Manejo de doenças crônicas não-transmissíveis durante a pandemia de COVID-19: resultados da coorte PAMPA

Leite, Jayne Santos; Feter, Natan; Caputo, Eduardo Lucia; Doring, Igor Retzlaff; Cassuriaga, Júlia; Reichert, Felipe Fossati; Silva, Marcelo Cozzensa da; Rombaldi, Airton José

doi:10.1590/1413-81232021263.39232020

person Jayne Santos Leite

schoolPrograma de Pós-Graduação em Ciências da Saúde, Universidade Federal do Rio Grande do Sul. R. Ramiro Barcelos 2400, Campus Saúde. 90035-003 Porto Alegre RS Brasil. leitejs@outlook.com

0000-0002-4612-7301

person Natan Feter

schoolSchool of Human Movement and Nutrition Sciences, Universidade de Queensland. Queensland Austrália.schoolPrograma de Pós-Graduação em Educação Física, Universidade Federal de Pelotas. Pelotas RS Brasil. schoolGrupo de Pesquisa em Epidemiologia da Atividade Física, Universidade Federal de Pelotas. Pelotas RS Brasil.

0000-0001-6295-9792

person Eduardo Lucia Caputo

schoolPrograma de Pós-Graduação em Educação Física, Universidade Federal de Pelotas. Pelotas RS Brasil. schoolGrupo de Pesquisa em Epidemiologia da Atividade Física, Universidade Federal de Pelotas. Pelotas RS Brasil.

0000-0002-3515-9308

person Igor Retzlaff Doring

schoolGrupo de Pesquisa em Epidemiologia da Atividade Física, Universidade Federal de Pelotas. Pelotas RS Brasil.

0000-0003-4279-2707

person Júlia Cassuriaga

schoolPrograma de Pós-Graduação em Educação Física, Universidade Federal de Pelotas. Pelotas RS Brasil.

0000-0002-8352-6774

person Felipe Fossati Reichert

schoolPrograma de Pós-Graduação em Educação Física, Universidade Federal de Pelotas. Pelotas RS Brasil. schoolGrupo de Pesquisa em Epidemiologia da Atividade Física, Universidade Federal de Pelotas. Pelotas RS Brasil.

0000-0002-0951-9875

person Marcelo Cozzensa da Silva

schoolPrograma de Pós-Graduação em Educação Física, Universidade Federal de Pelotas. Pelotas RS Brasil. schoolGrupo de Pesquisa em Epidemiologia da Atividade Física, Universidade Federal de Pelotas. Pelotas RS Brasil.

0000-0003-2336-7131

person Airton José Rombaldi

schoolPrograma de Pós-Graduação em Educação Física, Universidade Federal de Pelotas. Pelotas RS Brasil. schoolGrupo de Pesquisa em Epidemiologia da Atividade Física, Universidade Federal de Pelotas. Pelotas RS Brasil.

0000-0002-6707-814X

Collaborations

JS Leite, N Feter, EL Caputo, IR Doring, J Cassuriaga, FF Reichert, MC Silva and AJ Rombaldi: conceptualization, methodology. JS Leite and N Feter: data curation, data analysis, writing, original draft preparation. FF Reichert, MC Silva and AJ Rombaldi: supervision. EL Caputo, IR Doring, J Cassuriaga, FF Reichert, MC Silva and AJ Rombaldi: writing, reviewing and editing.

