The Impact of COVID-19 Control measures on NCD risk factors and Metabolic health: A comparison of 3 Caribbean countries

糖尿病、高血压和心脏病等非传染性疾病是中低收入国家的主要死因。加勒比妇女、城市居民和穷人更有可能患上非传染性疾病，肥胖、缺乏运动和不健康饮食等非传染性疾病风险因素的负担更大。最近在许多中低收入国家限制COVID-19传播的控制措施干扰了日常生活和食物系统。虽然限制酒精销售和关闭快餐店等控制措施可能对非传染性疾病有潜在好处，但这些可能会被新鲜水果和蔬菜的有限获得以及消费不健康的储存/保存食品的趋势所抵消。此外，压力，在家工作，增加屏幕时间（电脑和电视）和无聊也创造了睡眠，体育活动和其他NCD相关的生活方式practices.In这项研究中，我们将研究如何控制措施在3个加勒比岛屿使用影响健康和生活方式的做法与NCD的人，特别是妇女，穷人和那些生活在城市与农村社区的人。通过了解COVID-19控制措施对非传染性疾病风险因素（生活方式）、心理健康、代谢健康（血糖和胆固醇）和身体测量（血压和体重）的影响，LMIC政府可以利用其有限的资源在国家危机期间更好地照顾非传染性疾病患者，并更好地应对未来的COVID-19和其他传染病爆发。

Non communicable diseases (NCDs) such as diabetes, hypertension and heart disease are the leading causes of death in Low and Middle Income Countries (LMICs). Caribbean women, urban dwellers and the poor are more likely to have NCDs and a greater burden of NCD risk factors such as obesity, physical inactivity and unhealthy diet.The recent control measures to limit the spread of COVID-19 in many LMICs interfered with daily routines and food systems. While some control measures such as limiting sale of alcohol and closure of fast food restaurants might have potential benefits on NCDs, these may be counterbalanced by limited access to fresh fruits and vegetables and a tendency to consume unhealthy stored/preserved foods. Additionally, stress, working from home, increased screen time (computer and TV) and boredom also create a change in sleep, physical activity and other NCD related lifestyle practices.In this study we will examine how control measures used in 3 Caribbean islands affected the health and lifestyle practices of people living with NCDs, particularly women, the poor and those living in urban vs rural communities. By understanding the effects of COVID-19 control measures on NCD risk factors (lifestyle practices), mental health, metabolic health (blood sugar and cholesterol) and physical measurements (blood pressure and weight), LMIC governments can use their limited resources to better care for persons with NCDs during national crises and respond better to future COVID-19 and other infectious disease outbreaks.