The medium-term consequences of a COVID-19 lockdown on lifestyle among Spanish older people with hypertension, pulmonary disease, cardiovascular disease, musculoskeletal disease, depression, and cancer
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OBJECTIVES: This study investigated the associations of chronic diseases with changes in lifestyle and health behaviours in older people following the coronavirus disease 2019 (COVID-19) lockdown in Spain and compared the differences in changes over time. METHODS: 1,092 participants (80.3± 5.6 years; 66.5% female) from 2 Spanish cohorts were included. Telephone-based questionnaires were conducted to evaluate lifestyle and health risk behaviours at the end of lockdown and 7 months post-lockdown. Participants were classified as having physician-diagnosed chronic diseases based on self-reported data. Cox proportional models adjusted for major confounders were used. RESULTS: Compared to those without the corresponding chronic diseases, older people with hypertension were less likely to report increased alcohol consumption (hazard ratio [HR], 0.73; 95% confidence interval [CI], 0.55 to 0.99). Pulmonary diseases were associated with lower risks of increased sedentary time (HR, 0.58; 95% CI, 0.39 to 0.86) and worsened sleep quality (HR, 0.56; 95% CI, 0.36 to 0.87), while cardiovascular diseases were associated with a lower risk of decreased sedentary time (HR, 0.58; 95% CI, 0.38 to 0.88). Depression was linked to a higher likelihood of improved diet quality (HR, 1.53; 95% CI, 1.00 to 2.36). Cancer pacients were less likely to have worsened sleep quality (HR, 0.44; 95% CI, 0.22 to 0.89) but more likely to have reduced their frequency of social contact (HR, 2.05; 95% CI, 1.05 to 3.99). CONCLUSIONS: Older people with chronic diseases showed beneficial changes in lifestyle and health risk behaviours after the COVID-19 lockdown. In particular, older people with hypertension, pulmonary disease, and cancer tended to make beneficial lifestyle and health behaviour changes. However, older people with cardiovascular disease and depression engaged in more health risk behaviours.
Abstract
OBJECTIVES: This study investigated the associations of chronic diseases with changes in lifestyle and health behaviours in older people following the coronavirus disease 2019 (COVID-19) lockdown in Spain and compared the differences in changes over time. METHODS: 1,092 participants (80.3± 5.6 years; 66.5% female) from 2 Spanish cohorts were included. Telephone-based questionnaires were conducted to evaluate lifestyle and health risk behaviours at the end of lockdown and 7 months post-lockdown. Participants were classified as having physician-diagnosed chronic diseases based on self-reported data. Cox proportional models adjusted for major confounders were used. RESULTS: Compared to those without the corresponding chronic diseases, older people with hypertension were less likely to report increased alcohol consumption (hazard ratio [HR], 0.73; 95% confidence interval [CI], 0.55 to 0.99). Pulmonary diseases were associated with lower risks of increased sedentary time (HR, 0.58; 95% CI, 0.39 to 0.86) and worsened sleep quality (HR, 0.56; 95% CI, 0.36 to 0.87), while cardiovascular diseases were associated with a lower risk of decreased sedentary time (HR, 0.58; 95% CI, 0.38 to 0.88). Depression was linked to a higher likelihood of improved diet quality (HR, 1.53; 95% CI, 1.00 to 2.36). Cancer pacients were less likely to have worsened sleep quality (HR, 0.44; 95% CI, 0.22 to 0.89) but more likely to have reduced their frequency of social contact (HR, 2.05; 95% CI, 1.05 to 3.99). CONCLUSIONS: Older people with chronic diseases showed beneficial changes in lifestyle and health risk behaviours after the COVID-19 lockdown. In particular, older people with hypertension, pulmonary disease, and cancer tended to make beneficial lifestyle and health behaviour changes. However, older people with cardiovascular disease and depression engaged in more health risk behaviours.
