around the world have imposed lockdown (quarantine at home), as the main measure to prevent the spreading of the disease. In Greece, the lockdown was officially imposed from March, 23rd, 2020. This unprecedented situation may have caused changes in adults' and children's dietary and lifestyle habits. Data were collected via an online survey consisting of 70 questions. Study participants were enrolled after signing an informed consent form. The questionnaire self-reported by volunteers (parents of children aged between 2-18 years old). The survey had 3 sections. The first section focused on participants' sociodemographic data (e.g. gender, age, city of residence and socioeconomic level). The second and third sections contained questions about the parents' (section 2) and their children's (section 3) dietary and lifestyle habits before and during quarantine. The scientific community raises concerns about the health implications that will be caused due to the COVID-19 lockdown. The results of this study are expected to shed light into children and adolescents, as well as their parents', changes in dietary and lifestyle behaviours and feed the development of effective strategies to prevent the adoption of unhealthy lifestyle behaviours and weight gain in the event of a second wave of COVID-19 in the coming months.

Official Title
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Dietary and Lifestyle Habits of Children and Adolescents and Their Parents During the Pandemic of COVID-19 in Greece: The COV-EAT Study

Conditions
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Eating Behavior, COVID-19

Intervention / Treatment
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* Other: Online Survey about Dietary and Lifestyle Habits


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Parents of children and adolescents, aged 2-18 years. During the lockdown period due to the COVID-19 pandemic in Greece. Parents signed an informed consent form prior to their participation to the study Exclusion Criteria: Parents of children <24 months old. Parents of children >18 years old. Parents not living in Greece. Parents who did not sign the consent form.

Ages Eligible for Study
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Minimum Age: 24 Months
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Parents of children aged 2-18 years<br>Parents of children aged 2-18 years during the lockdown due to the COVID-19 pandemic, following their informed consent form prior to their participation to the study. | Other: Online Survey about Dietary and Lifestyle Habits<br>* An online survey was conducted in a random sample of families. Parents self-reported their child's and their own dietary and lifestyle habits, as well as information about their sociodemographic status. The survey consisted of 70 questions in 3 sections.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in weight (child) | Weight in kg will be measured using scales at home | Approximately one month before the Greek lockdown period (February 2020) and two months during the quarantine period (23 March 2020 till 24 May 2020) | 
| Behaviour (child) | Eating Behaviour during the quarantine, measured with an online (FFQ) questionnaire. | Approximately one month before the Greek lockdown period (February 2020) and two months during the quarantine period (23 March 2020 till 24 May 2020) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Behaviour (parents) | Eating Behaviour during the quarantine, measured with an online questionnaire. | Approximately one month before the Greek lockdown period (February 2020) and two months during the quarantine period (23 March 2020 till 24 May 2020) | 
| Physical Activity Levels (child) | Child's physical activity levels during the quarantine period, measured with an online questionnaire. | Approximately two months before the Greek lockdown period (January-February 2020) and two months during the quarantine period (23 March 2020 till 24 May 2020) | 
| Screen Time (child) | Changes in children' screen time (hours per day) during the quarantine period, measured with an online questionnaire. | Approximately two months before the Greek lockdown period (January-February 2020) and two months during the quarantine period (23 March 2020 till 24 May 2020) | 
| Sleep Duration (child) | Changes in children' sleep time (hours per day) during the quarantine period, measured with an online questionnaire. | Approximately two months before the Greek lockdown period (January-February 2020) and two months during the quarantine period (23 March 2020 till 24 May 2020) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Eating Habits, Sedentary Behavior, Childhood Obesity, Quarantine, COVID-19, School Closings