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An Assessment of Cardiovascular Health Risks in People Working from Home During the Pandemic Period: PANDEV-KALP Study

Year 2026, Issue: Advanced Online Publication, 1 - 8, 19.01.2026
https://doi.org/10.56016/dahudermj.1801645

Abstract

Background: The COVID-19 pandemic resulted in people working from home (WFH), which is associated with negative mental and social effects. However, the cardiovascular effects are not well established. We aimed to assess the effects of WFH on cardiovascular risk factors and health behaviors during the COVID-19 pandemic.

Methodology: Companies that employ WFH were invited to study via occupational health specialists. WFH employees were sent an online self-reported questionnaire, which included demographics, WFH conditions, medical history, new-onset complaints, and health behaviors. Participants were asked to provide data on blood pressure, glucose, and lipid levels before and during the pandemic.

Results: 208 participants completed the questionnaire, and 61 provided biological data. 72 participants reported to have undergone training for WFH conditions, and 87 were able to provide regular breaks. Weekly working hours have increased by 6 hours during the pandemic (49.6±13.8 vs. 43.8±12.1, p=0.001). Participants reported a median 7.5/10 satisfaction regarding WFH. 112 (53.8%) participants had a new complaint; the most common complaints were body weight gain/increased appetite (35.1%), insomnia/anxiety (27.9%), and physical inactivity/ musculoskeletal pain (18.3%). 120 (57.6%) participants had a weight increase. Most participants did not have changes in tobacco or alcohol consumption or exercise habits during the pandemic. Data from the biological data subgroup did not show significant changes in blood pressure, blood glucose, or lipid levels.

Conclusion: WFH adversely affected modifiable cardiovascular risk factors and was associated with weight gain, increased work hours, a lack of workload planning, and increased anxiety. Although risk factors are adversely affected by WFH conditions, workers were satisfied with WFH. The training rate regarding WFH conditions was low; training about WFH should be provided to related employees, and occupational health specialists should focus on reducing specific risk factors that exist during WFH.

Ethical Statement

The survey was performed via an online platform that was developed for and dedicated to PANDEV-KALP Study. Each patient in the study was assigned an anonymous identification number to protect confidentiality. Written informed consent was obtained prior to the study inclusion. The study complies with the principles outlined in the Declaration of Helsinki, and this study protocol was approved by the Clinical Research Ethics Committee of Marmara University (Approval No: 09.2021.646).

Supporting Institution

The PANDEV-KALP research project was partially supported by an unrestricted research grant provided by AXA Insurance Turkey, following the decision of its Board of Directors dated April 28, 2021.

Thanks

We dedicate this work to the memory of our esteemed colleague, Dr. M. Rıfat Yücel. After retiring from the Department of Physiology at Cerrahpaşa Medical Faculty, Dr. Yücel continued his professional contributions at Tez Medikal Joint Occupational Health and Safety Unit (OSGB). He was widely respected within the medical community for his dedication, hard work, and collegial spirit. He was also amongst the researchers in this study. Dr. Yücel passed away on December 19, 2021, due to COVID-19. We remember him with deep respect, gratitude, and affection.

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There are 21 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Research Article
Authors

Gökhan Tazegül 0000-0002-0737-9450

Volkan Aydın 0000-0002-8511-6349

Gülin Kıraç Aksuna 0009-0009-2861-2520

Mehmet Bülent Dik 0000-0003-4128-5332

Şevket Aksoy This is me 0009-0002-8195-4465

Erdal Koç 0009-0006-7659-3422

Ali Rıza Tiryaki 0009-0000-6507-6557

İbrahim Kurt 0009-0002-6057-4260

Atilla Görk 0009-0000-0029-158X

Turgay Erdoğan 0009-0002-5809-5754

Berrin Aysevinç 0000-0003-3046-1396

Songül Çeçen Düzel 0000-0001-9184-4046

Mümüne Topçu 0000-0003-0353-6436

Alper Tuna Güven 0000-0002-6310-4240

Ahmet Akıcı 0000-0002-8593-0818

Ali Serdar Fak 0000-0002-1732-4891

Submission Date October 15, 2025
Acceptance Date December 17, 2025
Early Pub Date January 19, 2026
Publication Date January 19, 2026
Published in Issue Year 2026 Issue: Advanced Online Publication

