Effects Of COVID-19 Lockdown Research Articles

COVID-19 Lockdown Effects on Acute Stroke Care in Latin America

ObjectivesCOVID-19 pandemic has forced important changes in health care worldwide. Stroke care networks have been affected, especially during peak periods. We assessed the impact of the pandemic and lockdowns in stroke admissions and care in Latin America. Materials and MethodsA multinational study (7 countries, 18 centers) of patients admitted during the pandemic outbreak (March-June 2020). Comparisons were made with the same period in 2019. Numbers of cases, stroke etiology and severity, acute care and hospitalization outcomes were assessed. ResultsMost countries reported mild decreases in stroke admissions compared to the same period of 2019 (1187 vs. 1166, p = 0.03). Among stroke subtypes, there was a reduction in ischemic strokes (IS) admissions (78.3% vs. 73.9%, p = 0.01) compared with 2019, especially in IS with NIHSS 0–5 (50.1% vs. 44.9%, p = 0.03). A substantial increase in the proportion of stroke admissions beyond 48 h from symptoms onset was observed (13.8% vs. 20.5%, p < 0.001). Nevertheless, no differences in total reperfusion treatment rates were observed, with similar door-to-needle, door-to-CT, and door-to-groin times in both periods. Other stroke outcomes, as all-type mortality during hospitalization (4.9% vs. 9.7%, p < 0.001), length of stay (IQR 1–5 days vs. 0–9 days, p < 0.001), and likelihood to be discharged home (91.6% vs. 83.0%, p < 0.001), were compromised during COVID-19 lockdown period. ConclusionsIn this Latin America survey, there was a mild decrease in admissions of IS during the COVID-19 lockdown period, with a significant delay in time to consultations and worse hospitalization outcomes.

Effects of COVID-19 Lockdown on Physical Activity and Dietary Behaviors in Kuwait: A Cross-Sectional Study.

The Coronavirus disease (COVID-19) pandemic has brought about drastic measures that have significantly altered the norms of daily living. These measures have affected human behaviors in disparate ways. This study seeks to understand the impact of the pandemic on physical activity and dietary behavior among adults living in Kuwait. A cross-sectional survey was conducted between 18 June and 15 July 2020, using a questionnaire disseminated through social media, including WhatsApp and Facebook. The target population was individuals aged 21 years or older living in the State of Kuwait. The study included 679 respondents; 57.9% were females, and 67.7% were Kuwaiti nationals. Both genders reported an increased consumption of vegetables, fruits, and carbohydrates, and a decreased consumption of fish and sugary drinks. Compared to males, females reported eating more during the outbreak than their pre-pandemic eating behaviors (32.3% vs. 35.9%, p < 0.05). Approximately one-third of respondents (33.1%) reported performing less than 30 min of physical activity or exercise in a week, and 36.4% of respondents rated their quality of sleep as ‘poor’ or ‘very poor’. The rate of smoking cigarettes among males was significantly higher than in females (40.6% vs. 5.3%, p < 0.001). Physical activity was positively correlated with vegetable consumption and quality of sleep. Quality of sleep was negatively correlated with the consumption of sweets and snacks, just as the consumption of vegetables was negatively correlated with the consumption of sugary drinks. The overall negative impact of the COVID-19 pandemic in Kuwait necessitates the development of health promotion interventions to support positive physical activity and dietary behaviors using alternative coping strategies among the residents of Kuwait.

COVID-19 Pandemic: Looking in the mind of students during lockdown

The entire world is facing an unprecedented Corona pandemic. No one was expected that due to this pandemic entire lifestyle of man will be changed. In the course of prevention of the spread of the Corona infection, all public institution is locked downed including educational institutions. Several weeks-long isolations (social distancing) created some psychological and emotional problems among students. This research is a survey-based descriptive analysis to explore the effects of COVID-19 lockdown on the thinking pattern and emotional behavior of students of Central University of South Bihar, Gaya. Using snowball sampling a Google survey form was used to collect the data. This form consists of 21 items regarding the emotional, social and psychological aspect of students during the COVID-19 lockdown. Maximum items are to be answered in Yes or No and some items are given another option can’t say. Total 243 dully filled responses were received. There were 134 males and 109 females who participated in the online survey. Results reveal that maximum students were found worried and anxious about their study and Corona spread. They were feeling panic due to the regular increasing number of Corona infections. This long duration COVID-19 lockdown affected the thinking pattern of students. Now they were more sensitive and inquisitive towards social issues and problems. Research suggests that some counseling sessions should be provided to the students to make them unable to cope up with the current situations.

