Chronic non-communicable diseases and changes in lifestyles during the COVID-19 pandemic in Brazil
Keywords:Quarantine, Coronavirus, Life Style, Risk Factors, Noncommunicable Diseases, Brazil
Objective: Compare lifestyle changes before and during the COVID-19 pandemic, according to the presence or absence of chronic noncommunicable diseases (NCDs) in Brazilian adults. Methods: Cross-sectional study, using data from the ConVid survey, between April and May 2020. Variables were evaluated: lifestyle and presence of one or mor NCDs (diabetes, hypertension, respiratory disease, heart disease and cancer). Sociodemographic characteristics were used as adjustment. Relative frequencies and confidence intervals (CI) of 95% of the explanatory variables were calculated before and during the pandemic. For the comparison of groups, with or without NCDs for changes in lifestyles during the pandemic, the prevalence and crude and adjusted prevalence ratios (RPa) were estimated by Poisson regression. Results: There was a reduction in physical activity (60% without NCDs and 58% with NCDs), vegetable consumption (10.8% in those without NCDs and 12.7% in those with NCDs). On the other hand, there was an increase in the time spent using television and computer/tablet (302% and 43.5% in those with NCDs and 196.5% and 30.6% without NCDs, respectively); consumption of frozen foods (43.6% in those without NCDs and 53.7% without NCDs), snacks (42.3% without NCDs and 31.2% with NCDs) and chocolate (14.8% without NCDs). During the pandemic, NCDs patients showed less practice of sufficient physical activity (RPa 0.77; CI 0.65–0.92), greater habit of watching TV (RPa 1.16; CI 1.08–1.26) and lower consumption of vegetables (RPa 0.88; CI 0.81–0.96). Conclusion: It was evident that adults with NCDs had their lifestyles more altered during the COVID-19 pandemic.
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Copyright (c) 2020 Deborah Carvalho Malta, Crizian Saar Gomes, Marilisa Berti de Azevedo Barros, Margareth Guimarães Lima, Wanessa da Silva de Almeida, Ana Carolina Micheletti Gomide Nogueira de Sá, Elton Junio Sady Prates, Ísis Eloah Machado, Danilo Rodrigues Pereira da Silva, André de Oliveira Werneck, Gisele Nogueira Damacena, Paulo Roberto Borges de Souza Júnior, Luiz Otávio de Azevedo, Dalia Elena Romero Montilla, Célia Landmann Szwarcwald
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