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One-Year Impact of COVID-19 Lockdown-Related Factors on Cardiovascular Risk and Mental Health: A Population-Based Cohort Study

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  • Emilie Bérard

    (UMR 1295 CERPOP, INSERM, UPS, Department of Epidemiology, Health Economics and Public Health, Toulouse University Hospital (CHU), University of Toulouse, 31000 Toulouse, France)

  • Samantha Huo Yung Kai

    (UMR 1295 CERPOP, INSERM, UPS, Department of Epidemiology, Health Economics and Public Health, Toulouse University Hospital (CHU), University of Toulouse, 31000 Toulouse, France)

  • Nicola Coley

    (UMR 1295 CERPOP, INSERM, UPS, Department of Epidemiology, Health Economics and Public Health, Toulouse University Hospital (CHU), University of Toulouse, 31000 Toulouse, France)

  • Vanina Bongard

    (UMR 1295 CERPOP, INSERM, UPS, Department of Epidemiology, Health Economics and Public Health, Toulouse University Hospital (CHU), University of Toulouse, 31000 Toulouse, France
    Department of Cardiology, Toulouse University Hospital (CHU), 31000 Toulouse, France)

  • Jean Ferrières

    (UMR 1295 CERPOP, INSERM, UPS, Department of Epidemiology, Health Economics and Public Health, Toulouse University Hospital (CHU), University of Toulouse, 31000 Toulouse, France
    Department of Cardiology, Toulouse University Hospital (CHU), 31000 Toulouse, France)

Abstract

Lockdown measures have obvious psychological impacts, which could, in turn, increase cardiovascular risk. We assessed the association between lockdown-related factors and the worsening of cardiovascular risk, incident anxiety and depression during 12 months’ follow-up. During lockdown (April–May 2020), 534 subjects, aged 50–89 years, were included in the PSYCOV-CV study (NCT04397835) and followed for up to 12 months post-lockdown. We found that participants with symptoms of depression during lockdown were more likely to report increased cardiovascular drug treatment (Odds-Ratio (OR) = 5.08 (1.78–14.5), p = 0.002), decreased physical activity (OR = 1.76 (1.10–2.82), p = 0.019) and weight gain (OR = 1.85 (1.08–3.17), p = 0.024) after lockdown. Moreover, changes in sleep patterns (OR = 2.35 (1.13–4.88), p = 0.022) or living in a rural area during lockdown (OR = 1.70 (0.96–3.03, p = 0.069) were associated with higher incident depression, whereas a better relationship with one’s partner during lockdown was associated with less incident depression (OR = 0.56 (0.29–1.08), p = 0.084). Finally, we found that continuing to work during lockdown in a role requiring in-person contact with the public (such as cashiers, nurses or physicians) was associated with more incident anxiety after lockdown (OR = 3.38 (1.12–10.2), p = 0.031). Interestingly, decreased consumption of alcohol during lockdown was associated with less incident anxiety (OR = 0.30 (0.10–0.90), p = 0.032). Our study, conducted in a representative sample of an age group at increased risk of both cardiovascular disease and severe COVID-19, increases the understanding of modifiable factors associated with the health impacts of lockdown measures.

Suggested Citation

  • Emilie Bérard & Samantha Huo Yung Kai & Nicola Coley & Vanina Bongard & Jean Ferrières, 2022. "One-Year Impact of COVID-19 Lockdown-Related Factors on Cardiovascular Risk and Mental Health: A Population-Based Cohort Study," IJERPH, MDPI, vol. 19(3), pages 1-14, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1684-:d:740380
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    References listed on IDEAS

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    1. Alice Freiberg & Melanie Schubert & Karla Romero Starke & Janice Hegewald & Andreas Seidler, 2021. "A Rapid Review on the Influence of COVID-19 Lockdown and Quarantine Measures on Modifiable Cardiovascular Risk Factors in the General Population," IJERPH, MDPI, vol. 18(16), pages 1-46, August.
    2. Marius Brülhart & Valentin Klotzbücher & Rafael Lalive & Stephanie K. Reich, 2021. "Mental health concerns during the COVID-19 pandemic as revealed by helpline calls," Nature, Nature, vol. 600(7887), pages 121-126, December.
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