Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
JCR Impact Factor (IF) – 1.727
Index Copernicus  – 166.39
MEiN – 70 pts

ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
Periodicity – monthly

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Advances in Clinical and Experimental Medicine

2021, vol. 30, nr 11, November, p. 1111–1114

doi: 10.17219/acem/144135

Publication type: editorial

Language: English

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

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Holland C, Garner I, Simpson J, et al. Impacts of COVID-19 lockdowns on frailty and wellbeing in older people and those living with long-term conditions. Adv Clin Exp Med. 2021;30(11):1111–1114. doi: 10.17219/acem/144135

Impacts of COVID-19 lockdowns on frailty and wellbeing in older people and those living with long-term conditions

Carol Holland1,A,B,C,D,E,F, Ian Garner1,B,C,E,F, Jane Simpson1,A,B,C,E,F, Fiona Eccles1,A,B,C,E,F, Esperanza Navarro Pardo2,A,B,C,E,F, Calum Marr1,A,B,C,E,F, Sandra Varey1,A,B,E,F

1 Centre for Ageing Research, Lancaster University, UK

2 School of Psychology, University of Valencia, Spain

Abstract

Lockdowns and social distancing have been important and successful strategies to limit the spread of the coronavirus disease 2019 (COVID-19) virus. However, excess deaths related to non-COVID-19 causes have been reported, suggesting issues around availability and use of health services, particularly for people with conditions needing ongoing medical support. In addition, evidence indicates that a range of age-related diseases and frailty are impacted by physical activity and social engagement, both limited in lockdown situations. It is therefore important to learn from the effects of lockdowns in order to limit any impacts, while still protecting people from the infection. This editorial summarizes two research themes at the Centre for Ageing Research at Lancaster University in the UK, one assessing impacts of lockdown for people living with a long-term neurodegenerative condition, Parkinson’s disease, and one assessing longitudinal impacts on frailty and wellbeing, with older adults aged over 70, including those living with at least one long-term condition. Uncertainty related to Parkinson’s disease and to COVID-19 amplified each other, and cancelled clinical appointments and limitations on physical activity had very significant impacts on wellbeing for this group. In the longitudinal study, frailty was more severe during lockdown periods. While lockdowns reduce spread of the virus, becoming frailer could make older adults more vulnerable to the effects of the virus during these periods. Regular exercise during lockdown had beneficial effects aiding recovery once restrictions relaxed. These studies suggest factors that could lessen negative impacts of future lockdowns. Maintaining physical activity and providing access to health services during periods of lockdown are suggested as priorities.

Key words

COVID-19, physical distancing, Parkinson’s disease, frailty, aged

References (20)

