O7 Evaluation of the Degree of Anxiety and Stress in People with Type 1 and 2 Diabetes (T1D and T2D) during quarantine due to COVID-19 pandemic in Argentina

Authors

  • María Laura Pomares Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Carolina Gómez Martín Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • María Carolina Muratore Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Pablo Javier Ávila Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Susana Beatriz Apoloni Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Elizabeth Gladys Mendez Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Graciela Rubin Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Alejandra Carolina Maldini Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • María Lidia Ruiz Morosini Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Silvia Gorbán de Lapertosa Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Lilia Sauer Argentine Diabetes Society; Faculty of Medicine, Autonomous City of Buenos Aires, Argentina
  • Felipe Álvarez Fernández Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Judith Bendahan Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Lorena Lequi Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • María Amelia Linari Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Viviana Sosa Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • María Florencia Aranguren Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Joaquín González Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Gabriela Macello Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Milena Suppo Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Javier Aníbal Vilte Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • María Celina Soledad Acosta Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Claudio Fabián Dituro Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Alejandro Daín Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Claudia Karina Koleff Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Carolina Figueredo Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • María Julia Esperanza Argentine Diabetes Society. Faculty of Medicine, Autonomous City of Buenos Aires, Argentina
  • Jorgelina Llense Argentine Diabetes Society. Faculty of Medicine, Autonomous City of Buenos Aires, Argentina
  • Fabiana Dávila Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Graciela Fuente Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Silvina Soledad Gómez Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Rubén Alberto Guercetti Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Marisol Mantovan Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Matías Re Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Rosario Puente Olivera Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Sandra Noemí Salva Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Noelia Burgos Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Elizabeth Herrera Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Sandra Aixa Kremer Sendros Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Elida Romero Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Oscar Gustavo Lorenzo Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Silvia Rodríguez Cuimbra Argentine Diabetes Society. Faculty of Medicine, Autonomous City of Buenos Aires, Argentina
  • Ezequiel Hernán Forte Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Claudio Daniel González Argentine Diabetes Society. Faculty of Medicine, Autonomous City of Buenos Aires, Argentina
  • Sociedad Argentina de Diabetes Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Grupo de Estudio COVIDGRAD Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/diab.v54i3Sup.368

Keywords:

emotional impact, isolation, COVID-19

Abstract

Introduction: the COVID-19 pandemic has generated the indication of isolation in many countries, in order to avoid the spread of the virus. This situation has meant that people with diabetes must remain at home, and alterations in their mood and psychological state may appear.

Objectives: evaluate the psychological impact of quarantine by determining the degree of anxiety and stress measured by questionnaires, in people with DM1 and DM2 over 18 years of age. Analyze the possible association of the scores obtained with various independent covariates.

Materials and methods: multicenter, cross-sectional observational study, data collection through online questionnaires, sent randomly by electronic means from April 1 to May 3, 2020. The degree of stress was evaluated using the Perceived Stress Scale. (PSS), and the degree of anxiety using the Beck Anxiety Inventory (BAI). Statistical analysis: descriptive statistics and hypothesis confrontation test, multiple linear regression, chi2 and Spearman correlation coefficient. Any value of p<0.05 was considered statistically significant (SE).

Results: 2,273 patients were included, 1,057 (46.5%) with DM1 and 1,216 (53.4%) with DM2. Female sex 52.5%, male sex 47.5%. Average age 41 years (±14) in DM1 and 57 years (±11) in DM2. Years of diabetes: 17 years in DM1 and 11 years in DM2. Hb A1c 7.8% (±1.4) in DM1 vs 7.4% (±1.6) in DM2. Complications due to diabetes 9.2% diabetic foot, 12.8 retinopathy, 4.7% kidney disease and 9.3% cardiovascular disease. 96.9% of the population was quarantined. 62.4% received the flu vaccine in 2019 (higher in DM1 vs DM2, p 0.027). Qualitative variables: 3.6% had a severe BAI score, 8% moderate BAI, with a lower score in DM2 (p 0.0213), 22.4% mild BAI and 63.8% minimal BAI, with a higher score in DM2 (p 0.0042). Good Spearman correlation between both scales (0.57, p<0.0001). In the univariate analysis, not having complications was correlated with lower BAI (p <0.0001) and PSS. (p<0.0001), the younger the age, the greater the BAI (p<0.0001) and PSS (p<0.0001), the greater the Hb A1c, the greater the BAI (p.00001) and PSS (p0.0001). Female sex and having DM1 were correlated with higher scores in both questionnaires in ES form. The PPS was higher in people served in the public system. Multivariate analysis: younger age, higher Hb A1c, female sex and presence of complications had statistical significance with higher scores in both questionnaires. When the type of diabetes was adjusted for confounders, there was an ES change in the direction of the correlation, with a higher score in DM2 being found in both questionnaires.

