Tags

Type your tag names separated by a space and hit enter

The Effects of COVID-19 Lockdown on Glycaemic Control and Lipid Profile in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis.
Int J Environ Res Public Health. 2022 Jan 19; 19(3)IJ

Abstract

The impact of the COVID-19 lockdown on glycaemic control and other metabolic parameters in patients with type 2 diabetes is still evolving.

AIM

This systematic review and meta-analysis aims to examine the effects of COVID-19 lockdown on glycaemic control and lipid profile in patients with type 2 diabetes.

METHODS

The PRISMA framework was the method used to conduct the systematic review and meta-analysis, and the search strategy was based on the population, intervention, control and outcome (PICO) model. The Health Sciences Research databases was accessed via EBSCO-host, and EMBASE were searched for relevant articles. Searches were conducted from inception of the databases until 17 September 2021.

RESULTS

The results identified three distinct areas: glycaemic control, lipid parameters and body mass index. It was found that COVID-19 lockdown led to a significant (p < 0.01) increase in the levels of glycated haemoglobin (%) compared with pre-COVID group (gp) with a mean difference of 0.34 (95% CI: 0.30, 0.38). Eleven studies contributed to the data for glycated haemoglobin analysis with a total of 16,895 participants (post-COVID-19 lockdown gp, n = 8417; pre-COVID gp, n = 8478). The meta-analysis of fasting plasma glucose (mg/dL) also showed a significant (p < 0.05) increase in levels of post-COVID-19 lockdown gp compared with pre-COVID gp, with a mean difference of 7.19 (95% CI: 5.28, 9.10). Six studies contributed to fasting plasma glucose analysis involving a total of 2327 participants (post-COVID-19 lockdown, n = 1159; pre-COVID gp, n = 1168). The body mass index (BMI) (kg/m2) analysis also demonstrated that post-COVID-19 lockdown gp had a significantly (p < 0.05) higher BMI than the pre-COVID gp with a mean difference of 1.13 (95% CI: 0.99; 1.28), involving six studies and a total of 2363 participants (post-COVID-19 lockdown gp, n = 1186; pre-COVID gp, n = 1177). There were significantly (p < 0.05) lower levels of total cholesterol (mmol/L), triglyceride (mmol/L) and LDL cholesterol (mmol/L), and higher levels of HDL cholesterol (mg/dL) in the post-COVID-19 lockdown gp compared with pre-COVID gp, although these results were not consistent following sensitivity analysis.

CONCLUSION

The findings of the systematic review and meta-analysis have demonstrated that COVID-19 lockdown resulted in a significant increase (p < 0.05) in the levels of glycated haemoglobin, fasting glucose and body mass index in patients with type 2 diabetes. In contrast, the effect of the lockdown on lipid parameters, including total cholesterol, triglycerides, LDL and HDL cholesterol was not consistent.

Authors+Show Affiliations

School of Health Sciences, Faculty of Education, Health and Human Sciences, Avery Hill Campus, University of Greenwich, Avery Hill Road, London SE9 2UG, UK.The School of Nursing, Soochow University, Suzhou 215006, China.Smoking Cessation Department, University Hospital, South London and Maudsley NHS Foundation Trust, Lewisham High Street, London SE13 6LH, UK.Diabetes and Endocrine Department, Darent Valley Hospital, Dartford & Gravesham NHS Trust, Dartford DA2 8DA, UK.Department of Clinical Nutrition, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi 682041, India.Centre for Healthcare Research, School of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Coventry University, Priory Street, Coventry CV1 5FB, UK.The School of Nursing, Soochow University, Suzhou 215006, China.School of Health Sciences, Faculty of Education, Health and Human Sciences, Avery Hill Campus, University of Greenwich, Avery Hill Road, London SE9 2UG, UK.