Effects of COVID-19 lockdowns on fine particulate matter concentrations.

Lockdowns during the COVID-19 pandemic provide an unprecedented opportunity to examine the effects of human activity on air quality. The effects on fine particulate matter (PM2.5) are of particular interest, as PM2.5 is the leading environmental risk factor for mortality globally. We map global PM2.5 concentrations for January to April 2020 with a focus on China, Europe, and North America using a combination of satellite data, simulation, and ground-based observations. We examine PM2.5 concentrations during lockdown periods in 2020 compared to the same periods in 2018 to 2019. We find changes in population-weighted mean PM2.5 concentrations during the lockdowns of -11 to -15 μg/m3 across China, +1 to -2 μg/m3 across Europe, and 0 to -2 μg/m3 across North America. We explain these changes through a combination of meteorology and emission reductions, mostly due to transportation. This work demonstrates regional differences in the sensitivity of PM2.5 to emission sources.

COVID‐19 lockdown distress, but not the infection concerns, shape psychological functioning during the pandemic: The mediating role of basic psychological needs

This study examined the effect of COVID‐19 lockdown and infection concerns on positive and negative aspects of psychological functioning during the first weeks of the new coronavirus pandemic, and the mediating role of basic psychological needs satisfaction and frustration. Slovene adults (N = 425; 79% female) filled in questionnaires measuring COVID‐19‐related stressors, satisfaction and frustration of basic psychological needs, well‐being, and ill‐being. Results of the path analysis with Bootstrap estimation procedure revealed that the perceived severity of the COVID‐19 lockdown circumstances predicted diminished psychological functioning of participants both directly and via decreased needs satisfaction and increased needs frustration. Conversely, the infection concerns had a much weaker and direct only effect on the increased ill‐being, but no effect on well‐being. These findings indicate that lockdown circumstances, but not the possibility of COVID‐19 infection, predominantly shape individuals’ ability to satisfy their basic needs and subsequently their psychological functioning during the pandemic. The study suggests that public health responses should address not only risk of infection but also people’s psychological needs.

Impact of Quarantine Time in COVID-19 Pandemic Lockdown on Parents and their Children

On 11 March, 2020, the World Health Organization (WHO) announced the COVID-19 pandemic. In order to respond COVID-19 threat on public health, different countries adopted various social distancing measures and/or locked down their communities completely. As a results of all these measures, global health crisis and other global crises have overlapped. The present cross-sectional quantitative study was aimed at determining the effect of COVID-19 lockdown on parents and their children in the Kurdistan region of Iraq. For this purpose, an online questionnaire-based survey was carried out using a constrictive tool. The study was conducted from the 1st to the 18th of September 2020. The online survey was participated by a total of 1,010 family members. According to the results, 69.5% of the participants were mothers, aged 30 to 39 years, 66.4% were college graduates, and 34.7% gained weight during the lockdown. It was also seen that getting infected, spending a lot of time with electronic devices, stress, and obesity risk have been referred to as the participants’ main concerns.

Impact of COVID-19 lockdown on psychosocial factors, health, and lifestyle in Scottish octogenarians: The Lothian Birth Cohort 1936 study.

Little is known about effects of COVID-19 lockdown on psychosocial factors, health and lifestyle in older adults, particularly those aged over 80 years, despite the risks posed by COVID-19 to this age group. Lothian Birth Cohort 1936 members, residing mostly in Edinburgh and the surrounding Lothians regions in Scotland, mean age 84 years (SD = 0.3), responded to an online questionnaire in May 2020 (n = 190). We examined responses (experience and knowledge of COVID-19; adherence to guidance; impact on day-to-day living; social contact; self-reported physical and mental health; loneliness; and lifestyle) and relationships between previously-measured characteristics and questionnaire outcomes. Four respondents experienced COVID-19; most had good COVID-19 knowledge (94.7%) and found guidance easy to understand (86.3%). There were modest declines in self-reported physical and mental health, and 48.2% did less physical activity. In multivariable regression models, adherence to guidance by leaving the house less often associated with less professional occupational class (OR = 0.71, 95%CI 0.51-0.98) and poorer self-rated general health (OR = 0.62, 95%CI 0.42-0.92). Increased internet use associated with female sex (OR = 2.32, 95%CI 1.12-4.86) and higher general cognitive ability (OR = 1.53, 95%CI 1.03-2.33). Loneliness associated with living alone (OR = 0.15, 95%CI 0.07-0.31) and greater anxiety symptoms (OR = 1.76, 95%CI 0.45-1.24). COVID-19 related stress associated with lower emotional stability scores (OR = 0.40, 95%CI 0.24-0.62). Decreased physical activity associated with less professional occupational class (OR = 1.43, 95%CI 1.04-1.96), and lower general cognitive ability (OR = 0.679, 95%CI 0.491-0.931). Characteristics including cognitive function, occupational class, self-rated health, anxiety, and emotional stability, may be related to risk of poorer lockdown-related psychosocial and physical outcomes.