Chief Editors: Romeu Gomes, Antônio Augusto Moura da Silva

	Overall (n=2,321)	Noncommunicable disease
	Overall (n=2,321)	No (n=1,033)	Yes (n=1,288)
Age (mean, 95%CI)	38.2 (37.5, 38.9)	34.2 (33.3, 35.1)	41.2 (40.2, 42.2)
Skin color, white (%, 95%CI)	76.6 (74.4, 78.7)	89.2 (86.6, 91.4)	91.7 (89.6, 93.3)
Highest educational achievement, high school (%, 95%CI)	90.6 (89.0, 92.0)	36.2 (32.6, 40.0)	31.1 (28.0, 34.4)
Living with partner (%, 95%CI)	33.3 (30.9, 35.8)	59.6 (55.8, 63.3)	63.1 (59.8, 66.3)
Overweight or obese (%, 95%CI)	61.6 (59.1, 64.0)	44.9 (41.1, 48.8)	59.6 (56.2, 62.9)
Physical activity, inactive (%, 95%CI)	53.3 (50.7, 55.8)	72.2 (68.7, 75.5)	76.3 (73.3, 79.1)
Knowledge about COVID-19, very good/excellent (%, 95%CI)	74.5 (72.3, 76.7)	52.0 (48.1, 55.8)	55.1 (51.7, 58.5)
Reduced working hours since social distancing (%, 95%CI)	53.7 (51.2, 56.3)	44.3 (40.0, 48.7)	43.1 (39.2, 47.0)
Decreased monthly income since social distancing (%, 95%CI)	43.6 (40.7, 46.5)	48.9 (45.0, 52.7)	42.5 (39.2, 45.9)
Regular use of prescribed medicine (%, 95%CI)	45.3 (42.7, 47.8)	3.7 (2.4, 5.6)	57.9 (54.5, 61.2)
Access to prescribed medicines during social distancing, impaired (%, 95%CI)	34.5 (32.1, 37.0)	36.4 (18.9, 58.3)	17.9 (14.7, 21.6)
Required healthcare services during social distancing (%, 95%CI)	18.7 (15.5, 22.4)	29.3 (25.8, 33.0)	43.1 (39.7, 46.5)
Avoiding to seek healthcare assistance (%, 95%CI)	37.1 (34.7, 39.4)	28.1 (21.9, 35.2)	42.1 (37.1, 47.3)

	Overall (n=1,288)	Sex
	Overall (n=1,288)	Male (n=258)	Female (n=1,030)
Age (mean, 95%CI)	41.5 (40.7, 42.3)	39.5 (37.5, 41.5)	41.6 (40.5, 42.7)
Skin color, white (%, 95%CI)	91.7 (89.6, 93.3)	88.9 (83.1, 92.9)	92.4 (90.2, 94.1)
Highest educational achievement, high school (%, 95%CI)	31.1 (28.0, 34.4)	34.5 (27.8, 42.0)	30.2 (26.8, 33.9)
Living with partner (%, 95%CI)	63.1 (59.8, 66.3)	62.5 (55.0, 69.4)	63.3 (59.2, 66.9)
Overweight or obese (%, 95%CI)	59.6 (56.2, 62.9)	71.9 (64.7, 78.2)	56.4 (52.5, 60.2)
Physical activity, inactive (%, 95%CI)	76.3 (73.2, 79.1)	73.3 (66.1, 79.3)	77.1 (73.7, 80.2)
Knowledge about COVID-19, very good/excellent (%, 95%CI)	55.1 (51.7, 58.5)	58.1 (50.6, 65.2)	54.3 (50.5, 58.1)
Reduced working hours since social distancing (%, 95%CI)	43.1 (39.2, 47.0)	34.3 (26.6, 42.9)	45.3 (40.9, 49.7)
Decreased monthly income since social distancing (%, 95%CI)	42.5 (39.2, 45.9)	41.9 (34.8, 49.4)	42.7 (38.9, 46.5)
Regular use of prescribed medicine (%, 95%CI)	57.9 (54.5, 61.2)	55.7 (48.2, 63.0)	58.4 (54.6, 62.2)
Access to prescribed medicines during social distancing, impaired (%, 95%CI)	17.9 (14.7, 21.6)	19.9 (12.9, 29.5)	17.4 (13.9, 21.5)
Required healthcare services during social distancing (%, 95%CI)	43.1 (39.7, 46.5)	40.2 (33.0, 47.8)	43.8 (40.1, 47.7)
Avoiding to seek healthcare assistance (%, 95%CI)	42.2 (37.1, 47.4)	49.7 (37.8, 61.6)	40.4 (34.9, 46.1)
Depression (%, 95%CI)	32.4 (29.3, 35.7)	25.5 (19.5, 32.6)	34.3 (30.8, 38.0)
Hypertension (%, 95%CI)	25.2 (22.4, 28.3)	35.6 (28.9, 43.0)	22.5 (19.5, 25.8)
High cholesterol (%, 95%CI)	24.2 (21.4, 27.3)	27.3 (21.1, 34.5)	23.4 (20.3, 26.9)
Multimorbidity (%, 95%CI)	23.3 (21.1, 25.4)	19.5 (15.7, 24.1)	24.4 (21.9, 26.9)
Asthma/bronchitis (%, 95%CI)	20.6 (17.9, 23.5)	20.1 (14.9, 26.7)	20.7 (17.7, 24.0)
Diabetes (%, 95%CI)	7.8 (6.2, 9.7)	9.3 (5.9, 14.5)	7.3 (5.7, 9.5)
Heart disease (%, 95%CI)	4.4 (3.2, 6.0)	2.2 (0.9, 5.0)	5.0 (3.5, 7.0)

