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Zhang CQ, Li HY, Wan Y, Bai XY, Gan L, Sun HB. Effect of different physical activity training methods on epilepsy: A protocol for systematic review and meta-analysis. Medicine (Baltimore) 2022; 101:e29085. [PMID: 35356937 PMCID: PMC10684114 DOI: 10.1097/md.0000000000029085] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 02/26/2022] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Over the past few decades, people with epilepsy were advised not to engage in sports based on the fear that sporting activity may cause injuries, potentially induce seizures, and have a negative effect on disease course. However, in recent years, numerous studies have indicated a positive role of physical exercise in reducing the frequency of seizures and improving health condition of patients with epilepsy. The purpose of this study was to compare the effects of different physical exercise programs on the symptomatology and health condition of individuals with epilepsy and provide guidance for selecting the optimal modality of physical exercise for patients with epilepsy via a meta-analysis of available literature. METHODS A literature search was carried out in MEDLINE via PubMed, Cochrane Library, EBSCO, Embase, China National Knowledge (CNKI), and Wan fang databases to gather relevant data about different physical exercise modalities and epilepsy. We will use Endnote X9 software for studies selection and Stata16.0 software for the data analysis. RESULTS This present study aimed to provide the most up to date evidence and recommendations for clinicians and epilepsy patients to choose an optimal type of exercise. CONCLUSION Aerobic exercise and resistance exercises both had a positive effect on epilepsy patients. Persons with epilepsy should be encouraged to participate in sports activities.INPLASY registration number: INPLASY202220070.
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Affiliation(s)
| | | | | | | | | | - Hong Bin Sun
- Correspondence: Hong Bin Sun, Department of Neurology, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Chengdu 610072, China (e-mail: ).
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Åkerlund S, Varkey E, Klecki J, Zelano J, Ben-Menachem E. Randomized controlled trial of moderate cardiovascular exercise for patients with drug-resistant epilepsy. Epilepsy Behav 2021; 124:108335. [PMID: 34601232 DOI: 10.1016/j.yebeh.2021.108335] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 09/09/2021] [Accepted: 09/12/2021] [Indexed: 02/07/2023]
Abstract
OBJECTIVE The primary research question of this study was whether a moderate cardiovascular exercise program can reduce seizure frequency in patients with focal drug-resistant epilepsy (DRE). The hypothesis is that cardiovascular fitness will reduce seizure frequency in persons with epilepsy (PWE). METHODS Twenty-eight patients were randomized into two groups; exercise or relaxation. The exercise group were given an ergometric bicycle sent to their home to be used for 150 min/week, 30 min/day for 5 days a week for the study period of 6 months. Participants in the relaxation group were given audio muscular relaxation exercises to be performed for 20 min at least five times per week for the study period of 6 months. Seizure counts and exercise/relaxation sessions were registered daily in a written diary. Both groups received monthly motivational telephone calls. Seizures, anxiety, and depression symptom ratings (Hospital Anxiety and Depression Scale (HADS)), health status ratings (RAND-36), aerobic capacity (estimated VO2max), self-efficacy for exercise (SEE), level of physical activity, and adverse events were measured at the baseline and after the 6 months of intervention. CONSORT guidelines were followed. RESULTS Twenty-two patients completed the intervention. There were no significant changes in seizure frequency in either of the groups. Six months of moderate exercise did increase the level of physical activity and maximal oxygen uptake. SIGNIFICANCE Moderate exercise did not affect seizure frequency in this study. The patients in the exercise group did increase their estimated VO2max, which is an important indicator for health, without deterioration of seizure frequency. This was accomplished with only minimal support from a physiotherapist every month. To exercise at home at a moderate intensity level with regular support may therefore be an option for patients with epilepsy. The patients in the exercise group increased their level of physical activity significantly, which indicates that they were compliant to the treatment.
