Effect of coronavirus disease 2019 pandemic on the lifestyle and glycemic control in patients with type 2 diabetes: a cross-section and retrospective cohort study

Endocrine journal

article

Chihiro Munekawa¹  Saori Majima¹  Takafumi Senmaru¹  Naoko Nakanishi¹  Emi Ushigome¹  Masahide Hamaguchi¹  Masahiro Yamazaki¹  Michiaki Fukui¹  Yukako Hosomi¹  Yoshitaka Hashimoto¹  Takuro Okamura¹  Fuyuko Takahashi¹  Rena Kawano¹  Hanako Nakajima¹  Takafumi Osaka¹  Hiroshi Okada¹ 

[1] Department of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science

关键词: COVID-19;    Pandemic;    Type 2 diabetes;    Stress;    Exercise;   

DOI  :  10.1507/endocrj.EJ20-0426

学科分类：内分泌与代谢学

来源: Japan Endocrine Society

【 摘 要 】

To investigate the acute effects of the coronavirus disease 2019 (COVID-19) on the lifestyle and metabolic parameters in patients with type 2 diabetes mellites. This cross-sectional and retrospective cohort study induced 203 patients who completed a questionnaire regarding stress levels and lifestyles. Data regarding stress levels, sleep time, exercise, and total diet, snack, and prepared food intake were obtained from the questionnaires. The changes in the body weight or HbA1c levels were determined by comparing the values at the time the questionnaire was administered to those noted 3 months ago. Increased levels of stress and decreased exercise levels were reported in approximately 40% and >50%. During the COVID-19 pandemic. There was a negative correlation between stress and exercise ( r = –0.285, p < 0.001) and a positive correlation between stress and prepared food intake ( r = 0.193, p = 0.009). Decreased exercise levels ( r = –0.33, p < 0.001) and increased snack consumption ( r = 0.24, p = 0.002) were associated with increased body weight. Furthermore, increased total diet intake ( r = 0.16, p = 0.031) was associated with increased HbA1c levels. These relationships remained significant for patients aged <65 years and patients who did not engage in regular exercise. Many patients experienced stress and lifestyle changes due to the COVID-19 pandemic, and these changes were associated with increased body weight and HbA1c levels.

【 授权许可】

Unknown