Cite

APA Tazegül, G., Aydın, V., Kıraç Aksuna, G., … Dik, M. B. (2026). An Assessment of Cardiovascular Health Risks in People Working from Home During the Pandemic Period: PANDEV-KALP Study. DAHUDER Medical Journal(Advanced Online Publication), 1-8. https://doi.org/10.56016/dahudermj.1801645
AMA Tazegül G, Aydın V, Kıraç Aksuna G, et al. An Assessment of Cardiovascular Health Risks in People Working from Home During the Pandemic Period: PANDEV-KALP Study. DAHUDER MJ. January 2026;(Advanced Online Publication):1-8. doi:10.56016/dahudermj.1801645
Chicago Tazegül, Gökhan, Volkan Aydın, Gülin Kıraç Aksuna, Mehmet Bülent Dik, Şevket Aksoy, Erdal Koç, Ali Rıza Tiryaki, et al. “An Assessment of Cardiovascular Health Risks in People Working from Home During the Pandemic Period: PANDEV-KALP Study”. DAHUDER Medical Journal, no. Advanced Online Publication (January 2026): 1-8. https://doi.org/10.56016/dahudermj.1801645.
EndNote Tazegül G, Aydın V, Kıraç Aksuna G, Dik MB, Aksoy Ş, Koç E, Tiryaki AR, Kurt İ, Görk A, Erdoğan T, Aysevinç B, Çeçen Düzel S, Topçu M, Güven AT, Akıcı A, Fak AS (January 1, 2026) An Assessment of Cardiovascular Health Risks in People Working from Home During the Pandemic Period: PANDEV-KALP Study. DAHUDER Medical Journal Advanced Online Publication 1–8.
IEEE G. Tazegül et al., “An Assessment of Cardiovascular Health Risks in People Working from Home During the Pandemic Period: PANDEV-KALP Study”, DAHUDER MJ, no. Advanced Online Publication, pp. 1–8, January2026, doi: 10.56016/dahudermj.1801645.
ISNAD Tazegül, Gökhan et al. “An Assessment of Cardiovascular Health Risks in People Working from Home During the Pandemic Period: PANDEV-KALP Study”. DAHUDER Medical Journal Advanced Online Publication (January2026), 1-8. https://doi.org/10.56016/dahudermj.1801645.
JAMA Tazegül G, Aydın V, Kıraç Aksuna G, Dik MB, Aksoy Ş, Koç E, Tiryaki AR, Kurt İ, Görk A, Erdoğan T, Aysevinç B, Çeçen Düzel S, Topçu M, Güven AT, Akıcı A, Fak AS. An Assessment of Cardiovascular Health Risks in People Working from Home During the Pandemic Period: PANDEV-KALP Study. DAHUDER MJ. 2026;:1–8.
MLA Tazegül, Gökhan et al. “An Assessment of Cardiovascular Health Risks in People Working from Home During the Pandemic Period: PANDEV-KALP Study”. DAHUDER Medical Journal, no. Advanced Online Publication, 2026, pp. 1-8, doi:10.56016/dahudermj.1801645.
Vancouver Tazegül G, Aydın V, Kıraç Aksuna G, Dik MB, Aksoy Ş, Koç E, et al. An Assessment of Cardiovascular Health Risks in People Working from Home During the Pandemic Period: PANDEV-KALP Study. DAHUDER MJ. 2026(Advanced Online Publication):1-8.

