Evidence map›Paper›PMID 34998375›Full record

ArticleBMC geriatrics2022

Changes in healthcare seeking and lifestyle in old aged individuals during COVID-19 lockdown in Germany: the population-based AugUR study.

Caroline Brandl, Martina E Zimmermann, Felix Günther, Alexander Dietl, Helmut Küchenhoff, Julika Loss, Klaus J Stark, Iris M Heid

Abstract read
In one paragraph

Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. NT-proBNP in the very old population: reference values and heart failure specificity from the AugUR-study.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Social factors of health-related quality of life in older adults: a multivariable analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  10. Epidemiology of common infectious diseases before and during the COVID-19 pandemic in Bavaria, Germany, 2016 to 2021: an analysis of routine surveillance data.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
  11. COVID-19 Fear, Health Behaviors, and Subjective Health Status of Call Center Workers.International journal of environmental research and public health · 2022
    Article
  12. Cigarette Smoking in Response to COVID-19: Examining Co-Morbid Medical Conditions and Risk Perceptions.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Caroline BrandlDepartment of Genetic Epidemiology, University of Regensburg, Franz-Josef-Strauß-Alle 11, 93053, Regensburg, Germany.
Martina E ZimmermannDepartment of Genetic Epidemiology, University of Regensburg, Franz-Josef-Strauß-Alle 11, 93053, Regensburg, Germany.
Felix GüntherDepartment of Genetic Epidemiology, University of Regensburg, Franz-Josef-Strauß-Alle 11, 93053, Regensburg, Germany.
Alexander DietlDepartment of Internal Medicine II, University Hospital Regensburg, Regensburg, Germany.
Helmut KüchenhoffStatistical Consulting Unit StaBLab, Department of Statistics, Ludwig-Maximilians-University Munich, Munich, Germany.
Julika LossMedical Sociology, Department for Epidemiology and Preventive Medicine, University of Regensburg, Dr. Gessler-Str. 17, 93051, Regensburg, Germany.
Klaus J StarkDepartment of Genetic Epidemiology, University of Regensburg, Franz-Josef-Strauß-Alle 11, 93053, Regensburg, Germany.
Iris M HeidDepartment of Genetic Epidemiology, University of Regensburg, Franz-Josef-Strauß-Alle 11, 93053, Regensburg, Germany. Iris.Heid@klinik.uni-regensburg.de.ORCID http://orcid.org/0000-0002-4122-5308

Funding

Bayerisches Staatsministerium für Wissenschaft, Forschung und Kunst Corona Research ProgramBundesministerium für Bildung und Forschung BMBF 01ER1206Bundesministerium für Bildung und Forschung BMBF 01ER1507Deutsche Forschungsgemeinschaft BR 6028/2-1Deutsche Forschungsgemeinschaft HE 3690/7-1
6 · The paper itself

Abstract

backgroundContainment measures in the COVID-19 pandemic protected individuals at high risk, particularly individuals at old age, but little is known about how these measures affected health-related behavior of old aged individuals. We aimed to investigate the impact of the spring 2020 lockdown in Germany on healthcare-seeking and health-related lifestyle in the old aged and to identify susceptible subgroups.

methodsWe conducted a follow-up survey among the pre-pandemically well-characterized participants of our AugUR cohort study, residents in/around Regensburg aged 70+ years and relatively mobile. A self-completion questionnaire on current behavior, perceived changes, and SARS-Cov-2 infection was mailed in May 2020, shortly before contact restrictions ended. Pre-pandemic lifestyle and medical conditions were derived from previous study center visits.

resultsAmong 1850 survey participants (73-98 years; net-response 89%), 74% were at increased risk for severe COVID-19 according to medical conditions; four participants reported SARS-CoV-2 infection (0.2%). Participants reported changes in behavior: 29% refrained from medical appointments, 14% increased TV consumption, 26% reported less physical activity, but no systematic increase of smoking or alcohol consumption. When comparing during- and pre-lockdown reports of lifestyle within participant, we found the same pattern as for the reported perceived changes. Women and the more educated were more susceptible to changes. Worse QOL was perceived by 38%.

conclusionsOur data suggest that the spring 2020 lockdown did not affect the lifestyle of a majority of the mobile old aged individuals, but the substantial proportions with decreased physical activity and healthcare-seeking are markers of collateral damage.

Indexed as

COVID-19AgedCohort StudiesCommunicable Disease ControlDelivery of Health CareFemaleGermanyHumansLife StyleMiddle AgedPandemicsQuality of LifeSARS-CoV-2AugURCoronavirusCOVID-19Lifestyle factorsOld aged populationPhysical activity, smoking, alcohol consumptionPopulation-based studyProportion at risk for COVID-19Quality of lifeSARS-CoV-2

Identifiers

PMID34998375
PMCPMC8742665

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.