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新冠疫情封锁对 2 型糖尿病、生活方式和心理社会健康的影响:来自印度南部的一项基于医院的横断面调查。

Effects of COVID-19 lockdown on type 2 diabetes, lifestyle and psychosocial health: A hospital-based cross-sectional survey from South India.

机构信息

MGM Muthoot Hospitals, Pathanamthitta, Kerala, India.

Department of Family and Internal Medicine, CRAFT Hospital and Research Centre, Kodungallur, Thrissur, Kerala, India.

出版信息

Diabetes Metab Syndr. 2020 Nov-Dec;14(6):1815-1819. doi: 10.1016/j.dsx.2020.09.005. Epub 2020 Sep 11.

Abstract

BACKGROUND AND AIMS

Lockdown during the COVID-19 pandemic imposed many restrictions on the public. Loss of continuum of care along with improper lifestyle was expected to worsen glycemic control in people with type 2 diabetes (T2D). We aimed to identify the effects of lockdown on their glycemic status, lifestyle changes and psychosocial health.

METHODS

The pre- and post-lockdown data of 110 adults with T2D who were under regular follow up was collected by direct interview during their visit to the diabetes clinic. The variables analyzed included demographic data, HbA1c, body weight, lifestyle changes, psychosocial factors and use of technology.

RESULT

The overall physical activity and dietary adherence remained unchanged in more than 80% of the participants. There was increased consumption of vegetables (80.9%), fruits (42.7%), and decreased unhealthy snacking (63%). 90% of them had access to medications. No significant change was noted in the mean HbA1c and body weight before and after lockdown. Most of them (99%) watched television and 73.6% of them spent time with their family members. Those with mental stress and poor sleep had unhealthy dietary habits. Poor glycemic control was seen in those with less physical activity and an unhealthy diet.

CONCLUSION

Lockdown did not cause a major change in the overall glycemic control. Measures to promote healthy lifestyle practices along with ways to reduce psychosocial stress must be implemented for better T2D management during such restricted times.

摘要

背景与目的

新冠疫情期间的封锁措施对公众实施了诸多限制。人们预计,连续性护理的丧失加上生活方式不当,会使 2 型糖尿病(T2D)患者的血糖控制恶化。我们旨在确定封锁对他们的血糖状况、生活方式改变和社会心理健康的影响。

方法

通过在糖尿病诊所就诊时的直接访谈,收集了 110 名接受常规随访的 T2D 成年人在封锁前后的数据。分析的变量包括人口统计学数据、HbA1c、体重、生活方式改变、社会心理因素和技术的使用。

结果

超过 80%的参与者的总体身体活动和饮食依从性保持不变。蔬菜(80.9%)、水果(42.7%)的摄入量增加,而不健康的零食摄入量减少(63%)。他们中有 90%的人能够获得药物。封锁前后,HbA1c 和体重的平均值没有明显变化。他们中的大多数(99%)都看电视,73.6%的人花时间与家人在一起。有精神压力和睡眠不佳的人饮食习惯不健康。体力活动较少和饮食不健康的人血糖控制较差。

结论

封锁措施并未导致整体血糖控制出现重大变化。在这种限制时期,必须采取措施促进健康的生活方式实践,并减少社会心理压力,以更好地管理 T2D。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ad4/7485570/c00d5b54743d/gr1_lrg.jpg

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