Physical and Mental Functions of Cardiovascular Disease Patients Decrease during the State of Emergency Initiated by the COVID-19 Pandemic in Japan.

Ishihara, Kodai; Izawa, Kazuhiro P; Noto, Shinichi; Shimizu, Ikki

BACKGROUND AND OBJECTIVE We aimed to examine the differences in life-space mobility and quality of life (QoL) of patients with cardiovascular disease (CVD) between the pre- and post-nationwide state of emergency initiated by the Coronavirus disease 2019 (COVID-19) pandemic in Japan and to show the factors associated with the decrease in life-space mobility and QoL in these patients. METHODS We undertook a longitudinal study of 20 of 51 consecutive CVD patients with coronary artery disease (CAD) who met the study criteria. We used the Life-Space Assessment (LSA) tool to evaluate Life-space mobility and assessed QoL with the five-level EuroQoL five-dimensional questionnaire (EQ-5D-5L) in Japanese. RESULTS The LSA scores and EQ-5D-5L QoL score decreased significantly from the pre- to post-nationwide state of emergency in Japan (p < 0.01). ΔLSA was significantly positively associated with body mass index and significantly negatively associated with knee extensor muscle strength and pre-LSA score (p < 0.05). There were no significant relationships between ΔLSA and ΔEQ-5D-5L QoL scores and between ΔEQ-5D-5L QoL scores and patient characteristics. CONCLUSION The policies promoted to address the state of emergency in Japan might affect life-space mobility and QoL of CAD patients. Moreover, CAD patients in Japan who were not obese and maintained their physical function and activity tended to refrain from activity during the period between the pre- and post-nationwide state of emergency. Clarification of the effects of the COVID-19 pandemic on the relationship between living space motility and QoL in CAD patients will require further study.