Impact of COVID-19 Confinement on the Health-Related Habits of People at High Risk of Type 2 Diabetes

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The general lockdown decreed in Spain due to the COVID-19 pandemic interrupted the ALAS health promotion intervention aimed at the population at high risk of suffering from type 2
diabetes. We conducted a descriptive study in 2020 through a telephone survey and a comparison with baseline data to determine the impact of confinement on the lifestyles of the participants.
We collected sociodemographic variables and conducted assessments before/after confinement on general health status and lifestyle (sleep, physical activity and diet). Additionally, weight, BMI and
adherence to a Mediterranean diet were assessed. Descriptive statistical analyses, comparisons of pre–post confinement data and logistic regression were carried out. A total of 387 individuals responded.
Among them, 31.8% reported a worse perception of health after confinement, and 63.1% reported nochange. Regarding exercise, 61.1% reduced their weekly physical activity time. Regarding diet, 34.4%
perceived worse quality, and 53.4% reported no change, despite the fact that 89.4% declared changes in their eating practices. Weight and BMI decreased by 3.1%, and adherence to the Mediterranean
diet improved from baseline. Confinement had a negative impact on the general health, diet, sleep and physical activity of this population (at risk of diabetes); however, weight and BMI decreased,
and adherence to a Mediterranean diet improved.

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