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1.
Bmj ; 377, 2022.
Article in English | ProQuest Central | ID: covidwho-1832401

ABSTRACT

[...]they were also more likely to have a high body mass index, a family history of diabetes, and to be inactive (Diabetologia doi:10.1007/s00125-022-05692-8). Raised without antibiotics As more people realise that using antibiotics in livestock farming contributes to the emergence of resistant strains of microorganisms, the market for meat from animals unexposed to antibiotics is expanding. A registry study from Denmark finds that people taking carvedilol or propranolol, which both readily cross the blood-brain barrier, were less likely to develop Alzheimer’s disease than those taking atenolol, bisoprolol, or sotalol, to which the blood-brain barrier is less permeable (Brain doi:10.1093/brain/awac076).

2.
Journal of Animal Science ; 99(Supplement_3):117-117, 2021.
Article in English | ProQuest Central | ID: covidwho-1831224

ABSTRACT

The global COVID-19 pandemic of 2020/2021 resulted in widespread impacts on the production & processing of animal proteins. Specifically, the U.S. pork industry was hit with multiple, long-term plant closures and slow-downs due to labor safety issues and availability, resulting in a backlog reaction felt throughout the live production supply-chain. Impact and timing differed by region and required variable strategies to address them. While some plants in the Western United States weren’t impacted until the latter stages of the pandemic and thus were attempting to add valuable liveweight, other regions, including the Midwest and Southeastern United States were experiencing moderate to severe reductions in processing capacity that created an accumulation of heavy animals and placed additional feed and ingredient demands on the feed mills. The backlog also reduced available space & disrupted the normal barn fill/empty cycles. While there was no way to prepare for these impacts, university & industry groups attempted to fill the knowledge gap with management and nutritional tools to address the issues of excess inventory, decreasing feed capacity, and supply-chain disruptions. Numerous approaches were employed, including altered grading strategies, sow breeding target reductions, double/triple stocking situations, and feed, ingredient, and nutrient manipulation meant to slow down growth rate and feed intake. Nutritional strategies included the feeding of low energy ingredients as well as low protein/high methionine diets designed to reduce the growth rate of both heavy and light animals. While several of these strategies resulted in moderate success, some resulted in additional issues including stress-related vices, ulcers, increased mortality, and sub-optimal carcass characteristics. Ultimately, continuous planning, coordination, and communication between the plants, feed mills, nutritionists, and production groups enabled a return to normalcy, and while we hope to never experience a pandemic again, we are left with knowledge that will improve the resilience of the U.S. pork industry.

3.
Journal of Animal Science ; 99(Supplement_3):6-6, 2021.
Article in English | ProQuest Central | ID: covidwho-1831217

ABSTRACT

Coronavirus Disease 2019 (COVID-19) was declared a global pandemic on March 11, 2020, by the World Health Organization. By April 2020, COVID-19 resulted in the simultaneous closure or reduced operations of many processing plants in the upper Midwest, which quickly resulted in supply chain disruptions. Iowa is the leading pork production and processing state, and these disruptions caused producer uncertainty, confusion, and stress, including time-sensitive challenges for maintaining animal care. The Resource Coordination Center (RCC) was quickly created and launched from the Iowa Department of Agriculture and Land Stewardship. The RCC had strategic collaborations with public representation from the Iowa Pork Producers Association, Iowa Pork Industry Center, and Iowa State University Extension and Outreach, and private partners through producers, veterinarians, and technical specialists. The RCC’s mission was four-fold: (1) implement appropriate actions to ensure the health and safety of RCC members, stakeholders, and the public, (2) evaluate and reassess appropriate actions as needed for continuity of pork production operations, (3) provide information to pork producers during supply chain disruptions, and (4) maintain a safe and abundant pork supply for consumers. The command structure included Incident Commanders, Command Staff, and four Section Chiefs whom worked with their respective experts. Sections covered (1) operations, (2) planning, (3) logistics, and (4) finance and administration. As it related to animal welfare, the RCC provided information on management decisions, dietary alterations to slow pig growth, pig movement to increase living space, alternative markets, on-farm euthanasia and mass depopulation. Veterinary oversight was continually maintained. A manual was created to provide up-to-date information to inform producer decisions and aid. Although originally created for swine, the RCC also assisted poultry, cattle and sheep producers. In a crisis, Iowa created a model that reacted to producer’s pragmatic and emotional needs. This model could be replicated for any emergency by other states.

