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[因新冠疫情封闭管理第一年接受内分泌随访的患者所观察到的代谢改变]

[Metabolic alterations observed in patients undergoing endocrinological follow-up during the first year of confinement due to Covid-19].

作者信息

Tibaldo María Cecilia, Pereyra María Celina, Saad Emanuel José

机构信息

Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Instituto Universitario de Ciencias Biomédicas de Córdoba.

Clínica Universitaria Reina Fabiola. Córdoba, Argentina.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2024 Sep 27;81(3):458-476. doi: 10.31053/1853.0605.v81.n3.43230.

Abstract

INTRODUCTION

At the beginning of the COVID-19 pandemic, confinement measures were applied in many states around the world, producing changes in lifestyle and health habits, whose metabolic impact was different in different populations.

OBJECTIVES

Describe the metabolic and anthropometric changes in office patients in the City of Córdoba during the confinement period and determine possible associated factors.

METHODS

Retrospective analytical observational study based on the review of the medical records of patients seen in an endocrinology clinic in Córdoba, Argentina. They were followed up during the 1-year period by evaluating metabolic and anthropometric characteristics.

RESULTS

149 patients were included, of which 116 (77.9%) were female and the median:IQR age was 50:36.5-58 years. At the end of follow-up, a significant increase in alcohol consumption (18.1% vs 11.4%, p=0.001) was observed, as well as the number of diabetic patients (diagnosis of 20 new cases). 49.67% of patients increased their body weight, with a median of 3.1 kg (IQR 25-75%: 1.4-7.5 kg). Patients who had longer follow-up (3 or more controls during the year) decreased their Body Mass Index and increased physical activity.

CONCLUSIONS

Although confinement was generally associated with an increase in obesity, diabetes and consumption of toxic substances, in patients who were monitored more frequently, better control of body weight and increased activity was observed. physical.

摘要

引言

在新冠疫情初期,世界上许多国家都实施了封锁措施,这导致了生活方式和健康习惯的改变,而这些改变对不同人群的代谢影响各不相同。

目的

描述科尔多瓦市办公室职员在封锁期间的代谢和人体测量学变化,并确定可能的相关因素。

方法

基于对阿根廷科尔多瓦市一家内分泌诊所患者病历的回顾进行回顾性分析观察研究。通过评估代谢和人体测量学特征,对他们进行了为期1年的随访。

结果

共纳入149例患者,其中116例(77.9%)为女性,年龄中位数:四分位间距为50:36.5 - 58岁。随访结束时,观察到酒精消费量显著增加(18.1%对11.4%,p = 0.001),以及糖尿病患者数量增加(新诊断出20例)。49.67%的患者体重增加,中位数为3.1千克(四分位间距25 - 75%:1.4 - 7.5千克)。随访时间较长(一年中进行3次或更多次检查)的患者体重指数下降,身体活动增加。

结论

尽管封锁总体上与肥胖、糖尿病和有毒物质消费的增加有关,但在接受更频繁监测的患者中,观察到体重得到了更好的控制且身体活动增加。

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本文引用的文献

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[Nutrition and the COVID-19 pandemic].[营养与2019冠状病毒病大流行]
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Clin Investig Arterioscler. 2021 May-Jun;33(3):151-157. doi: 10.1016/j.arteri.2020.10.001. Epub 2020 Oct 28.
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Endocrine and metabolic aspects of the COVID-19 pandemic.COVID-19 大流行的内分泌和代谢方面。
Rev Endocr Metab Disord. 2020 Dec;21(4):495-507. doi: 10.1007/s11154-020-09569-2.
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Diabetes Epidemiology in the COVID-19 Pandemic.新冠疫情期间的糖尿病流行病学
Diabetes Care. 2020 Aug;43(8):1690-1694. doi: 10.2337/dc20-1295. Epub 2020 Jun 15.
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New-Onset Diabetes in Covid-19.新冠病毒感染引发的新发糖尿病
N Engl J Med. 2020 Aug 20;383(8):789-790. doi: 10.1056/NEJMc2018688. Epub 2020 Jun 12.
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Coronavirus infection in patients with diabetes.糖尿病患者的冠状病毒感染
Arch Cardiol Mex. 2020;90(Supl):67-76. doi: 10.24875/ACM.M20000068.

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