Conclusions: in the present study, younger age, worse metabolic control, female sex, the presence of complications and having DM2 were correlated with a greater emotional impact of isolation due to COVID in people with diabetes in Argentina.

Author Biographies

María Laura Pomares, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Nutrition Specialist

Carolina Gómez Martín, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Medical specialist in Internal Medicine (University of Buenos Aires, UBA), specialized in Diabetes (Argentine Diabetes Society, SAD), Co-director of Cendia

María Carolina Muratore, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Medical specialist in Internal Medicine, specialized in Diabetes

Pablo Javier Ávila, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Doctor specializing in Internal Medicine, specialized in Diabetes

Susana Beatriz Apoloni, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Medical Specialist in Medical Clinic and Nutrition, specialized in Diabetes

Graciela Rubin, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

University Professor in Medicine, specialist in Internal Medicine, expert in Diabetes

Alejandra Carolina Maldini, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Medical specialist in General Medicine and Nutrition, specialized in Diabetes

María Lidia Ruiz Morosini, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Family doctor specializing in Diabetes; Medical Director

Silvia Gorbán de Lapertosa, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Professor of Nutrition and Health Education, Bachelor's Degree in Kinesiology and Physiatry, Faculty of Medicine

Lorena Lequi, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Specialist in Medical Clinic, Master in Cardiovascular Risk Factors, University of Barcelona, ??Master in Nutrition and Diabetes, Catholic University of Córdoba (UCC)

María Florencia Aranguren, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Physician specialized in Diabetes, Argentine Diabetes Society (SAD), specialist in Internal Medicine, University of Buenos Aires (UBA)

Joaquín González, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Specialist in Clinical Medicine and Diabetology

Javier Aníbal Vilte, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Physician, specialist in Endocrinology

Claudio Fabián Dituro, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Medical specialist in General and Integral Medicine, Master in Diabetes

Alejandro Daín, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Doctor, specialist in Diabetology

Claudia Karina Koleff, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Medical specialist in Medical Clinic and Endocrinology, specialized in Diabetes

Carolina Figueredo, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Medical specialist in Medical Clinic, specialized in Diabetes

Fabiana Dávila, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Nutrition Specialist

Graciela Fuente, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Diabetes and Nutrition Specialist; Head of the Nutrition Unit

Matías Re, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Clinical Physician, specialized in Diabetes

Sandra Aixa Kremer Sendros, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Specialist in Medical Clinic and Diabetes, Nutrition and Diabetes Endocrinology Service

Elida Romero, Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Medical

Claudio Daniel González, Argentine Diabetes Society. Faculty of Medicine, Autonomous City of Buenos Aires, Argentina

Pharmacologist doctor; Advisor on the methodology of the clinical and epidemiological evidence qualification processes

Published

2023-01-10

How to Cite

Pomares, M. L., Gómez Martín, C., Muratore, M. C., Ávila, P. J., Apoloni, S. B., Mendez, E. G., Rubin, G., Maldini, A. C., Ruiz Morosini, M. L., Gorbán de Lapertosa, S., Sauer, L., Álvarez Fernández, F., Bendahan, J., Lequi, L., Linari, M. A., Sosa, V., Aranguren, M. F., González, J., Macello, G., Suppo, M., Vilte, J. A., Acosta, M. C. S., Dituro, C. F., Daín, A., Koleff, C. K., Figueredo, C., Esperanza, M. J., Llense, J., Dávila, F., Fuente, G., Gómez, S. S., Guercetti, R. A., Mantovan, M., Re, M., Puente Olivera, R., Salva, S. N., Burgos, N., Herrera, E., Kremer Sendros, S. A., Romero, E., Lorenzo, O. G., Rodríguez Cuimbra, S., Forte, E. H., González, C. D., Sociedad Argentina de Diabetes, & Grupo de Estudio COVIDGRAD. (2023). O7 Evaluation of the Degree of Anxiety and Stress in People with Type 1 and 2 Diabetes (T1D and T2D) during quarantine due to COVID-19 pandemic in Argentina. Journal of the Argentine Society of Diabetes, 54(3Sup), 92–92. https://doi.org/10.47196/diab.v54i3Sup.368

Issue

Section

Selected articles. Oral presentations