4.
Advances in Nutrition ; 13(2):388-423, 2021.
Article in English | CAB Abstracts | ID: covidwho-1830958

ABSTRACT

The lockdowns resulting from the first wave of the coronavirus disease 2019 (COVID-19) pandemic impacted deeply on all life activities, including diet. We performed a systematic review to investigate changes in food intake, eating behaviors, and diet quality during lockdown as compared with before the lockdown. A literature search was performed using 3 electronic databases from inception until 13 June 2021. Observational studies evaluating changes in general populations during the COVID-19 pandemic lockdown were eligible. Of 1963 studies retrieved from the search strategy, 95 met inclusion criteria (85 in adults, 10 in children/adolescents), and the majority were of high quality (72.6%). Most of the studies were web-based surveys using convenience sampling, mainly focused on variations in the consumption of foods and eating behaviors during lockdown, whereas only 15 studies analyzed diet quality through dietary indices. On the basis of the definition of a healthful diet as reflected by a traditional Mediterranean diet, an increase in recommended foods such as fruit and vegetables, legumes, cereals, and olive oil was observed, although a sharp decrease in fish intake and an increase in dairy products were documented. Accordingly, a reduction in foods that should be eaten less frequently was reported-namely, red and processed meat. However, a higher consumption of unhealthy foods (e.g., snacks and sweets) was also observed. Results indicated improved diet quality in Europe, especially among Mediterranean countries, with the exception of France, while a switch to poor nutrient patterns was observed in Colombia and Saudi Arabia. Analyses of eating behaviors suggest an increase in food intake, number of daily meals, and snacking. In conclusion, changes in intake of major food groups, apart from fish intake, were in line with the definition of a traditional Mediterranean diet, indicating a consistent moderate improvement in dietary habits worldwide. This review protocol was registered at < https://www.crd.york.ac.uk/prospero/ > as CRD42020225292.

5.
The Journal of the Association of Physicians of India ; 70(4):11-12, 2022.
Article in English | Scopus | ID: covidwho-1823938

ABSTRACT

Diabetes mellitus refers to a group of common metabolic disorders that share the phenotype of hyperglycemia. The worldwide prevalence of DM has risen dramatically over the past two decades.Diabetes mellitus is a major cause of mortality and morbidity worldwide. Assay for C-peptide can be used to provide an index of endogenous insulin production and pancreatic beta cell function. MATERIAL: This is a hospital based cross section study involving 50 newly detected diabetic subjects of age group 35-40 years. The subjects were evaluated with their fasting and stimulated c-peptide levels assay, fasting and postprandial blood sugars, HbA1c. OBSERVATION: Eight subjects out of 50 subjects had a fasting serum C-peptide value less than normal value. Thirteen subjects out of 50 subjects had a low stimulated serum C-peptide. CONCLUSION: This study suggests measurement of C-peptide levels in newly detected diabetic subjects especially of younger age group is of value in differentiating type of diabetes and appropriate next line of management. © Journal of the Association of Physicians of India 2011.

6.
Farmers Weekly ; 2022(Jan 21):26-27, 2022.
Article in English | Africa Wide Information | ID: covidwho-1823605
7.
Pilot and Feasibility Studies ; 8(1), 2022.
Article in English | EMBASE | ID: covidwho-1822217