	Crude		Adjusted
	RP (95%CI)	p-value	RP (95%CI)	p-value
Sex		0.015		0.024
Male	1.00		1.00
Female	1.52 (1.08, 2.13)		1.49 (1.05, 2.10)
Age, years		0.039#		0.032#
18-30	1.00		1.00
31-59	0.78 (0.61, 1.00)		0.78 (0.61, 0.98)
60+	0.70 (0.46, 1.07)		0.69 (0.45, 1.07)
Skin color		0.286		0.310
White	1.00		1.00
Non-white	0.78 (0.49, 1.23)		0.78 (0.49, 1.25)
Highest educational achievement		0.348#		0.306#
High school or less	1.00		1.00
University	0.82 (0.60, 1.11)		1.07 (0.44, 2.61)
Specialization, Master, PhD	0.89 (0.69, 1.16)		0.89 (0.38, 2.08)
Conjugal status		0.047		0.211
With partner	1.00		1.00
No partner	1.26 (1.00, 1.59)		1.17 (0.91, 1.49)
Region		0.014#		0.008#
Sul	1.00		1.00
Centro-Oeste	0.82 (0.58, 1.16)		0.80 (0.54, 1.18)
Norte	0.31 (0.11, 0.92)		0.28 (0.07, 1.11)
Missioneira	0.54 (0.24, 1.20)		0.72 (0.33, 1.59)
Metropolitana	0.84 (0.69, 1.03)		0.94 (0.76, 1.16)
Vales	0.78 (0.52, 1.18)		0.59 (0.34, 1.02)
Serra	1.41 (1.00, 2.00)		1.55 (1.11, 2.15)
Body mass index		0.317		0.950
Normal	1.00		1.00
Overweight/obese	0.89 (0.71, 1.12)		0.99 (0.78, 1.26)
Physical activity		0.126		0.023
Inactive	1.00		1.00
Active	0.89 (0.77, 1.03)		0.85 (0.74, 0.98)
Knowledge about COVID-19		0.590 0.479		0.533 0.250
Regular	1.00		1.00
Bad	1.06 (0.34, 3.34)		0.19 (0.22, 1.67)
Good	0.74 (0.49, 1.10)		0.75 (0.47, 1.19)
Very good/ excellent	0.80 (0.55, 1.18)		0.75 (0.50, 1.11)
Change in working hours		0.964		0.704
Reduced	1.04 (0.77, 1.39)		1.06 (0.76, 1.49)
Increased	1.05 (0.70, 1.57)		1.24 (0.75, 2.07)
Impaired access to prescribed medicine		<0.001		<0.001
No	1.00		1.00
Yes	1.94 (1.48, 2.56)		1.99 (1.44, 2.75)
Reduced monthly income		0.086		0.868
No	1.00		1.00
Yes	1.22 (0.97, 1.54)		1.03 (0.67, 1.60)
Routine		0.931		0.989
Low	1.05 (0.69, 1.60)		1.01 (0.67, 1.53)
Medium	1.00		1.00
High	1.00 (0.63, 1.59)		0.99 (0.63, 1.56)

