The potential long-term impact of the COVID-19 outbreak on patients with non-communicable diseases in Europe: consequences for healthy ageing

被引:244
作者
Palmer, Katie [1 ,2 ]
Monaco, Alessandro [3 ]
Kivipelto, Miia [4 ,5 ,6 ]
Onder, Graziano [7 ]
Maggi, Stefania [8 ]
Michel, Jean-Pierre [9 ]
Prieto, Rita [10 ]
Sykara, Georgia [11 ]
Donde, Shaantanu [12 ]
机构
[1] Oliba, Rome, Italy
[2] Univ Cattolica Sacro Cuore, Rome, Italy
[3] HEC, 1 Rue Liberat Jouy Josas, Paris, France
[4] Karolinska Univ Hosp, Karolinska Inst, Ctr Alzheimer Res, Div Clin Geriatr,Dept NVS,Theme Aging, Stockholm, Sweden
[5] Univ Eastern Finland, Inst Publ Hlth & Clin Nutr, Kuopio, Finland
[6] Imperial Coll London, Sch Publ Hlth, Ageing & Epidemiol AGE Res Unit, London, England
[7] Ist Super Sanita, Dept Cardiovasc Endocrine Metab Dis & Aging, Rome, Italy
[8] CNR, Neurosci Inst, Aging Branch, Padua, Italy
[9] Med Univ Geneva, Dept Geriatr & Rehabil, Geneva, Switzerland
[10] Upjohn, Pfizer GEP SLU, Madrid, Spain
[11] Upjohn Hellas Ltd, Div Pfizer, Med Affairs, Athens, Greece
[12] Upjohn, Div Pfizer, Surrey, England
关键词
COVID-19; SARS-coV-2; Chronic diseases; NCD; Elderly; Frailty; Coronavirus; VITAMIN-D; COGNITIVE IMPAIRMENT; HOSPITALIZATION; LONELINESS; DEPRESSION; INFLUENZA; EXERCISE; PEOPLE;
D O I
10.1007/s40520-020-01601-4
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The early stages of the COVID-19 pandemic have focused on containing SARS-CoV-2 infection and identifying treatment strategies. While controlling this communicable disease is of utmost importance, the long-term effect on individuals with non-communicable diseases (NCD) is significant. Although certain NCDs appear to increase the severity of COVID-19 and mortality risk, SARS-CoV-2 infection in survivors with NCDs may also affect the progression of their pre-existing clinical conditions. Infection containment measures will have substantial short- and long-term consequences; social distancing and quarantine restrictions will reduce physical activity and increase other unhealthy lifestyles, thus increasing NCD risk factors and worsening clinical symptoms. Vitamin D levels might decrease and there might be a rise in mental health disorders. Many countries have made changes to routine management of NCD patients, e.g., cancelling non-urgent outpatient visits, which will have important implications for NCD management, diagnosis of new-onset NCDs, medication adherence, and NCD progression. We may have opportunities to learn from this unprecedented crisis on how to leverage healthcare technologies and improve procedures to optimize healthcare service provision. This article discusses how the COVID-19 outbreak and related infection control measures could hit the most frail individuals, worsening the condition of NCD patients, while further jeopardizing the sustainability of the healthcare systems. We suggest ways to define an integrated strategy that could involve both public institutional entities and the private sector to safeguard frail individuals and mitigate the impact of the outbreak.
引用
收藏
页码:1189 / 1194
页数:6
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