The Impact of COVID-19 Lockdown on Patients with Obesity after Intensive Cognitive Behavioral Therapy-A Case-Control Study.

Background: The COVID-19 lockdown may have negatively impacted the treatment of obesity. This study aimed to assess the effect of COVID-19 lockdown in patients with obesity treated with intensive residential cognitive behavioral therapy (CBT-OB). Methods: This retrospective case-control study analyzed 129 patients with severe obesity who experienced COVID-19 lockdown in the 6 months after discharge from intensive residential CBT-OB, comparing their outcomes on weight loss, binge-eating episodes, and general health status with those in a sample of patients matched by gender, age, and body mass index given the same treatment before the COVID-19 outbreak as control. Patients were assessed at baseline and by phone interview 6-month follow-up. Results: Both groups had lost more than 9% of their baseline bodyweight and reported a significant decrease in binge-eating episodes and similar general health status at 6-month follow-up. However, control patients achieved a significantly greater weight loss than those who experienced lockdown, although half of lockdown patients reported persisting with CBT-OB procedures after their discharge. Conclusion: Patients with obesity treated with CBT-OB and exposed to COVID-19 lockdown, despite achieving lower weight loss than non-exposed patients, had a healthy weight loss at 6-month follow-up and comparable reduction in binge-eating behaviors.

The effect of COVID-19 lockdown on psychiatric admissions: role of gender.

The UK went into nationwide lockdown on 24 March 2020, in response to COVID-19. The direct psychiatric effects of this are relatively unknown. We examined whether the first UK lockdown changed the demographics of patients admitted to psychiatric hospitals (to include gender, legality, route of admission and diagnoses), independent of seasonal variation.. We conducted an anonymous review of psychiatric admissions aged ≥18 years in the 6-month period after the announcement of the first UK lockdown (March to August 2020), and in the previous year (March to August 2019), in Kent and Medway NHS and Social Care Partnership Trust in-patient facilities. The number of admissions were compared, along with factors that may help to explain the psychological effects of national lockdown. There was no significant increase in total number of admissions or the gender percentage. However, there was a 11.8% increase in formal sectioning under the Mental Health Act 1983. This increase was sustained and statistically significant across all 6 months. A sustained decrease in admissions via the crisis team was also observed as being statistically significant. Separate diagnoses saw changes in percentage of admissions between March and May. The most statistically significant was schizophrenia admissions for men in April (18.7%), and women in March (18.4%). Our findings highlight the effect of COVID-19 on the legal status of psychiatric admissions, and emphasise the importance of having a robust, adaptable and open psychiatric service that caters to the ongoing needs of patients, regardless of government restrictions.

Effects of COVID-19 lockdown on ambient air pollution in Madhya Pradesh, India

ABSTRACT The paper aims to quantify the changes in the pollutants level in the ambient air of Madhya Pradesh during COVID-19 induced 21 days lockdown. The data of 16 continuous ambient air quality monitoring stations (CAAQMS) for six pollutants, namely PM2.5, PM10, SO2, NOx, CO, and Ozone for pre-lockdown (1–21 March 2020) and lockdown (25 March-14 April 2020) period was compiled and appropriate statistical analysis was done. The result showed a reduction of 13%, 20%, 37%, 39% and 25% in the ambient air level of PM2.5, PM10, SO2, NOx and CO, respectively, during the lockdown. No such declining trend was observed in the ambient air ozone level. Ambient air ozone level changed between −22 and +30% compared to pre-lockdown concentrations. The mean ambient air ozone concentration was reduced at the residential/commercial stations (−5%), but was increased at the industrial stations (+19%) concentration.

Effects of COVID-19 Lockdown on Social Life and Sleep of Indian School Going Teenagers.

