Improved glycemic control amongst people with long-standing diabetes during COVID-19 lockdown: a prospective, observatio
- PDF / 280,257 Bytes
- 6 Pages / 595.276 x 790.866 pts Page_size
- 65 Downloads / 160 Views
ORIGINAL ARTICLE
Improved glycemic control amongst people with long-standing diabetes during COVID-19 lockdown: a prospective, observational, nested cohort study Ashu Rastogi 1
&
Priya Hiteshi 2 & Anil Bhansali 2
Received: 10 September 2020 / Accepted: 6 October 2020 # Research Society for Study of Diabetes in India 2020
Abstract Background and aims COVID-19 is likely to affect the lives of individuals with type 2 diabetes. However, the effect of COVID19 lockdown on physical activity and glycemic control in such individuals is not known. We studied the physical activity and glycemic control during lockdown in comparison to pre-lockdown parameters in individuals with long-standing type 2 diabetes. Methods This prospective, observational study includes 2240 people with T2DM regularly attending diabetes clinic prior to lockdown. Glycemic record, HbA1c, and physical activity assessed with Global Physical Activity Questionnaire (GPAQ) as metabolic equivalents (MetS min/week) were obtained during lockdown (minimum duration of 3 months). Results A total of 422 out of 750 participants (nest) responded. The median (IQR) for age was 58 (52 to 64) years, duration of diabetes 11 (6 to 16) years, prevalent foot complications in 59.7%, and atherosclerotic cardiovascular disease in 21.3% of participants. There was a decrease in HbA1c from 7.8% (6.9 to 9.4) prior lockdown to 7.4% (6.6 to8.7) during lockdown [ΔHbA1c − 0.41 ± 0.27% (p = 0.005)] and postprandial blood glucose 200.0 mg/dl (152.0 to 252.0) to 158.0 (140.0 to 200.0) mg/dl (p < 0.001). The physical activity increased during lockdown from a GPAQ score 140 (0.0 to 1260) MetS to 840 (0.0 to 1680) MetS (p = 0.014). The improvement of glycemic control was observed in either gender and independent of the presence of foot complications or increase in physical activity. Conclusions There is an overall improvement of glycemic control during COVID-19 lockdown independent of increase in physical activity in people with long duration of diabetes. Keywords COVID-19 . Glycemic control . HbA1c . Global Physical Activity Questionnaire (GPAQ) . Physical activity
Introduction COVID-19 due to SARS-CoV-2 infection was declared as global pandemic by WHO on 11 March 2020. It was suggested that the transmission may be significantly curbed by limitation of outdoor activities through the imposition of strict lockdown [1]. Subsequently, complete lockdown was enforced in India on March 25, 2020, until May 4, and partial lockdown is in place limiting daily activities at the time of writing the manuscript. A significant restriction of
* Ashu Rastogi [email protected] 1
Department of Endocrinology, Nehru Hospital, PGIMER, Chandigarh 160012, India
2
Department of Endocrinology, PGIMER, Chandigarh, India
outdoor physical activity during lockdown may have perpetuating influence on lifestyle disorders including obesity, hypertension, and diabetes. Sedentary lifestyles, poor dietary habits, and sleep deprivation are known potentially modifiable risk factors for poor glycemic control in people
Data Loading...