	Crude		Adjusted
	RP (95%CI)	p-value	RP (95%CI)	p-value
Sex		0.569		0.469
Male	1.00		1.00
Female	0.87 (0.54, 1.39)		0.84 (0.53, 1.34)
Age, years		0.051#		0.184#
18-30	1.00		1.00
31-59	0.81 (0.53, 1.23)		1.00 (0.65, 1.55)
60+	0.51 (0.25, 1.05)		0.61 (0.30, 1.23)
Skin color		0.679		0.483
White	1.00		1.00
Non-white	0.85 (0.41, 1.80)		0.77 (0.36, 1.61)
Highest educational achievement		<0.001#		0.001#
High school or less	1.00		1.00
University	0.49 (0.29, 0.81)		0.49 (0.29, 0.81)
Specialization, Master, PhD	0.48 (0.31, 0.74)		0.46 (0.29, 0.74)
Conjugal status		0.750		0.879
With partner	1.00		1.00
No partner	1.07 (0.71, 1.59)		1.03 (0.69, 1.54)
Region		0.918		0.897
Sul	1.00		1.00
Centro-Oeste	0.87 (0.45, 1.71)		0.93 (0.48, 1.79)
Norte	0.41 (0.06, 2.72)		0.52 (0.08, 3.42)
Missioneira	0.81 (0.22, 2.98)		0.80 (0.22, 2.87)
Metropolitana	1.01 (0.71, 1.43)		0.97 (0.68, 1.38)
Vales	1.09 (0.48, 2.47)		1.05 (0.45, 2.46)
Serra	1.42 (0.65, 3.13)		1.58 (0.75, 3.34)
Reduced monthly income		0.014		0.042
No	1.00		1.00
Yes	1.62 (1.11, 2.38)		1.49 (1.01, 2.18)
Routine		0.899		0.836
Low	0.88 (0.48, 1.62)		0.86 (0.53, 1.41)
Medium	1.00		1.00
High	0.95 (0.49, 1.85)		0.87 (0.49, 1.54)

	Crude		Adjusted
	RP (95%CI)	p-value	RP (95%CI)	p-value
Sex		0.149		0.205
Male	1.00		1.00
Female	0.81 (0.61, 1.08)		0.84 (0.63, 1.10)
Age, years		0.796^#		0.922^#
18-30	1.00		1.00
31-59	0.94 (0.73, 1.21)		1.11 (0.83, 1.48)
60+	0.85 (0.50, 1.44)		0.93 (0.55, 1.57)
Skin color		0.837		0.947
White	1.00		1.00
Non-white	1.04 (0.69, 1.57)		1.01 (0.68, 1.52)
Highest educational achievement		0.016^#		0.016^#
High school or less	1.00		1.00
University	0.82 (0.61, 1.11)		0.82 (0.61, 1.11)
Specialization, Master, PhD	0.72 (0.54, 0.95)		0.72 (0.54, 0.95)
Conjugal status		0.450		0.618
With partner	1.00		1.00
No partner	1.10 (0.86, 1.41)		1.06 (0.83, 1.36)
Region		0.625		0.762
Sul	1.00		1.00
Centro-Oeste	0.94 (0.64, 1.38)		0.98 (0.66, 1.40)
Norte	0.80 (0.31, 2.04)		1.00 (0.40, 2.49)
Missioneira	0.53 (0.16, 1.83)		0.54 (0.15, 1.93)
Metropolitana	1.12 (0.91, 1.39)		1.11 (0.89, 1.37)
Vales	0.76 (0.39, 1.49)		0.75 (0.39, 1.44)
Serra	0.75 (0.36, 1.57)		0.78 (0.38, 1.63)
Reduced monthly income		0.002		0.003
No	1.00		1.00
Yes	1.46 (1.14, 1.85)		1.44 (1.13, 1.83)
Routine		0.052		0.024
Low	0.72 (0.53, 0.99)		0.72 (0.53, 0.98)
Medium	1.00		1.00
High	0.63 (0.43, 0.93)		0.60 (0.41, 0.87)

[TFN1] 95%CI: 95% confidence intervals.