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Affiliation(s)
- Sara Åkerlund
- Region Västra Götaland, Sahlgrenska University Hospital/Östra, Department of Occupational and Physiotherapy, Gothenburg, Sweden; Department of Health and Rehabilitation/Physiotherapy, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Emma Varkey
- Region Västra Götaland, Sahlgrenska University Hospital/Östra, Department of Occupational and Physiotherapy, Gothenburg, Sweden; Department of Health and Rehabilitation/Physiotherapy, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Judith Klecki
- Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden; Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, Sahlgrenska Academy, Gothenburg University, Sweden
| | - Johan Zelano
- Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden; Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, Sahlgrenska Academy, Gothenburg University, Sweden; Wallenberg Center of Molecular and Translational Medicine, Gothenburg University, Sweden
| | - Elinor Ben-Menachem
- Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden; Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, Sahlgrenska Academy, Gothenburg University, Sweden.
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Vancini RL, Andrade MS, Viana RB, Nikolaidis PT, Knechtle B, Campanharo CRV, de Almeida AA, Gentil P, de Lira CAB. Physical exercise and COVID-19 pandemic in PubMed: Two months of dynamics and one year of original scientific production. SPORTS MEDICINE AND HEALTH SCIENCE 2021; 3:80-92. [PMID: 34189482 PMCID: PMC8105136 DOI: 10.1016/j.smhs.2021.04.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 04/18/2021] [Accepted: 04/19/2021] [Indexed: 01/08/2023] Open
Abstract
Our aim was to conduct a narrative review about physical exercise and Corona Virus Disease 2019 (COVID-19). A literature search was completed crossing the keywords “COVID-19” and “physical exercise”, for a narrative review, and physical activity (PA), physical exercise, physical training, sport, physical fitness, for a systematic review; search strategy (Randomized Controlled Trial, in the last 1 year, English). The first search date was closed on 04/26/2020 and 06/26/2020. This strategy was chosen to assess the dynamics of scientific information production for the pandemic. In two months, an increase of 76%, from 12 (19.4%) to 50 (80.64%) COVID-19 articles (n = 62, 100%) was found. The main types of articles published were editorial articles (16.13%, n = 10 of 62 articles) and commentary (9.68%, n = 6 of 62 articles). The most frequent country of origin of the scientific production was the United States (12.90%, n = 8 of 62 articles), the United Kingdom (12.90%, n = 8 of 62 articles), and Brazil (11.29%, n = 7 of 62 articles). However, in 2020, there were only 2 relevant randomized controlled trials on the COVID-19 topic in the context of physical exercise. Scientific information production shows the concern of the PA science community to bring a solution to the increase in physical inactivity generated by the COVID-19 pandemic. Our findings show the dynamics of scientific production on the COVID-19, in a situation so unique such as a pandemic, denotes that the practice of PA is essential to improve and/or maintain physical and mental health.