PurposeCOVID-19 lockdown has brought a complete shutdown of physical interaction with school friends. There was a need to assess their social and sleep habits during lockdown.MethodsA survey form was developed with the help of mentors, teachers and school children and circulated by snowball sampling method. 183 responses from Indian school children of age group between 12 and 17 years, from different states were received.ResultsIt was found that there was a significant alteration of sleep habits in these school children during lockdown. Many school children reported that parents showed leniency in the phone habits of school children and their interaction with friends on social media remained higher during lockdown. Despite that, they were missing their friends and wanted to meet them in-person and they felt that not doing so, was causing a reduction in focus on academics and concentration and making them lose interest in general activities and even in hobbies. Sleep quality had reduced in Indian school going students during lockdown and decreased parental control on phones was observed.ConclusionThe deterioration in social life of the subjects needs to be addressed and taken care of by proper planning of social interaction with ensuring physical distancing and other precautions. Sleep habits should also be modified properly by spreading awareness by parents and school authorities. Such combined measures would lead to optimal performance of school going teenagers, which seems to have suffered in this lockdown.

Surface water quality in the upstream-most megacity of the Yangtze River Basin (Chengdu): 2000–2019 trends, the COVID-19 lockdown effects, and water governance implications

Water is essential for a sustainable economic prosperity, but rapid economic growth and intensive agricultural activities usually cause water pollution. The middle and lower reaches of China’s Yangtze River Basin were urbanized and industrialized much earlier than the upper reach and have been suffering from water pollution. In the past two decades, economic growth accelerated in the upper reach due to several national economic initiatives. Based on analyzing water quality changes from 2000 to 2019 and during the COVID-19 lockdown in 2020 for Chengdu in the upper reach, we hope to provide some water governance suggestions. In 2019, water at 66% of 93 sites in Chengdu did not achieve the national III standards using measurements of 23 water quality parameters. The top two pollutants were total nitrogen (TN) and fecal coliform (FC). From 2000 to 2019, water quality was not significantly improved at the non-background sites of Chengdu's Min Basin, and the pollution in this basin was mainly from local pollutants release. During the same period, water quality deteriorated in Chengdu’s Tuo Basin, where pollution was the result of pollutant discharges in Chengdu in addition to inter-city pollutant transport. During the COVID-19 lockdown, water quality generally improved in the Min Basin but not in the Tuo Basin. A further investigation on which pollution sources were shut down or not during the lockdown can help make pollution reduction targets. Based on the results, we provide suggestions to strengthen inter-jurisdictional and inter-institutional cooperation, water quality monitoring and evaluation, and ecological engineering application.

Differential effects of COVID-19 lockdowns on well-being: interaction between age, gender and chronotype.

The unprecedented restrictions imposed due to the COVID-19 pandemic altered our daily habits and severely affected our well-being and physiology. The effect of these changes is yet to be fully understood. Here, we analysed highly detailed data on 169 participants for two to six months, before and during the second COVID-19 lockdown in Israel. We extracted 12 well-being indicators from sensory data of smartwatches and from self-reported questionnaires, filled daily using a designated mobile application. We found that, in general, lockdowns resulted in significant changes in mood, sleep duration, sport duration, social encounters, resting heart rate and number of steps. Examining subpopulations, we found that younger participants (aged 20–40 years) suffered from a greater decline in mood and number of steps than older participants (aged 60–80 years). Likewise, women suffered from a higher increase in stress and reduction in social encounters than men. Younger early chronotypes did not increase their sleep duration and exhibited the highest drop in mood. Our findings underscore that while lockdowns severely impacted our well-being and physiology in general, greater damage has been identified in certain subpopulations. Accordingly, special attention should be given to younger people, who are usually not in the focus of social support, and to women.

Physical activity and mental well-being under COVID-19 lockdown: a cross-sectional multination study

BackgroundCOVID-19 lockdowns have reduced opportunities for physical activity (PA) and encouraged more sedentary lifestyles. A concomitant of sedentariness is compromised mental health. We investigated the effects of COVID-19 lockdown on PA, sedentary behavior, and mental health across four Western nations (USA, UK, France, and Australia).MethodsAn online survey was administered in the second quarter of 2020 (N = 2541). We measured planned and unplanned dimensions of PA using the Brunel Lifestyle Physical Activity Questionnaire and mental health using the 12-item General Health Questionnaire. Steps per day were recorded only from participants who used an electronic device for this purpose, and sedentary behavior was reported in hours per day (sitting and screen time).ResultsIn the USA and Australia samples, there was a significant decline in planned PA from pre- to during lockdown. Among young adults, Australians exhibited the lowest planned PA scores, while in middle-aged groups, the UK recorded the highest. Young adults exhibited the largest reduction in unplanned PA. Across nations, there was a reduction of ~ 2000 steps per day. Large increases in sedentary behavior emerged during lockdown, which were most acute in young adults. Lockdown was associated with a decline in mental health that was more pronounced in women.ConclusionsThe findings illustrate the deleterious effects of lockdown on PA, sedentary behavior, and mental health across four Western nations. Australian young and lower middle-aged adults appeared to fare particularly badly in terms of planned PA. The reduction in steps per day is equivalent to the non-expenditure of ~ 100 kcal. Declines in mental health show how harmful lockdowns can be for women in particular.

