A web-based survey assessing perceived changes in diet, physical activity and sleeping behaviours in adults with type 1 and type 2 diabetes during the COVID-19 pandemic in the UK.

COVID-19 diabetes mellitus dietary patterns sleep

Journal

BMJ nutrition, prevention & health
ISSN: 2516-5542
Titre abrégé: BMJ Nutr Prev Health
Pays: England
ID NLM: 101769223

Informations de publication

Date de publication:
Dec 2022
Historique:
received: 29 10 2021
accepted: 18 04 2022
entrez: 9 1 2023
pubmed: 10 1 2023
medline: 10 1 2023
Statut: epublish

Résumé

The COVID-19 pandemic may have contributed to poorer self-management (ie, diet, physical activity and sleep) of diabetes mellitus (DM), which might predispose individuals to more severe COVID-19 outcomes. The first objective was to capture perceived changes in diet, physical activity and sleeping during the COVID-19 pandemic in adults with type 1 (T1DM) and type 2 diabetes mellitus (T2DM) in the UK. A second objective was to explore differences between individuals with DM compared with 'no' or 'other' health conditions. Participants aged >18 years were selected by convenience. Individuals subscribed to the Diabetes.co.uk community were sent a web-based survey including questions about demographics and health, followed by 5-point Likert-type scale questions relating to lifestyle-related behaviours during the COVID-19 pandemic. Individuals were grouped by diagnosis of DM, 'other' or 'no' health condition and responses were compared. 4764 individuals responded, with 2434 (51.3%) being female and 1550 (32.6%) aged 55-64 years. T2DM (2974; 62.7%), hypertension (2147; 45.2%) and T1DM (1299; 27.4%) were most frequently reported. Compared with T1DM, 'no' or 'other' health conditions, respondents with T2DM reported making a less conscious effort to get outside and exercise daily (p<0.001) and spending no time outdoors (p=0.001). Weight loss was more frequently reported in respondents with T2DM (p=0.005). More individuals with T2DM reported consuming convenience foods (p=0.012) and sugary foods (p=0.021), yet eating more fresh foods (p=0.001) and drinking less alcohol than normal (p<0.001). More individuals with T1DM and T2DM reported worse sleep quality (p=0.004). Our study highlighted important differences in lifestyle by individuals with T1DM, T2DM, other and no health conditions in relation to the COVID-19 pandemic. Establishing surveillance systems and conducting repeated assessments are required to analyse how the situation shifted over time and whether adverse collateral effects of the pandemic were sustained in those with chronic health conditions.

Sections du résumé

Background UNASSIGNED
The COVID-19 pandemic may have contributed to poorer self-management (ie, diet, physical activity and sleep) of diabetes mellitus (DM), which might predispose individuals to more severe COVID-19 outcomes.
Objective UNASSIGNED
The first objective was to capture perceived changes in diet, physical activity and sleeping during the COVID-19 pandemic in adults with type 1 (T1DM) and type 2 diabetes mellitus (T2DM) in the UK. A second objective was to explore differences between individuals with DM compared with 'no' or 'other' health conditions.
Methods UNASSIGNED
Participants aged >18 years were selected by convenience. Individuals subscribed to the Diabetes.co.uk community were sent a web-based survey including questions about demographics and health, followed by 5-point Likert-type scale questions relating to lifestyle-related behaviours during the COVID-19 pandemic. Individuals were grouped by diagnosis of DM, 'other' or 'no' health condition and responses were compared.
Results UNASSIGNED
4764 individuals responded, with 2434 (51.3%) being female and 1550 (32.6%) aged 55-64 years. T2DM (2974; 62.7%), hypertension (2147; 45.2%) and T1DM (1299; 27.4%) were most frequently reported. Compared with T1DM, 'no' or 'other' health conditions, respondents with T2DM reported making a less conscious effort to get outside and exercise daily (p<0.001) and spending no time outdoors (p=0.001). Weight loss was more frequently reported in respondents with T2DM (p=0.005). More individuals with T2DM reported consuming convenience foods (p=0.012) and sugary foods (p=0.021), yet eating more fresh foods (p=0.001) and drinking less alcohol than normal (p<0.001). More individuals with T1DM and T2DM reported worse sleep quality (p=0.004).
Conclusions UNASSIGNED
Our study highlighted important differences in lifestyle by individuals with T1DM, T2DM, other and no health conditions in relation to the COVID-19 pandemic. Establishing surveillance systems and conducting repeated assessments are required to analyse how the situation shifted over time and whether adverse collateral effects of the pandemic were sustained in those with chronic health conditions.

