Impact of Lockdown Period on Chronic Diseases
Objectives: In the wake of COVID-19 pandemic, strict lockdown measures posed many challenges in managing chronic diseases such as hypertension and diabetes. The impact of lockdown on physical and biochemical parameters along with contributing factors was assessed. Design: Cross-sectional analytical...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-07-01
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| Series: | Indian Journal of Medical Specialities |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/injms.injms_19_21 |
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| author | Rajashree Khot Amol H. Dube Bharatsing D. Rathod Prashant P. Joshi Sunita D. Kumbhalkar |
| author_facet | Rajashree Khot Amol H. Dube Bharatsing D. Rathod Prashant P. Joshi Sunita D. Kumbhalkar |
| author_sort | Rajashree Khot |
| collection | DOAJ |
| description | Objectives:
In the wake of COVID-19 pandemic, strict lockdown measures posed many challenges in managing chronic diseases such as hypertension and diabetes. The impact of lockdown on physical and biochemical parameters along with contributing factors was assessed.
Design:
Cross-sectional analytical study.
Materials and Methods:
One hundred and fifty consecutive patients with chronic illnesses attending medicine outpatient department during unlock down phase I were enrolled. A 5 point Likert scale was used to determine the effect on diet, exercise, pain, physical and psychological symptoms, and a personal interview to assess the contributing factors. Clinical examination and laboratory investigations were done to compare between pre and post lockdown status and appropriate statistical tests were used.
Results:
The mean age of the patients was 48.53 ± 6.4 years with a female preponderance. Mean duration of illness was 8.93 ± 2.4 years and majority had hypertension (21%), diabetes (19%) or both (12%), hypothyroidism (18%), and gastroesophageal reflux disease (8%). While physical symptoms and pain did not show a significant change, 41.3% had worsening of psychological symptoms, 53.3% diet, and 70.6% exercise noncompliance. Weight, blood pressure, lipids, serum thyroid-stimulating hormone showed little change. Glycemic control was deranged in 72.5% with HbA1c increasing from 6.47 ± 1.9 to 8.1 ± 2.4 (P = 0.007). Contributing factors, 52.3% reported lack of exercise, 40% financial problems, 36% transport difficulties, and 30% unavailability of medicines.
Conclusion:
Lockdown negatively affected the management of chronic diseases with significant worsening of psychological symptoms, diet, and exercise adherence. Glycemic control worsened in diabetics. Lack of transport and unavailability of medicines were the significant contributing factors. |
| format | Article |
| id | doaj-art-b0e9fb6cfd2547ddb5b1cebf5ea061bc |
| institution | Kabale University |
| issn | 0976-2884 0976-2892 |
| language | English |
| publishDate | 2021-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Medical Specialities |
| spelling | doaj-art-b0e9fb6cfd2547ddb5b1cebf5ea061bc2025-08-25T08:33:59ZengWolters Kluwer Medknow PublicationsIndian Journal of Medical Specialities0976-28840976-28922021-07-0112315516010.4103/injms.injms_19_21Impact of Lockdown Period on Chronic DiseasesRajashree KhotAmol H. DubeBharatsing D. RathodPrashant P. JoshiSunita D. KumbhalkarObjectives: In the wake of COVID-19 pandemic, strict lockdown measures posed many challenges in managing chronic diseases such as hypertension and diabetes. The impact of lockdown on physical and biochemical parameters along with contributing factors was assessed. Design: Cross-sectional analytical study. Materials and Methods: One hundred and fifty consecutive patients with chronic illnesses attending medicine outpatient department during unlock down phase I were enrolled. A 5 point Likert scale was used to determine the effect on diet, exercise, pain, physical and psychological symptoms, and a personal interview to assess the contributing factors. Clinical examination and laboratory investigations were done to compare between pre and post lockdown status and appropriate statistical tests were used. Results: The mean age of the patients was 48.53 ± 6.4 years with a female preponderance. Mean duration of illness was 8.93 ± 2.4 years and majority had hypertension (21%), diabetes (19%) or both (12%), hypothyroidism (18%), and gastroesophageal reflux disease (8%). While physical symptoms and pain did not show a significant change, 41.3% had worsening of psychological symptoms, 53.3% diet, and 70.6% exercise noncompliance. Weight, blood pressure, lipids, serum thyroid-stimulating hormone showed little change. Glycemic control was deranged in 72.5% with HbA1c increasing from 6.47 ± 1.9 to 8.1 ± 2.4 (P = 0.007). Contributing factors, 52.3% reported lack of exercise, 40% financial problems, 36% transport difficulties, and 30% unavailability of medicines. Conclusion: Lockdown negatively affected the management of chronic diseases with significant worsening of psychological symptoms, diet, and exercise adherence. Glycemic control worsened in diabetics. Lack of transport and unavailability of medicines were the significant contributing factors.https://journals.lww.com/10.4103/injms.injms_19_21chronic diseasescovid-19lockdown periodnon-communicable diseases |
| spellingShingle | Rajashree Khot Amol H. Dube Bharatsing D. Rathod Prashant P. Joshi Sunita D. Kumbhalkar Impact of Lockdown Period on Chronic Diseases Indian Journal of Medical Specialities chronic diseases covid-19 lockdown period non-communicable diseases |
| title | Impact of Lockdown Period on Chronic Diseases |
| title_full | Impact of Lockdown Period on Chronic Diseases |
| title_fullStr | Impact of Lockdown Period on Chronic Diseases |
| title_full_unstemmed | Impact of Lockdown Period on Chronic Diseases |
| title_short | Impact of Lockdown Period on Chronic Diseases |
| title_sort | impact of lockdown period on chronic diseases |
| topic | chronic diseases covid-19 lockdown period non-communicable diseases |
| url | https://journals.lww.com/10.4103/injms.injms_19_21 |
| work_keys_str_mv | AT rajashreekhot impactoflockdownperiodonchronicdiseases AT amolhdube impactoflockdownperiodonchronicdiseases AT bharatsingdrathod impactoflockdownperiodonchronicdiseases AT prashantpjoshi impactoflockdownperiodonchronicdiseases AT sunitadkumbhalkar impactoflockdownperiodonchronicdiseases |