Short-Term Effects of COVID-19 Lockdown in Italian Children and Adolescents with Type 1 Diabetes Mellitus: The Role of Separation Anxiety.

In March 2020, the Italian Government imposed mandatory home confinement to limit the spread of COVID-19. Few studies assessed the psychophysical impact of COVID-19 on chronically ill children. This study examined these effects on children with Type 1 Diabetes Mellitus (T1D) and their caregivers. Seventy-one patients (7–13 years) with T1D and their caregivers were administered a survey created ad hoc and some standardized questionnaires, assessing psychological well-being and anxiety. Medical data (physical and biochemical characteristics) were recorded before (T0, January–February) and after (T1, May–June) the lockdown. Paired Student t-test, Spearman two-tailed correlations, and a linear regression model were used for statistical analysis. Children at T1 showed higher BMI (body mass index), daily total and basal insulin dose, and time spent in therapeutic range, and they showed lower HbA1c (glycated hemoglobin), time spent above the therapeutic range, and standard deviations of the mean glucose values than at T0. A total of 32.9% scored in the clinical range for separation anxiety. The increase in separation anxiety was predicted by younger age, female gender, more recent T1D diagnosis, less time spent in therapeutic range at T1, and higher perceived fear of COVID-19 infection. In a pandemic context, separation anxiety may be stronger in younger females, with more recent T1D diagnosis and poor metabolic control, thus affecting the parent’s ability to manage diabetes and to support children’s autonomy.

An analysis of flash glucose monitoring (FGM) data on insulin-treated patients with diabetes: Effects of COVID-19 lockdown

Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | ISSN 1479-6848 (online)

Effects of COVID-19 lockdown on physical activity in coronary patients on a phase III cardiac rehabilitation program

Funding AcknowledgementsType of funding sources: Other. Main funding source(s): College of Physiotherapists of CataloniaIntroductionAt the start of the COVID-19 pandemic, all over Europe imposed population lockdowns. In our country, the government approved a nationwide confinement from March 14 to April 12, which restricted the movement of people to a very specific schedule. The lockdown was then relaxed, but remained in place until June 7. Cardiac rehabilitation (CR) is a class I level A recommendation with clinical benefits that are now well documented. The COVID-19 lockdown made it particularly difficult to achieve the goals of CR, that is, the maintenance of physical exercise and the control of cardiovascular risk factors (CVRF) in cardiac patients. Little is known about its effects on phase III of CR program (CRP).PurposeTo assess the effect of the COVID-19 pandemic lockdown on physical activity and on the adherence to a cardio-healthy lifestyle in post-acute coronary syndrome (ACS) patients.MethodsA nested cross-sectional substudy of all patients included in a randomised clinical trial before the lockdown by means of a telephone survey during the month of May. We are conducting a randomized clinical trial to assess the efficacy of a phase III CRP, based on counselling in the maintenance of physical exercise (time of physical exercise per week) and on reinforcing the control of CVRF for patients with ACS, once the hospital-supervised physical exercise program of a phase II CRP had been completed.ResultsThirty-two patients were included. Mean age was 60.3 (SD 10.1) and 81.3% were men. Related to baseline, no statistically significant differences were observed between groups. One patient (3.1%) had symptoms of COVID-19. The lockdown altered the dynamics of physical exercise in 21 patients (65.6%), 20 of whom (95.2%) reported taking fewer minutes of exercise per week. After the end of the lockdown period and outdoor physical exercise was allowed once again, 11 patients (55.0%) in the control group and 9 patients (75.0%) in the intervention group found it easy to restart physical exercise. With regard to nutrition, most patients (78.1%) followed the recommendations to eat a Mediterranean diet. Five (15.6%) modified their alcohol consumption, and three smokers (33.3%) modified their tobacco consumption. When asked about their mood during the lockdown, 22 (68.8%) reported feeling well. Finally, 96.9% of patients adhered to medical treatment.ConclusionsThe lockdown reduced the level of physical activity but more intervention group patients resumed recommended physical activity. The COVID-19 pandemic is likely to result in care disruptions of varying degrees in the near future. To counteract the damaging effects of giving up physical exercise, health professionals should stay in contact with patients to motivate them to take physical exercise and encourage them to perform indoor exercise-based personalized programs to keep up the amount of exercise they take each week.

