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COVID-19: Original Article
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
Irene Rodríguez-Gómez, Coral Sánchez-Martín, Francisco J. García-García, Esther García-Esquinas, Marta Miret, Germán Vicente-Rodriguez, Narcís Gusi, Asier Mañas, José A. Carnicero, Marcela Gonzalez-Gross, José L. Ayuso-Mateos, Fernando Rodríguez-Artalejo, Leocadio Rodríguez-Mañas, Ignacio Ara
Epidemiol Health. 2022;44:e2022026.   Published online February 21, 2022
DOI: https://doi.org/10.4178/epih.e2022026
  • 12,621 View
  • 369 Download
  • 3 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
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.
Summary
Key Message
Although the majority of older people with chronic diseases showed beneficial changes in lifestyle and health risk behaviors after the COVID-19 lockdown, public health interventions should be developed to prevent the dangerous long-term effects that COVID-19 pandemic-type situations may have on the health of older people, with a particular focus on older people with CVD and depression that seem to have experienced more health risk behaviors during the COVID-19 pandemic than older people with other chronic diseases.

Citations

Citations to this article as recorded by  
  • Global burden of sleep disturbances among older adults and the disparities by geographical regions and pandemic periods
    Min Du, Min Liu, Yaping Wang, Chenyuan Qin, Jue Liu
    SSM - Population Health.2024; 25: 101588.     CrossRef
  • More Adult Women than Men at High Cardiometabolic Risk Reported Worse Lifestyles and Self-Reported Health Status in the COVID-19 Lockdown
    Alejandro Oncina-Cánovas, Laura Compañ-Gabucio, Jesús Vioque, Miguel Ruiz-Canela, Dolores Corella, Jordi Salas-Salvadó, Montserrat Fitó, Alfredo Martínez, Ángel M. Alonso-Gómez, Julia Wärnberg, Dora Romaguera, José López-Miranda, Ramón Estruch, Francisco
    Nutrients.2024; 16(13): 2000.     CrossRef
  • Nut Consumption and Depression: Cross-Sectional and Longitudinal Analyses in Two Cohorts of Older Adults
    R. Fernández-Rodríguez, R. Ortolá, Vicente Martínez-Vizcaíno, B. Bizzozero-Peroni, F. Rodríguez-Artalejo, E. García-Esquinas, E. López-García, A.E. Mesas
    The Journal of nutrition, health and aging.2023; 27(6): 448.     CrossRef
Original Article
Prevalence, awareness, treatment, control, and risk factors of hypertension among adults: a cross-sectional study in Iran
Maryam Eghbali, Alireza Khosravi, Awat Feizi, Asieh Mansouri, Behzad Mahaki, Nizal Sarrafzadegan
Epidemiol Health. 2018;40:e2018020.   Published online May 18, 2018
DOI: https://doi.org/10.4178/epih.e2018020
  • 18,535 View
  • 504 Download
  • 42 Web of Science
  • 38 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Hypertension (HTN) is an important risk factor for cardiovascular disease. Considering the importance of this disease for public health, this study was designed in order to determine the prevalence, awareness, treatment, control, and risk factors of HTN in the Iranian adult population.
METHODS
This cross-sectional study was conducted among 2,107 residents of Isfahan, Iran. Samples were selected through multi-stage random cluster sampling in 2015-2016. The outcome variable was HTN, determined by measuring blood pressure in the right arm via a digital arm blood pressure monitor. Awareness, treatment, and control of HTN were assessed by a validated and reliable researcher-developed questionnaire. Other demographic and clinical variables were assessed via a demographic questionnaire.
RESULTS
The overall prevalence of HTN was 17.3% (18.9 and 15.5% in men and women, respectively). The prevalence of HTN increased in both genders with age. The prevalence of awareness of HTN among people with HTN was 69.2%, of whom 92.4 and 59.9% were taking medication for HTN and had controlled HTN, respectively. Logistic regression identified age, body mass index, having diabetes and hyperlipidemia, and a positive family history of HTN as determinants of awareness of HTN.
CONCLUSIONS
The results showed that HTN was highly prevalent in the community, especially in men and in middle-aged and older adults. Approximately 30.8% of patients were unaware of their disease, and there was less awareness among younger adults. Despite the high frequency of taking medication to treat HTN, it was uncontrolled in more than 40.1% of patients. Health policy-makers should therefore consider appropriate preventive and therapeutic strategies for these high-risk groups.
Summary

Citations

Citations to this article as recorded by  
  • Self-rated health and its determinants in patients with hypertension in Isfahan in 2019
    Asieh Mansouri, Alireza Khosravi Farsani, Noushin Mohammadifard, Fatemeh Nouri, Mahnaz Jozan, Ghazaal Alavi Tabatabaei, Rezvan Salehidoost, Hamed Rafiee
    BMC Public Health.2024;[Epub]     CrossRef
  • Home-based supportive and health care services based on functional ability in older adults in Iran
    Khorshid Mobasseri, Hossein Matlabi, Hamid Allahverdipour, Ahmad Kousha
    Journal of Education and Health Promotion.2024;[Epub]     CrossRef
  • Polypharmacy and medication usage patterns in hypertensive patients: Findings from the Pars Cohort Study
    Pooria Zare, Hossein Poustchi, Zahra Mohammadi, Bita Mesgarpour, Mohammadreza Akbari, Alireza Kamalipour, Seyed Reza Abdipour-Mehrian, Elham-Sadat Hashemi, Arash Ghamar-Shooshtari, Seyed Ali Hosseini, Reza Malekzadeh, Hamed Bazrafshan Drissi, Fatemeh Male
    Research in Social and Administrative Pharmacy.2024; 20(11): 1038.     CrossRef
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    Urmila Roy, Arafat Hassan Razon, Tanvir Ahmad, Tabassum Sultana Barsha
    Human Nutrition & Metabolism.2024; 38: 200289.     CrossRef
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    Melike Demir Doğan, Rabia Rumeysa Akdemir
    SN Comprehensive Clinical Medicine.2024;[Epub]     CrossRef
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    Biochemical Genetics.2023; 61(5): 2149.     CrossRef
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    Demetrio Lamloum, Federico Fassio, Brianna Osetinsky, Fabrizio Tediosi
    International Journal of Public Health.2023;[Epub]     CrossRef
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    Ravindra Verma, Prakash S Bisen, Mònica Bulló
    Journal of Food Bioactives.2023; : 17.     CrossRef
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    Hamid Najafipour, Hamid Reza Nasri, Farzaneh Rostamzadeh, Raheleh Amirzadeh, Mitra Shadkam, Ali Mirzazadeh
    Journal of Human Hypertension.2022; 36(5): 461.     CrossRef
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    Abbas Balouchi, Mojgan Haj Ahmadi Pour Rafsanjani, Kholoud Al-Mutawaa, Mahin Naderifar, Hosein Rafiemanesh, Abbas Ebadi, Tahereh Najafi Ghezeljeh, Azita Shahraki-Mohammadi, Adhra Al-Mawali
    Current Problems in Cardiology.2022; 47(7): 101069.     CrossRef
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    Noise & Vibration Worldwide.2022; 53(6): 290.     CrossRef
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