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Changes in the Prevalence of Symptoms of Depression, Loneliness, and Insomnia in U.S. Older Adults With Type 2 Diabetes During the COVID-19 Pandemic: The Look AHEAD Study.
Chao, Ariana M; Wadden, Thomas A; Clark, Jeanne M; Hayden, Kathleen M; Howard, Marjorie J; Johnson, Karen C; Laferrère, Blandine; McCaffery, Jeanne M; Wing, Rena R; Yanovski, Susan Z; Wagenknecht, Lynne E.
Afiliação
  • Chao AM; 1Department of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, PA.
  • Wadden TA; 2Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
  • Clark JM; 2Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
  • Hayden KM; 3Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
  • Howard MJ; 4Wake Forest School of Medicine, Winston-Salem, NC.
  • Johnson KC; 4Wake Forest School of Medicine, Winston-Salem, NC.
  • Laferrère B; 5Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN.
  • McCaffery JM; 6Columbia University Irving Medical Center, New York, NY.
  • Wing RR; 7University of Connecticut, Storrs, CT.
  • Yanovski SZ; 8The Warren Alpert Medical School of Brown University, Providence, RI.
  • Wagenknecht LE; 9National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD.
Diabetes Care ; 45(1): 74-82, 2022 01 01.
Article em En | MEDLINE | ID: mdl-34753805
OBJECTIVE: To evaluate changes in the prevalence of depressive symptoms, loneliness, and insomnia among older adults with type 2 diabetes from 2016 to 2020 and to assess risk factors for these conditions including demographics, multimorbidity, BMI, treatment group, and pre-coronavirus 2019 (COVID-19) measure scores. RESEARCH DESIGN AND METHODS: This was a prospective, observational study of participants from the Look AHEAD (Action for Health in Diabetes) cohort study. Data were from two assessments before COVID-19 (visit 1: April 2016-June 2018 and visit 2: February 2018-February 2020) and one assessment during COVID-19 (visit 3: July-December 2020). Surveys were administered to assess depressive symptoms, loneliness, and insomnia. RESULTS: The study included 2829 adults (63.2% female, 60.6% White, mean [SD] age 75.6 [6.0] years). The prevalence of mild or greater depressive symptoms did not change significantly between the two pre-pandemic visits (P = 0.88) but increased significantly from pre- to during COVID-19 (19.3% at V2 to 30.4% at V3; P < 0.001). Higher odds of mild or greater depressive symptoms at V3 were associated with being female (adjusted odds ratio [OR] 1.4 [95% CI 1.1-1.7]), identifying as non-Hispanic White (OR 1.4 [95% CI 1.1-1.7]), having obesity (OR 1.3 [95% CI 1.0-1.5]), and reporting mild or greater depressive symptoms at V1 (OR 4.0 [95% CI 2.9-5.4]), V2 (OR 4.4 [95% CI 3.2-5.9]), or both visits (OR 13.4 [95% CI 9.7-18.4]). The prevalence of loneliness increased from 12.3% at V1 to 22.1% at V3 (P < 0.001), while the prevalence of insomnia remained stable across visits at 31.5-33.3%. CONCLUSIONS: The prevalence of mild or greater depressive symptoms in older adults with diabetes was more than 1.6 times higher during COVID-19 than before the pandemic.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diabetes Mellitus Tipo 2 / COVID-19 / Distúrbios do Início e da Manutenção do Sono Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: Diabetes Care Ano de publicação: 2022 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diabetes Mellitus Tipo 2 / COVID-19 / Distúrbios do Início e da Manutenção do Sono Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: Diabetes Care Ano de publicação: 2022 Tipo de documento: Article País de publicação: Estados Unidos