[Influence of the Corona pandemic on cardiovascular risk factors - Data from 1775 participants of the ELITE study before and during the Corona pandemic].
| Autor: | Berges P; Universitätsklinik für Innere Medizin - Kardiologie, Klinikum Oldenburg., Schrader B; Universitätsklinik für Innere Medizin - Kardiologie, Klinikum Oldenburg., Vaske B; Institut für Herz-Kreislauf-Forschung (INFO), Cloppenburg., Bohling A; Universitätsklinik für Innere Medizin - Kardiologie, Klinikum Oldenburg., Lüders S; Klinik für Nephrologie, Innere Medizin, St.-Josefs-Hospital, Cloppenburg.; Klinik für Nephrologie und Rheumatologie, Universitätsmedizin Göttingen., Elsässer A; Universitätsklinik für Innere Medizin - Kardiologie, Klinikum Oldenburg., Schrader J; Universitätsklinik für Innere Medizin - Kardiologie, Klinikum Oldenburg.; Institut für Herz-Kreislauf-Forschung (INFO), Cloppenburg. |
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| Jazyk: | němčina |
| Zdroj: | Deutsche medizinische Wochenschrift (1946) [Dtsch Med Wochenschr] 2024 Feb; Vol. 149 (3), pp. e11-e18. Date of Electronic Publication: 2023 Nov 23. |
| DOI: | 10.1055/a-2201-6772 |
| Abstrakt: | Background: The COVID-19 pandemic and its interventions have led to a deficit in medical care and changes in people's lifestyles, which has consequently changed cardio- and cerebrovascular primary and secondary prevention. The existing data are mainly based on surveys. In addition to the problem of the accuracy of self-assessments, the pandemic per se and the massive public reporting may have biased the data.Only a few publications have compared data collected before the pandemic with results during the pandemic. The ELITE study has regularly monitored risk factors (RF) and psychosocial parameters (stress, depression, well-being, diet, brain performance, exercise) in over 5000 participants for years. From this study, data were analyzed from 1775 individuals collected before the onset and again during the pandemic (06/05/2020-25/01/2022). Thus, baseline values were unaffected by the pandemic. Results: As expected, both improvements and worsening of the collected parameters were found. Blood pressure and depressive symptoms worsened significantly more often, with women more frequently affected. Weight and stress levels also increased more often than they improved. Only physical activity showed a slight increase. 24.1 % showed only deteriorations and no improvements in these parameters. In contrast, 19.6 % showed improvements exclusively. In the group with only worsening, there was a significant increase in individuals with the risk factors (RF) hypertension, obesity, elevated LDL cholesterol, nicotine, and diabetes mellitus. This resulted in an increase in individuals with 2 or more RF. In contrast, the number of individuals with 2 and more RF decreased in the group with only improvements. Strikingly, individuals with risk factors improved more frequently. Conclusion: A not insignificant part of the population experienced significant worsening of RF during the pandemic. This particularly affected blood pressure and depressive symptoms, and more often women. Competing Interests: Die Autorinnen/Autoren geben an, dass kein Interessenkonflikt besteht. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).) |
| Databáze: | MEDLINE |
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