ABSTRACT

Background: Healthy diet and exercise are associated with reduced risk of dementia in older adults. The impact of diet and exercise interventions on brain health is less consistent, especially with dietary interventions which rely on varying approaches. Our objective was to evaluate the feasibility and preliminary efficacy of a 6-month intervention combining exercise with a novel dietary counseling approach to improve hippocampal volume among older adults at-risk for dementia. Methods: Participants with vascular risk factors and subjective cognitive decline or early mild cognitive impairment were cluster randomized in groups of 3–4 to the diet intervention (DIET) or control education (ED) group. All participants engaged in 1 h of supervised exercise per week and additional exercise at home. DIET involved 1 h per week of group-based dietary counseling comprising education, goal setting, and strategy training. ED involved 1 h per week of group-based brain health education classes. Our primary outcome was change in hippocampal volume from baseline to 6 months. Secondary outcomes included changes in cognitive function, blood biomarkers, diet, and fitness. Recruitment challenges and early discontinuation of the trial due to COVID-19 necessitated a revised focus on feasibility and preliminary efficacy. Results: Of 190 older adults contacted, 14 (7%) were eligible and enrolled, constituting 21% of our recruitment target. All participants completed the intervention and attended 90% of exercise and DIET/ED sessions on average. All 6-month assessments prior to COVID-19 were completed but disruptions to in-person testing resulted in incomplete data collection. No serious adverse events occurred and all participants expressed positive feedback about the study. Preliminary findings did not identify any significant changes in hippocampal volume;however, substantial improvements in diet and HbA1c were observed with DIET compared to ED (d = 1.75 and 1.07, respectively). Conclusions: High adherence and retention rates were observed among participants and preliminary findings illustrate improvements in diet quality and HbA1c. These results indicate that a larger trial is feasible if difficulties surrounding recruitment can be mitigated. Trial registration: ClinicalTrials.gov identifier: NCT03056508.

8.
Journal of Agribusiness in Developing and Emerging Economies ; : 17, 2022.
Article in English | Web of Science | ID: covidwho-1822012

ABSTRACT

Purpose Covid-19 is a serious threat to the dietary quality of vulnerable communities in developing countries with limited economic resources. This study explored the implications of COVID-19 on daily dietary behavior and food consumption patterns of perishable and nonperishable food commodities based on the gender of household headship in Pakistan. Design/methodology/approach The data was collected through an online survey using the snowball sampling technique. A mixed design ANOVA, an independent t-test and a multivariate probit model were used to look at the data from 417 female-headed households and 1,131 male-headed households that were surveyed in the study. Findings Female-headed households experienced a greater decrease in their daily intake of perishable and nonperishable food commodities compared to male-headed households during COVID-19. The decrease in consumption of perishable food commodities was greater than the decrease in nonperishable food commodities for both female-headed and male-headed households. Female-headed households witnessed the largest decrease in daily intake of animal-derived foods, while male-headed households observed the highest diminution in consumption of fruits. Female-headed households and male-headed households reduced their consumption of perishable food commodities by more than one-third and one-fifth, respectively. Households with lower socioeconomic status reported higher reductions in their daily intakes of food commodities compared to households with higher socioeconomic status. Research limitations/implications The cross-sectional nature of the collected data does not allow the development of a causal relationship between COVID-19 implications and food consumption changes in daily dietary patterns. Originality/value Dietary and consumption patterns of populations are changing worldwide due to COVID-19. There is no study to assist policymakers in determining how COVID-19 is affecting the daily food consumption patterns of perishable and non-perishable food commodities of households based on gender in the developing world.

