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Principal Investigator: Shivani A Patel
Organization: EMORY UNIVERSITY
Fiscal Year: 2024
Award: $290,492
Funding agency: National Heart Lung and Blood Institute
PROJECT SUMMARY
RELEVANCE: The COVID-19 pandemic upended life in the United States through social distancing policies,
such as remote work mandates, to halt the spread of the SARS-CoV-2 coronavirus. Weight gain and changes
in physical activity, dietary intake, and other health behaviors related to cardio-metabolic conditions were
reported during and immediately following the acute lockdown period. Two years after the acute lockdown
period, nearly one-third of Americans continue to work remotely and understanding whether these early cardio-
metabolic health changes persisted will have important implications for cardio-metabolic health in the decades
to come. OBJECTIVES: To quantify the magnitude, modifying characteristics, and mechanisms associated
with cardio-metabolic health changes in US adults >1 year after the post-acute lockdown period. DESIGN: We
build on a high-quality community-based cohort study of ~140,000 adults, the American Cancer Society
Cancer Prevention Study 3 (CPS-3). CPS-3 participants provided detailed health behavior, weight status,
medical history, and socioeconomic data at triennial surveys since enrollment (2013). The 2021-22 survey
supplements standard modules with information specifically designed to measure individual experiences of the
pandemic environment such as changes to work and caregiving responsibilities. We will use geocodes to link
individual data with measures of the severity of the local pandemic environment, measured by local policy
restrictions, mobility reductions, and epidemiologic risks. We will examine the overall impact of the pandemic
environment on weight status and cardio-metabolic health behaviors (dietary intake, physical activity,
sedentary time, sleep patterns, tobacco use, and alcohol use). In AIM 1A, we will evaluate the impact of the
pandemic environment on changes in weight status and cardio-metabolic health behaviors. In Aim 1B, we will
identify population characteristics that modify the pandemic’s impact on changes in cardio-metabolic health. In
AIM 2, we will evaluate potential mechanisms linking the pandemic environment and weight status, with
special emphasis on remote work policies. IMPACT: This national investigation with prospectively collected ata
before and during the pandemic will provide insight into the cardio-metabolic health sequelae of the COVID-19
pandemic. As we move into the post-pandemic recovery phase, findings may inform policy decisions regarding
continuation of remote work, as well as future priority areas and priority populations for cardio-metabolic health
promotion.
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Washington><DC Washington><Data><Decline in mobility><Decrease in mobility><Decreased mobility><Diet><Dietary intake><Diminished mobility><Distress><District of Columbia><Dose><Economic Income><Economical Income><Enrollment><Environment><Epidemiology><Equity><EtOH drinking><EtOH use><Ethnic Origin><Ethnicity><Future><Geography><Health><Health Priorities><Health Promotion><Health Status><Health behavior><Income><Individual><Institution><Investigation><Job loss><Level of Health><Life><Link><Longitudinal Studies><Measures><Mediator><Medical History><Mobility decline><Mobility impairment><Natural experiment><Obesity><Participant><Personal Medical History><Personal Medical History Epidemiology><Persons><Phase><Physical activity><Physical distancing><Policies><Population><Population Characteristics><Population Group><Psychosocial Factor><Quarantine><Race><Races><Recovery><Reduced mobility><Reduction in mobility><Reporting><Research Support><Risk><SARS corona virus 2><SARS-CO-V2><SARS-COVID-2><SARS-CoV-2><SARS-CoV-2 epidemic><SARS-CoV-2 global health crisis><SARS-CoV-2 global pandemic><SARS-CoV-2 infection><SARS-CoV-2 pandemic><SARS-CoV2><SARS-CoV2 infection><SARS-associated corona virus 2><SARS-associated coronavirus 2><SARS-coronavirus-2><SARS-coronavirus-2 epidemic><SARS-coronavirus-2 pandemic><SARS-related corona virus 2><SARS-related coronavirus 2><SARSCoV2><Salutogenesis><Severe Acute Respiratory Coronavirus 2><Severe Acute Respiratory Distress Syndrome CoV 2><Severe Acute Respiratory Distress Syndrome Corona Virus 2><Severe Acute Respiratory Distress Syndrome Coronavirus 2><Severe Acute Respiratory Syndrome CoV 2><Severe Acute Respiratory Syndrome CoV 2 epidemic><Severe Acute Respiratory Syndrome CoV 2 pandemic><Severe Acute Respiratory Syndrome-associated coronavirus 2><Severe Acute Respiratory Syndrome-related coronavirus 2><Severe acute respiratory syndrome associated corona virus 2><Severe acute respiratory syndrome coronavirus 2><Severe acute respiratory syndrome coronavirus 2 epidemic><Severe acute respiratory syndrome coronavirus 2 infection><Severe acute respiratory syndrome coronavirus 2 pandemic><Severe acute respiratory syndrome related corona virus 2><Severities><Sleep><Social Distance><Social isolation><Socialization><Socioeconomic Factors><Survey Instrument><Surveys><Time><Tobacco Consumption><Tobacco use><US State><Unemployment><United States><Urbanicity><Vaccines><Weight><Weight Change><Weight Gain><Weight Increase><Work><Wuhan coronavirus><adiposity><adulthood><age group><alcohol ingestion><alcohol intake><alcohol product use><alcohol use><alcoholic beverage consumption><alcoholic drink intake><body weight gain><body weight increase><cancer prevention><cardiometabolic><cardiometabolism><care giving><caregiving><cohort><corona virus><coronavirus disease 2019 crisis><coronavirus disease 2019 epidemic><coronavirus disease 2019 global health crisis><coronavirus disease 2019 global pandemic><coronavirus disease 2019 health crisis><coronavirus disease 2019 infection><coronavirus disease 2019 pandemic><coronavirus disease 2019 pandemic consequence><coronavirus disease 2019 pandemic impact><coronavirus disease 2019 public health crisis><coronavirus disease 2019 virus><coronavirus disease crisis><coronavirus disease epidemic><coronavirus disease pandemic><coronavirus disease-19 global pandemic><coronavirus disease-19 pandemic><coronavirus disease-19 virus><corpulence><data infrastructure><design><designing><diets><effects following the COVID-19 pandemic><enroll><epidemiologic><epidemiological><ethanol consumption><ethanol drinking><ethanol ingestion><ethanol intake><ethanol product use><ethanol use><experience><hCoV19><health level><health related behavior><impact of the SARS-CoV-2 pandemic><improved><incomes><infected with COVID-19><infected with COVID19><infected with SARS-CoV-2><infected with SARS-CoV2><infected with coronavirus disease 2019><infected with severe acute respiratory syndrome coronavirus 2><infection risk><insight><isolation/quarantine><jobless><joblessness><long-term study><longitudinal outcome studies><longterm study><nCoV2><out of work><outcome prediction><pandemic><pandemic containment><pandemic control><pandemic disease><pandemic effect><pandemic impact><pandemic mitigation><pandemic outcome><pandemic repercussions><pandemic response><post-pandemic><pre-pandemic><promoting health><prospective><psychosocial><psychosocial variables><public data base><public database><public health priorities><publicly accessible data base><publicly accessible database><publicly available data base><publicly available database><racial><racial background><racial origin><resilience><resilient><response><sedentary><severe acute respiratory syndrome coronavirus 2 global health crisis><severe acute respiratory syndrome coronavirus 2 global pandemic><sex><sleep pattern><social vulnerability><socio-economic><socio-economic factors><socio-economically><socioeconomically><socioeconomics><tobacco product use><unemployed><weights><wt gain>