Adherence to Online Nutritional Monitoring Was Associated with Better Food Habits in People with T1DM during the COVID-19 Pandemic in Brazil.

Until this moment, no research has been found that has assessed adherence to online nutritional monitoring by adults with Diabetes Mellitus Type 1 (T1DM) during the pandemic. This article aims to analyze the association between eating habits and adherence to nutritional online care by adults with T1DM during social distancing because of the COVID-19 pandemic in Brazil. A cross-sectional study was carried out in July 2020. An online form was used to collect sociodemographic data, financial status, eating habits, carrying out online nutritional monitoring, and adherence to social distancing. Pearson's chi-squared test was performed with adjusted residual analysis and binomial logistic regression analysis (p < 0.05). Out of the 472 adults, only 8.9% had consulted with a nutritionist. Doing nutritional monitoring online during social distancing was associated with a reduction in the consumption of ultra-processed foods (p = 0.021), eating more servings of fruit (p = 0.036), and doing carbohydrate counting (CC) more frequently (p = 0.000). Doing nutritional monitoring online increased adherence to carbohydrate counting by 2.57 times and increased the consumption of fruits by 0.423 times. Therefore, nutritional monitoring, even if performed remotely, can influence the acquisition and maintenance of healthier eating habits, in addition to assisting adherence to the practice of CC.

Changes in Physical Activity Associated with Mental Health in People with Type 1 Diabetes during the COVID-19 Pandemic.

The social isolation carried out during the COVID-19 pandemic contributed to physical inactivity and impacted people's mental health, with physical activity being an important pillar in the treatment of Type 1 Diabetes Mellitus (T1DM). Thus, this study aims to verify whether there is an association between the perception of mental health and the practice of physical activity in individuals with T1DM during social isolation in the COVID-19 pandemic in Brazil. This was a cross-sectional study conducted in July 2020, with 472 adults with T1DM, using an online form to collect sociodemographic, mental health and physical activity data during social isolation. The Chi-Square test of independence was performed with adjusted residuals analysis (p < 0.05). A total of 51.3% of the participants remained sedentary or stopped doing physical activity during the period of social isolation. There was an association between being interested in performing daily activities (p = 0.003), not feeling depressed (p = 0.001), feeling slightly irritated (p = 0.006), having slight problems with sleep (p = 0.012) and practicing physical activity. There was also an association between maintaining physical activity and not feeling depressed (p = 0.017) and feeling very slightly irritated (p = 0.040). Adults with T1DM who practiced physical activity during the period of social isolation due to the COVID-19 pandemic showed better aspects of mental health.

Adherence to Carbohydrate Counting Improved Diet Quality of Adults with Type 1 Diabetes Mellitus during Social Distancing Due to COVID-19.

To control glycemic variability in people with Type 1 diabetes mellitus (T1DM), it is essential to perform carbohydrate counting (CC), a strategy that ensures better quality of life for these patients. Thus, this study aims to analyze potential factors associated with adherence to CC in adults with T1DM during social distancing due to COVID-19 in Brazil. This was a single cross-sectional study carried out in July 2020. An online form was used to collect sociodemographic and economic data on the purchasing of supplies and food, as well as social distancing. The Chi-square test was performed with adjusted residuals analysis and a binomial logistic regression analysis (p < 0.05). Of 472 adults, 37.71% reported performing CC in the same frequency as before social distancing. There was an association between performance of CC and the type of city (p = 0.027), family income (p = 0.000), use of financial emergency aid (p = 0.045), type of insulin administration and glycemic monitoring (p < 0.000), and cooking more (p = 0.012). Participants who maintained or reduced consumption of ultra-processed foods were 0.62 times more likely to adhere to CC (OR 0.626, 95% IC: 0.419-0.935) and participants who cooked more were 1.67 times more likely to adhere to CC (OR 1.67, 95% CI: 1.146-2.447). There are still people with T1DM who did not know about and did not use CC method, which highlights the need for diabetes education.

Supplies for Type 1 Diabetes management during COVID-19 social distancing in Brazil / Insumos para manejo do Diabetes Tipo 1 durante o distanciamento social por COVID-19 no Brasil

O estudo analisou fatores socioeconômicos associados à aquisição de insumos para manejo da glicemia por pessoas com Diabetes Mellitus tipo 1 durante o distanciamento social pela Pandemia de COVID-19 no Brasil. Pesquisa transversal com coleta de dados realizada durante 21 dias do mês de julho de 2020, com um formulário online sobre dados socioeconômicos e aquisição de insumos para monitorização glicêmica. Foi aplicado o teste Qui-Quadrado de Pearson com análise de resíduos ajustados (p<0,05). Participaram 472 adultos de ambos os sexos. Foram encontradas associações entre o tipo de aparelho utilizado para monitorização glicêmica (glicosímetro ou sistema Flash) e renda (p<0,000), escolaridade (p=0,007), macrorregiões (p=0,049) e tipo de cidade (p=0,043); entre aquisição de insulinas e renda (p<0,000), macrorregião (p=0,027) e tipo de bairro (p=0,003); entre aquisição de fitas reagentes e renda (p<0,000); entre aquisição de lancetas e renda (p=0,001), tipo de cidade (p=0,035) e de bairro (p=0,010); entre o uso de Sistema Flash e renda (p<0,000) e tipo de bairro (p=0,006). Os resultados expõem as desigualdades sociais na aquisição de insumos para manejo da glicemia por pessoas com Diabetes Tipo 1 durante a Pandemia no Brasil.

