{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T04:10:04Z","timestamp":1768795804050,"version":"3.49.0"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T00:00:00Z","timestamp":1741305600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Our aim was to explore patients\u2019 perceptions of changes in diet and physical activity in people with type 2 diabetes mellitus and\/or arterial hypertension in two low-income districts of Ecuador.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We carried out a qualitative study of 19 telephone interviews in August\u2013September 2020 with people with type 2 diabetes mellitus and\/or arterial hypertension. Interviews were recorded, anonymized and transcribed verbatim for analysis using the social ecological model.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Within the context of poor access to the health services, participants identified a lack of social policies to address food insecurity and income stability. Food insecurity was related to mobility restrictions and loss of income, particularly among vulnerable populations, such as migrants and women. Changing work environments influenced physical activity patterns and food availability. Family support was crucial to overcome economic shortfalls allowing for better eating habits. Despite recognizing overeating as detrimental to disease management, participants reported increased desire to binge eat due to emotional distress and anxiety.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The lack of social policies dealing with poverty and food insecurity during the pandemic made non-communicable disease self-care with physical activity and diet challenging for vulnerable populations.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pubmed\/fdaf025","type":"journal-article","created":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T11:47:54Z","timestamp":1741348074000},"page":"160-168","source":"Crossref","is-referenced-by-count":1,"title":["Conceptualizing the effects of COVID-19 on eating and physical activity in people with type 2 diabetes and hypertension in Ecuador using the social ecological model"],"prefix":"10.1093","volume":"47","author":[{"given":"I","family":"Benazizi-Dahbi","sequence":"first","affiliation":[{"name":"Department of Public Health, History of Science and Gynaecology, Universidad Miguel Hern\u00e1ndez , Sant Joan d'Alacant, Alicante , 03550,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A L","family":"Torres-Castillo","sequence":"additional","affiliation":[{"name":"Institute of Public Health, Faculty of Medicine, Pontificia Universidad Cat\u00f3lica del Ecuador (PUCE) , Quito 170143 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Caicedo-Monta\u00f1o","sequence":"additional","affiliation":[{"name":"Centre of Community Epidemiology and Tropical Medicine (CECOMET) , Esmeraldas 0801265 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Puig-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Public Health, History of Science and Gynaecology, Universidad Miguel Hern\u00e1ndez , Sant Joan d'Alacant, Alicante , 03550,","place":["Spain"]},{"name":"CIBER de Epidemiolog\u00eda y Salud P\u00fablica (CIBERESP) , Madrid , 28029,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Peralta-Chiriboga","sequence":"additional","affiliation":[{"name":"Institute of Public Health, Faculty of Medicine, Pontificia Universidad Cat\u00f3lica del Ecuador (PUCE) , Quito 170143 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Hern\u00e1ndez-Enr\u00edquez","sequence":"additional","affiliation":[{"name":"Institute of Public Health, Faculty of Medicine, Pontificia Universidad Cat\u00f3lica del Ecuador (PUCE) , Quito 170143 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M F","family":"Rivadeneira Guerrero","sequence":"additional","affiliation":[{"name":"Institute of Public Health, Faculty of Medicine, Pontificia Universidad Cat\u00f3lica del Ecuador (PUCE) , Quito 170143 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"M\u00e1rquez-Figueroa","sequence":"additional","affiliation":[{"name":"Centre of Community Epidemiology and Tropical Medicine (CECOMET) , Esmeraldas 0801265 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L A","family":"Parker","sequence":"additional","affiliation":[{"name":"Department of Public Health, History of Science and Gynaecology, Universidad Miguel Hern\u00e1ndez , Sant Joan d'Alacant, Alicante , 03550,","place":["Spain"]},{"name":"CIBER de Epidemiolog\u00eda y Salud P\u00fablica (CIBERESP) , Madrid , 28029,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Chilet-Rosell","sequence":"additional","affiliation":[{"name":"Department of Public Health, History of Science and Gynaecology, Universidad Miguel Hern\u00e1ndez , Sant Joan d'Alacant, Alicante , 03550,","place":["Spain"]},{"name":"CIBER de Epidemiolog\u00eda y Salud P\u00fablica (CIBERESP) , Madrid , 28029,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,3,7]]},"reference":[{"key":"2025053004274378000_ref1","doi-asserted-by":"crossref","first-page":"e966","DOI":"10.1016\/S2468-2667(22)00223-7","article-title":"COVID-19 mortality and deprivation: pandemic, syndemic, and endemic health inequalities","volume":"7","author":"McGowan","year":"2022","journal-title":"Lancet Public Health"},{"key":"2025053004274378000_ref2","doi-asserted-by":"crossref","first-page":"m2939","DOI":"10.1136\/bmj.m2939","article-title":"Covid-19 in Latin America","volume":"370","author":"Pablos-M\u00e9ndez","year":"2020","journal-title":"BMJ"},{"key":"2025053004274378000_ref3","volume-title":"Noncommunicable Diseases in Latin America and the Caribbean: Youth Are Key to 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