Adherence to physical exercise recommendations among type 2 diabetes patients during the COVID-19 pandemic

Abate, Hailemichae Kindie; Ferede, Yohanes Mulu; Mekonnen, Chilot Kassa

doi:10.1016/j.ijans.2022.100407

Cited by 5 publications

(17 citation statements)

References 35 publications

(37 reference statements)

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“…Contrary to an earlier finding in Ethiopia (Parajuli et al, 2014;Abate et al, 2020), community of residence was not significantly associated with exercise adherence. The lack of significant difference in exercise adherence between rural and urban community residents could probably be due to the fact that the largest proportion of respondents were employed in the agriculture sector which often involves some level of physical activities.…”

Section: Discussioncontrasting

confidence: 99%

“…The current study also found that approximately, 9 in 10 respondents did not own a glucometer, a machine used to check blood glucose level. This was consistent with other studies (Abate et al, 2020;Afaya et al, 2020;Ayele et al, 2022) which reported that most diabetes patients did not have a glucometer. On the contrary, studies in Saudi Arabia (Sheikh et al, 2021) and Iran (Mirahmadizadeh et al, 2020) assessing diabetes self-care practices found that most of the respondents owned a glucometer.…”

Section: Discussionsupporting

confidence: 93%

“…Another important finding of the current study was that the majority of the respondents were adherent to prescribed exercise (physical activity). Although, this result was consistent with those of Debalke et al (2020) and Mirahmadizadeh et al (2020), it differed from some published studies (Alhariri et al, 2017;Mendes et al, 2019;Abate et al, 2020). The observed differences in study findings could be explained in part by the variations in the population characteristics.…”

Section: Discussionsupporting

confidence: 83%

“…More recently, there has been a greater focus on nutrition WHO, 2020) and physical activity (Bullard et al, 2019;Grasdalsmoen et al, 2019;Levy et al, 2019;Abate et al, 2020) as key determinants of health. Available evidence shows that community of residence drive unhealthy diets and sedentary behaviour (e.g.…”

Section: Introductionmentioning

confidence: 99%

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Rural/Urban Variations in Diabetes Self-Care in a Sample of Ghanaian Adults with Type II Diabetes: a Study in the East Gonja Municipality

Nketia¹

2022

IJMSIR

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More recently, there has been a greater focus on nutrition and physical activity as key determinants of health. Available evidence suggests that community of residence drive unhealthy diets and sedentary behaviour (e.g. increased physical inactivity); unhealthy diet and sedentary behaviour are major risk factors for non-communicable diseases (NCDs). This single-site hospital-based study assessed rural/urban variations in diabetes self-care practices in a sample of Ghanaian adults with type II diabetes. The study employed a descriptive cross-sectional design. Respondents were recruited from the Diabetes/Hypertension clinic of the East Gonja Municipal Hospital in Salaga, Ghana, through systematic sampling. Structured, interviewer-administered questionnaires were used to collect data for the study. The primary data were analyzed using Statistical Package for Social Sciences (SPSS) version 25. One hundred and sixty-eight (168) type II diabetes patients participated in the study. More than half of them were residents of rural communities (50.6%). Overall, adherence to medication, diet, and physical activity were 51.8%, 41.8%, and 56.0%, respectively. Controlling for age, occupation, and monthly income, residents of urban communities were more likely to adhere to prescribed anti-diabetic medications compared to those in rural communities (AOR 3.70; 95% CI 1.02, 8.11). On the contrary, residence in a rural community was positively associated with adherence to dietary recommendations (AOR 4.21; 95% CI 1.73, 9.54). The current findings highlight the need for diabetes self-management education and support (DSMES) programmes in the East Gonja Municipality to facilitate the knowledge sharing, decision-making, and skills mastery for diabetes self-care.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

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Rural/Urban Variations in Diabetes Self-Care in a Sample of Ghanaian Adults with Type II Diabetes: a Study in the East Gonja Municipality

Nketia¹

2022

IJMSIR

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“…Moreover, a previous study using a nationwide claims database in Japan reported a transient decline in the number of physician visits by people with chronic diseases, including those with diabetes mellitus, decreasing immediately after the COVID‐19 outbreak and returning to the baseline by a month later 11 . On the other hand, a decrease in the adherence rates to treatments, such as medications, medical nutritional therapy, and physical activity, among people with diabetes mellitus during the COVID‐19 pandemic has been reported 12 , 13 , 14 . Several studies have reported a worsening of glycemic control and weight gain in people with diabetes mellitus during the COVID‐19 outbreak 15 , 16 , whereas others found no worsening of the glycemic control in people with diabetes mellitus during the COVID‐19 pandemic 17 , 18 .…”