Spatio-temporal modelling of changes in air pollution exposure associated to the COVID-19 lockdown measures across Europe

The lockdown and related measures implemented by many European countries to stop the spread of the SARS-CoV-2 virus (COVID-19) pandemic have altered the economic activities and road transport in many cities. To rigorously evaluate how these measures have affected air quality in Europe, we developed Bayesian spatio-temporal (BST) models that assess changes in the surface nitrogen dioxide (NO2) and fine particulate matter (PM2.5) concentration across the continent. We fitted BST models to measurements of the two pollutants in 2020 using a lockdown indicator covariate, while accounting for the spatial and temporal correlation present in the data. Since other factors, such as weather conditions, local combustion sources and/or land surface characteristics may contribute to the variation of pollutant concentrations, we proposed two model formulations that allowed the differentiation between the variations in pollutant concentrations due to seasonality from the variations associated to the lockdown policies. The first model compares the changes in 2020, with the ones during the same period in the previous five years, by introducing an offset term, which controls for the long-term average concentrations of each pollutant during 2014–2019. The second approach models only the 2020 data, but adjusts for confounding factors. The results indicated that the latter can better capture the lockdown effect. The measures taken to tackle the virus in Europe reduced the average surface concentrations of NO2 and PM2.5 by 29.5% (95% Bayesian credible interval: 28.1%, 30.9%) and 25.9% (23.6%, 28.1%), respectively. To our knowledge, this research is the first to account for the spatio-temporal correlation present in the monitoring data during the pandemic and to assess how it affects estimation of the lockdown effect while accounting for confounding. The proposed methodology improves our understanding of the effect of COVID-19 lockdown policies on the air pollution burden across the continent.

Assessment of the impact of COVID‐19 lockdown on the heavy metal pollution in the River Gomti, Lucknow city, Uttar Pradesh, India

In the current study, attempts were made to analyze the effect of COVID‐19 lockdown on the heavy metal concentrations in River Gomti through comparison with pre‐COVID‐19 lockdown status. The concentration of all the six heavy metals (As, Cd, Cr, Fe, Mn, and Pb) clearly shows a significant reduction, highlighting the impact of closure of agricultural, industrial, and commercial activities. The values of heavy metal pollution index (HPI) at all sites have also decreased with the maximum improvement at Site S1 (Chandrika Devi), signifying the impact of reduced agricultural runoff into the river from nearby fields. The correlation analysis stated a strong correlation between HPI and Cd, signifying the relatively high weightage of Cd in pollution levels. Findings from the Caboi diagram suggest classification of all water samples under the “near neutral‐low metal” category.

Impact of Covid19 Lockdown on Glycemic Control

Evidence shows that people with poor glycemic control are at greater risk of mortality due to Covid19. It is important to achieve and maintain good glycemic control to prevent negative outcomes during this pandemic (1). To study the effect of lockdown on glucose control we conducted an observational, retrospective cohort study involving 98 patients followed at endocrine clinic at an inner city, community hospital in Brooklyn, NY in the period February to May 2020. Of the cohort, 60% were women, mean age was 54.1 + 15.3 years, 70% was Hispanic, 24% was African American with a predominance of type 2 diabetes (86%). Mean HbA1c of prelockdown and lockdown phase was 9.77 ± 2.26% and 9.49 ± 2.17 % respectively and the difference was statistically significant (p < 0.001) both in patients with Type 1 and Type 2 diabetes. Mean BMI of prelockdown and lockdown phase was 30.5 ± 6.8% and 30.1 ± 6.05% respectively and the difference was not statistically significant (p = 0.33). Despite no significant change in BMI, the factors responsible for improvement in HbA1c might be a result of refined eating patterns (increased consumption of homemade food), increased adherence to medication and time to cope with the daily challenges of diabetes management (1). Reference: Maddaloni E, Coraggio L, Pieralice S, Carlone A, Pozzilli P, Buzzetti R. Effects of COVID-19 Lockdown on Glucose Control: Continuous Glucose Monitoring Data From People With Diabetes on Intensive Insulin Therapy. Diabetes Care Aug 2020, 43 (8) e86-e87; DOI: 10.2337/dc20-0954