The Impact of the COVID-19 Pandemic Environment on Cardiometabolic Health

COVID-19 大流行环境对心脏代谢健康的影响

• 批准号: 10660485
• 负责人: Shivani A Patel
• 金额: $ 30.45万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10660485
• 关键词: 2019-nCoV; Acute; Adult; Alcohol consumption; American; American Cancer Society; Area; Behavior; Body Weight Changes; Buffers; COVID-19 pandemic; COVID-19 pandemic effects; Characteristics; Cohort Studies; Communities; Containment; County; Data; Diet; Dietary intake; Distress; District of Columbia; Dose; Enrollment; Environment; Epidemiology; Equity; Ethnic Origin; Future; Geography; Health; Health Priorities; Health Promotion; Health Status; Health behavior; Income; Individual; Institution; Investigation; Job loss; Life; Link; Longitudinal Studies; Measures; Mediator; Medical History; Natural experiment; Obesity; Participant; Persons; Phase; Physical activity; Policies; Population; Population Characteristics; Population Group; Psychosocial Factor; Quarantine; Race; Recovery; Reporting; Research Support; Risk; SARS-CoV-2 infection; Severities; Sleep; Social Distance; Social isolation; Socialization; Socioeconomic Factors; Surveys; Time; Tobacco use; US State; Unemployment; United States; Urbanicity; Vaccines; Weight; Weight Gain; Work; age group; cancer prevention; cardiometabolism; caregiving; cohort; data infrastructure; design; experience; improved; infection risk; insight; outcome prediction; pandemic disease; pandemic impact; pandemic response; post-pandemic; pre-pandemic; prospective; psychosocial; public database; public health priorities; resilience; response; sedentary; sex; sleep pattern; social vulnerability; socioeconomics

PROJECT SUMMARY RELEVANCE: The COVID-19 pandemic upended life in the United States through social distancing policies, such as remote work mandates, to halt the spread of the SARS-CoV-2 coronavirus. Weight gain and changes in physical activity, dietary intake, and other health behaviors related to cardio-metabolic conditions were reported during and immediately following the acute lockdown period. Two years after the acute lockdown period, nearly one-third of Americans continue to work remotely and understanding whether these early cardio- metabolic health changes persisted will have important implications for cardio-metabolic health in the decades to come. OBJECTIVES: To quantify the magnitude, modifying characteristics, and mechanisms associated with cardio-metabolic health changes in US adults >1 year after the post-acute lockdown period. DESIGN: We build on a high-quality community-based cohort study of ~140,000 adults, the American Cancer Society Cancer Prevention Study 3 (CPS-3). CPS-3 participants provided detailed health behavior, weight status, medical history, and socioeconomic data at triennial surveys since enrollment (2013). The 2021-22 survey supplements standard modules with information specifically designed to measure individual experiences of the pandemic environment such as changes to work and caregiving responsibilities. We will use geocodes to link individual data with measures of the severity of the local pandemic environment, measured by local policy restrictions, mobility reductions, and epidemiologic risks. We will examine the overall impact of the pandemic environment on weight status and cardio-metabolic health behaviors (dietary intake, physical activity, sedentary time, sleep patterns, tobacco use, and alcohol use). In AIM 1A, we will evaluate the impact of the pandemic environment on changes in weight status and cardio-metabolic health behaviors. In Aim 1B, we will identify population characteristics that modify the pandemic’s impact on changes in cardio-metabolic health. In AIM 2, we will evaluate potential mechanisms linking the pandemic environment and weight status, with special emphasis on remote work policies. IMPACT: This national investigation with prospectively collected ata before and during the pandemic will provide insight into the cardio-metabolic health sequelae of the COVID-19 pandemic. As we move into the post-pandemic recovery phase, findings may inform policy decisions regarding continuation of remote work, as well as future priority areas and priority populations for cardio-metabolic health promotion.

项目摘要 相关性：通过社会疏远政策，美国的covid-19美国大流行颠覆生活， 例如远程工作要求，以停止SARS-COV-2冠状病毒的传播。体重增加和变化 在体育锻炼，饮食摄入量和其他与心脏代谢状况有关的健康行为是 在急性锁定期间报告和立即报告。急性锁定两年后 时期，几乎三分之一的美国人继续远程工作，并了解这些早期的心脏 代谢健康的变化持续存在将对十年来的心脏代谢健康产生重要影响 来。目标：量化幅度，修改特征和相关机制 急性锁定期后1年，美国成年人的心脏代谢健康变化。设计：我们 美国癌症协会的高质量基于社区的队列研究 癌症预防研究3（CPS-3）。 CPS-3参与者提供了详细的健康行为，体重状况， 自入学以来，三年期调查的病史和社会经济数据（2013年）。 2021-22调查 补充标准模块，其信息专门设计用于衡量的个人体验 大流行环境，例如工作和照料责任的变化。我们将使用地理编码来链接 通过当地政策衡量的当地大流行环境严重程度的测量的个人数据 限制，降低流动性和流行病学风险。我们将研究大流行的整体影响 体重状况和心脏代谢健康行为的环境（饮食摄入，体育锻炼， 久坐的时间，睡眠方式，烟草使用和饮酒）。在AIM 1A中，我们将评估 大流行环境对体重状况的变化和心脏代谢的健康行为。在AIM 1B中，我们将 确定人口特征，以改变大流行对心脏代谢健康变化的影响。在 AIM 2，我们将评估将大流行环境和体重状况联系起来的潜在机制 特别强调远程工作政策。影响：这项全国投资与前瞻性收集的ATA 大流行之前和期间将洞悉COVID-19的心替代谢健康后遗症 大流行。当我们进入大流行后恢复阶段时，调查结果可能会为政策决定提供有关有关的政策决定 远程工作以及未来的优先领域以及心脏代谢健康的优先人群 晋升。