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  • Seremet Kürklü N, Suna G, Kamarlı Altun H, Karaçil Ermumcu MŞ. The state of vitamin D supplement use and knowledge levels of mothers with 0–12 month-old infants. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2022;4(2):94-102. doi:10.46413/boneyusbad.1073447.
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  • Shen Y, Hung C. Intranasal esketamine for treatment-resistant depression with structural brain abnormality: a case report. Psychiatry Clin Psychopharmacol. 2025. In press. doi:10.5152/pcp.2025.251248.
  • Fortea A, Ortuño M, Masias M, Guasp M, De la Serna E, Armangue T, et al. Brain metabolite levels in the post-acute stage of anti-NMDA receptor encephalitis and schizophrenia: a longitudinal case-control study. Biol Psychiatry. 2025. In press.

Article with published erratum

  • Bleicher RJ, Ruth K, Sigurdson ER, Beck JR, Ross E, Wong YN, et al. Time to surgery and breast cancer survival in the United States. JAMA Oncol. 2016;2(3):330–9. doi:10.1001/jamaoncol.2015.4508. Erratum in: JAMA Oncol. 2016;2(9):1244. doi:10.1001/jamaoncol.2016.2968.
  • Seymour CW, Liu VX, Iwashyna TJ, Brunkhorst FM, Rea TD, Scherag A, et al. Assessment of clinical criteria for sepsis: for the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315(8):762–774. doi:10.1001/jama.2016.0288. Erratum in: JAMA. 2016;315(20):2237. doi:10.1001/jama.2016.5850.

Volume with supplement

  • Nast A, Dreno B, Bettoli V, Degitz K, Erdmann R, Finlay AY, et al. European evidence-based (S3) guidelines for the treatment of acne. J Eur Acad Dermatol Venereol. 2012;26(Suppl 1):1–29.

Issue with supplement

  • Pagsberg AK. Schizophrenia spectrum and other psychotic disorders. Eur Child Adolesc Psychiatry. 2013;22(1 Suppl):S3–9.
Volume with part
  • Pilegaard H, Saltin B, Neufer PD. Exercise induces transient transcriptional activation of the PGC-1alpha gene in human skeletal muscle. J Physiol. 2003;546(Pt 3):851–8.

Issue with part

  • Kamili S. Infectivity and vaccination efficacy studies in animal models of HBV S and pol gene mutants. Antivir Ther. 2010;15(3 Pt B):477–85.

Issue with no volume

  • Banit DM, Kaufer H, Hartford JM. Intraoperative frozen section analysis in revision total joint arthroplasty. Clin Orthop Relat Res. 2002;(401):230–8.

No volume or issue

  • Childhood obesity: strategies for prevention. NIH Research Brief. 2010 Jul:3-9.

Journal article on the Internet

  • Hoek W, Schuurmans J, Koot HM, Cuijpers P. Effects of internet-based guided self-help problem-solving therapy for adolescents with depression and anxiety: randomized controlled trial. PLoS One [Internet]. 2012 Aug 31 [cited 2025 Sep 27];7(8):e43485. Available from: https://doi.org/10.1371/journal.pone.0043485

For books and other monographs

Personal author(s)

  • Celentano DD, Szklo M. Gordis epidemiology. 6th ed. Philadelphia (PA): Elsevier; 2019.
  • Petrie A, Sabin C. Medical statistics at a glance. 4th ed. Chichester (UK): Wiley-Blackwell; 2019.
Author(s) and editor(s)
  • Darwin C. The origin of species by means of natural selection. Burrow JW, editor. London: Penguin; 1985.
  • Kant I. Critique of pure reason. Guyer P, Wood AW, editors. New York (NY): Cambridge University Press; 1998.
Organization(s) as author
  • World Health Organization. World malaria report 2023. Geneva: World Health Organization; 2023. 283 p.
Editor(s), compiler(s) as author
  • Jameson JL, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J, editors. Harrison’s principles of internal medicine. 20th ed. New York (NY): McGraw-Hill Education; 2018.
  • Bennett JE, Dolin R, Blaser MJ, editors. Mandell, Douglas, and Bennett’s principles and practice of infectious diseases. 9th ed. Philadelphia (PA): Elsevier; 2020

