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open access

Vol 73, No 1 (2022)
Review paper
Submitted: 2021-08-05
Accepted: 2021-11-25
Published online: 2022-02-02
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The COVID-19 lockdown does not necessarily worsen diabetes control, in spite of lower physical activity — a systematic review

Abdulrhman Aldukhayel1
DOI: 10.5603/EP.a2022.0006
·
Pubmed: 35119094
·
Endokrynol Pol 2022;73(1):131-148.
Affiliations
  1. Department of Family and Community Medicine, College of Medicine, Qassim University, Buraydah, Saudi Arabia

open access

Vol 73, No 1 (2022)
Review Article
Submitted: 2021-08-05
Accepted: 2021-11-25
Published online: 2022-02-02

Abstract

Introduction: This review aimed to synthesize evidence on the impact of the COVID-19 lockdown on the glycaemic control, physical activity, and diet of diabetic patients.

Material and methods: Two electronic databases (PubMed and Scopus) were searched from January 2020 to February 2021. A total of 161 unique records were retrieved. Out of these, 25 articles met the eligibility criteria and were included in the final review. The quality of the studies was assessed by using the modified Newcastle-Ottawa Quality Assessment Scale for observational studies.  

Results: Out of the 25 studies included in the review, 18 (72%) were cross sectional, 5 (20%) were retrospective analyses, and 2 (8%) were cohort studies. Thirteen studies included type I diabetics, 8 studies included type 2 diabetics, and 4 studies included both. In the quality assessment, 17 (68%) of the studies met the criteria of satisfactory quality. Overall glycaemic parameters were improved during the lockdown. Dietary patterns were affected during the lockdown, but the direction of change — either negative or positive — could not be inferred. However, physical activity patterns were found to be deteriorated during the lockdown.

Conclusion: The review found that lockdowns for curbing COVID-19 had no negative impact on glucose control, while there was a decline in the physical activity among diabetics.  Furthermore, available studies are subject to various biases, which calls for robust studies in future with representative samples. There is also a need to promote physical activity and a healthy diet among diabetic patients, with follow-up through telemedicine during such confinement periods.

Abstract

Introduction: This review aimed to synthesize evidence on the impact of the COVID-19 lockdown on the glycaemic control, physical activity, and diet of diabetic patients.

Material and methods: Two electronic databases (PubMed and Scopus) were searched from January 2020 to February 2021. A total of 161 unique records were retrieved. Out of these, 25 articles met the eligibility criteria and were included in the final review. The quality of the studies was assessed by using the modified Newcastle-Ottawa Quality Assessment Scale for observational studies.  

Results: Out of the 25 studies included in the review, 18 (72%) were cross sectional, 5 (20%) were retrospective analyses, and 2 (8%) were cohort studies. Thirteen studies included type I diabetics, 8 studies included type 2 diabetics, and 4 studies included both. In the quality assessment, 17 (68%) of the studies met the criteria of satisfactory quality. Overall glycaemic parameters were improved during the lockdown. Dietary patterns were affected during the lockdown, but the direction of change — either negative or positive — could not be inferred. However, physical activity patterns were found to be deteriorated during the lockdown.

Conclusion: The review found that lockdowns for curbing COVID-19 had no negative impact on glucose control, while there was a decline in the physical activity among diabetics.  Furthermore, available studies are subject to various biases, which calls for robust studies in future with representative samples. There is also a need to promote physical activity and a healthy diet among diabetic patients, with follow-up through telemedicine during such confinement periods.

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Keywords

COVID-19; diabetes; physical activity; diet; glycaemia; control

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Title

The COVID-19 lockdown does not necessarily worsen diabetes control, in spite of lower physical activity — a systematic review

Journal

Endokrynologia Polska

Issue

Vol 73, No 1 (2022)

Article type

Review paper

Pages

131-148

Published online

2022-02-02

Page views

6170

Article views/downloads

610

DOI

10.5603/EP.a2022.0006

Pubmed

35119094

Bibliographic record

Endokrynol Pol 2022;73(1):131-148.

Keywords

COVID-19
diabetes
physical activity
diet
glycaemia
control

Authors

Abdulrhman Aldukhayel

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