Anxiety Disorder Associated with the COVID-19 Pandemic Causes Deterioration of Blood Pressure Control in Primary Hypertensive Patients

Çelık, Mehmet; Yılmaz, Yusuf; Karagöz, Ali; Kahyaoğlu, Muzaffer; Çakmak, Ender Özgün; Küp, Ayhan; Çelik, Fatma; Karaduman, Ahmet; Külahçıoğlu, Şeyhmus; İzcı, Servet; Geçmen, Çetin; Çalışkan, Mustafa

doi:10.5222/mmj.2021.08364

Cited by 19 publications

(17 citation statements)

References 22 publications

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“…Pengo et al showed that home BP decreased after two weeks of a COVID-19 lockdown ( 16 ). In contrast, Celik et al found that daytime, nighttime and 24-hour BP levels all increased during the COVID-19 pandemic and that anxiety intensity was associated with increased BP ( 17 ). Although there have been no reports on the effect of the COVID-19 pandemic on BP control in DM patients, the results of the present study are consistent with those of the above two studies, as the BP increased in the delayed phase rather than the acute phase.…”

Section: Discussionmentioning

confidence: 98%

“…6 ). The factors that cause different responses to worsening glycemic control and BP control are unclear, but a variety of chronic factors, including the influence of mental stress, may be involved ( 14 , 15 , 17 , 30 ). It is known that mental stress also affects blood glucose levels, but changes in the diet, activity, and medical treatment may have a greater impact on glycemic control.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to glycemic control, blood pressure (BP) control is also important in DM patients. It is well known that BP increases with stress, such as stress from a disaster, but there have been only a few reports on how BP was affected by a lockdown due to the COVID-19 pandemic, and there have been no reports on changes in BP in DM patients during such times ( 14 - 17 ).…”

Section: Introductionmentioning

confidence: 99%

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Impact of the COVID-19 Pandemic on Glycemic Control and Blood Pressure Control in Patients with Diabetes in Japan

et al. 2022

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Objective In this study, we investigated whether and how the COVID-19 pandemic affected glycemic control and blood pressure (BP) control in patients with diabetes mellitus (DM). Methods DM patients whose HbA1c level was measured regularly before and after the declaration of a state of emergency were included in this study. Some patients were given questionnaires about changes in their lifestyle to determine the factors affecting glycemic control and BP control. ResultsThe median HbA1c level of the 804 patients increased significantly from 6.8% before the state of emergency to 7.1% and 7.0% during and after the state of emergency, respectively. This was in contrast to the decrease one year earlier due to seasonal variations. In the 176 patients who responded to the questionnaire, the HbA1c level also increased significantly during and after the state of emergency. The worsening of glycemic control was more pronounced in the group that had achieved HbA1c of <7% before the state of emergency than in those with higher values. Unlike the rise in HbA1c, the BP did not rise during the state of emergency but did rise significantly afterwards. There was no marked decrease in HbA1c or BP after the state of emergency, even in patients who responded that they were much more careful with their diet, ate less, or exercised more. Conclusions The COVID-19 pandemic worsened glycemic control and BP control, even in patients who perceived no marked change in their diet or exercise, suggesting that more active lifestyle guidance is necessary for good treatment of DM patients.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of the COVID-19 Pandemic on Glycemic Control and Blood Pressure Control in Patients with Diabetes in Japan

et al. 2022

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“…This may be because the people with formal education relied more on COVID-19 information that they collected from various sources, including the internet, which might have resulted in increased fear and anxiety. Evidence suggests that increased fear and anxiety are connected to high blood pressure [ 54 , 55 ]. A recent systematic review of 18 studies conducted in Southeast Asia reported mixed associations between education and chronic diseases related to multimorbidity [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

Changes in Prevalence and Determinants of Self-Reported Hypertension among Bangladeshi Older Adults during the COVID-19 Pandemic

