Background: The public health response to the SARS-CoV-2 (COVID-19) pandemic has had a detrimental impact on employment and there are concerns the impact may be greatest among the most vulnerable. We examined the characteristics of those who experienced changes in employment status during the early months of the pandemic. Methods: Data were collected from a cross-sectional, nationally representative household survey of the working age population (18–64 years) in Wales in May/June 2020 (n=1379). We looked at changes in employment and being placed on furlough since February 2020 across demographics, contract type, job skill level, health status and household factors. χ2 or Fisher’s exact test and multinomial logistic regression models examined associations between demographics, subgroups and employment outcomes. Results: Of our respondents, 91.0% remained in the same job in May/June 2020 as they were in February 2020, 5.7% were now in a new job and 3.3% experienced unemployment. In addition, 24% of our respondents reported being placed on furlough. Non-permanent contract types, individuals who reported low mental well-being and household financial difficulties were all significant factors in experiencing unemployment. Being placed on ‘furlough’ was more likely in younger (18–29 years) and older (60–64 years) workers, those in lower skilled jobs and from households with less financial security. Conclusion: A number of vulnerable population groups were observed to experience detrimental employment outcomes during the initial stage of the COVID-19 pandemic. Targeted support is needed to mitigate against both the direct impacts on employment, and indirect impacts on financial insecurity and health.
1 May 2012 in Medicine & Science in Sports & Exercise
Individuals with type 1 diabetes mellitus (T1DM) are encouraged to reduce rapid-acting insulin and consume CHO to prevent hypoglycemia during or after exercise. However, research comparing the metabolic and performance effects of different CHO is limited. This study compared the alterations in metabolism and fuel oxidation in response to performance running after preexercise ingestion of isomaltulose or dextrose in T1DM. After preliminary testing, on two occasions, seven T1DM individuals consumed 0.6 g·kg⁻¹ body mass of either dextrose (DEX; glycemic index = 96) or isomaltulose (ISO; glycemic index = 32), 2 h before a discontinuous incremental run to 80% V˙O2peak on a motorized treadmill followed by a 10-min all-out performance test on a nonmotorized treadmill. Blood glucose (BG), acid-base, and cardiorespiratory parameters were measured 2 h before, during, and after both run tests. Data (mean ± SEM) were analyzed using repeated-measures ANOVA. Preexercise BG area under the curve was lower under ISO in comparison with DEX (ISO = +4.0 ± 0.3 mmol·L⁻¹·h⁻¹ vs DEX = +7.0 ± 0.6 mmol·L⁻¹·h⁻¹, P < 0.01). Resting blood lactate concentrations and rate of CHO oxidation under ISO were greater than those elicited under DEX (P < 0.05). There were no metabolic or cardiorespiratory differences between conditions in response to submaximal exercise despite lower BG concentrations under ISO (P < 0.05). T1DM individuals completed the same distance at the same speed during the 10-min run test under both conditions (not significant). Consumption of isomaltulose alongside rapid-acting insulin reduction improves BG responses to exercise and produces a similar high-intensity run performance compared with dextrose in T1DM individuals.