Practical tips for prevention of cardiovascular disease in women after quarantine for COVID-19 disease.
Keywords:
women; prevention; quarantine; COVID-19; stress; lifestyle; nutritionAbstract
To contain the spread of CoV-19 / SARS-CoV-2 infection, several governments have imposed collective quarantine on the population. All of these restrictions have influenced women's health and induced an unhealthy lifestyle that, in some cases, could persist after the lockdown. The present commentary briefly analyzes the effects of quarantine on women’s lifestyle.
Quarantine is associated with stress and depression, which lead to unhealthy nutrition and reduced physical activity, particularly in women. Unhealthy diet is usually poor in fruit and vegetables, with a consequent low intake of antioxidants and vitamins. However, vitamins have recently been identified as a weapon in the fight against the Covid-19. Some reports suggest that Vitamin D could exert a protective effect on such infection. In addition, women are less likely to engage in regular physical activity and have increased sitting time and sedentary behaviors during quarantine, which have led to weight gain. During quarantine strategies to increase home-based physical activity and to encourage adherence to a healthy diet have been implemented. Following quarantine, a global action supporting healthy Diet and physical activity is mandatory to encourage women to return to a good lifestyle routine.
References
Mattioli AV, Sciomer S, Moscucci F et al. Cardiovascular prevention in women: a narrative review from the Italian Society of Cardiology working groups on 'Cardiovascular Prevention, Hypertension and peripheral circulation' and on 'Women Disease'. J Cardiovasc Med 2019; 20:575-583. doi:10.2459/JCM.0000000000000831.
WHO announces COVID-19 outbreak a pandemic. 2020 at http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-a-pandemic
Parmet WE, Sinha MS. Covid-19 — The Law and Limits of Quarantine. N Engl J Med 2020 DOI: 10.1056/NEJMp2004211
Mattioli AV, Ballerini Puviani M. Lifestyle at time of COVID-19, how could quarantine affect cardiovascular risk. Am J lifestyle 2020 14(3), pp. 240-242 https://doi.org/10.1177/1559827620918808
Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence Lancet 2020; 395: 912–20. https://doi.org/10.1016/ S0140-6736(20)30460-8
Louvardi M, Pelekasis P, Chrousos G, Darviri C. Mental Health in Chronic Disease Patients during the COVID-19 Quarantine in Greece. Palliative and Supportive Care, 2020; 1-17. doi:10.1017/S1478951520000528
Mattioli AV, Sciomer S, Cocchi C, Maffei S, Gallina S. “Quarantine during COVID-19 outbreak: changes in Diet and physical activity increase the risk of cardiovascular disease” Nutr Metab Cardiovasc Dis in press 2020 doi.org/10.1016/j.numecd.2020.05.020
Jeong H, Yim HW, Song Y-J, et al. Mental health status of people isolated due to Middle East respiratory syndrome. Epidemiol Health 2016; 38: e2016048
Nacoti M, Ciocca A, Giupponi A, et al. At the Epicenter of the Covid-19 Pandemic and Humanitarian Crises in Italy: Changing Perspectives on Preparation and Mitigation N Engl J Medicine 2020 March 21, 2020 DOI: 10.1056/CAT.20.0080
Lee S, Chan LY, Chau AM, Kwok KP, Kleinman A. The experience of SARS-related stigma at Amoy Gardens. Soc Sci Med 2005; 61: 2038–46.
Jones J, Sullivan PS, Sanchez T, et al. Similarities and differences in COVID-19 awareness, concern, and symptoms by race and ethnicity in the United States: A cross-sectional survey Journal of Medical Internet Research. 01/07/2020:20001 (in press) DOI: 10.2196/20001
Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu YF. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations. Gen. Psychiatry 2020, 33, e100213
Lau JT, Griths S, Choi KC, Tsui HY. Avoidance behaviors and negative psychological responses in the general population in the initial stage of the H1N1 pandemic in Hong Kong. BMC Infect. Dis. 2010, 10, 139
Taylor M, Agho KE, Stevens G, Raphael B. Factors influencing psychological distress during a disease epidemic: Data from Australia’s first outbreak of equine influenza. BMC Public Health 2008, 8, 347
Leung GM, Ho SY, Chan SKK, Bacon-Shone J, Choy RYL, Hedley AJ, Lam TH, Fielding R. Longitudinal Assessment of Community Psychobehavioral Responses During and After the 2003 Outbreak of Severe Acute Respiratory Syndrome in Hong Kong. Clin. Infect. Dis. 2005, 40, 1713–1720
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho R. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int. J. Environ. Res. Public Health 2020, 17, 1729
Gómez-Salgado J, Andrés-Villas M, Domínguez-Salas S, Díaz-Milanés D, Ruiz-Frutos C. Related Health Factors of Psychological Distress During the COVID-19 Pandemic in Spain. Int. J. Environ. Res. Public Health 2020, 17, 3947.