Mistry

Ali

Yadav

et al. 2022

IJERPH

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The present study aimed to assess the changes in the prevalence and determinants of self-reported hypertension among older adults during the COVID-19 pandemic in Bangladesh. This repeated cross-sectional study was conducted on two successive occasions (October 2020 and September 2021), overlapping the first and second waves of the COVID-19 pandemic in Bangladesh. The survey was conducted through telephone interviews among Bangladeshi older adults aged 60 years and above. The prevalence of hypertension was measured by asking a question about whether a doctor or health professional told the participants that they have hypertension or high blood pressure and/or whether they are currently using medication to control it. We also collected information on the socio-economic characteristics of the participants, their cognitive ability, and their COVID-19-related attributes. A total of 2077 older adults with a mean age of 66.7 ± 6.4 years participated in the study. The samples were randomly selected on two successive occasions from a pre-established registry developed by the ARCED Foundation. Thus, the sample in the 2021-survey (round two; n = 1045) was not the same as that in the 2020-survey (round one; n = 1031) but both were drawn from the same population. The findings revealed that the prevalence of hypertension significantly increased across the two periods (43.7% versus 56.3%; p = 0.006). The odds of hypertension were 1.34 times more likely in round two than in the round one cohort (AOR 1.34, 95% CI 1.06–1.70). We also found that having formal schooling, poorer memory or concentration, and having had received COVID-19 information were all associated with an increased risk of hypertension in both rounds (p < 0.05). The findings of the present study suggest providing immediate support to ensure proper screening, control, and treatment of hypertension among older adults in Bangladesh.

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“…Furthermore, Laffin et al, reported a rise in blood pressure in the adult population during the COVID-19 pandemic [ 19 ]. Another study conducted with adults showed that their 24 h systolic/diastolic blood pressure was significantly higher during the COVID-19 pandemic than in the pre-pandemic stage [ 20 ]. Other studies have revealed sharp high-density lipoprotein cholesterol (HDL-c) decreases [ 21 ] as well as increases in triglycerides [ 22 ], thus exacerbating the prevalence of MetS [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

The Social Distance Impacts from COVID-19 Pandemic on the Development of Two Orders of a Concurrent Training Programme for Morbidly Obese Patients

Floody

Chirosa

Guzmán‐Guzmán

et al. 2022

IJERPH

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Background: Although there is relevant information regarding the consequences of the coronavirus SARS-CoV-2 (COVID-19), little is known about the impact of the imposed social confinement (at home) on the development of exercise training programmes in populations with morbid obesity. Aim: To describe the effects of the imposed COVID-19 confinement on the cardiometabolic health benefits acquired through a concurrent training programme that started before the pandemic in populations with morbid obesity. Methods: This was an experimental randomized clinical study, in which sedentary morbidly obese women were assigned 1:1 to a high-intensity interval training (HIIT) plus resistance training (RT) group (HIIT + RT; n = 11; BMI 42.1 ± 6.6) or to the same exercise dose, but in different order group of RT plus HIIT group (RT + HIIT; n = 7; BMI 47.5 ± 8.4). Both groups undertook two sessions/week. When COVID-19 confinement at home started, a post-test was applied in January 2020 (Post1) and after 20 months (Post2). The main outcomes were waist circumference (WC), systolic (SBP) and diastolic blood pressure (DBP), high-density lipids (HDL-c), triglycerides (Tg), and fasting plasma glucose (FPG). Results: In the HIIT + RT group, the WC showed significant increases from Post1 to Post2 (Δ + 3.1 cm, p = 0.035); in the RT + HIIT group, it decreased from Post1 to Post2 (Δ − 4.8 cm, p = 0.028). In the HIIT + RT group, SBP showed significant increases from Post1 to Post2 (Δ + 6.2 mmHg, p = 0.041); the RT + HIIT group decreased SBP from Pre0 to Post1 (Δ − 7.2 mmHg, p = 0.026) and increased DBP from Pre0 to Post1 (Δ + 8.1 mmHg, p = 0.015). Tg in the HIIT + RT group decreased from Pre0 to Post1 (Δ − 40.1 mg/dL, p = 0.023) but increased from Post1 to Post2 (Δ + 86.3 mg/dL, p < 0.0001). Conclusions: The COVID-19 social confinement worsened metabolic syndrome (MetS) outcomes that had improved from 20 weeks’ RT + HIIT during the training period, such as WC, SBP, and Tg from HIIT + RT, when, worryingly, SBP increased to another more serious clinical classification in both groups.

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Anxiety Disorder Associated with the COVID-19 Pandemic Causes Deterioration of Blood Pressure Control in Primary Hypertensive Patients

Cited by 19 publications

References 22 publications

Impact of the COVID-19 Pandemic on Glycemic Control and Blood Pressure Control in Patients with Diabetes in Japan

Impact of the COVID-19 Pandemic on Glycemic Control and Blood Pressure Control in Patients with Diabetes in Japan

Changes in Prevalence and Determinants of Self-Reported Hypertension among Bangladeshi Older Adults during the COVID-19 Pandemic

The Social Distance Impacts from COVID-19 Pandemic on the Development of Two Orders of a Concurrent Training Programme for Morbidly Obese Patients

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