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10.1111/dme.14611

http://scihub22266oqcxt.onion/10.1111/dme.14611
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34053106!8237067!34053106
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suck abstract from ncbi


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pmid34053106      Diabet+Med 2021 ; 38 (9): e14611
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  • Impact of the COVID-19 pandemic and lockdown restrictions on psychosocial and behavioural outcomes among Australian adults with type 2 diabetes: Findings from the PREDICT cohort study #MMPMID34053106
  • Sacre JW; Holmes-Truscott E; Salim A; Anstey KJ; Drummond GR; Huxley RR; Magliano DJ; van Wijngaarden P; Zimmet PZ; Speight J; Shaw JE
  • Diabet Med 2021[Sep]; 38 (9): e14611 PMID34053106show ga
  • AIM: To examine psychosocial and behavioural impacts of the novel coronavirus disease 2019 (COVID-19) pandemic and lockdown restrictions among adults with type 2 diabetes. METHODS: Participants enrolled in the PRogrEssion of DIabetic ComplicaTions (PREDICT) cohort study in Melbourne, Australia (n = 489 with a baseline assessment pre-2020) were invited to complete a phone/online follow-up assessment in mid-2020 (i.e., amidst COVID-19 lockdown restrictions). Repeated assessments that were compared with pre-COVID-19 baseline levels included anxiety symptoms (7-item Generalised Anxiety Disorder scale [GAD-7]), depressive symptoms (8-item Patient Health Questionnaire [PHQ-8]), diabetes distress (Problem Areas in Diabetes scale [PAID]), physical activity/sedentary behaviour, alcohol consumption and diabetes self-management behaviours. Additional once-off measures at follow-up included COVID-19-specific worry, quality of life (QoL), and healthcare appointment changes (telehealth engagement and appointment cancellations/avoidance). RESULTS: Among 470 respondents (96%; aged 66 +/- 9 years, 69% men), at least 'moderate' worry about COVID-19 infection was reported by 31%, and 29%-73% reported negative impacts on QoL dimensions (greatest for: leisure activities, feelings about the future, emotional well-being). Younger participants reported more negative impacts (p < 0.05). Overall, anxiety/depressive symptoms were similar at follow-up compared with pre-COVID-19, but diabetes distress reduced (p < 0.001). Worse trajectories of anxiety/depressive symptoms were observed among those who reported COVID-19-specific worry or negative QoL impacts (p < 0.05). Physical activity trended lower (~10%), but sitting time, alcohol consumption and glucose-monitoring frequency remained unchanged. 73% of participants used telehealth, but 43% cancelled a healthcare appointment and 39% avoided new appointments despite perceived need. CONCLUSIONS: COVID-19 lockdown restrictions negatively impacted QoL, some behavioural risk factors and healthcare utilisation in adults with type 2 diabetes. However, generalised anxiety and depressive symptoms remained relatively stable.
  • |*Health Behavior[MESH]
  • |Aged[MESH]
  • |Anxiety/epidemiology[MESH]
  • |Australia/epidemiology[MESH]
  • |COVID-19/epidemiology/*prevention & control/*psychology[MESH]
  • |Cohort Studies[MESH]
  • |Communicable Disease Control/*methods[MESH]
  • |Depression/epidemiology[MESH]
  • |Diabetes Mellitus, Type 2/epidemiology/*psychology[MESH]
  • |Exercise/psychology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Mental Health/statistics & numerical data[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Patient Isolation/psychology[MESH]
  • |Psychology/*statistics & numerical data[MESH]
  • |Quality of Life/psychology[MESH]
  • |SARS-CoV-2[MESH]


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