Italian diet, is this tourist right?

An American tourist, who on a summer vacation has chosen Italy as a tourist destination to shoot with her (German) boyfriend, has published a long rant in Vox on the Italian diet , in her opinion light years away from the concept of the Mediterranean diet. .

I specify that the article, which you find here , is in English, and that beyond some points that cannot be shared (when you need trays of brioches and biscuits in a B&B it is not written anywhere that that is your portion and that you have to eat them all), casts a disturbing light on the Italian diet. I state that the girl explains that she has already visited Italy in the past, but that she has noticed disconcerting changes in the diet of Italians.
Is she really that healthy?
Here is what the tourist wrote. Do you share it?

ITALIAN DIET VS. MEDITERRANEAN DIET: THE CHOC OF THE AMERICAN TOURIST
1) It is not true that the American portions are huge and the Italian ones are not: Italian restaurateurs serve huge portions, appetizers that are too rich, just like Americans. Italians eat too much, and too often. We have gone from being interested in the food that we bring to the table and sharing it in a convivial way to eating a lot and that’s it. The quality of the foods, and their preparation, has also deteriorated. The tourist expected “fresh pasta, fresh fish and lots of fruit and vegetables”, but in restaurants they often offered her cured meats, bruschetta, pickles and fried foods.
2) Both Italian childhood obesity and some data on the Italian population are worrying:Italy has the primacy of childhood obesity (true), while strangely, adults are currently not among the fattest in Europe, but among the thinnest. How can this be explained? Will our future generations be fat? Were today’s adults the obese of yesterday, who then got better as they grew up? The hypothesis of a fatter and sicker future generation is unfortunately more likely. Perhaps the Italian kids of yesterday were simply thinner than the Italians of today. 3) The quality of the Italian diet is getting worse:

in 2015 only 40 per cent of the Italian population declared that they ate in a Mediterranean way. The remaining sixty illustrated a “Western” diet: more proteins, more meat, more industrial foods, but above all more refined carbohydrates. To correlate this last point, the author illustrates the opinion of a series of experts, who agree on some points:
a) the Italian diet shows a caloric increase of 30% in the last forty years.
b) many people choose industrial and refined products, thus increasing their share of sugars
c) the choice to eat more cheap pasta or cured meats is also motivated by economic factors: fresh vegetables and fruit cost, and so does fresh fish.

Do you agree? Do you find yourself in this picture (quite merciless)?