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. 2023 Jul 31;23(1):1464.
doi: 10.1186/s12889-023-16394-0.

Structure and dynamics of the course of chronic non-infectious somatic diseases in patients during war events on the territory of Ukraine

Liudmyla Kiro  1 , Maksym Zak  2 , Oleh Chernyshov  3
Affiliations

Structure and dynamics of the course of chronic non-infectious somatic diseases in patients during war events on the territory of Ukraine

Liudmyla Kiro et al. BMC Public Health. .

Abstract

Background: The work studied and compared the dynamics of changes in the course of hypertension, type 2 diabetes, and somatized disorders in Ukrainian population, in the 1st period before war (October 2021 - February 2022) and 2nd period during the war (March -July 2022). The choice of the study of the above-mentioned nosology is due, first of all, to the increase in cases of referrals to outpatient doctors regarding hypertensive crises, the increase in the frequency of patients' complaints about the lability of glycemic indicators during routine monitoring of glucose levels with ambulatory glucometers, the appearance of chronic pain syndrome of unspecified pathology with the beginning of war events.

Methods: 272 people were examined in Mykolaiv Region (Ukraine). The patients were divided into three clinical groups: 1st group - 90 people patients with arterial hypertension; 2nd group - 92 people with type 2 diabetes; the 3rd group - 90 people with somatiform disorders.

Results: In the patients of the 1st group during the 2nd period, amount of people with hypertension of the 1st stage increased in 1.8 times (p = 0.0412), with 2nd stage hypertension increased in 2 times (p = 0.0491) and 3rd stage hypertension increased in 2.5 times (p = 0.0391); somatized disorders in 3rd group also increased in 4.1 times (p = 0.001 < 0.05); in 2nd group recorded an increase in HbA1c by 0.99 ± 0.57 mmol/l (p = 1.795e-07 < 0.05), in comparison with the indicators for the 1st observation period.

Conclusions: The war events in Ukraine not only changed the life of every Ukrainian, but also had a significant impact on the dynamics and structure of chronic somatic diseases, in particular due to an increase in patient referrals for hypertensive crises, exacerbations of type 2 diabetes, somatized disorders, and chronic pain syndrome of unknown etiology. Considering these results, it is important to increase the equipment of regional primary care centers with antihypertensive, hypoglycemic and sedative drugs.

Keywords: Hypertension; Somatic disorders; Type 2 diabetes; War events.

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Conflict of interest statement

The authors declare no competing interest.

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References

    1. Radbruch L, Schaible HG. Krieg und humanitäre Katastrophe in der Ukraine [War and humanitarian crisis in Ukraine]. Schmerz. 2022;36(2):79–80. German. 10.1007/s00482-022-00644-y. Epub 2022 Mar 25. PMID: 35333968. https://pubmed.ncbi.nlm.nih.gov/35333968/. - PubMed
    1. Köbach A, Schaal S, Elbert T. Combat high or traumatic stress: violent offending is associated with appetitive aggression but not with symptoms of traumatic stress. Front Psychol. 2019;5:1518. doi: 10.3389/fpsyg.2014.01518. - DOI - PMC - PubMed
    1. Kahleova H, Matoulek M, Malinska H, Oliyarnik O, Kazdova L, Neskudla T, Skoch A, Hajek M, Hill M, Kahle M, Pelikanova T. Vegetarian diet improves insulin resistance and oxidative stress markers more than conventional diet in subjects with type 2 diabetes. Diabet Med. 2019;28(5):549–59. doi: 10.1111/j.1464-5491.2010.03209.x. - DOI - PMC - PubMed
    1. Alessi J, Yankiv M. War in Ukraine and barriers that diabetes care. Lancet. 2022;399(10334):1465–1466. Epub 2022 Mar 21. PMID: 35325602. 10.1016/S0140-6736(22)00480-9. - PubMed
    1. Bates MC. Avoiding collateral damage in the war on hypertension. Catheter Cardiovasc Interv. 2019;87 (7):1304-5. 10.1002/ccd.26600. PMID: 27310757. https://pubmed.ncbi.nlm.nih.gov/27310757/. - PubMed

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