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Garcia-Esquinas EAuthorMiret MAuthorAyuso-Mateos JlAuthorRodriguez-Artalejo FAuthor

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March 9, 2022
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The medium-term consequences of COVID-19 lockdown on lifestyle among Spanish older people with hypertension, pulmonary, cardiovascular, and musculoskeletal-diseases, depression, and cancer

Publicated to: Epidemiology and health. 44 e2022026- - 2022-02-21 44(), DOI: 10.4178/epih.e2022026

Authors:

Rodriguez-Gomez, Irene; Sanchez-Martin, Coral; Garcia-Garcia, Francisco J; Garcia-Esquinas, Esther; Miret, Marta; Vicente-Rodriguez, German; Gusi, Narcis; Manas, Asier; Carnicero, Jose A; Gonzalez-Gross, Marcela; Ayuso-Mateos, Jose L; Rodriguez-Artalejo, Fernando; Rodriguez-Manas, Leocadio; Ara, Ignacio
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Affiliations

CIBER Frailty & Hlth Aging CIBERFES, Madrid, Spain - Author
CIBER Obes & Nutr CIBERobn, Madrid, Spain - Author
CIBERESP, Madrid, Spain - Author
Complejo Hosp Toledo, Hosp Virgen Valle, Toledo, Spain - Author
CSIC, IMDEA Food Inst, CEI UAM, Madrid, Spain - Author
Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain. - Author
Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain. - Author
Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, Madrid, Korea. - Author
Department of Psychiatry. School of Medicine. Universidad Autónoma de Madrid , Madrid, Spain. - Author
Department of Psychiatry. School of Medicine. Universidad Autónoma de Madrid, Madrid, Spain. - Author
Getafe Univ Hosp Getafe, Fdn Biomed Res, Getafe, Spain - Author
Hosp Univ Princesa, Dept Psychiat, IIS Princesa, Madrid, Spain - Author
Hospital Virgen del Valle, Complejo Hospitalario de Toledo, Toledo, Spain. - Author
ImFINE Research Group, Universidad Politécnica de Madrid. , Madrid, Spain. - Author
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental CIBERSAM, Madrid, Spain - Author
Instituto Internacional de Investigación e Innovación en Envejecimiento, Universidad de Extremadura, Cáceres, Spain. - Author
Univ Autonoma Madrid IdiPAZ, Sch Med, Dept Prevent Med & Publ Hlth, Madrid, Spain - Author
Univ Autonoma Madrid, Sch Med, Dept Psychiat, Madrid, Spain - Author
Univ Castilla La Mancha, GENUD Toledo Res Grp, Carlos III S-N, Toledo 45071, Spain - Author
Univ Extremadura, Inst Internac Invest Innovac Envejecim, Caceres, Spain - Author
Univ Politecn Madrid, Res Grp, Madrid, Spain - Author
Univ Zaragoza, FIMS Collaborating Ctr Sports Med, Dept Physiatry & Nursing,GENUD Res Grp, Inst Agroalimentario Aragon IA2 CITA,Dept Physiat, Huesca, Spain - Author
Universidad de Castilla-La Mancha, Toledo, Spain. - Author
University Hospital. Getafe, Spain, Getafe, Spain. - Author
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Abstract

To assess the influence of different chronic diseases on lifestyle and health behaviours changes after COVID-19 lockdown in Spanish older people compared to people without these diseases and compare the differences in these changes between both periods.1092 participants (80.3±5.6y;66.5%women) from two Spanish cohorts were included. Telephone-based questionaries were used to evaluate health risk behaviours and lifestyle during lockdown and 7-months later. Self-reported physician-based diagnosis of chronic diseases was also reported. Cox-proportional models adjusted for main confounders were applied.Improvements concerning lifestyle were found in older people with chronic diseases, although they worsened the physical component (except cancer). When they were compared to those without these diseases, hypertension was associated with a lower frequency of increased alcohol consumption (Hazard ratio:0.73[95% confidence interval:0.55;0.99]). Pulmonary diseases were associated with a lower risk of both decreased sedentary time (0.58[0.39;0.86]) and worsening sleep quality (0.56[0.36;0.87]), while CVD was only associated with a lower frequency of decreased sedentary time (0.58[0.38;0.88]). Depression was linked to a higher risk of increasing diet quality (1.53[1.00;2.36]). Cancer was less likely to worsen sleep quality (0.44[0.22;0.89]), but more likely to worsen their social contact frequency (2.05[1.05;3.99]). No significant association related to musculoskeletal diseases.Beneficial changes in health risk behaviours and lifestyle after the COVID-19 lockdown in older people with chronic diseases were found. Particularly, older people with hypertension, pulmonary disease and cancer showed beneficial changes after lockdown compared to their counterparts without diseases. Those with CVD and depression showed lifestyles that could involve a health risk.
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Keywords

ageinganxietychronic diseasescohortdietelderly paseexercisequality of lifequestionnairerisksedentary time&nbspAgedAgeingAnxietyCardiovascular diseasesChronic diseasesCommunicable disease controlCovid-19DepressionFemaleHumansHypertensionHypertension, pulmonaryLife styleMaleMusculoskeletal diseasesNeoplasmsPhysical-activity scaleQuality of lifeSedentary time

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Epidemiology and health due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2022, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Public Health, Environmental and Occupational Health.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2026-04-05:

  • Google Scholar: 1
  • WoS: 3
  • Scopus: 3
  • Europe PMC: 2
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-05:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 93.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 93 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 1.
  • The number of mentions on the social network X (formerly Twitter): 2 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
  • Assignment of a Handle/URN as an identifier within the deposit in the Institutional Repository: https://repositorio.uam.es/handle/10486/712386
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Awards linked to the item

Irene Rodriguez-Gomez and Asier Manas received a postdoctoral contract from the Universidad de Castilla-La Mancha ("Contratos de investigadores postdoctorales para la excelencia cientifica en el desarrollo del Plan Propio de I+D+i, cofinanciada por el Fondo Social Europeo" [2021/5937]), and Coral Sanchez-Martin received a Ph.D. grant from the Universidad de Castilla-La Mancha ("Contratos predoctorales para la formacion de personal investigador en el marco del Plan Propio de I+D+i, cofinanciados por el Fondo Social Europeo" [2020/3836]).
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