Impact of COVID-19 lockdown on lifestyle adherence in stay-at-home patients with chronic coronary syndromes: Towards a time bomb

INTERNATIONAL JOURNAL OF CARDIOLOGY

卷:323

Article

Cransac-Miet, Amelie^1,2  Zeller, Marianne³  Chague, Frederic⁴  Faure, Agnes Soudry⁵  Bichat, Florence⁴  Danchin, Nicolas⁶  Boulin, Mathieu^1,2  Cottin, Yves⁴ 

[1] Univ Hosp, Dept Pharm, Dijon, France

[2] Univ Hosp, LNC UMR 1231, Dijon, France

[3] EA 7460 Dijon, PEC2, Dijon, France

[4] Univ Hosp, Dept Cardiol, Dijon, France

[5] Univ Hosp, Dept Clin Res & Invest, Dijon, France

[6] Hop Europeen Georges Pompidou, Dept Cardiol, Paris, France

关键词: COVID-19;    Lockdown;    Chronic coronary syndromes;    Lifestyle;    Adherence;   

DOI  :  10.1016/j.ijcard.2020.08.094

来源: Elsevier

【 摘 要 】

Background: We aimed to evaluate the impact of coronavirus disease 2019 (COVID-19)-related lockdown on adherence to lifestyle and drug regimens in stay-at-home chronic coronary syndromes patients living in urban and rural areas. Methods: A cross-sectional population-based study was perfomed in patients with chronic coronary syndromes. A sample of 205 patients was randomly drawn from the RICO (Observatoire des infarctus de Cote d'Or) cohort. Eight trained interviewers collected data by phone interview during week 16 (April 13 to April 19), i.e. 4 weeks after implementation of the French lockdown (start March 17, 2020). Results: Among the 195 patients interviewed (of the 205, 3 had died, 1 declined, 6 lost), mean age was 65.5 11.1 years. Only six patients (3%) reported drug discontinuation, mainly driven by media influence or family members. All 166 (85%) patients taking aspirin continued their prescribed daily intake. Lifestyle rules were less respected since almost half (45%) declared 25% reduction in physical activity, 26% of smokers increased their tobacco consumption by >25%, and 24% of patients increased their body weight > 2 kg. The decrease in physical activity and the increase in smoking were significantly greater in urban patients (P < .05). Conclusions: The COVID-19-related lockdown had a negative impact on lifestyle in a representative sample of stay-at-home CCS patients. (C) 2020 Published by Elsevier B.V.

【 授权许可】

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