Pub Type(s)

Journal Article
Meta-Analysis
Review
Systematic Review

Language

eng

PubMed ID

35162117

Citation

Ojo, Omorogieva, et al. "The Effects of COVID-19 Lockdown On Glycaemic Control and Lipid Profile in Patients With Type 2 Diabetes: a Systematic Review and Meta-Analysis." International Journal of Environmental Research and Public Health, vol. 19, no. 3, 2022.
Ojo O, Wang XH, Ojo OO, et al. The Effects of COVID-19 Lockdown on Glycaemic Control and Lipid Profile in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2022;19(3).
Ojo, O., Wang, X. H., Ojo, O. O., Orjih, E., Pavithran, N., Adegboye, A. R. A., Feng, Q. Q., & McCrone, P. (2022). The Effects of COVID-19 Lockdown on Glycaemic Control and Lipid Profile in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 19(3). https://doi.org/10.3390/ijerph19031095
Ojo O, et al. The Effects of COVID-19 Lockdown On Glycaemic Control and Lipid Profile in Patients With Type 2 Diabetes: a Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2022 Jan 19;19(3) PubMed PMID: 35162117.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Effects of COVID-19 Lockdown on Glycaemic Control and Lipid Profile in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis. AU - Ojo,Omorogieva, AU - Wang,Xiao-Hua, AU - Ojo,Osarhumwese Osaretin, AU - Orjih,Edith, AU - Pavithran,Nivedita, AU - Adegboye,Amanda Rodrigues Amorim, AU - Feng,Qian-Qian, AU - McCrone,Paul, Y1 - 2022/01/19/ PY - 2021/12/11/received PY - 2022/01/14/revised PY - 2022/01/17/accepted PY - 2022/2/15/entrez PY - 2022/2/16/pubmed PY - 2022/2/19/medline KW - COVID-19 KW - COVID-19 lockdown KW - SARS-CoV-2 KW - body mass index KW - coronavirus disease-2019 KW - glycated haemoglobin KW - lipid parameters KW - type 2 diabetes JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 19 IS - 3 N2 - : The impact of the COVID-19 lockdown on glycaemic control and other metabolic parameters in patients with type 2 diabetes is still evolving. AIM: This systematic review and meta-analysis aims to examine the effects of COVID-19 lockdown on glycaemic control and lipid profile in patients with type 2 diabetes. METHODS: The PRISMA framework was the method used to conduct the systematic review and meta-analysis, and the search strategy was based on the population, intervention, control and outcome (PICO) model. The Health Sciences Research databases was accessed via EBSCO-host, and EMBASE were searched for relevant articles. Searches were conducted from inception of the databases until 17 September 2021. RESULTS: The results identified three distinct areas: glycaemic control, lipid parameters and body mass index. It was found that COVID-19 lockdown led to a significant (p < 0.01) increase in the levels of glycated haemoglobin (%) compared with pre-COVID group (gp) with a mean difference of 0.34 (95% CI: 0.30, 0.38). Eleven studies contributed to the data for glycated haemoglobin analysis with a total of 16,895 participants (post-COVID-19 lockdown gp, n = 8417; pre-COVID gp, n = 8478). The meta-analysis of fasting plasma glucose (mg/dL) also showed a significant (p < 0.05) increase in levels of post-COVID-19 lockdown gp compared with pre-COVID gp, with a mean difference of 7.19 (95% CI: 5.28, 9.10). Six studies contributed to fasting plasma glucose analysis involving a total of 2327 participants (post-COVID-19 lockdown, n = 1159; pre-COVID gp, n = 1168). The body mass index (BMI) (kg/m2) analysis also demonstrated that post-COVID-19 lockdown gp had a significantly (p < 0.05) higher BMI than the pre-COVID gp with a mean difference of 1.13 (95% CI: 0.99; 1.28), involving six studies and a total of 2363 participants (post-COVID-19 lockdown gp, n = 1186; pre-COVID gp, n = 1177). There were significantly (p < 0.05) lower levels of total cholesterol (mmol/L), triglyceride (mmol/L) and LDL cholesterol (mmol/L), and higher levels of HDL cholesterol (mg/dL) in the post-COVID-19 lockdown gp compared with pre-COVID gp, although these results were not consistent following sensitivity analysis. CONCLUSION: The findings of the systematic review and meta-analysis have demonstrated that COVID-19 lockdown resulted in a significant increase (p < 0.05) in the levels of glycated haemoglobin, fasting glucose and body mass index in patients with type 2 diabetes. In contrast, the effect of the lockdown on lipid parameters, including total cholesterol, triglycerides, LDL and HDL cholesterol was not consistent. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/35162117/The_Effects_of_COVID_19_Lockdown_on_Glycaemic_Control_and_Lipid_Profile_in_Patients_with_Type_2_Diabetes:_A_Systematic_Review_and_Meta_Analysis_ DB - PRIME DP - Unbound Medicine ER -