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Affiliation(s)
- Rodrigo L Vancini
- Centro de Educação Física e Desportos (CEFD), Universidade Federal do Espírito Santo (UFES), Espírito Santo (ES), Brazil
| | - Marília S Andrade
- Departamento de Fisiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil
| | - Ricardo B Viana
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO), Brazil
| | | | - Beat Knechtle
- Medbase St. Gallen Am Vadianplatz, St. Gallen and Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | | | - Alexandre A de Almeida
- Instituto Federal de Educação, Ciência e Tecnologia do Tocantins (IFTO Araguatins), Campus Araguatins. Povoado Santa Tereza, Km 05 S/N Zona Rural, Araguatins, Tocantins (TO), Brazil
| | - Paulo Gentil
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO), Brazil
| | - Claudio A B de Lira
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO), Brazil
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4
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Puccinelli PJ, da Costa TS, Seffrin A, de Lira CAB, Vancini RL, Nikolaidis PT, Knechtle B, Rosemann T, Hill L, Andrade MS. Reduced level of physical activity during COVID-19 pandemic is associated with depression and anxiety levels: an internet-based survey. BMC Public Health 2021; 21:425. [PMID: 33648487 PMCID: PMC7919983 DOI: 10.1186/s12889-021-10470-z] [Citation(s) in RCA: 103] [Impact Index Per Article: 34.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Accepted: 02/05/2021] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has resulted in a strong negative impact on economic and social life worldwide. It has also negatively influenced people's general health and quality of life. The aim of the present study was to study the impact of social distancing on physical activity level, and the association between mood state (depression and anxiety level) or sex with actual physical activity levels, the change in physical activity caused by social distancing period, the adhesion level to social distancing, the adoption time of social distancing, family income and age. METHODS A self-administered questionnaire with personal, quarantine, physical activity, and mood state disorders information's was answered by 2140 Brazilians of both sex who were recruited through online advertising. RESULTS The physical activity level adopted during the period of social distancing (3.5 ± 0.8) was lower than that the adopted prior to the pandemic period (2.9 ± 1.1, p < 0.001). Thirty percent of the participants presented symptoms of moderate/severe depression and 23.3% displayed moderate/severe anxiety symptoms. A greater presence of symptoms related to anxiety and depression were associated with low physical activity levels, low family monthly income, and younger age. A higher percentage of men who had no mood disorders was observed among those who were very active than among those less active. CONCLUSION The COVID-19 pandemic has a negative impact on physical activity. Those who reduced their level of physical activity had the highest levels of mood disorders. Therefore, physical activity programs should be encouraged, while respecting the necessary social distancing to prevent the spread of Severe Acute Respiratory Syndrome Coronavirus 2.
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Affiliation(s)
| | | | - Aldo Seffrin
- Department of Physiology, Federal University of São Paulo, São Paulo, Brazil
| | - Claudio Andre Barbosa de Lira
- Human and Exercise Physiology Division, Faculty of Physical Education and Dance, Federal University of Goiás, Goiânia, Brazil
| | - Rodrigo Luiz Vancini
- Center for Physical Education and Sports, Federal University of Espírito Santo, Victoria, Brazil
| | | | - Beat Knechtle
- Medbase St. Gallen Am Vadianplatz, St. Gallen, Switzerland
- Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | - Thomas Rosemann
- Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | - Lee Hill
- Divison of Gastroenterology and Nutrition, Department of Pediatrics, McMaster University, Hamilton, Canada
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5
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Puccinelli PJ, da Costa TS, Seffrin A, de Lira CAB, Vancini RL, Nikolaidis PT, Knechtle B, Rosemann T, Hill L, Andrade MS. Reduced level of physical activity during COVID-19 pandemic is associated with depression and anxiety levels: an internet-based survey. BMC Public Health 2021. [PMID: 33648487 DOI: 10.1186/s12889-021-10,470-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/01/2023] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has resulted in a strong negative impact on economic and social life worldwide. It has also negatively influenced people's general health and quality of life. The aim of the present study was to study the impact of social distancing on physical activity level, and the association between mood state (depression and anxiety level) or sex with actual physical activity levels, the change in physical activity caused by social distancing period, the adhesion level to social distancing, the adoption time of social distancing, family income and age. METHODS A self-administered questionnaire with personal, quarantine, physical activity, and mood state disorders information's was answered by 2140 Brazilians of both sex who were recruited through online advertising. RESULTS The physical activity level adopted during the period of social distancing (3.5 ± 0.8) was lower than that the adopted prior to the pandemic period (2.9 ± 1.1, p < 0.001). Thirty percent of the participants presented symptoms of moderate/severe depression and 23.3% displayed moderate/severe anxiety symptoms. A greater presence of symptoms related to anxiety and depression were associated with low physical activity levels, low family monthly income, and younger age. A higher percentage of men who had no mood disorders was observed among those who were very active than among those less active. CONCLUSION The COVID-19 pandemic has a negative impact on physical activity. Those who reduced their level of physical activity had the highest levels of mood disorders. Therefore, physical activity programs should be encouraged, while respecting the necessary social distancing to prevent the spread of Severe Acute Respiratory Syndrome Coronavirus 2.
