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.

项目概要 相关性：COVID-19 大流行通过社交距离政策颠覆了美国的生活， 例如远程工作要求，以阻止 SARS-CoV-2 冠状病毒的传播和体重增加和变化。 体力活动、饮食摄入和其他与心脏代谢状况相关的健康行为 在紧急封锁期间和之后的两年内进行了报道。 在此期间，近三分之一的美国人继续远程工作，并了解这些早期有氧运动是否 持续存在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 未来目标：量化其幅度、改变特征和相关机制。 急性封锁期后一年以上美国成年人的心脏代谢健康变化设计：我们。 美国癌症协会以约 140,000 名成年人进行的高质量社区队列研究为基础 癌症预防研究 3 (CPS-3) 参与者提供了详细的健康行为、体重状况、 自入组以来每三年一次的调查的病史和社会经济数据（2021-22 年调查）。 通过专门设计用于衡量个人体验的信息来补充标准模块 流行病环境，例如工作和护理责任的变化，我们将使用地理编码进行链接。 根据当地政策衡量当地流行病环境严重程度的个人数据 我们将研究这一流行病的总体影响。 环境对体重状况和心脏代谢健康行为（饮食摄入、体力活动、 在 AIM 1A 中，我们将评估久坐时间、睡眠模式、吸烟和饮酒的影响。 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。 确定可以改变大流行对心脏代谢健康变化影响的人群特征。 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的影响：这项全国性调查前瞻性地收集了 ATA。 在大流行之前和期间将深入了解 COVID-19 的心脏代谢健康后遗症 当我们进入大流行后恢复阶段时，研究结果可能会为有关政策决策提供信息。 继续远程工作，以及未来心脏代谢健康的优先领域和优先人群 晋升。