在COVID-19大流行期间糖尿病查和运动的变化,在糖尿病前期的成年人中
Luis A Rodriguez1, Maher Yassin2, O Kenrik Duru3
1Kaiser Permanente Northern California, Division of Research, Pleasanton, CA, United States; Kaiser Permanente Bernard J. Tyson School of Medicine, Department of Health Systems Science, Pasadena, CA, United States; University of California, San Francisco, Department of Epidemiology & Biostatistics, San Francisco, CA, United States.
Diabetes research and clinical practice
|April 23, 2025
概括
现场的COVID-19避难所显著减少了2型糖尿病 (T2DM) 查和炼. 虽然大多数群体都康复了,但Medicaid患者在恢复运动方面经历了长时间的延迟,这凸显了有针对性的支持的必要性.
科学领域:
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
- 流行病学 流行病学
背景情况:
- 随着COVID-19大流行和随后的"在场避难"法令,医疗保健的获取和生活方式的行为受到干扰.
- 了解对2型糖尿病 (T2DM) 等慢性疾病管理的影响,对于公共卫生干预至关重要.
研究的目的:
- 为了评估T2DM查和体力活动水平在COVID-19避难所期间在糖尿病前期的成年人之间的变化.
- 调查Medicaid患者和种族/少数民族是否对T2DM查和运动产生了不成比例的影响.
主要方法:
- 一项回顾性队列研究分析了Kaiser Permanente北加利福尼亚州 (2019年1月至2021年12月) 578,585名糖尿病前期成人 (18-89岁,BMI≥25) 的数据.
- 间断时间序列分析评估了每周T2DM查率和庇护期 (2020年3月19日 - 2020年6月1日) 之前,期间和之后的平均运动分钟.
- 在2023-2024年进行了分析,以确定变化和差异.
主要成果:
- 在最初的住宿期间,T2DM查下降了大约96%,随后恢复缓慢. 运动平均减少了37分钟/周,也呈现出逐渐增加.
- 这些查和运动的趋势在种族和民族群体之间是一致的.
- 与其他组相比,Medicaid患者表现出显著的延迟,需要1.5年才能恢复到基线运动水平.
结论:
- 住宿命令导致T2DM查和运动在糖尿病前期的成年人中大幅度和立即下降.
- 虽然种族/民族差异在直接影响中并不明显,但Medicaid患者在恢复体育活动方面面临着长期的挑战.
- 未来的公共卫生战略和任务应优先支持高风险人群,特别是医疗补助受益者,以保持基本的T2DM预防行为.
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