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Affiliation(s)
| | | | - Aldo Seffrin
- Department of Physiology, Federal University of São Paulo, São Paulo, Brazil
| | - Claudio Andre Barbosa de Lira
- Human and Exercise Physiology Division, Faculty of Physical Education and Dance, Federal University of Goiás, Goiânia, Brazil
| | - Rodrigo Luiz Vancini
- Center for Physical Education and Sports, Federal University of Espírito Santo, Victoria, Brazil
| | | | - Beat Knechtle
- Medbase St. Gallen Am Vadianplatz, St. Gallen, Switzerland
- Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | - Thomas Rosemann
- Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | - Lee Hill
- Divison of Gastroenterology and Nutrition, Department of Pediatrics, McMaster University, Hamilton, Canada
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Vancini RL, Andrade MS, Nikolaidis PT, Knechtle B, Rosemann T, Viana RB, de Lira CAB. COVID-19: It's still time for health professionals, physical activity enthusiasts and sportive leagues not to let guard down. SPORTS MEDICINE AND HEALTH SCIENCE 2021; 3:49-53. [PMID: 34189488 PMCID: PMC7874906 DOI: 10.1016/j.smhs.2021.01.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2020] [Revised: 01/29/2021] [Accepted: 01/30/2021] [Indexed: 10/27/2022] Open
Abstract
Emerging viral diseases represent a serious issue to public and global healthcare systems and have a high potential for disease dissemination in sport/physical activity and exercise facilities. The Coronavirus disease 2019 (COVID-19) pandemic has frightened the sports and physical activity community and enthusiasts for potential transmission, dissemination, and lethality in vulnerable populations; those with chronic diseases, co-morbidities, the elderly people, and in young and healthy people. This pandemic has caused a chain reaction with cancellations of sports competitions and gymnasiums closing around the world. Currently, some sporting events are gradually resuming in certain regions of the world and also the return of competitions and training. In general, without fans and public, the sports media can only report the infection of athletes and coaching staff members. However, this situation is dynamic - the world is currently experiencing the second wave of the disease; with the safety and containment measures for the disease is changing daily. The purpose of this article is to present information concerning the COVID-19 pandemic, to clarify health issues for professionals and people connected to sport and physical activity venues, presenting information to assist in educations and the health promotion and prevention. The time is now for making changes, reviewing the actions and conducts necessary for prevention, and most importantly not letting our guard down, even as vaccines become available for all people in the world. Remembering that even after getting vaccinated, it is necessary to continue with safety measures, for example, the use of facial masks and social distance and hygiene, that is, washing your hands frequently and/or sanitizing with 70% alcohol. We can't let our guard down for COVID-19.