9.
FASEB Journal ; 35(SUPPL 1), 2021.
Article in English | EMBASE | ID: covidwho-1821935

ABSTRACT

SARS-COV-2, or COVID-19, is a respiratory virus infecting over 86 million people worldwide. In addition to respiratory infections, SARS-COV-2 has been shown to include cardiovascular (CV) complications, including myocarditis and acute coronary syndrome. Risk of severe complications from SARS-COV-2 in individuals with existing CV and metabolic disease has been shown to be increased. Evidence indicates SARS-COV-2 enters tissues via the angiotensin-converting enzyme 2 (ACE2) receptor and that the virus is primed and activated by transmembrane protease, serine 2 (TMPRSS2). The goal of this study was to determine ACE2 and TMPRSS2 mRNA levels in pre-clinical swine models of heart failure (HF). We hypothesized sex, pressure-overload, and comorbidities would increase ACE2 and TMPRSS2 mRNA levels. A retrospective analysis was conducted in previously completed studies in our lab including: 1) Female, intact Ossabaw swine that were either lean control or western diet-fed aortic-banded (N=4-5/group);2) Female Yucatan mini-swine subject to ovariectomy and/or aortic banding (N=5-8/group);and 3) Sedentary and exercise trained male, intact Yucatan mini-swine that were aortic banded. ACE2 and TMPRSS2 mRNA levels were evaluated in the left ventricle (LV), right ventricle (RV), and coronary vasculature using qRT-PCR. Linear regression analysis was used to determine differences between the following variables: pig species, sex hormones, aortic banding, comorbidities, exercise training, and tissue. Data was log-transformed to meet linear regression assumptions. ACE2 and TMPRSS2 mRNA levels were significantly influenced by sex, comorbidity, and tissue type. TMPRSS2 mRNA levels were also influenced by species and disease status. Specifically, ACE2 mRNA levels decreased 57.1% in the LV and increased 169.9% in the RV of males compared to coronary vessels in intact females. TMPRSS2 mRNA levels increased in the LV and RV of males (1,218.6% and 5,479.8%, respectively) compared to coronary vessels in intact females. ACE2 and TMPRSS2 mRNA levels increased 344% and 453.4%, respectively, in the LV of Ossabaw swine fed a Western Diet compared to coronary vessels from Yucatan and Ossabaw swine without comorbidities. Species differences indicated TMPRSS2 mRNA levels increased 449.2% in the RV and 498.6% in the LV in Yucatan mini-swine compared to coronary vessels in Ossabaw swine. A 107.3% increase in TMPRSS2 mRNA level was observed in male swine without HF compared to female intact swine with HF highlighting the importance of sex and disease state. Exercise training did not impact ACE2 or TMPRSS2 mRNA levels irrespective of tissue. In conclusion, these results suggest differences in RV, LV and coronary mRNA levels of ACE2 and TMPRSS2 are dependent upon sex and comorbidities. TMPRSS2 levels are additionally influenced by pig species and pressureoverload. These results provide insight into how ACE2 and TMPRSS2 mRNA levels may influence the cardiovascular involvement of SARS-COV-2 infection in an experimental setting of pre-clinical HF incorporating different swine species, sex, and comorbidities.

10.
Nature ; 604(7907):620-624, 2022.
Article in English | EMBASE | ID: covidwho-1821571

ABSTRACT

Governments, donors and others must step up to protect current and future generations from the devastating effects of malnutrition, as well as to prevent acute food insecurity. [Figure not available: see fulltext.].

11.
Journal of the Academy of Nutrition and Dietetics ; 2022.
Article in English | ScienceDirect | ID: covidwho-1821333

ABSTRACT

Background Accelerated functional decline is a concern among older cancer survivors that threatens independence and quality-of-life. Pilot studies suggest that vegetable gardening interventions ameliorate functional decline through improved diet and physical activity. Objectives The aim of this paper is to describe the rationale, recruitment challenges, and enrollment of the Harvest for Health randomized controlled trial (RCT) that will test the impact of a home-based, vegetable gardening intervention on vegetable & fruit (V&F) consumption, physical activity, and physical functioning among older cancer survivors. Modifications made to the intervention and assessments to assure safety and continuity of the RCT throughout the COVID-19 pandemic also are reported. Design Harvest for Health is a 2-year, 2-arm, single-blinded, wait-list controlled RCT with cross-over. Participants /setting: Medicare-eligible survivors of cancers with >60% 5-year survival were recruited across Alabama from October 1, 2016 to February 8, 2021. Intervention Participants are randomly-assigned to a wait-list control or a 1-year home-based gardening intervention and individually-mentored by Extension-certified Master Gardeners to cultivate spring, summer, and fall vegetable gardens. Main outcome measures While the RCT’s primary endpoint is a composite measure of V&F consumption, physical activity, and physical functioning, this paper focuses on recruitment and modifications made to the intervention and assessments during COVID-19. Statistical analyses performed Chi-square and t-tests (α<0.05) were used to compare enrolled vs. unenrolled populations. Results Older cancer survivors (n=9,708) were contacted by letter and telephone;1,460 indicated interest (15% response rate), 473 were screened eligible and consented, and 381 completed baseline assessments and were randomized. Enrollees did not differ from non-respondents/refusals by race and ethnicity, or rural-urban status, but were comprised of significantly higher numbers of comparatively younger survivors, those who were female, and survivors of breast cancer (p-values<0.001). While COVID-19 delayed trial completion, protocol modifications overcame this barrier and study completion is anticipated by June 2022. Conclusions This RCT will provide evidence on the effects of a mentored vegetable gardening program among older cancer survivors. If efficacious, Harvest for Health represents a novel, multifaceted approach to improve lifestyle behaviors and health outcomes among cancer survivors – one with capacity for sustainability and widespread dissemination.

