Review article
https://doi.org/10.26332/seemedj.v7i1.269
Home-Based Exercise During the Coronavirus Pandemic – A Useful, yet Challenging Treatment Strategy for Improvement of Mental Health, Glycemic Control and COVID-19 Outcomes in Patients With Diabetes
Maja Cigrovski Berković
; Department of Endocrinology, Diabetes, Metabolism and Clinical Pharmacology, Clinical Hospital Dubrava, Zagreb, Croatia; Department of Kinesiological Anthropology and Methodology, Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
Marul Ivandić
; University Hospital Center Osijek, Osijek, Croatia
Anna Mrzljak
; Department of Gastroenterology and Hepatology, University Hospital Center Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Vjekoslav Cigrovski
; Department of Kinesiological Anthropology and Methodology, Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
Lavinia La Grasta Sabolić
; Department of Pediatric Endocrinology and Diabetes, University Hospital Center Sestre milosrdnice, Zagreb, Croatia
Klara Ormanac
; Department of Pharmacology, Faculty of Medicine, University of J. J. Strossmayer Osijek, Osijek, Croatia
Dea Sabo
; Department of Pharmacology, Faculty of Medicine, University of J. J. Strossmayer Osijek, Osijek, Croatia
Tea Omanović Kolarić
; Department of Pharmacology, Faculty of Medicine, University of J. J. Strossmayer Osijek, Osijek, Croatia; Department of Pharmacology and Biochemistry, Faculty of Dental Medicine and Health, University of J. J. Strossmayer Osijek, Croatia
Lana Ružić
; Department of Kinesiological Anthropology and Methodology, Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
Ines Bilić Ćurčić
orcid.org/0000-0002-8861-5987
; Department of Pharmacology, Faculty of Medicine, University of J. J. Strossmayer Osijek, Osijek, Croatia; University Hospital Center Osijek, Croatia
Abstract
Lockdown measures to control disease transmission were implemented at the start of the COVID-19 era, worsening the already existing sedentary lifestyle. Reduced physical activity (PA) and unhealthy eating habits have a negative impact on mental health in chronically ill patients, including diabetes patients. Mental illness, on the other hand, encourages a sedentary lifestyle, exacerbating all components of metabolic syndrome. While well-controlled diabetic patients with an HbA1c of less than 7% had a less severe clinical presentation and COVID-19 mortality rates, the favorable effect of PA on immunomodulation and immunoregulation should not be neglected. Given recent data indicating that a sedentary lifestyle is the third independent risk factor for COVID-19 complications and death (after advanced age and organ transplant), including regular PA has never been more vital. Since PA has a major impact on both glycemic control and mental health, implementing structured home-based activity programs could improve glycemic control and psychological well-being, hence positively impacting COVID-19 outcomes.
Keywords
physical activity; mental health; diabetes; COVID-19; home-based exercise
Hrčak ID:
301081
URI
Publication date:
30.4.2023.
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