Onset of the COVID-19 pandemic reduced active time in patients with implanted cardiac devices.

Background: Physical inactivity and sedentary behavior are modifiable risk factors for chronic disease and all-cause mortality that may have been negatively impacted by the COVID-19 shutdowns. Methods: Accelerometry data was retrospectively collected from 332 permanent pacemaker (PPM) and 244 implan...

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Publicado en:European Review of Aging & Physical Activity Vol. 19; no. 1; pp. 1 - 13
Autores principales: Sommers, Nicholas, Berger, Marcie, Rubenstein, Jason C., Roth, James, Pan, Amy, Thompson, Colton, Widlansky, Michael E.
Formato: Artículo
Publicado: BioMed Central 11/2/2022
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: 11/2/2022
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      pub: BioMed Central
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        160027722
        10.1186/s11556-022-00305-0
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        atl: Onset of the COVID-19 pandemic reduced active time in patients with implanted cardiac devices.
      aug:
        au:
          Sommers, Nicholas
          Berger, Marcie
          Rubenstein, Jason C.
          Roth, James
          Pan, Amy
          Thompson, Colton
          Widlansky, Michael E.
        affil:
          Medical College of Wisconsin, Milwaukee, WI, USA
          Division of Cardiovascular Medicine, Medical College of Wisconsin, Milwaukee, WI, USA
      su:
        United States
        COVID-19 pandemic
        Disease risk factors
        Sedentary behavior
        Artificial implants
        Cardiac patients
        Bonferroni correction
      sug:
        subj:
          COVID-19 pandemic
          Disease risk factors
          United States
          Surgical Appliance and Supplies Manufacturing
          Sedentary behavior
          Artificial implants
          Cardiac patients
          Bonferroni correction
      keyword:
        COVID-19 lockdown
        Implantable Devices
        Physical inactivity
        Sedentary Behavior
        COVID-19 lockdown
        Implantable Devices
        Physical inactivity
        Sedentary Behavior
      ab: Background: Physical inactivity and sedentary behavior are modifiable risk factors for chronic disease and all-cause mortality that may have been negatively impacted by the COVID-19 shutdowns. Methods: Accelerometry data was retrospectively collected from 332 permanent pacemaker (PPM) and 244 implantable cardiac defibrillation (ICD) patients for 6 time points: March 15-May 15, 2020 (pandemic period), January 1-March 14, 2020, October 1-December 31, 2019, March 15-May 15, 2019, January 1-March 14, 2019, and October 1-December 31, 2018. Paired t-tests, with Bonferroni correction, were used to compare time periods. Results: Activity significantly decreased during the pandemic period compared to one year prior by an average of 0.53 ± 1.18h/day (P < 0.001) for PPM patients and 0.51 ± 1.2h/day (P < 0.001) for ICD patients. Stratification of subjects by active time (< 2 versus ≥ 2h/day) showed patients with < 2h, particularly those with ICDs, had modestly greater activity reductions with the pandemic onset. Logistical regression analyses suggest a trend toward a greater reduction in active time at the onset of the pandemic and an increased risk of hospital or emergency department (ED) admission for PPM patients, but not ICD patients. Conclusion: The onset of the pandemic in the United States was associated with a significant drop in PPM and ICD patient active hours that was modestly more pronounced in less active patients and cannot be explained by one year of aging or seasonal variation. If sustained, these populations may experience excess cardiovascular morbidity.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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