000121049 001__ 121049 000121049 005__ 20240319081023.0 000121049 0247_ $$2doi$$a10.4178/epih.e2022026 000121049 0248_ $$2sideral$$a131499 000121049 037__ $$aART-2022-131499 000121049 041__ $$aeng 000121049 100__ $$aRodríguez-Gómez, Irene 000121049 245__ $$aThe medium-term consequences of a COVID-19 lockdown on lifestyle among Spanish older people with hypertension, pulmonary disease, cardiovascular disease, musculoskeletal disease, depression, and cancer 000121049 260__ $$c2022 000121049 5060_ $$aAccess copy available to the general public$$fUnrestricted 000121049 5203_ $$aOBJECTIVES: This study investigated the associations of chronic diseases with changes in lifestyle and health behaviours in older people following the coronavirus disease 2019 (COVID-19) lockdown in Spain and compared the differences in changes over time. METHODS: 1,092 participants (80.3±5.6 years; 66.5% female) from 2 Spanish cohorts were included. Telephone-based questionnaires were conducted to evaluate lifestyle and health risk behaviours at the end of lockdown and 7 months post-lockdown. Participants were classified as having physician-diagnosed chronic diseases based on self-reported data. Cox proportional models adjusted for major confounders were used. RESULTS: Compared to those without the corresponding chronic diseases, older people with hypertension were less likely to report increased alcohol consumption (hazard ratio [HR], 0.73; 95% confidence interval [CI], 0.55 to 0.99). Pulmonary diseases were associated with lower risks of increased sedentary time (HR, 0.58; 95% CI, 0.39 to 0.86) and worsened sleep quality (HR, 0.56; 95% CI, 0.36 to 0.87), while cardiovascular diseases were associated with a lower risk of decreased sedentary time (HR, 0.58; 95% CI, 0.38 to 0.88). Depression was linked to a higher likelihood of improved diet quality (HR, 1.53; 95% CI, 1.00 to 2.36). Cancer pacients were less likely to have worsened sleep quality (HR, 0.44; 95% CI, 0.22 to 0.89) but more likely to have reduced their frequency of social contact (HR, 2.05; 95% CI, 1.05 to 3.99). CONCLUSIONS: Older people with chronic diseases showed beneficial changes in lifestyle and health risk behaviours after the COVID-19 lockdown. In particular, older people with hypertension, pulmonary disease, and cancer tended to make beneficial lifestyle and health behaviour changes. However, older people with cardiovascular disease and depression engaged in more health risk behaviours. 000121049 536__ $$9info:eu-repo/grantAgreement/EUR/FEDER/INTERREG-V-A-POCTEP-2014-2020-0499-4IE-PLUS-4-E$$9info:eu-repo/grantAgreement/EC/FP7/305483/EU/Utility of omic-based biomarkers in characterizing older individuals at risk for frailty, its progression to disability and general consequences to health and well-being - The FRAILOMIC Initiative/FRAILOMIC$$9info:eu-repo/grantAgreement/ES/ISCIII/CB16-10-00456$$9info:eu-repo/grantAgreement/ES/ISCIII/CB16-10-00464$$9info:eu-repo/grantAgreement/ES/ISCIII/CB16-10-00477$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI11-01068$$9info:eu-repo/grantAgreement/ES/ISCIII/PI031558$$9info:eu-repo/grantAgreement/ES/ISCIII/PI10-01532$$9info:eu-repo/grantAgreement/ES/MECD/EXERNET-DEP2005-00046$$9info:eu-repo/grantAgreement/ES/MECD/45-UPB-20$$9info:eu-repo/grantAgreement/ES/MINECO/DEP2016-78309-R 000121049 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000121049 590__ $$a3.8$$b2022 000121049 592__ $$a1.014$$b2022 000121049 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b80 / 207 = 0.386$$c2022$$dQ2$$eT2 000121049 593__ $$aPublic Health, Environmental and Occupational Health$$c2022$$dQ1 000121049 593__ $$aEpidemiology$$c2022$$dQ2 000121049 594__ $$a6.5$$b2022 000121049 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000121049 700__ $$aSánchez-Martín, Coral 000121049 700__ $$aGarcía-García, Francisco J. 000121049 700__ $$aGarcía-Esquinas, Esther 000121049 700__ $$aMiret, Marta 000121049 700__ $$0(orcid)0000-0002-4303-4097$$aVicente-Rodriguez, Germán$$uUniversidad de Zaragoza 000121049 700__ $$aGusi, Narcís 000121049 700__ $$aMañas, Asier 000121049 700__ $$aCarnicero, José A. 000121049 700__ $$aGonzalez-Gross, Marcela 000121049 700__ $$aAyuso-Mateos, José L. 000121049 700__ $$aRodríguez-Artalejo, Fernando 000121049 700__ $$aRodríguez-Mañas, Leocadio 000121049 700__ $$aAra, Ignacio 000121049 7102_ $$11006$$2245$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Educación Física y Depor. 000121049 773__ $$g44 (2022), e2022026 [11 pp.]$$tEpidemiology and health$$x2092-7193 000121049 8564_ $$s2185936$$uhttps://zaguan.unizar.es/record/121049/files/texto_completo.pdf$$yVersión publicada 000121049 8564_ $$s2871387$$uhttps://zaguan.unizar.es/record/121049/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000121049 909CO $$ooai:zaguan.unizar.es:121049$$particulos$$pdriver 000121049 951__ $$a2024-03-18-16:24:08 000121049 980__ $$aARTICLE