Translated book

  • Kant I. Critique of pure reason. Guyer P, Wood AW, translators. Cambridge (UK): Cambridge University Press; 1998.
  • Nietzsche F. Beyond good and evil. Hollingdale RJ, translator. London: Penguin Books; 2003.
Chapter in a book
  • Grundy E, Murphy M. Demography and public health. In: Detels R, Gulliford M, Karim QA, Tan CC, editors. Oxford textbook of global public health. 6th ed. Oxford (UK): Oxford University Press; 2015. p. 718–735.
  • Adkinson NF. Drug allergy. In: Middleton E, Reed CE, Ellis EF, et al., editors. Allergy: principles and practice. 5th ed. St Louis (MO): Mosby; 2002. p. 1212–1224..
Conference proceedings
  • Qi E, Shen J, Dou R, editors. Proceedings of the 21st International Conference on Industrial Engineering and Engineering Management 2014; 2014 Nov 1–2; Zhuhai, China. Paris: Atlantis Press; 2015.
  • Halliday RB, Walter DE, Proctor HC, Norton RA, Colloff MJ, editors. Acarology: Proceedings of the 10th International Congress; 1998 Jul 5–10; Canberra, Australia. Melbourne: CSIRO Publishing; 2001.
Dissertation (Thesis)
  • Bansal Y. Building the theoretical foundations of deep learning: an empirical approach [dissertation]. Cambridge (MA): Harvard University Graduate School of Arts and Sciences; 2022.
  • Sürer S. From space to safety: flood mapping with Sentinel-1 SAR data for enhancing flood risk management in Ljungby Municipality [master’s thesis]. Lund (SE): Lund University; 2024 [Internet]. [cited 2025 Nov 22]. Available from: https://lup.lub.lu.se/student-papers/record/9158441
  • Patwary MM. Adoption of mobile banking applications: a study on young people [master’s thesis]. Eskişehir (TR): Anadolu University Graduate School of Social Sciences; 2017 [Internet]. [cited 2025 Nov 22]. Available from: https://doi.org/10.13140/RG.2.2.35579.49446
Poster(s)
  • Gianelli C, Kühne K, Rugani R. Numerical magnitude spatially biases unusual responses [poster]. Presented at: 20th Conference of the European Society for Cognitive Psychology (ESCoP); 2017 Sep 3–6; Potsdam, Germany.
  • Özge D, Vidinli D, Küntay A, Snedeker J. When you eat from the cake, is it all gone? Morphosyntax as a cue to partitivity [poster]. Presented at: 42nd Boston University Conference on Language Development (BUCLD 42); 2017 Nov 3–5; Boston, MA, USA.
Patent
  • Anders K, Fox JR, Harpur LS, Dunne J, inventors; International Business Machines Corp, assignee. Social media toxicity analysis. United States patent US 11,138,237. 2021 Oct 5.
Homepage/Website
  • Eurostat [Internet]. Luxembourg (LU): Statistical Office of the European Union; c1953– [cited 2025 Sep 27]. Available from: https://ec.europa.eu/eurostat

Proofreading
After DAHUDER MJ has prepared the layout of the article, it is sent to all authors for proofreading. All authors must view the pre-publication version of the article and approve its publication.

Multicenter clinical trials
DAHUDER MJ welcomes the submission of manuscripts reporting results of multicenter clinical trials. These manuscripts may be submitted with authorship in one of the following styles:
• The name of a study group only (collective authorship)
• The names of no more than five individuals and the name of a study group
In each case, one individual must serve as the corresponding author, and the names of all individuals specifically involved in the preparation of the manuscript should be listed under the heading Writing Committee following the Acknowledgments section. This should be followed by a list of investigators from each institution under the heading Study Group Investigators. Each author and each Writing Committee member must sign the Copyright Agreement and Author Acknowledgement Form.