Schiffman SS, Graham BG, Sattely-Miller EA, Peterson-Dancy M. Elevated and sustained desire for sweet taste in African-Americans: a potential factor in the development of obesity. Nutrition 2000;16: 886 –93.
Torres SJ, Nowson CA. Relationship between stress, eating behavior, and obesity. Nutrition. 2007;23(11- 12):887-894. https://doi. org/10.1016/j.nut.2007.08.008
Muscogiuri G, Barrea L, Savastano S, Colao A. Nutritional recommendations for CoVID-19 quarantine [published online ahead of print, 2020 Apr 14]. Eur J Clin Nutr. 2020;1‐2. doi:10.1038/s41430-020-0635-2
Mattioli AV, Ballerini Puviani M, Nasi M, Farinetti A. COVID-19 pandemic: the effects of quarantine on cardiovascular risk. Eur J Clin Nutr. 2020 May 5:1-4. doi: 10.1038/s41430-020-0646-z.
Rodríguez-Martín BC, Meule A. Food craving: new contributions on its assessment, moderators, and consequences. Front Psychol. 2015;6:21. Published 2015 Jan 22. doi:10.3389/fpsyg.2015.00021
Truzzi ML, Ballerini Puviani M, Tripodi A et al. Mediterranean Diet as a model of sustainable, resilient and healthy diet. Progress in Nutrition. 2020; 22, 2, 388-394. https://doi.org/10.23751/pn.v22i2.8632.
Mattioli AV, Coppi F, Migaldi M, Scicchitano P, Ciccone MM, Farinetti A. Relationship between Mediterranean diet and asymptomatic peripheral arterial disease in a population of pre-menopausal women. Nutr Metab Cardiovasc Dis. 2017; 27 (11) 985-990. doi: 10.1016/j.numecd.2017.09.011
Shahar E, Redline S, Young T, et al. Hormone replacement therapy and sleep disordered breathing. Am J Respir Crit Care Med 2003; 167:1186–1192
Li Y, Vgontzas AN, Fernandez-Mendoza J, et al. Insomnia with physiological hyperarousal is associated with hypertension. Hypertension 2015; 65:644–650
Marelli S, Castelnuovo A, Somma A, et al. Impact of COVID-19 lockdown on sleep quality in university students and administration staff [published online ahead of print, 2020 Jul 11]. J Neurol. 2020;10.1007/s00415-020-10056-6. doi:10.1007/s00415-020-10056-6
Gualano, M.R.; Lo Moro, G.; Voglino, G.; Bert, F.; Siliquini, R. Effects of Covid-19 Lockdown on Mental Health and Sleep Disturbances in Italy. Int. J. Environ. Res. Public Health 2020, 17, 4779
Nejadghaderi SA, Heidari A, Shakerian N, Saghazadeh A, Rezaei N. Cardiovascular system is at higher risk of affecting by COVID-19: COVID-19 and CVD . Acta Bio Med [Internet]. 2020Jul.13 [cited 2020Jul.17];91(3):Epub ahead of print. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/9718
Mattioli, A.V., Pinti, M., Farinetti, A., Nasi, M., Obesity risk during collective quarantine for the COVID-19 epidemic, Obesity Medicine, 2020 https://doi.org/10.1016/j.obmed.2020.100263
Ricci F, Izzicupo P, Moscucci F, Sciomer S, et al. Recommendations for physical inactivity and sedentary behavior during COVID-19. Front. Public Health | doi: 10.3389/fpubh.2020.00199
Yang YC, Chou CL, Kao CL. Exercise, nutrition, and medication considerations in the light of the COVID pandemic, with specific focus on geriatric population: A literature review [published online ahead of print, 2020 Jul 13]. J Chin Med Assoc. 2020;10.1097/JCMA.0000000000000393. doi:10.1097/JCMA.0000000000000393
Pellegrini M, Ponzo V, Rosato R, et al. Changes in Weight and Nutritional Habits in Adults with Obesity during the "Lockdown" Period Caused by the COVID-19 Virus Emergency. Nutrients. 2020;12(7):E2016. Published 2020 Jul 7. doi:10.3390/nu12072016
Ranasinghe C, Ozemek C, Arena R. Exercise and well-being during COVID 19 - Time to boost your immunity [published online ahead of print, 2020 Jul 14]. Expert Rev Anti Infect Ther. 2020;10.1080/14787210.2020.1794818. doi:10.1080/14787210.2020.179481
Park S, Kim B, Lee J. Social Distancing and Outdoor Physical Activity During the COVID-19 Outbreak in South Korea: Implications for Physical Distancing Strategies [published online ahead of print, 2020 Jul 15]. Asia Pac J Public Health. 2020;1010539520940929. doi:10.1177/1010539520940929
Pieh C, Budimir S, Probst T. The effect of age, gender, income, work, and physical activity on mental health during coronavirus disease (COVID-19) lockdown in Austria [published online ahead of print, 2020 Jul 3]. J Psychosom Res. 2020;136:110186. doi:10.1016/j.jpsychores.2020.110186
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