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Affiliation(s)
- Rodrigo L Vancini
- Centro de Educação Física e Desportos (CEFD), Universidade Federal do Espírito Santo (UFES), Espírito Santo (ES), Brazil
| | - Marília S Andrade
- Departamento de Fisiologia, Universidade Federal de Säo Paulo (UNIFESP), São Paulo (SP), Brazil
| | | | - Beat Knechtle
- Medbase St. Gallen Am Vadianplatz, St. Gallen and Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | - Thomas Rosemann
- Institute of Primary Care, University of Zurich, Switzerland
| | - Ricardo B Viana
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO), Brazil
| | - Claudio A B de Lira
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO), Brazil
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7
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Cao YG, Li Y, Shen J, Shao MM, Lin XD, Zhu JJ, Huang XY, Cheng ZC, Yan JY, Chen KY. Clinical activity changes in the neurology department of Wenzhou during the COVID-19 pandemic: an observational analysis. Neurol Sci 2021; 42:1653-1659. [PMID: 33523320 PMCID: PMC7848671 DOI: 10.1007/s10072-021-05061-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2020] [Accepted: 01/12/2021] [Indexed: 12/16/2022]
Abstract
OBJECTIVE To explore the activity changes in neurology clinical practice that have occurred in tertiary public hospitals during the COVID-19 pandemic. METHODS Outpatient and inpatient data from the neurology department were extracted from the electronic medical record system of three tertiary Grade A hospitals in Wenzhou. Data were analyzed across 5 months following the beginning of the pandemic (from January 13 to May 17) and compared with the same period in 2019. Data on reperfusion therapy for acute infarction stroke were extracted monthly from January to April. RESULTS The number of outpatients declined from 102,300 in 2019 to 75,154 in 2020 (26.54%), while the number of inpatients in the three tertiary Grade A hospitals decreased from 4641 to 3437 (25.94%). The latter trend showed a significant drop from the 3rd week to the 7th week. The number of patients in these hospitals decreased significantly, and a significant drop was seen in the neurology department. As usual, stroke was the most common disease observed; however, anxiety/depression and insomnia increased dramatically in the outpatient consultation department. CONCLUSIONS The results of our study revealed the effects of the COVID-19 pandemic in the clinical practice of neurology in Wenzhou during the outbreak. Understanding the pandemic's trends and impact on neurological patients and health systems will allow for better preparation of neurologists in the future.
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Affiliation(s)
- Yun-Gang Cao
- Department of Neurology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, College West Road No. 109, Wenzhou, 325027, Zhejiang, China
| | - Yan Li
- Department of Neurology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, College West Road No. 109, Wenzhou, 325027, Zhejiang, China
| | - Jie Shen
- Department of Neurology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, College West Road No. 109, Wenzhou, 325027, Zhejiang, China
| | - Meng-Meng Shao
- Department of Rehabilitation and Neurology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Xian-Da Lin
- Department of Neurology, Wenzhou People's Hospital, Wenzhou, Zhejiang, China
| | - Juan-Juan Zhu
- Department of Neurology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, College West Road No. 109, Wenzhou, 325027, Zhejiang, China
| | - Xiao-Yan Huang
- Department of Neurology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, College West Road No. 109, Wenzhou, 325027, Zhejiang, China
| | - Zi-Cheng Cheng
- Department of Neurology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, College West Road No. 109, Wenzhou, 325027, Zhejiang, China
| | - Jue-Yue Yan
- Department of Neurology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, College West Road No. 109, Wenzhou, 325027, Zhejiang, China
| | - Ke-Yang Chen
- Department of Neurology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, College West Road No. 109, Wenzhou, 325027, Zhejiang, China.
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Sanchez-Larsen A, Gonzalez-Villar E, Díaz-Maroto I, Layos-Romero A, Martínez-Martín Á, Alcahut-Rodriguez C, Grande-Martin A, Sopelana-Garay D. Influence of the COVID-19 outbreak in people with epilepsy: Analysis of a Spanish population (EPICOVID registry). Epilepsy Behav 2020; 112:107396. [PMID: 32911299 PMCID: PMC7476448 DOI: 10.1016/j.yebeh.2020.107396] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2020] [Revised: 08/03/2020] [Accepted: 08/06/2020] [Indexed: 12/21/2022]
Abstract
BACKGROUND The aim of this study was to have a better understanding of the influence of the coronavirus disease 2019 (COVID-19) pandemic in people with epilepsy (PWE) and to assess whether there have been changes in seizure control during the current COVID-19 outbreak, exploring the possible causes thereof. METHODS This is an observational, retrospective study based on prospective data collection of 100 successive patients who attended an epilepsy outpatient clinic either face-to-face or telephonically during the months of the COVID-19 outbreak and national state of emergency. RESULTS One hundred patients were included, 52% women, mean age 42.4 years. During the COVID-19 period, 27% of the patients presented an increase of >50% of seizure frequency. An increase of stress/anxiety (odds ratios (OR): 5.78; p = 0.008) and a prior higher seizure frequency (OR: 12.4; p = 0.001) were associated with worsening of seizures. Other risk factors were exacerbation of depression, sleep deprivation, less physical activity, and history of epilepsy surgery. Three patients had status epilepticus (SE) and one a cluster of seizures. Likewise, 9% of patients improved their seizure control. Reduction in stress/anxiety (OR: 0.05; p = 0.03) and recent adjustment of antiepileptics (OR: 0.07; p = 0.01) acted as protecting factors. CONCLUSIONS A high proportion of PWE suffered a significant worsening of their seizure control during the months of the COVID-19 pandemic. Emotional distress due to home confinement was the main factor for the change in seizure control. Promoting physical activity and adequate sleep may minimize the potential impact of the pandemic in PWE. Ensuring correct follow-up can prevent decompensation in those PWE at high risk.
