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

项目总结 相关性：新冠肺炎疫情通过社会疏远政策颠覆了美国的生活， 例如远程工作任务，以阻止SARS-CoV-2冠状病毒的传播。体重增加和变化 在体力活动、饮食摄入量和其他与心脏代谢状况有关的健康行为方面 在严重禁闭期期间和之后立即报告。在严重封锁两年后 在此期间，近三分之一的美国人继续远程工作，并了解这些早期的心脏- 持续的代谢健康变化将对未来几十年的心脏代谢健康产生重要影响 来吧。目标：量化大小、修饰特征和相关机制 随着美国成年人心脏代谢健康的变化，急性禁闭期后一年。设计：我们 建立在对大约140,000名成年人的高质量社区队列研究的基础上，美国癌症协会 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、 自登记(2013)以来的三年一次的调查中的病史和社会经济数据。2021-22年的调查 用专门为测量个人体验而设计的信息补充标准模块 大流行环境，如工作和照料责任的变化。我们将使用地理编码来链接 通过当地政策衡量当地大流行环境严重程度的个人数据 限制、减少流动性和流行病风险。我们将审查大流行的总体影响 环境对体重状况和心脏代谢健康行为的影响(饮食摄入量、体力活动、 久坐时间、睡眠模式、吸烟和饮酒)。在AIM 1A中，我们将评估 大流行环境对体重状况和心脏代谢健康行为变化的影响。在目标1B中，我们将 确定调整大流行对心脏代谢健康变化影响的人群特征。在……里面 目标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：这项全国性调查使用预期收集的数据 大流行之前和期间将提供对新冠肺炎心脏代谢健康后遗症的洞察 大流行。随着我们进入大流行后恢复阶段，研究结果可能会为以下方面的政策决策提供参考 继续远程工作，以及心脏代谢健康的未来优先领域和优先人群 升职。

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.