  1. World Health Organization. Pulse survey on continuity of essential health services during the COVID-19 pandemic: Interim report, 27 August 2020. https://www.who.int/publications/i/item/WHO-2019-nCoV-EHS_continuity-survey-2020.1. Accessed November 6, 2021.
  2. Woolf SH, Chapman DA, Sabo RT, Weinberger DM, Hill L. Excess deaths from COVID-19 and other causes, March-April 2020. JAMA. 2020;324(5):510–513. doi:10.1001/jama.2020.11787
  3. Kontopantelis E, Mamas MA, Deanfield J, Asaria M, Doran T. Excess mortality in England and Wales during the first wave of the COVID-19 pandemic. J Epidemiol Community Health. 2021;75(3):213–223. doi:10.1136/jech-2020-214764
  4. Kondilis E, Tarantilis F, Benos A. Essential public healthcare services utilization and excess non-COVID-19 mortality in Greece. Public Health. 2021;198:85–88. doi:10.1016/j.puhe.2021.06.025
  5. Department of Health. Long Term Conditions Compendium of Information, Third Edition. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/216528/dh_134486.pdf. Accessed November 6, 2021.
  6. Levin AT, Hanage WP, Owusu-Boaitey N, Cochran KB, Walsh SP, Meyerowitz-Katz G. Assessing the age specificity of infection fatality rates for COVID-19: Systematic review, meta-analysis, and public policy implications. Eur J Epidemiol. 2020;35(12):1123–1138. doi:10.1007/s10654-020-00698-1
  7. Atkins JL, Masoli JAH, Delgado J, et al. Preexisting comorbidities predicting COVID-19 and mortality in the UK biobank community cohort. J Gerontol A Biol Sci Med Sci. 2020;75(11):2224–2230. doi:10.1093/gerona/glaa183
  8. Onder G, Rezza G, Brusaferro S. Case–fatality rate and characteristics of patients dying in relation to COVID-19 in Italy. JAMA. 2020;323(18):1775–1776. doi:10.1001/jama.2020.4683
  9. Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in elderly people. Lancet. 2013;381(9868):752–762. doi:10.1016/S0140-6736(12)62167-9
  10. Hewitt J, Carter B, Vilches-Moraga A, et al. The effect of frailty on survival in patients with COVID-19 (COPE): A multicentre, European, observational cohort study. Lancet Public Health. 2020;5(8):e444–e451. doi:10.1016/S2468-2667(20)30146-8
  11. Petermann-Rocha F, Hanlon P, Gray SR, et al. Comparison of two different frailty measurements and risk of hospitalisation or death from COVID-19: Findings from UK Biobank. BMC Med. 2020;18(1):355. doi:10.1186/s12916-020-01822-4
  12. Apóstolo, J, Cooke R, Bobrowicz-Campos E, et al. Effectiveness of interventions to prevent pre-frailty and frailty progression in older adults: A systematic review. JBI Database System Rev Implement Rep. 2018;16(1):140–232. doi:10.11124/JBISRIR-2017-003382
  13. Gale CR, Westbury L, Cooper C. Social isolation and loneliness as risk factors for the progression of frailty: The English Longitudinal Study of Ageing. Age Ageing. 2018;47(3):392–397. doi:10.1093/ageing/afx188
  14. Oliveira JS, Pinheiro MB, Fairhall N, et al. Evidence on physical activity and the prevention of frailty and sarcopenia among older people: A systematic review to inform the World Health Organization physical activity guidelines. J Phys Act Health. 2020;17(12):1247–1258. doi:10.1123/jpah.2020-0323
  15. Rodríguez-Gonzalez R, Facal D, Martinez-Santos AE, Gandoy-Crego M. Psychological, social and health-related challenges in Spanish older adults during the lockdown of the COVID-19 first wave. Front Psychiatry. 2020;11:588949. doi:10.3389/fpsyt.2020.588949
  16. Simpson J, Zarotti N, Varey S, et al. ‘It’s a double whammy’: A qualitative study of illness uncertainty in individuals with Parkinson’s disease in the context of COVID-19. Chronic Illn. 2021;17423953211043101. doi:10.1177/17423953211043101
  17. Hansen BS, Rørtveit K, Leiknes I, et al. Patient experiences of uncertainty: A synthesis to guide nursing practice and research. J Nurs Manag. 2012;20(2):266–277. doi:10.1111/j.1365-2834.2011.01369.x
  18. Simpson J, Eccles FJR, Doyle C. The impact of coronavirus restrictions on people affected by Parkinson’s: The findings from a survey by Parkinson’s UK. Lancaster, UK: Lancaster University; 2020. https://www.parkinsons.org.uk/news/how-have-coronavirus-covid-19-restrictions-impacted-people-affected-parkinsons. Accessed November 6, 2021.
  19. Garner IW, Burgess AP, Holland CA. Developing and validating the Community-Oriented Frailty Index (COM-FI). Arch Gerontol Geriatr. 2020;91:104232. doi:10.1016/j.archger.2020.104232
  20. National Health Service. Who is at high risk from coronavirus (clinically extremely vulnerable). https://www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk/who-is-at-high-risk-from-coronavirus-clinically-extremely-vulnerable. Accessed November 6, 2021.