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Affiliation(s)
- Alvaro Sanchez-Larsen
- Department of Neurology, Complejo Hospitalario Universitario de Albacete, Albacete, Castilla-La Mancha, Spain.
| | - Esther Gonzalez-Villar
- Department of Neurology, Complejo Hospitalario Universitario de Albacete, Albacete, Castilla-La Mancha, Spain
| | - Inmaculada Díaz-Maroto
- Department of Neurology, Complejo Hospitalario Universitario de Albacete, Albacete, Castilla-La Mancha, Spain
| | - Almudena Layos-Romero
- Department of Neurology, Complejo Hospitalario Universitario de Albacete, Albacete, Castilla-La Mancha, Spain
| | - Álvaro Martínez-Martín
- Department of Neurology, Complejo Hospitalario Universitario de Albacete, Albacete, Castilla-La Mancha, Spain
| | - Cristian Alcahut-Rodriguez
- Department of Neurology, Complejo Hospitalario Universitario de Albacete, Albacete, Castilla-La Mancha, Spain
| | - Alberto Grande-Martin
- Department of Clinical Neurophysiology Complejo, Hospitalario Universitario de Albacete, Albacete, Castilla-La Mancha, Spain
| | - David Sopelana-Garay
- Department of Neurology, Complejo Hospitalario Universitario de Albacete, Albacete, Castilla-La Mancha, Spain
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9
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Saleem T, Sheikh N, Abbasi MH, Javed I, Khawar MB. COVID-19 containment and its unrestrained impact on epilepsy management in resource-limited areas of Pakistan. Epilepsy Behav 2020; 112:107476. [PMID: 33181895 PMCID: PMC7518832 DOI: 10.1016/j.yebeh.2020.107476] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Revised: 09/04/2020] [Accepted: 09/06/2020] [Indexed: 12/14/2022]
Abstract
The current pandemic of coronavirus disease 2019 (COVID-19) that led to an unprecedented crisis with significant health, social, and economic repercussions presented more serious concerns for those living with some chronic conditions such as epilepsy. This study was aimed to find out impact of the COVID-19 pandemic on management of epilepsy. A cross-sectional study was conducted through telephone interviews, targeting 213 caregivers of pediatric patients with epilepsy, belonging to underserved areas of Faisalabad, Punjab, Pakistan. A simple questionnaire was designed to record the responses of participants relevant to the direct and indirect effects of COVID-19 pandemic and their knowledge about possible ways that can be accessed for the management of epilepsy during an ongoing pandemic. The current study, which holds 77% of the respondents from rural areas and 23% from urban settings, showed that partial measures of lockdown taken to stop or slow the spread of COVID-19 resulted in adverse economic and health outcomes in the said population including cancelation of follow-up visits, worsening of seizures, job loss, burden of antiepileptic drugs (AEDs) costs, and discontinuation of medicines. Furthermore, knowledge about alternative ways to access health facilities was found very poor among caregivers. Income sources of poor people disrupted by lockdown can lead to unintentional nonadherence to medication, which is a clear picture of inequitable distribution of resources. This study highlights the major issues faced by the caregivers during this ongoing pandemic of COVID-19.
