COVID-19 pandemic impact on people with diabetes: results from a large representative sample of Italian older adults.

COVID-19 Italy cross-sectional studies delivery of health care diabetes health behaviours lifestyles pandemics

Journal

Primary care diabetes
ISSN: 1878-0210
Titre abrégé: Prim Care Diabetes
Pays: England
ID NLM: 101463825

Informations de publication

Date de publication:
Oct 2022
Historique:
received: 26 04 2022
revised: 31 05 2022
accepted: 13 06 2022
pubmed: 2 7 2022
medline: 20 10 2022
entrez: 1 7 2022
Statut: ppublish

Résumé

Restrictions imposed to prevent SARS-CoV-2 transmission should be weighed against consequences on vulnerable groups' health. Lifestyles and disease management of older people with diabetes might have been differentially impacted compared to non-chronic individuals. A cross-sectional study (LOST in Lombardia) was conducted on a representative full sample of 4 400 older adults (17 We compared 947 (51.9%) people with diabetes and 879 (48.1%) healthy subjects reporting no chronic conditions. People with diabetes reported more frequently increased physical activity (odds ratio, OR 2.65, 95% confidence internals, CI 1.69-4.13), drinks/week reduction (OR 6.27, 95%CI 3.59-10.95), increased consumption of fruit (OR 2.06, 95%CI 1.62-2.63), vegetables (OR 1.41, 95%CI 1.10-1.82), fish (OR 2.51, 95%CI 1.74-3.64) and olive oil (OR 3.54, 95%CI 2.30-5.46). People with diabetes increased telephone contacts with general practitioners (OR 3.70, 95%CI 2.83-4.83), hospitalisations (OR 9.01, 95%CI 3.96-20.51), visits and surgeries cancellations (OR 3.37, 95%CI 2.58-4.42) and treatment interruptions (OR 1.95, 95%CI 1.33-2.86). Pandemic adverse effects occurred but are heterogenous in a population with chronic diseases, who seized the opportunity to improve health behaviours, despite health system difficulties guaranteeing routine care, within and beyond COVID-19.

Identifiants

pubmed: 35778238
pii: S1751-9918(22)00106-1
doi: 10.1016/j.pcd.2022.06.001
pmc: PMC9212916
pii:
doi:

Substances chimiques

Olive Oil 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

650-657

Investigateurs

A Amerio (A)
M Amore (M)
P Bertuccio (P)
M Bonaccio (M)
C Bosetti (C)
L Cavalieri d'Oro (L)
R Ciampichini (R)
R De Sena (R)
S Gallus (S)
F Gianfagna (F)
S Ghislandi (S)
A Ghulam (A)
L Iacoviello (L)
C M Jarach (CM)
A Lugo (A)
G Mosconi (G)
A Odone (A)
M Rognoni (M)
G Serafini (G)
M Scala (M)
C Signorelli (C)
C Stival (C)
D Stuckler (D)
G P Vigezzi (GP)
Y Wang (Y)
A Zucchi (A)

Informations de copyright

Copyright © 2022 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

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Auteurs

Giacomo Pietro Vigezzi (GP)

Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy; Collegio Ca' della Paglia, Fondazione Ghislieri, Pavia, Italy.

Paola Bertuccio (P)

Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.

Camilla Bonfadini Bossi (CB)

Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.

Andrea Amerio (A)

Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, Genoa, Italy; IRCCS Ospedale Policlinico San Martino, Genoa, Italy.

Luca Cavalieri d'Oro (LC)

Epidemiology Unit, Brianza Health Protection Agency, Monza, Italy.

Giuseppe Derosa (G)

Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy; Centre of Diabetes and Metabolic Diseases, University of Pavia and IRCCS Policlinico San Matteo Foundation, Pavia, Italy.

Licia Iacoviello (L)

Department of Medicine and Surgery, Research Center in Epidemiology and Preventive Medicine (EPIMED), University of Insubria, Varese, Italy; Department of Epidemiology and Prevention, IRCCS Neuromed, Pozzilli, Italy.

David Stuckler (D)

Department of Social and Political Sciences, Bocconi University, Milan, Italy.

Alberto Zucchi (A)

Epidemiology Unit, Bergamo Health Protection Agency, Bergamo, Italy.

Alessandra Lugo (A)

Department of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.

Silvano Gallus (S)

Department of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.

Anna Odone (A)

Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy. Electronic address: anna.odone@unipv.it.

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