참고문헌 (37)
- "Royal Decree 463/2020, of 14 March, declaring the state of alarm for the management of the health crisis situation caused by COVID-19"[URL]
- "Order SND/380/2020, of April 30, on the conditions in which non-professional physical activity can be carried out outdoors during the health crisis situation caused by COVID-19"[URL]
- Jiménez-Pavón D, "Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine : Special focus in older people", Prog Cardiovasc Dis, 63, pp.386~388 (2020)
- Chen P, "Coronavirus disease(COVID-19) : the need to maintain regular physical activity while taking precautions", J Sport Health Sci, 9, pp.103~104 (2020)
- Wang C, "Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease(COVID-19)epidemic among the general population in China", Int J Environ Res Public Health, 17, pp.1729~ (2020)
- Fernández-García ÁI, "Impact of the home confinement related to COVID-19 on the device-assessed physical activity and sedentary patterns of Spanish older adults", Biomed Res Int, 2021, pp.5528866~ (2021)
- Palmer K, "The potential long-term impact of the COVID-19 outbreak on patients with non-communicable diseases in Europe : consequences for healthy ageing", Aging Clin Exp Res, 32, pp.1189~1194 (2020)
- Marengoni A, "The effect of a 2-year intervention consisting of diet, physical exercise, cognitive training, and monitoring of vascular risk on chronic morbidity-the FINGER randomized controlled trial", J Am Med Dir Assoc, 19, pp.355~360 (2018)
- Dekker J, "Exercise in people with comorbidity or multimorbidity", Health Psychol, 38, pp.822~830 (2019)
- Nguyen H, "Prevalence of multimorbidity in community settings : a systematic review and meta-analysis of observational studies", J Comorb, 9, pp.2235042~ (2019)
- Qiu J, "A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic : implications and policy recommendations", Gen Psychiatr, 33, pp.e100213~ (2020)
- Schröder H, "A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women", J Nutr, 141, pp.1140~1145 (2011)
- Logan SL, "The Physical Activity Scale for the Elderly(PASE)questionnaire; does it predict physical health", Int J Environ Res Public Health, 10, pp.3967~3986 (2013)
- Sánchez-López Mdel P, "The 12-Item General Health Questionnaire(GHQ-12) : reliability, external validity and factor structure in the Spanish population", Psicothema, 20, pp.839~843 (2008)
- Ware JE, "How to score version 2 of the SF-12 health survey(with a supplement documenting version 1)", pp.19~ (2002), Quality Metric
- Wagner M, "Non-response in surveys of very old people", Eur J Ageing, 16, pp.249~258 (2018)
- Dolgalev IV, "Combined effect of hypertension and alcohol consumption on the risk of death(27‑year cohort prospective study)", Kardiologiia, 61, pp.36~43 (2021)
- Wake AD, "The role of dietary salt and alcohol use reduction in the management of hypertension", Expert Rev Cardiovasc Ther, 19, pp.27~40 (2021)
- Browne RA, "Initial impact of the COVID-19 pandemic on physical activity and sedentary behavior in hypertensive older adults : an accelerometer-based analysis", Exp Gerontol, 142, pp.111121~ (2020)
- Girardin JL, "Contribution of pulmonary diseases to COVID-19 mortality in a diverse urban community of New York", Chron Respir Dis, 18, pp.1479973120986806~ (2021)
- Leigh-Hunt N, "An overview of systematic reviews on the public health consequences of social isolation and loneliness", Public Health, 152, pp.157~171 (2017)
- Lindsay Smith G, "The association between social support and physical activity in older adults : a systematic review", Int J Behav Nutr Phys Act, 14, pp.56~ (2017)
- Irwin MR, "Sleep disturbance, sleep duration, and inflammation : a systematic review and meta-analysis of cohort studies and experimental sleep deprivation", Biol Psychiatry, 80, pp.40~52 (2016)
- Chen D, "Measurements and status of sleep quality in patients with cancers", Support Care Cancer, 26, pp.405~414 (2018)
- García-Esquinas E, "Changes in health behaviors, mental and physical health among older adults under severe lockdown restrictions during the COVID-19 andemic in Spain", Int J Environ Res Public Health, 18, pp.7067~ (2021)
- Pandey A, "Continuous dose-response association between sedentary time and risk for cardiovascular disease : a meta-analysis", JAMA Cardiol, 1, pp.575~583 (2016)
- Bao R, "Sedentary behavior research in the Chinese population : a systematic scoping review", Int J Environ Res Public Health, 17, pp.3576~ (2020)
- Lavie CJ, "Sedentary behavior, exercise, and cardiovascular health", Circ Res, 124, pp.799~815 (2019)
- Reyes-Olavarría D, "Positive and negative changes in food habits, physical activity patterns, and weight status during COVID-19 confinement : associated factors in the chilean population", Int J Environ Res Public Health, 17, pp.5431~ (2020)
- Rodríguez-González R, "Psychological, social and health-related challenges in Spanish older adults during the lockdown of the COVID-19 first wave", Front Psychiatry, 11, pp.588949~ (2020)
- Wang Y, "Changes in psychological distress before and during the COVID-19 pandemic among older adults : the contribution of frailty transitions and multimorbidity", Age Ageing, 50, pp.1011~1018 (2021)
- Hao F, "Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry", Brain Behav Immun, 87, pp.100~106 (2020)
- García Mayor J, "Physical activity and health-related lifestyle in the Spanish population living with musculoskeletal disease", Nutr Hosp, 38, pp.128~138 (2021)
- Sasaki S, "Associations between socioeconomic status, social participation, and physical activity in older people during the COVID-19 pandemic : a cross-sectional study in a northern Japanese city", Int J Environ Res Public Health, 18, pp.1477~ (2021)
- Palmer K, "Multimorbidity care model : recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle(JA-CHRODIS)", Health Policy, 122, pp.4~11 (2018)
- Pelletier JP, "Diacerein-containing products : same risk of diarrhoea", Aging Clin Exp Res, 30, pp.411~412 (2018)
- Washburn RA, "The Physical Activity Scale for the Elderly(PASE) : development and evaluation", J Clin Epidemiol, 46, pp.153~162 (1993)