12.
Environmental Toxicology and Chemistry ; 41(5):1111-1114, 2022.
Article in English | EMBASE | ID: covidwho-1820891
13.
Progress in Nutrition ; 24(1), 2022.
Article in English | EMBASE | ID: covidwho-1819019

ABSTRACT

Objectives: The COVID-19 pandemic has affected day-to-day life and is changing how people eat and even how they exercise, as many individuals have developed a passive sedentary lifestyle. The aim of this study was to assess the impact of the COVID-19 crisis on dietary quality and physical activity among Saudi adults. Methods: A descriptive cross-sectional study was conducted among 738 adults in the Kingdom of Saudi Arabia (KSA). The modified Dietary Quality Score (DQS) and International Physical Activity Questionnaire (IPAQ) were used in this study. Results: In total, 76% of the participants had average dietary habits, while 16% of the participants were identified as having unhealthy dietary habits. The total average amount of time performing physical activity (PA) was 2079.08 ±2454.14 minutes/week, and the highest average was for vigorous PA (1372.47 ±1665.62 minutes/week). Conclusion: The COVID-19 crisis has rapidly affected people’s daily lives, including their dietary quality and physical activity. This pandemic has had significant effects on the lifestyle, quality of life and wellbeing of individuals and societies, and it may continue to affect them in the future.

14.
International Journal of Research in Ayurveda and Pharmacy ; 13(2):43-48, 2022.
Article in English | EMBASE | ID: covidwho-1818689

ABSTRACT

The publication and worldwide diffusion of the Ayurveda treatment of COVID-19 and the vital role that spices, and medicinal herbals play in this protocol, promoted by the Department of Health and Family Welfare of India (MoHFW), in the context of SARS-CoV2 infection. Encourage us to review updating the knowledge of these herbals' plants' biochemical mechanisms of action. Several biochemical mechanisms of action of spices have been studied and established in the context of COVID-19. It has been described that herbs act as blocking agonists of some cell receptors, such as the ACE2 receptor of the renin-angiotensin system and TRP receptors belonging to the superfamily of sensory neurons, responsible for symptoms the SARS-CoV2 virus. We also find widely recommended medicinal herbs such as Tinospora cordifolia and Withania somnifera in this protocol, which has been described to stimulate the immune system and, at the same time, increase the destructive capacity of macrophages and biochemically block the entry of SARS-CoV-2 to host cells. Other medicinal herbs recommended by the Ayurveda protocol such as Curcuma longa L, Cinnamomum camphora, Eucalyptus globulus, Allium sativum L, Piper nigrum, Glycyrrhiza glabra L, as well as being potent antioxidants and anti-inflammatory are traditionally selected as an adjuvant treatment indicated for "respiratory diseases" as in the current framework of the COVID-19 pandemic. This article explores the Ayurveda protocol and some recently recommended nutraceutical substances and spiced dietary guidelines, as an alternative treatment in concern to SARS-CoV2 infection, for the treatment of long-term side effects of the post-COVID syndrome.

15.
Journal of Pharmacopuncture ; 24(4):165-172, 2021.
Article in English | EMBASE | ID: covidwho-1818249

ABSTRACT

The COVID-19, the most infectious pandemic disease arising due to SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) has caused huge issues globally. In this review, we discuss the impact of COVID-19 on the immune system of the human body and the protective mechanisms of the host immune system opposing viral infections. Here, we summarize the effect of the pandemic of the novel coronavirus disease on the immune system such as sleep and Behavioral Immune System (BIS) together with consideration of researcher’s observation points of view. We draw particular attention to recent up-to-date reports concerning COVID-19 drugs as well as information about the landscape document for COVID-19 vaccines released by WHO (World Health Organization), and some adverse events of COVID-19 vaccination. Additionally, can take part in the preventive appraise in opposition within this pandemic severe COVID-19 infections disease may affect some outcome in physical exercise, physical movement, healthy diets, and good nutrition are significant for supporting the immune systems and summarize AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy) Indian medicinal systems guidelines for immunity boosting procedures during COVID-19 pandemic.

