Cummings Caroline, Seng Kagnica, Tweet Ryan, Wagner Julie
Department of Psychological Sciences, Texas Tech University, Lubbock, TX, United States.
Department of Psychological Sciences, Central Connecticut State University, New Britain, CT, United States.
Front Clin Diabetes Healthc. 2022 Mar 15;3:830353. doi: 10.3389/fcdhc.2022.830353. eCollection 2022.
The effect of the COVID-19 pandemic on diabetes self-management behaviors is unclear.
This paper is a scoping review of studies examining health behaviors among people with type 2 diabetes during the COVID-19 pandemic.
We searched articles available in English using the Search terms "COVID" and "diabetes", and, separately, each of the following terms: "lifestyle", "health behavior", "self-care", "self-management", "adherence", "compliance", "eating", "diet", "physical activity", "exercise", "sleep", "self-monitoring of blood glucose", or "continuous glucose monitoring".
We searched PubMed, PsychInfo, and Google Scholar databases from December 2019 through August 2021.
Data were extracted by 4 calibrated reviewers and study elements were charted.
The search identified 1,710 articles. After screening for relevance and eligibility, 24 articles were included in this review. Findings show the strongest evidence for reduced physical activity and stable glucose monitoring and substance use. There was equivocal evidence for deleterious changes in sleep, diet, and medication intake. With one minor exception, there was no evidence for favorable changes in health behaviors. Limitations of the literature include small samples, predominantly cross-sectional study designs, reliance on retrospective self-reports, sampling through social media, and few standardized measures.
Early studies of health behaviors among people with type 2 diabetes during the COVID-19 pandemic suggest a need for novel interventions to support diabetes self-management, especially targeting physical activity. Future studies should go beyond documenting changes in health behaviors and examine predictors of change over time.
2019年冠状病毒病（COVID-19）大流行对糖尿病自我管理行为的影响尚不清楚。
本文是一项对2019年冠状病毒病大流行期间2型糖尿病患者健康行为研究的范围综述。
我们使用搜索词“COVID”和“糖尿病”，以及以下每个单独的术语在英文文章中进行搜索：“生活方式”、“健康行为”、“自我护理”、“自我管理”、“依从性”、“顺从性”、“饮食”、“饮食”、“身体活动”、“锻炼”、“睡眠”、“血糖自我监测”或“持续血糖监测”。
我们在2019年12月至2021年8月期间搜索了PubMed、PsychInfo和谷歌学术数据库。
由4名经过校准的评审人员提取数据，并对研究要素进行制表。
搜索共识别出1710篇文章。在筛选相关性和纳入标准后，本综述纳入了24篇文章。研究结果显示，身体活动减少、血糖监测和物质使用稳定的证据最为充分。关于睡眠、饮食和药物摄入的有害变化存在模棱两可的证据。除了一个小例外，没有证据表明健康行为有积极变化。文献的局限性包括样本量小、主要为横断面研究设计、依赖回顾性自我报告、通过社交媒体抽样以及标准化测量较少。
2019年冠状病毒病大流行期间2型糖尿病患者健康行为的早期研究表明，需要新的干预措施来支持糖尿病自我管理，特别是针对身体活动。未来的研究应超越记录健康行为的变化，研究随时间变化的预测因素。
