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

被引:0
作者
Katie Palmer
Alessandro Monaco
Miia Kivipelto
Graziano Onder
Stefania Maggi
Jean-Pierre Michel
Rita Prieto
Georgia Sykara
Shaantanu Donde
机构
[1] Oliba,Division of Clinical Geriatrics, Department of NVS, Center for Alzheimer Research, Karolinska Institutet
[2] Catholic University of the Sacred Heart,Institute of Public Health and Clinical Nutrition
[3] HEC,Ageing and Epidemiology (AGE) Research Unit, School of Public Health
[4] Karolinska University Hospital,Department of Cardiovascular, Endocrine
[5] Theme Aging,Metabolic Diseases and Aging
[6] University of Eastern Finland,Department of Geriatrics and Rehabilitation
[7] Imperial College London,Medical Affairs
[8] Istituto Superiore di Sanità,undefined
[9] CNR-Neuroscience Institute,undefined
[10] Medical University of Geneva,undefined
[11] Pfizer GEP SLU,undefined
[12] Upjohn,undefined
[13] Upjohn Hellas Ltd (Division of Pfizer),undefined
[14] Upjohn (Division of Pfizer),undefined
来源
Aging Clinical and Experimental Research | 2020年 / 32卷
关键词
COVID-19; SARS-coV-2; Chronic diseases; NCD; Elderly; Frailty; Coronavirus;
D O I
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学科分类号
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.
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页码:1189 / 1194
页数:5
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