Section: Introductionmentioning

confidence: 99%

Impact of the COVID‐19 pandemic on the glycemic control, eating habits, and body compositions of people with diabetes mellitus: A retrospective longitudinal observational study

Sawada

Ohkuma

Aihara

et al. 2022

J of Diabetes Invest

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Aims/Introduction To evaluate the impact of the COVID‐19 pandemic on the glycemic control, eating habits, and body composition of people with diabetes mellitus; to identify the determinants of worsening glycemic control in people with diabetes mellitus. Materials and methods This retrospective, longitudinal observational study was performed in outpatients with diabetes mellitus who visited our hospital between April 2019 and March 2020 (pre‐COVID‐19 period) and continued for follow up from April 2020 to March 2021 (COVID‐19 period). We compared the glycemic control, nutritional intakes, and body composition of people with diabetes mellitus between the two periods. The changes in the HbA1c values (ΔHbA1c) and other study variables were compared between the two periods. Logistic regression analysis was performed to identify the factors associated with the increase of HbA1c levels. Results A significant increase of HbA1c was observed during the COVID‐19 period. The percent fat mass (FM) also increased, while the percent skeletal muscle mass (SMM) decreased during the COVID‐19 period. After adjustments for age and sex, the ΔBMI (OR:2.33), ΔFM (OR:1.45), and ΔSMM (OR:0.51) were identified as being associated with elevated levels of HbA1c. Conclusions The COVID‐19 pandemic had a negative impact on the glycemic control and body composition of people with diabetes mellitus. The increased body weight and FM and decreased SMM observed during the pandemic were associated with poor glycemic control in people with diabetes mellitus.

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The impact of COVID-19 on non-communicable disease patients in sub-Saharan African countries: systematic review

Basa,

De Vries,

McDonagh

et al. 2023

Preprint

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BackgroundCOVID-19 and its prevention measures have had a significant impact on patients with non-communicable diseases (NCDs) by disrupting routine healthcare service and increasing risk factors. These challenges were expected to be more severe in sub-Saharan Africa due to the lack of physical infrastructure and inadequate resources. The quantity of studies conducted was limited, and there was a lack of published systematic reviews in the specified region. This systematic review aimed to comprehensively assess the impact of COVID-19 on NCD patients in sub-Saharan Countries.MethodThis systematic review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines and is registered with PROSPERO (ID CRD42023387755). Extensive searches were conducted in MEDLINE, EMBASE, and CINAHL databases in November 2022, supplemented by a manual search of references, grey literature, and the WHO COVID-19 database. Inclusion criteria encompassed studies that reported on the impact of COVID-19 on NCD patients in sub-Saharan African countries, focusing on access to care, health outcomes, and factors related to NCDs. Critical appraisal of study quality was performed using the Joanna Briggs Institute (JBI) analytical cross-sectional studies critical appraisal tool. Data were extracted and synthesized, highlighting the main findings and relevant limitations.FindingsThis review included 26 primary studies with a cumulative sample size of 15,722 participants, conducted in six sub-Saharan African countries. Findings of these studies identified that the COVID-19 pandemic caused a disruption of 76% to 80% of regular NCDs patient care provision. The studies also identified a reduction in patient health-seeking behavior and reduced medication adherence (39.0%-63%), leading to poor treatment outcome (35.66%-55.8%). Furthermore, the pandemic and related lockdowns have been implicated in the increased prevalence of substance use, decreased physical exercise, and increased mental health problems.ConclusionThis systematic review identified the complex challenges faced by NCD patients in sub-Saharan Africa during the COVID-19 pandemic. It also underlines the need to consider the indirect impact on vulnerable populations while developing pandemic prevention and control strategies for the future. The current NCD management strategies should prioritize the restoration of access to essential healthcare services while considering the multifaceted risks posed by decreased physical activity, poor dietary practices, and increased substance use.The main limitation of this review was the study design and setting. All of the studies included in this review employed a cross-sectional design, which may result in a low quality of evidence. This study identified research conducted in only six countries among the 46 UN-classified sub-Saharan nations, which may impair the generalizability of the result.

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Adherence to physical exercise recommendations among type 2 diabetes patients during the COVID-19 pandemic

Cited by 5 publications

References 35 publications

Rural/Urban Variations in Diabetes Self-Care in a Sample of Ghanaian Adults with Type II Diabetes: a Study in the East Gonja Municipality

Rural/Urban Variations in Diabetes Self-Care in a Sample of Ghanaian Adults with Type II Diabetes: a Study in the East Gonja Municipality

Impact of the COVID‐19 pandemic on the glycemic control, eating habits, and body compositions of people with diabetes mellitus: A retrospective longitudinal observational study

The impact of COVID-19 on non-communicable disease patients in sub-Saharan African countries: systematic review

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