The impact of covid-19 lockdown on glycemic control and lifestyle changes in children and adolescent with type 1 diabetes mellitus: a systematic review

Mohamed, Mossad Abdelhak Shaban and Abdul Rahim, Haziyah and Noor Zamri, Nor Syamimi Amalia (2021) The impact of covid-19 lockdown on glycemic control and lifestyle changes in children and adolescent with type 1 diabetes mellitus: a systematic review. In: Virtual Medical Research Symposium 2021, 14th December 2021, Kuantan, Pahang (Virtual). (Unpublished)

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Abstract

Background: The World Health Organization has declared the SARS-CoV-2 outbreak as a pandemic on 11th March 2020. As a measure to prevent the spread of COVID-19, many countries have implemented a lockdown order. The restriction led to lifestyle changes and further affected glycaemic control in children and adolescents with type 1 diabetes mellitus. Thus, this systematic review aims to evaluate the impact of COVID-19 lockdown on glycaemic control and lifestyle changes in children and adolescents with type 1 diabetes mellitus. Method: We systematically identified studies by searching Scopus, Pubmed Central, Oxford Academy, Google Scholar, JSTOR and included 17 studies. Levels of HbA1c, blood glucose readings, time in range (TIR), time below range (TBR), time above range (TAR) and glucose standard deviation (SD) were our primary outcomes. Result: A total of 17 studies are included in our research. Regarding the glycaemic control, n=7 (41 %) studies showed significant improvement in glycaemic outcomes. However, n=3 (18 %) research noticed a deterioration of glycaemic control during the lockdown. Furthermore, there were some studies, n=7 (41%) showed no significant changes. Most of the children and adolescents with type 1 diabetes mellitus had lifestyle changes during this lockdown. It was observed that different countries demonstrate different findings in which studies from Italy and the UK show improvement while studies from KSA, Japan and Egypt show deterioration of glycaemic outcomes. Conclusion: The number of studies that showed children and adolescents with improved glycaemic control is similar to the number of studies that showed no significant changes. Thus, further research on a broader scale is recommended.

Item Type:	Conference or Workshop Item (Poster)
Additional Information:	8259/96535
Uncontrolled Keywords:	Blood glucose, lockdown, type 1 diabetes, lifestyle, COVID-19
Subjects:	R Medicine > RJ Pediatrics > RJ101 Child Heatlh. Child health services. Preventive health services for children
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Paediatrics
Depositing User:	Assoc.prof mossad shaban
Date Deposited:	07 Feb 2022 12:02
Last Modified:	07 Feb 2022 12:02
URI:	http://irep.iium.edu.my/id/eprint/96535

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