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Affiliation(s)
- Tayyaba Saleem
- Cell and Molecular Biology Laboratory, Department of Zoology, University of the Punjab, Lahore 54590, Pakistan
| | - Nadeem Sheikh
- Cell and Molecular Biology Laboratory, Department of Zoology, University of the Punjab, Lahore 54590, Pakistan.
| | | | - Iram Javed
- Department of Pediatric Neurology Children Hospital & Institute of Child Health Faisalabad, 38000, Pakistan
| | - Muhammad Babar Khawar
- Cell and Molecular Biology Laboratory, Department of Zoology, University of the Punjab, Lahore 54590, Pakistan; State Key Laboratory of Stem Cell and Reproductive Biology, Institute of Zoology, Chinese Academy of Sciences, Beijing, China; University of Chinese Academy of Sciences, Beijing 100049, China
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10
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Tromans S, Kinney M, Chester V, Alexander R, Roy A, Sander JW, Dudson H, Shankar R. Priority concerns for people with intellectual and developmental disabilities during the COVID-19 pandemic. BJPsych Open 2020; 6:e128. [PMID: 33118913 PMCID: PMC7609203 DOI: 10.1192/bjo.2020.122] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND The approach taken to support individuals during the coronavirus disease 2019 (COVID-19) pandemic needs to take into account the requirements of people with intellectual disabilities and/or autism, who represent a major vulnerable group, with higher rates of co-occurring health conditions and a greater risk of dying prematurely. To date, little evidence on COVID-related concerns have been produced and no report has provided structured feedback from the point of view of people with intellectual disabilities and/or autism or of their family/carers. AIMS To provide systemised evidence-based information of the priority concerns for people with intellectual disabilities and/or autism regarding the COVID-19 pandemic. METHOD Senior representatives of major UK-based professional and service-user representative organisations with a stake in the care of people with intellectual disabilities and/or autism were contacted to provide a list of concerns across three domains: 'mental health and challenging behaviour', 'physical health and epilepsy' and 'social circumstances and support'. The feedback was developed into statements on frequently reported priorities. These statements were then rated independently by expert clinicians. A video-conference meeting to reconcile outliers and to generate a consensus statement list was held. RESULTS Thirty-two organisations were contacted, of which 26 (81%) replied. From the respondent's data, 30 draft consensus statements were generated. Following expert clinician review, there was initially strong consensus for seven statements (23%), increasing to 27 statements (90%) following video conferencing. CONCLUSIONS These recommendations highlight the expectations of people with intellectual disabilities and/or autism in the current pandemic. This could support policymakers and professionals' deliver and evidence person-centred care.
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Affiliation(s)
- Sam Tromans
- Leicestershire Partnership NHS Trust, UK; and Department of Health Sciences, University of Leicester, UK
| | | | - Verity Chester
- Hertfordshire Partnership University NHS Foundation Trust, UK; and Norwich Medical School, University of East Anglia, UK
| | - Regi Alexander
- Hertfordshire Partnership University NHS Foundation Trust, UK; and University of Hertfordshire, UK
| | - Ashok Roy
- Coventry and Warwickshire Partnership NHS Trust, UK; and University of Warwick, UK
| | - Josemir W Sander
- UCL Queen Square Institute of Neurology, UK; Chalfont Centre for Epilepsy, UK; and Stichting Epilepsie Instellingen Nederland (SEIN), the Netherlands
| | - Harry Dudson
- Department of Health Sciences, University of Leicester, UK
| | - Rohit Shankar
- Cornwall Partnership NHS Foundation Trust, UK; and University of Exeter Medical School, Truro, UK
