Behavioral changes in patients with diabetes during the COVID-19 pandemic
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Behavioral changes in patients with diabetes during the COVID‑19 pandemic Miyako Kishimoto1,2 · Takuya Ishikawa2 · Masato Odawara1,2 Received: 1 July 2020 / Accepted: 17 September 2020 © The Japan Diabetes Society 2020
Abstract Aims/Introduction Amid the coronavirus disease (COVID-19) pandemic, the Japanese government declared a state of emergency and urged people to stay at home to prevent disease transmission. Herein, we investigated this emergency situation’s effect on diabetes patients’ lifestyle and glycemic control Materials and methods Diabetes patients who visited our hospital between April 1 and June 13, 2020, for a regular consultation were asked about changes in their physical activities and dietary habits during the state of emergency period. Results Among 168 patients, 26 (15.5%) gained > 2 kg; HbA1c levels were elevated or decreased by > 0.2% compared to that at the last visit in 57 and 51 patients (Groups D and I), respectively. Group D patients were affected to a larger extent by changes in commuting (transition to teleworking) and closures of sport gyms than Group I patients. Increased snacks, sweets, total diet, and alcohol intake could have contributed to worsening of glucose control in Group D, whereas a healthy diet and less alcohol intake could have led to better glucose control in Group I. Conclusion During the state of emergency period, decreased physical activity levels negatively affected glycemic control. However, despite changes in physical activity level, maintaining or improving dietary habits could lead to better glycemic control in diabetes patients. During this COVID-19 pandemic, more diabetes patients are likely to shift to teleworking and stay home for longer periods. Therefore, we should develop effective and feasible measures to promote exercise and dietary therapy, especially for those who engage in teleworking. Keywords COVID-19 · Stay-at-home · Physical activity · Diet · Teleworking
Introduction The coronavirus disease (COVID-19) is an infectious disease caused by a recently discovered coronavirus which was hitherto unknown before the outbreak began in Wuhan, China, in December 2019 [1]. The World Health Organization (WHO) declared COVID-19 to be a public health emergency on January 30, 2020, and subsequently graded it as a pandemic that affected many countries worldwide. As of September 9, 2020, there were 27,486,960 confirmed
* Miyako Kishimoto [email protected] 1
Clinical Research Center, Department of Medicine, International University of Health and Welfare, 8‑10‑16 Akasaka Minato, Tokyo 107‑0052, Japan
Department of Internal Medicine, Sanno Hospital, 8‑10‑16 Akasaka Minato, Tokyo 107‑0052, Japan
2
cases of COVID-19, including 894,983 deaths that have been reported to the WHO [1]. In Japan, since early March, the government asked all school to close and encouraged companies to introduce remote-working systems to prevent COVID-19 spread. On April 7, the Prime Minister declared a state of emergency for Tokyo, Osaka, and five othe
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