This study analyzed socioeconomic factors related with the acquisition of supplies for blood glucose management by people with Type 1 Diabetes Mellitus during social distancing due to the COVID-19 Pandemic in Brazil. This was a cross-sectional study with data collected during 21 days in July 2020, by an online form on socioeconomic data and acquisition of supplies for glycemic monitoring. This research applied Pearson's Chi-Squared test with adjusted residual analysis (p<0.05). 472 adults of both sexes participated. Relationships were found between the type of device used for blood glucose monitoring (glucometer or Flash system) and income (p<0.000), education (p=0.007), macro-regions (p=0.049), and type of city (p=0.043); between insulin acquisition and income (p<0.000), macro-region (p=0.027) and type of neighborhood (p=0.003); between acquisition of reagent strips and income (p<0.000); between acquisition of lancets and income (p=0.001), type of city (p=0.035) and neighborhood (p=0.010); between the use of Flash System and income (p<0.000) and type of neighborhood (p=0.006). The results expose the social inequalities in the acquisition of supplies for blood glucose management by people with Type 1 Diabetes during the Pandemic in Brazil.

Ações estratégicas Covid-2019 Orientações em alimentação e nutrição para adultos e idosos com COVID-19 em isolamento domiciliar e após alta hospitalar

Frente a atual situação da pandemia em razão do CoronaVírus, o Ministério da Saúde declarou Emergência de Saúde Pública de Importância Nacional (ESPIN) em decorrência da infecção pelo novo Coronavírus (COVID-19) e estabeleceu o Centro de Operações de Emergência em Saúde Pública (COE-COVID-19). No ESTADO DE GOIÁS, o Centro de Operações Estratégicas de Saúde Pública, do Estado de Goiás, foi instituído em 18 de fevereiro de 2020, por meio da Portaria 416/2020, sob responsabilidade do Centro de Informações Estratégicas e Respostas em Vigilância em Saúde do Estado de Goiás (CIEVS-Goiás). O número de casos (confirmados e suspeitos) do estado de Goiás é atualizado diariamente, e pode ser acompanhado no site da Secretaria de Estado da Saúde. Faced with the current situation of the pandemic due to CoronaVirus, the Ministry of Health declared a Public Health Emergency of National Importance (ESPIN) due to infection by the new Coronavirus (COVID-19) and established the Center for Emergency Operations in Public Health (COE-COVID-19). In the STATE of GOIÁS, the Center for Strategic Operations of Public Health, of the State of Goiás, was established on February 18, 2020, through Ordinance 416/2020, under the responsibility of the Center for Strategic Information and Responses in Health Surveillance of the State of Goiás (CIEVS-Goiás). The number of cases (confirmed and suspected) in the state of Goiás is updated daily, and can be followed on the website of the State Department of Health. Orientações em alimentação e nutrição para adultos e idosos com COVID-19 em isolamento domiciliar e após alta hospitalar, com suspeita ou diagnóstico do novo Coronavírus, também às pessoas que apresentam sintomas leves ou moderados e que não precisam ficar internadas em hospitais, direcionada também para os cuidadores e pessoas que convivem no mesmo ambiente e demais interessados no tema. Em uma linguagem acessível e usando ótimas ilustrações e tabelas, esclarece sobre os cuidados nutricionais e também sobre alguns alimentos e nutrientes importantes para a imunidade. Instrui como fazer em situações de falta de apetite, perda de paladar (Disgeusia), dificuldade para engolir (Disfagia), perda de olfato (Anosmia) e diarréia. Orienta sobre as compras dos alimentos, sobre os riscos de contaminação, tempo de validade e armazenagem na geladeira e freezer, bem como os cuidados no preparo dos mesmos. Apresenta instruções sobre a higienização das mãos com água e sabonete e como fazer a fricção anti-séptica das mãos com preparação alcoólicas, sobre o manuseio adequado na retirada do lixo e instruções para diluição da solução clorada para superfícies e para embalagens e alimentos. Por fim, apresenta sete passos para manter a alimentação saudável para adultos e idosos Guidelines on food and nutrition for adults and the elderly with COVID-19 in home isolation and after hospital discharge, with suspicion or diagnosis of the new coronavirus, also those with mild or moderate symptoms and who do not need to be hospitalized, also directed to the caregivers and people who live in the same environment and others interested in the topic. In an accessible language and using great illustrations and tables, it clarifies about nutritional care and also about some foods and nutrients important for immunity. Instructs you how to do it in situations of poor appetite, loss of taste (dysgeusia), difficulty swallowing (dysphagia), loss of smell (anosmia) and diarrhea. It advises on food purchases, on the risks of contamination, expiration time and storage in the refrigerator and freezer, as well as care in preparing them. It presents instructions on hand hygiene with soap and water and how to rub hands with alcoholic preparations, on proper handling of waste removal and instructions for diluting the chlorinated solution to surfaces and to packaging and food. Finally, it presents seven steps to maintain healthy eating for adults and the elderly