Impact of COVID-19 lockdown on lifestyle adherence in stay-at-home patients with chronic coronary syndromes: Towards a time bomb

Cransac-Miet, A; Zeller, Marianne; Chagué, F.; Faure, Agnès Soudry; Bichat, Florence; Danchin, Nicolás; Boulin, Mathieu; Cottin, Yves

doi:10.1016/j.ijcard.2020.08.094

Cited by 44 publications

(67 citation statements)

References 5 publications

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“…The increase in habitual physical activity was explained by more time spent walking and doing odd jobs, while time spent exercising significantly decreased. The decrease in exercise time was in line with findings of a recent study in which 45.1% of French patients with chronic coronary syndromes ( n = 195) reported a more than 25% reduction in physical activity [ 12 ]. Our joint findings indicate that the lockdown limited exercise possibilities to a large extent.…”

Section: Discussionsupporting

confidence: 89%

Impact of COVID-19 lockdown on physical activity and sedentary behaviour in Dutch cardiovascular disease patients

Bakel¹,

Bakker

Vries³

et al. 2021

Neth Heart J

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Background Coronavirus disease 2019 (COVID-19) lockdown restrictions may impact lifestyle and therefore also physical (in)activity patterns in patients with cardiovascular disease (CVD). This study aimed to evaluate the effect of lockdown on physical activity and sedentary behaviour. Methods A total of 1565 Dutch CVD patients participated in this prospective cohort study, in which we compared physical activity and sedentary behaviour before and during the COVID-19 lockdown period. Baseline measures were assessed in 2018 and data on follow-up measures were collected between 17 and 24 April 2020 (5 weeks after the introduction of COVID-19 lockdown restrictions). Validated questionnaires were used to assess physical activity and sedentary behaviour. Results Moderate-to-vigorous physical activities increased from 1.6 (0.9, 2.8) to 2.0 (1.0, 3.5) h/day [median (interquartile range)] (p < 0.001) during the COVID-19 lockdown, mainly due to an increase in time spent walking and doing odd jobs. In contrast, time spent exercising significantly declined [1.0 (0.0, 2.3) to 0.0 (0.0, 0.6) h/week], whereas sedentary time increased from 7.8 (6.1, 10.4) to 8.9 (6.8, 11.4) h/day (p < 0.001). The absolute increase in physical activity was 13 (−36, 81) min/day, whereas sedentary behaviour increased by 55 (−72, 186) min/day. Conclusion Despite a small increase in physical activities, the larger increase in sedentary time induced a net reduction in habitual physical activity levels in Dutch CVD patients during the first-wave COVID-19 lockdown. Since a more inactive lifestyle is strongly associated with disease progression and mortality, we encourage CVD patients and their caregivers to explore novel solutions to increase physical activity levels and reduce sedentary time during (and beyond) the COVID-19 pandemic.

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Section: Discussionsupporting

confidence: 89%

Impact of COVID-19 lockdown on physical activity and sedentary behaviour in Dutch cardiovascular disease patients

Bakel¹,

Bakker

Vries³

et al. 2021

Neth Heart J

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“…This constitutes a contrast to previously reported PA reduction in chronically ill populations during the COVID-19 pandemic. Namely, it has been described for patients with Parkinson's [19] and neuromuscular diseases [16], chronic coronary syndrome [20], cystic fibrosis [21], and chronic kidney disease with necessity of hemodialysis [22].…”

Section: Discussionmentioning

confidence: 99%

Influence of Officially Ordered Restrictions during the First Wave of COVID-19 Pandemic on Physical Activity and Quality of Life in Patients after Kidney Transplantation in a Telemedicine Based Aftercare Program—A KTx360° Sub Study

Hanke

Sundermeier

Boeck

et al. 2020

IJERPH

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Guidelines recommend a healthy lifestyle and regularly physical activity (PA) after kidney transplantation (KTx). The KTx360° program is a multicenter, multisectoral, multimodal, telemedicine-based follow-up care program. Effects of the first COVID-19 wave restrictions on health-related quality of life and PA of supervised KTx360° patients were evaluated using an online questionnaire. Six hundred and fifty-two KTx360° patients were contacted via email and were asked to complete the Freiburg questionnaire of physical activity and the Short form 12 Health Survey (SF-12) online. Pre-pandemic and lockdown data were compared in 248 data sets. While sporting activity decreased during the COVID-19 pandemic, basic and leisure activity increased, resulting in increased overall activity. The physical component scale of the SF-12 was in the low normal range before as well as during the pandemic, with a small but significant increase during the pandemic. The mental component scale showed normal values before and during pandemic with a small but statistically significant decrease. Our study supports the effectiveness of a telemedicine based program for KTx patient care in maintaining PA and quality of life during the first peak of the COVID-19 pandemic. However, further research and observation during the ongoing pandemic are required.

