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Alarming increased rate of smoking and associated lifestyle behaviours in patients with chronic cardiac diseases during COVID-19 pandemic related lockdown

BACKGROUND: COVID-19 outbreak and lockdown is a situation associating social and physical isolation, limited care access, psychological stress, and potential adoption of unhealthy lifestyle behaviours such as smoking. In a cohort of outpatients with chronic cardiac diseases, including congestive hea...

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Autores principales: Chagué, F., Boulin, M., Eicher, J., Bichat, F., Saint-Jalmes, M., Cransac, A., Trojak, B., Soudry, A., Danchin, N., Cottin, Y., Zeller, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier Masson SAS 2021
Materias:
417
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8719932/
http://dx.doi.org/10.1016/j.acvdsp.2020.10.265
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author Chagué, F.
Boulin, M.
Eicher, J.
Bichat, F.
Saint-Jalmes, M.
Cransac, A.
Trojak, B.
Soudry, A.
Danchin, N.
Cottin, Y.
Zeller, M.
author_facet Chagué, F.
Boulin, M.
Eicher, J.
Bichat, F.
Saint-Jalmes, M.
Cransac, A.
Trojak, B.
Soudry, A.
Danchin, N.
Cottin, Y.
Zeller, M.
author_sort Chagué, F.
collection PubMed
description BACKGROUND: COVID-19 outbreak and lockdown is a situation associating social and physical isolation, limited care access, psychological stress, and potential adoption of unhealthy lifestyle behaviours such as smoking. In a cohort of outpatients with chronic cardiac diseases, including congestive heart failure (CHF) and chronic coronary syndromes (CCS), we aimed to evaluate the impact of Covid-19 outbreak on tobacco consumption. PATIENTS AND METHODS: During the 6th week of lockdown (which had started on March, 17th), 150 randomly selected CHF patients (from the Dijon HF-Clinic) and 250 CCS patients from the RICO survey were invited to answer an anonymous questionnaire. The 20-min lasting phone interview was conducted by 8 trained research assistants. The questionnaire, which was validated through internal and external control procedures, addressed medical, lifestyle topics and psychological distress through Kessler 6 score (K6) ≥ 5. RESULTS: Among the 400 patients, 325 were responders (81.2%), including 201 CCS and 124 CHF. Among the current smokers (n = 43), 13 (30.3%) declared increased tobacco consumption, including one woman who started smoking during the lockdown and one man who relapsed after quitting. The main reported explanations for increased smoking was stress (7) and inactivity (5); none declared the influence of media messages on a potential protective effect of nicotine as a cause of increase. Main results are summarized in Table 1. CONCLUSION: During COVID-19 lockdown, a significant rate of cardiac patients has increased their tobacco consumption, which is often associated with psychological distress and other deleterious lifestyle behaviours, in particular in men. These alarming findings may have major implications for disease destabilization and event recurrence in such high-risk patients at both short and long term. This may help to define preventive strategies to target after lockdown relief in chronic cardiac populations.
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spelling pubmed-87199322022-01-03 Alarming increased rate of smoking and associated lifestyle behaviours in patients with chronic cardiac diseases during COVID-19 pandemic related lockdown Chagué, F. Boulin, M. Eicher, J. Bichat, F. Saint-Jalmes, M. Cransac, A. Trojak, B. Soudry, A. Danchin, N. Cottin, Y. Zeller, M. Archives of Cardiovascular Diseases. Supplements 417 BACKGROUND: COVID-19 outbreak and lockdown is a situation associating social and physical isolation, limited care access, psychological stress, and potential adoption of unhealthy lifestyle behaviours such as smoking. In a cohort of outpatients with chronic cardiac diseases, including congestive heart failure (CHF) and chronic coronary syndromes (CCS), we aimed to evaluate the impact of Covid-19 outbreak on tobacco consumption. PATIENTS AND METHODS: During the 6th week of lockdown (which had started on March, 17th), 150 randomly selected CHF patients (from the Dijon HF-Clinic) and 250 CCS patients from the RICO survey were invited to answer an anonymous questionnaire. The 20-min lasting phone interview was conducted by 8 trained research assistants. The questionnaire, which was validated through internal and external control procedures, addressed medical, lifestyle topics and psychological distress through Kessler 6 score (K6) ≥ 5. RESULTS: Among the 400 patients, 325 were responders (81.2%), including 201 CCS and 124 CHF. Among the current smokers (n = 43), 13 (30.3%) declared increased tobacco consumption, including one woman who started smoking during the lockdown and one man who relapsed after quitting. The main reported explanations for increased smoking was stress (7) and inactivity (5); none declared the influence of media messages on a potential protective effect of nicotine as a cause of increase. Main results are summarized in Table 1. CONCLUSION: During COVID-19 lockdown, a significant rate of cardiac patients has increased their tobacco consumption, which is often associated with psychological distress and other deleterious lifestyle behaviours, in particular in men. These alarming findings may have major implications for disease destabilization and event recurrence in such high-risk patients at both short and long term. This may help to define preventive strategies to target after lockdown relief in chronic cardiac populations. Published by Elsevier Masson SAS 2021-01 2021-01-08 /pmc/articles/PMC8719932/ http://dx.doi.org/10.1016/j.acvdsp.2020.10.265 Text en Copyright © 2020 Published by Elsevier Masson SAS. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle 417
Chagué, F.
Boulin, M.
Eicher, J.
Bichat, F.
Saint-Jalmes, M.
Cransac, A.
Trojak, B.
Soudry, A.
Danchin, N.
Cottin, Y.
Zeller, M.
Alarming increased rate of smoking and associated lifestyle behaviours in patients with chronic cardiac diseases during COVID-19 pandemic related lockdown
title Alarming increased rate of smoking and associated lifestyle behaviours in patients with chronic cardiac diseases during COVID-19 pandemic related lockdown
title_full Alarming increased rate of smoking and associated lifestyle behaviours in patients with chronic cardiac diseases during COVID-19 pandemic related lockdown
title_fullStr Alarming increased rate of smoking and associated lifestyle behaviours in patients with chronic cardiac diseases during COVID-19 pandemic related lockdown
title_full_unstemmed Alarming increased rate of smoking and associated lifestyle behaviours in patients with chronic cardiac diseases during COVID-19 pandemic related lockdown
title_short Alarming increased rate of smoking and associated lifestyle behaviours in patients with chronic cardiac diseases during COVID-19 pandemic related lockdown
title_sort alarming increased rate of smoking and associated lifestyle behaviours in patients with chronic cardiac diseases during covid-19 pandemic related lockdown
topic 417
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8719932/
http://dx.doi.org/10.1016/j.acvdsp.2020.10.265
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