Identifiants

pubmed: 36619338
doi: 10.1136/bmjnph-2021-000391
pii: bmjnph-2021-000391
pmc: PMC9813628
doi:

Types de publication

Journal Article

Langues

eng

Pagination

137-144

Informations de copyright

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Références

Diabetes Res Clin Pract. 2020 Aug;166:108347
pubmed: 32711003
Crit Rev Food Sci Nutr. 2022;62(5):1308-1316
pubmed: 33146028
Diabetol Metab Syndr. 2021 Jun 11;13(1):63
pubmed: 34116721
BMJ Open Diabetes Res Care. 2021 Jun;9(1):
pubmed: 34099440
Eur J Nutr. 2021 Aug;60(5):2593-2602
pubmed: 33258996
Diabetes Care. 2016 Nov;39(11):2065-2079
pubmed: 27926890
J Transl Med. 2020 Jun 8;18(1):229
pubmed: 32513197
Eur J Public Health. 2021 Feb 1;31(1):23-30
pubmed: 33169169
Disaster Med Public Health Prep. 2021 Apr;15(2):e23-e28
pubmed: 32660669
Nat Hum Behav. 2020 Dec;4(12):1303-1312
pubmed: 33199859
Front Psychol. 2020 Sep 02;11:588604
pubmed: 32982903
Nutrients. 2020 Aug 04;12(8):
pubmed: 32759636
J Diabetes Complications. 2020 Dec;34(12):107748
pubmed: 33059981
Sci Rep. 2020 Mar 12;10(1):4608
pubmed: 32165672
Front Psychol. 2020 Nov 09;11:574475
pubmed: 33304294
J Psychosom Res. 2020 Sep;136:110186
pubmed: 32682159
Ann Acad Med Singap. 2020 Dec;49(12):996-1008
pubmed: 33463658
Nutrients. 2020 May 26;12(6):
pubmed: 32466598
Sci Rep. 2020 Mar 12;10(1):4598
pubmed: 32165704
Nutrition. 2019 May;61:49-55
pubmed: 30684852
Appetite. 2021 Feb 1;157:105002
pubmed: 33068668
Eur J Clin Nutr. 2020 Jun;74(6):864-870
pubmed: 32404898
Front Psychol. 2020 Dec 10;11:579205
pubmed: 33362643
Eur J Clin Nutr. 2020 Aug;74(8):1117-1121
pubmed: 32313188
Appetite. 2021 Mar 1;158:105019
pubmed: 33161046
Dermatoendocrinol. 2013 Jan 1;5(1):51-108
pubmed: 24494042
Diabetol Metab Syndr. 2021 Sep 7;13(1):95
pubmed: 34493317
BMJ Open Sport Exerc Med. 2021 Feb 01;7(1):e000960
pubmed: 34192010
Sleep Med Rev. 2021 Jun;57:101430
pubmed: 33549913
Metabolism. 2020 Dec;113:154378
pubmed: 33002478
Front Psychol. 2015 Apr 01;6:369
pubmed: 25883579
Diabetes Metab Syndr. 2020 Nov-Dec;14(6):2021-2030
pubmed: 33099144
Appetite. 2021 Jan 1;156:104853
pubmed: 33038479

Auteurs

Charlotte Summers (C)

DDM Health, Coventry, UK.

Marjorie Lima Do Vale (M)

NNEdPro Global Centre for Nutrition and Health, Cambridge, UK.

Louise Haines (L)

Swiss Re Institute, Zurich, Switzerland.

Sarah Armes (S)

NNEdPro Global Centre for Nutrition and Health, Cambridge, UK.

James Bradfield (J)

NNEdPro Global Centre for Nutrition and Health, Cambridge, UK.

Dominic Crocombe (D)

NNEdPro Global Centre for Nutrition and Health, Cambridge, UK.

Sumantra Ray (S)

NNEdPro Global Centre for Nutrition and Health, Cambridge, UK.
School of Biomedical Sciences, Ulster University, Coleraine, UK.

Classifications MeSH