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Changes in non-comm...
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King, CKarolinska Institutet
(author)
Changes in non-communicable diseases, diet and exercise in a rural Bangladesh setting before and after the first wave of COVID-19
- Article/chapterEnglish2022
Publisher, publication year, extent ...
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2022-09-30
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Public Library of Science (PLoS),2022
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LIBRIS-ID:oai:prod.swepub.kib.ki.se:236962614
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http://kipublications.ki.se/Default.aspx?queryparsed=id:236962614URI
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https://doi.org/10.1371/journal.pgph.0001110DOI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Prevalence of non-communicable diseases (NCDs) is high in rural Bangladesh. Given the complex multi-directional relationships between NCDs, COVID-19 infections and control measures, exploring pandemic impacts in this context is important. We conducted two cross-sectional surveys of adults ≥30-years in rural Faridpur district, Bangladesh, in February to March 2020 (survey 1, pre-COVID-19), and January to March 2021 (survey 2, post-lockdown). A new random sample of participants was taken at each survey. Anthropometric measures included: blood pressure, weight, height, hip and waist circumference and fasting and 2-hour post-glucose load blood glucose. An interviewer-administered questionnaire included: socio-demographics; lifestyle and behavioural risk factors; care seeking; self-rated health, depression and anxiety assessments. Differences in NCDs, diet and exercise were compared between surveys using chi2 tests, logistic and linear regression; sub-group analyses by gender, age and socio-economic tertiles were conducted. We recruited 950 (72.0%) participants in survey 1 and 1392 (87.9%) in survey 2. The percentage of the population with hypertension increased significantly from 34.5% (95% CI: 30.7, 38.5) to 41.5% (95% CI: 38.2, 45.0; p-value = 0.011); the increase was more pronounced in men. Across all measures of self-reported health and mental health, there was a significant improvement between survey 1 and 2. For self-rated health, we observed a 10-point increase (71.3 vs 81.2, p-value = 0.005). Depression reduced from 15.3% (95% CI: 8.4, 26.1) to 6.0% (95% CI: 2.7, 12.6; p-value = 0.044) and generalised anxiety from 17.9% (95% CI: 11.3, 27.3) to 4.0% (95% CI: 2.0, 7.6; p-value<0.001). No changes in fasting blood glucose, diabetes status, BMI or abdominal obesity were observed. Our findings suggest both positive and negative health outcomes following COVID-19 lockdown in a rural Bangladeshi setting, with a concerning increase in hypertension. These findings need to be further contextualised, with prospective assessments of indirect effects on physical and mental health and care-seeking.
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Shaha, SK
(author)
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Morrison, J
(author)
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Ahmed, N
(author)
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Kuddus, A
(author)
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Pires, M
(author)
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Nahar, T
(author)
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Hossin, R
(author)
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Haghparast-Bidgoli, H
(author)
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Khan, AKA
(author)
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Davies, J
(author)
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Azad, K
(author)
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Fottrell, E
(author)
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Karolinska Institutet
(creator_code:org_t)
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In:PLOS global public health: Public Library of Science (PLoS)2:9, s. e0001110-2767-3375
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King, C
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Shaha, SK
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Morrison, J
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Ahmed, N
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Kuddus, A
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Pires, M
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Nahar, T
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Hossin, R
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Khan, AKA
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Davies, J
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Azad, K
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Fottrell, E
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