Impact of COVID-19 lockdown on glycemic control in children and adolescents

Saudi Med J. 2021 Jan;42(1):44-48. doi: 10.15537/smj.2021.1.25620.

Abstract

Objectives: To identify how children and adolescents with type 1 diabetes were coping with their condition during the COVID-19 lockdown, by detecting differences in blood glucose control and in lifestyle, including diet, physical activity, and mood deterioration, before and during the lockdown.

Methods: This descriptive, cross-sectional study was conducted between April and June 2020 at King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia. Data were collected from interviews, using various forms of telecommunication.

Results: The total sample size was 150 patients, 48 (28%) of whom were males and 102 (72%) females. The mean age of the patients was 12.45 years. The lockdown was associated with a significant increase in patients' weight (p=0.001), body mass index (p=0.001), and blood glucose readings (p=0.007) compared to their values before the lockdown. Conclusion: A negative impact of the COVID-19 lockdown was found on blood glucose values and BMI, which may correlate with a lack of physical activity, increased consumption of carbohydrates and fast food, and mood deterioration.

MeSH terms

  • Adaptation, Psychological*
  • Adolescent
  • Affect
  • Body Mass Index
  • COVID-19 / epidemiology
  • COVID-19 / prevention & control*
  • Child
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 1 / drug therapy
  • Diabetes Mellitus, Type 1 / psychology*
  • Diabetes Mellitus, Type 1 / therapy*
  • Diet
  • Exercise
  • Glycemic Control*
  • Healthy Lifestyle
  • Humans
  • Hypoglycemic Agents / therapeutic use
  • Insulin / therapeutic use
  • Pandemics / prevention & control
  • Physical Distancing*
  • SARS-CoV-2
  • Saudi Arabia
  • Weight Gain

Substances

  • Hypoglycemic Agents
  • Insulin