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“…There was a higher weight gain among participants who self-reported stress (26,45,55,56,58,61,62) , anxiety and depression (23,52,58,61,62) . Weight loss was observed in 11.1%-32.0% of participants (21,25,33,35,37,40,51,52,55,60,65,68) .…”

Section: Impact Of Confinement On Body Weightmentioning

confidence: 98%

“…We excluded 10 studies based on a quality assessment of the results, and 27 studies were excluded based on reasons presented in the PRISMA flow diagram (Figure 1). The range of observations covered dietary choices (14,(21)(22)(23)(24)(25)(26)(33)(34)(35)(36)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47) , lifestyle changes in children (24,36,(48)(49)(50)(51) , physical activity levels (33)(34)(35)37,38,(38)(39)(40)(41)43,46,47,49,52,53,(53)(54)(55)(56)(57)(58)(59)(60) , psychosocial factors (22,23,26,38,44,<...>…”

Section: Categorization Of Determinantsmentioning

confidence: 99%

“…Two studies were from preprints and were included after assessing their qualities individually (22,52) . The included studies had the following countries of origin: Brazil (59) , China (40,57) , Croatia (51,64) , France (47,52,56) , Jordan (58) , India (48,55) , Iraq (61) , Italy (21,23,24,35,36,45,45,53) , Korea (50) , Lithuania (39) , Netherlands (60) , Poland (25,42,51) , Spain (44,46,63) , Turkey (43,49,65,66) , United Arab Emirates (33) , United Kingdom (54) and the United States of America (26,38,41,67) . Furthermore, multi-regional studies conducted intercontinentally (22) , among eighteen countries in the Middle East and North Africa (MENA) region (34) , and Paraguay and Italian based multinational research (62) are included in our analysis.…”

Section: Categorization Of Determinantsmentioning

confidence: 99%

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Systematic review of the effects of pandemic confinements on body weight and their determinants

et al. 2021

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Pandemics and subsequent lifestyle restrictions such as ‘lockdowns’ may have unintended consequences, including alterations in body weight. This systematic review assesses the impact of pandemic confinement on body weight and identifies contributory factors. A comprehensive literature search was performed in seven electronic databases and in gray sources from their inception until July 1st 2020 with an update in PubMed and Scopus on February 1st 2021. In total, 2,361 unique records were retrieved, of which 41 studies were identified eligible: 1 case control study, 14 cohort and 26 cross-sectional studies (469, 362 total participants). The participants ranged in age from 6–86 years. The proportion of female participants ranged from 37% to 100%. Pandemic confinements were associated with weight gain in 7.2%–72.4% of participants and weight loss in 11.1%–32.0% of participants. Weight gain ranged from 0.6 (±1.3) to 3.0 (±2.4) kg, and weight loss ranged from 2.0 (±1.4) to 2.9 (±1.5) kg. Weight gain occurred predominantly in participants who were already overweight or obese. Associated factors included increased consumption of unhealthy food with changes in physical activity and altered sleep patterns. Weight loss during the pandemic was observed in individuals with previous low weight, and those who ate less and were more physically active before lock down. Maintaining a stable weight was more difficult in populations with reduced income, particularly in individuals with lower educational attainment. The findings of this systematic review highlight the short-term effects of pandemic confinements.

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Impact of COVID-19 lockdown on lifestyle adherence in stay-at-home patients with chronic coronary syndromes: Towards a time bomb

Cited by 44 publications

References 5 publications

Impact of COVID-19 lockdown on physical activity and sedentary behaviour in Dutch cardiovascular disease patients

Impact of COVID-19 lockdown on physical activity and sedentary behaviour in Dutch cardiovascular disease patients

Influence of Officially Ordered Restrictions during the First Wave of COVID-19 Pandemic on Physical Activity and Quality of Life in Patients after Kidney Transplantation in a Telemedicine Based Aftercare Program—A KTx360° Sub Study

Systematic review of the effects of pandemic confinements on body weight and their determinants

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