16.
World Journal of Gastroenterology ; 28(15):1526-1535, 2022.
Article in English | EMBASE | ID: covidwho-1818246

ABSTRACT

The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus-2 has brought serious challenges for the medical field. Patients with COVID-19 usually have respiratory symptoms. However, liver dysfunction is not an uncommon presentation. Additionally, the degree of liver dysfunction is associated with the severity and prognosis of COVID-19. Prevention, diagnosis, and treatment of malnutrition should be routinely recommended in the management of patients with COVID-19, especially in those with liver dysfunction. Recently, a large number of studies have reported that nutrition therapy measures, including natural dietary supplements, vitamins, minerals and trace elements, and probiotics, might have potential hepatoprotective effects against COVID-19-related liver dysfunction via their antioxidant, antiviral, anti-inflammatory, and positive immunomodulatory effects. This review mainly focuses on the possible relationship between COVID-19 and liver dysfunction, nutritional and metabolic characteristics, nutritional status assessment, and nutrition therapy to provide a reference for the nutritionists while making evidence-based nutritional decisions during the COVID-19 pandemic.

17.
Food and Health ; 8(2):118-126, 2022.
Article in English | CAB Abstracts | ID: covidwho-1817895

ABSTRACT

To evaluate the effects of the COVID-19 phobia on mindful eating, eating habits and body weight change among university students. This study was carried out with 385 university students who have been in social isolation at home for at least 2 months. The online survey was constituted via an internet-based questionnaire on Google forms. The survey includes demographics features, body weight, eating habits, change in appetite and consumption of food/food groups. COVID-19 Phobia Scale (C19P-S) and the Mindful Eating Questionnaire (MEQ) were used.

18.
Geriatric Orthopaedic Surgery and Rehabilitation ; 12:7, 2021.
Article in English | EMBASE | ID: covidwho-1817128

ABSTRACT

Introduction: Preoperative carbohydrate loading in Enhanced Recovery After Surgery (ERAS) is an independent predictor of postoperative outcomes. By reducing the impact of surgical stress response, fasting-induced insulin resistance is modulated. As a clear fluid, consuming whey protein-infused carbohydrate is safe up to 2 hours preoperatively. Widely practiced in abdominal surgeries, its implementation in hip fracture surgeries is yet to be recognized. Methods: We aim to identify the feasibility of preoperative carbohydrate loading in hip fracture surgery and assess its clinical effects. A randomized controlled, open labelled trial in patients ≥ 65 years old without diabetes mellitus, has hip fracture was conducted in University Malaya Medical Centre between November 2020 and May 2021. Intervention: Carbohydrate loading (Resource-Nestle®) with 100g on the day before surgery and 50g up to 2 hours preoperatively versus standard preoperative fasting. Results: Thirty ASA 1-3 patients (carbohydrate loading and control, n = 15 each), mean age 79 years (SD±8.5), mean body mass index 23.8 (SD±3.5kg/m2) were recruited. Analysis for feasibility of carbohydrate loading (n = 15) demonstrated attrition rate of 20%, n = 3 (one participant completed the drinks but operation was postponed and two patients were not served the third drink by ward staff). Otherwise, patients were 100% compliant with no adverse events reported. 26 randomized participants were analyzed for secondary outcomes (intervention n = 12, control n = 14). There was no significant difference among groups in the postoperative nausea and vomiting, pain score, fatigue level and muscle strength assessed at 24-48 hours postoperatively. Conclusion: COVID-19 pandemic had interrupted recruitment resulting in a small number of participants. Nevertheless, this study demonstrated that implementation of preoperative carbohydrate loading is feasible for hip fracture surgeries without complications but requires careful coordination among surgical, anaesthetic and nursing teams. An adequately powered randomized controlled study is needed to examine the full benefits of preoperative carbohydrate loading in this group of patients.

