The Effect of COVID-19 Lockdown Among Adolescents with Type 1 Diabetes: A Systematic Review and Meta-Analysis.

IF 2.4 Q3 ENDOCRINOLOGY & METABOLISM Current diabetes reviews Pub Date : 2024-10-02 DOI:10.2174/0115733998327893240905071326
Aaliyah Momani, Aram Halimi, Seyed Saeed Hashemi Nazari, Zalikha Al-Marzouqi, Alireza Mosavi Mosavi Jarrahi, Nabeel Al-Yateem, Syed Azizur Rahman, Amina Al-Marzouqi
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Abstract

Objective: The aim of this study was to assess how the lockdown of the COVID-19 pandemic had affected the glycaemic control of adolescents aged 10-19 with type 1 diabetes.

Methods: A comprehensive search of literature was performed in PubMed, Scopus, Web of Science, and ProQuest. Published articles up to September 2022 were included. The Glucose Monitoring Index (GMI) and HbA1c level were defined as outcome variables. Average glucose level was found to be a common variable in both HbA1c levels and GMI; therefore, HbA1c and GMI were converted to average glucose (mg/dL) using appropriate formulas. Studies reported the outcomes in two or three periods (pre-lockdown, lockdown, and post-lockdown) were included in the analysis. A paired wise meta-analysis was performed among the studies that reported all three periods. Homogeneity across studies was assessed using I2 statistic.

Result: Fourteen studies were included in the study. The pooled average glucose during the lockdown decreased to 166.9 mg/dL (95% CI, 153.78, 180.02) from 205.793 mg/dL (95% CI, 188.412, 223.173) during the pre-lockdown period, then it increased to 204.23 mg/dL (95% CI, 186.17, 222.29) during the post-lockdown period. A paired wise meta-analysis indicated a reduction in average glucose levels. However, it was not statistically significant, possibly due to the small number of studies that reported data from all three periods.

Conclusion: Although the descriptive analysis of our study showed that the lockdown had affected (decreased) the average glucose level among adolescents with type 1 diabetes, this was not statistically significant in the pooled analysis.

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COVID-19封锁对1型糖尿病青少年的影响:系统回顾与元分析》。
研究目的本研究旨在评估 COVID-19 大流行的封锁对 10-19 岁 1 型糖尿病青少年的血糖控制有何影响:在PubMed、Scopus、Web of Science和ProQuest上进行了全面的文献检索。研究纳入了截至 2022 年 9 月发表的文章。葡萄糖监测指数(GMI)和 HbA1c 水平被定义为结果变量。平均血糖水平是 HbA1c 水平和 GMI 的共同变量;因此,使用适当的公式将 HbA1c 和 GMI 转换为平均血糖(mg/dL)。分析中纳入了报告两个或三个时期(封锁前、封锁中和封锁后)结果的研究。对报告了所有三个阶段的研究进行配对荟萃分析。使用 I2 统计量评估了各研究之间的同质性:结果:共纳入 14 项研究。封锁期间的汇总平均血糖从封锁前的 205.793 mg/dL (95% CI, 188.412, 223.173) 降至 166.9 mg/dL (95% CI, 153.78, 180.02),然后在封锁后上升至 204.23 mg/dL (95% CI, 186.17, 222.29)。配对荟萃分析表明,平均血糖水平有所下降。然而,这在统计学上并不显著,这可能是由于报告了所有三个时期数据的研究数量较少:尽管我们研究的描述性分析表明,禁闭影响(降低)了 1 型糖尿病青少年的平均血糖水平,但在汇总分析中,这并不具有统计学意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current diabetes reviews
Current diabetes reviews ENDOCRINOLOGY & METABOLISM-
CiteScore
6.30
自引率
0.00%
发文量
158
期刊介绍: Current Diabetes Reviews publishes frontier reviews on all the latest advances on diabetes and its related areas e.g. pharmacology, pathogenesis, complications, epidemiology, clinical care, and therapy. The journal"s aim is to publish the highest quality review articles dedicated to clinical research in the field. The journal is essential reading for all researchers and clinicians who are involved in the field of diabetes.
期刊最新文献
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