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Vancini RL, Camargo-Neto L, de Lira CAB, Andrade MS, Viana RB, Nikolaidis PT, Knechtle B, Gentil P, Piacezzi LHV, Lopes MCBT, Batista REA, Vancini-Campanharo CR. Physical Activity and Sociodemographic Profile of Brazilian People during COVID-19 Outbreak: An Online and Cross-Sectional Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17217964. [PMID: 33138270 PMCID: PMC7663508 DOI: 10.3390/ijerph17217964] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/10/2020] [Revised: 10/26/2020] [Accepted: 10/28/2020] [Indexed: 01/08/2023]
Abstract
The Coronavirus Disease 2019 (COVID-19) outbreak has created an unprecedented impact on global health and further aggravated the physical inactivity pandemic. For this reason, the understanding of sociodemographic variables in the context of physical activity levels are important for the field of public health in order to assist in relevant public health decisions. Our main aim was to characterize sociodemographic variables and physical activity levels and their association with COVID-19 aspects. We applied an online Google survey with closed questions in Brazilian people of different age and regions, both sexes and physical activity levels (n = 1.726). Our main results were that participants who had symptoms of COVID-19 had the highest percentage of level 1 of physical activity (the lowest level according to the classification used) and those who showed no symptoms had the highest percentage of levels 2 and 3 of physical activity; that is, close to the light/moderate levels of physical activity. This cross-sectional study in the Brazilian population provided important sociodemographic data and COVID-19 aspects regarding the level of physical activity. It is possible to assume that the regular practice of physical activity could positively impact health status and quality of life and be a tool in the field of public health to cope (from a physical and mental point of view) with disease scenarios that require quarantine.
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Affiliation(s)
- Rodrigo L. Vancini
- Centro de Educação Física e Desportos (CEFD), Universidade Federal do Espírito Santo (UFES), Espírito Santo (ES) 29075-910, Brazil;
| | - Luiz Camargo-Neto
- Escola Paulista de Enfermagem (EPE), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP) 04023-062, Brazil; (L.C.-N.); (L.H.V.P.); (M.C.B.T.L.); (R.E.A.B.); (C.R.V.-C.)
| | - Claudio A. B. de Lira
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO) 74.690-900, Brazil; (C.A.B.d.L.); (R.B.V.); (P.G.)
| | - Marília S. Andrade
- Departamento de Fisiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP) 04023-910, Brazil;
| | - Ricardo B. Viana
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO) 74.690-900, Brazil; (C.A.B.d.L.); (R.B.V.); (P.G.)
| | - Pantelis T. Nikolaidis
- School of Health and Caring Sciences, University of West Attica, Athens, 11521 Attica, Greece
- Correspondence:
| | - Beat Knechtle
- Medbase St. Gallen Am Vadianplatz, St. Gallen and Institute of Primary Care, University of Zurich, 8091 Zurich, Switzerland;
| | - Paulo Gentil
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO) 74.690-900, Brazil; (C.A.B.d.L.); (R.B.V.); (P.G.)
- Liga de Hipertensão Arterial, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO) 74.690-900, Brazil
| | - Luiz H. V. Piacezzi
- Escola Paulista de Enfermagem (EPE), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP) 04023-062, Brazil; (L.C.-N.); (L.H.V.P.); (M.C.B.T.L.); (R.E.A.B.); (C.R.V.-C.)
| | - Maria C. B. Teixeira Lopes
- Escola Paulista de Enfermagem (EPE), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP) 04023-062, Brazil; (L.C.-N.); (L.H.V.P.); (M.C.B.T.L.); (R.E.A.B.); (C.R.V.-C.)
| | - Ruth E. Assayag Batista
- Escola Paulista de Enfermagem (EPE), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP) 04023-062, Brazil; (L.C.-N.); (L.H.V.P.); (M.C.B.T.L.); (R.E.A.B.); (C.R.V.-C.)
| | - Cássia R. Vancini-Campanharo
- Escola Paulista de Enfermagem (EPE), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP) 04023-062, Brazil; (L.C.-N.); (L.H.V.P.); (M.C.B.T.L.); (R.E.A.B.); (C.R.V.-C.)
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