19.
Geriatric Orthopaedic Surgery and Rehabilitation ; 12:55-56, 2021.
Article in English | EMBASE | ID: covidwho-1817123

ABSTRACT

Introduction: Falls are a major health problem in older adults, leading to serious injuries and burdening their quality of life and functionality. Social isolation is predictive of falls, so a need for effective distance interventions is of great importance in this vulnerable population. Methods: An interdisciplinary programme for falls prevention was designed in community-dwelling older adults at falls risk, including physical exercise, nutritional education and falls prevention training. Screening measurements took place before and after the intervention for a complete assessment of the participants' physical, mental and social state. The implementation of the programme coincided with the lockdown due to the COVID-19 pandemic and this led us to a forceful transformation to a pilot digital programme. Thus, the new version of the programme had driven us to minimize face-to face contact and at the same time ensure that the participants' healthcare and social support needs were addressed. Moreover, new engagement techniques had to be used. Therefore, a digital platform was created and hosted by the FFN Greece website and 6 zoom teleconferences were organized with health professionals (orthopaedic, social worker, geriatrician, nutritionist). In addition, the participants could communicate with a psychologist and had zoom dancing lessons once a week. The digital educational material was adapted in order to provide the participants with health information regarding copying with falls incidents during the pandemic home restriction. Results: 20 people participated in the programme (95% women, mean age: 69 years). Among the most important results of the intervention were: The reduction of Fear of Falls (FES-I mean score before and after the intervention 28.1 vs 26.3, respectively);The improvement of important aspects of quality of life (SF-36 Physical Functioning mean score and SF-36 Emotional Well-being mean score before and after the intervention 81.8 vs 88.2 and 75.0 vs 90.2, respectively);The improvement of nutritional habits (Mediterranean Diet Scale mean score before and after the intervention 32.2 vs 34.2, respectively). Conclusion: This pilot programme indicates that health professionals need to be vigilant in adapting falls prevention programmes effectively, even in unpredicted situations like the recent COVID-19 pandemic. The results were encouraging, since there were no falls incidents, the physical, the emotional well-being of the participants and their falls related knowledge and skills were improved.

20.
Geriatric Orthopaedic Surgery and Rehabilitation ; 12:77, 2021.
Article in English | EMBASE | ID: covidwho-1817116

ABSTRACT

Introduction: The covid19 pandemic has forced the health system to restructure to prevent contagion of our patients. In this context, the members of the Orthogeriatric Group of the Catalan Society of Geriatrics and Gerontology (SCGiG) created a document that collected all the considerations to take into account during the pandemic, based on the current guides and scientific societies, in order to perform a correct follow-up, enhance adherence and prevent future falls. Methods: A bibliographic review was performed, defining the key points in the care of the fractured patient through telemedicine (document is available at http://scgig.cat/docs/gt-orto-covid.pdf). Results: During hospital admission, antiosteoporotic treatment should be started, evaluating indications with the patient and family, to ensure adherence. Diet intake of calcium and vitamin D will be assessed. Discharge report includes evaluation of treatment and monitoring plan, to be useful for liaison nurse, rehabilitator and general practitioner. Six-monthly follow up is recommended for patients with comorbidities, polypharmacy, confusion, fall-risk, or parenteral anti-osteoporotic treatment. With denosumab or teriparatide, annual laboratory tests are recommended, with GFR <20, every six months, at home if possible. Bisphosphonates can be followed by the GP. Zoledronate is not recommended due to delayed administration after surgery, and possibility of transient flu-like simptoms. In the telematic follow-up visit, in patients undergoing zoledronic acid treatment, the new dose can be delayed for 6-12 months, without risk. Consider sequential treatment. Denosumab treatment cannot be delayed, so the patient and family will be trained in self-administration. Support materials from laboratories will be useful to patient and caregivers. Conclusion: Telemedicine is a good strategy for a follow-up, to avoid hospital contact, and starts on hospital admission. Patient and caregivers need access to new technologies and able to understand medical instructions.

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