Content responsibility
Content and scientific accuracy of all manuscripts, as well as of any electronic supplementary material, are the sole responsibility of the authors. No responsibility will be assumed by DAHUDER MJ for any legal claim arising from injury and/or damage to persons or property as a matter of product liability, negligence, or other circumstances; nor from any use or operation of any methods, products, instructions, or ideas contained in the published material. No test or procedure should be carried out unless the reader judges it to be safe. Independent verification of all diagnoses and drug dosages should be performed. Discussions, views, and recommendations regarding medical procedures, drug choices, and dosages are the sole responsibility of the authors.

Disclaimer
Although all advertising material in DAHUDER MJ is expected to conform to ethical (medical) standards, its inclusion in this publication does not constitute a guarantee or endorsement by DAHUDER MJ regarding the quality or value of any product or of the claim made for it by its manufacturer.

Section A: Publication and Authorship

1. All submitted manuscripts are evaluated through a double-blind peer-review process by at least two independent reviewers who are experts in the field. Reviewers are selected by the Associate Editors and Editor-in-Chief.
2. Review criteria include relevance, originality, scientific rigor, methodological accuracy, statistical validity, readability, and language quality.
3. The editorial decisions may include acceptance, minor revision, major revision, or rejection.
4. A request for revision does not guarantee acceptance.
5. Rejected manuscripts will not be re-evaluated.
6. Manuscript acceptance depends on compliance with ethical and legal standards regarding libel, copyright infringement, and plagiarism.
7. The same research may not be published in more than one journal or in multiple formats.

Section B: Authors’ Responsibilities

1. Authors must certify that their manuscript is original and not previously published or under review elsewhere.
2. All authors must have made significant contributions to the research and writing, as defined in the “Authors’ Contributions” section.
3. Authors are required to participate in the peer-review process and respond to reviewers’ comments in a timely and scholarly manner.
4. Authors must ensure that all data are accurate, authentic, and reproducible.
5. Any form of plagiarism, data fabrication, or image manipulation is strictly prohibited.
6. Authors must disclose any conflicts of interest or financial relationships that may influence the results or interpretation of their manuscript.
7. All sources and funding relevant to the research must be acknowledged.
8. Authors are responsible for correcting errors or retracting papers if significant issues are identified after publication.
9. Authors must not withdraw their manuscripts after submission or during the review process without the consent of the editorial board.
10. The corresponding author acts as the primary contact and is responsible for ensuring compliance with publication ethics.

Section C: Peer Review and Reviewers’ Responsibilities

1. Reviewers must treat all manuscripts as confidential and should not share, copy, or discuss their contents with others.
2. Reviews should be objective, evidence-based, and constructive, avoiding personal criticism.
3. Reviewers must declare any potential conflicts of interest (e.g., competitive, collaborative, or financial relationships).
4. Reviewers should identify any uncited relevant literature or similarity with other works known to them.
5. If serious ethical concerns (e.g., plagiarism or duplicate submission) arise, reviewers should inform the Editor-in-Chief immediately.
6. Reviewers are expected to complete their evaluations within the agreed timeframe and provide clear, reasoned feedback.

Section D: Editorial Responsibilities

1. Editors have full authority to accept or reject manuscripts based on scientific merit and journal scope.
2. Editorial decisions are made independently of personal, institutional, or financial interests.
3. Editors ensure that all published content meets international ethical standards (COPE, ICMJE, WAME).
4. Editors must maintain confidentiality of manuscripts and reviewers’ identities (in double-blind review).
5. Editors must publish errata, corrections, or retractions when necessary.
6. Editors are responsible for monitoring potential research misconduct and following COPE flowcharts for resolution.
7. Editors should base their decisions on the importance, originality, clarity, and contribution of the work.
8. Editors must not reverse previous editorial decisions without clear justification.
9. Editors must avoid and declare any conflicts of interest with authors, reviewers, or institutions.
10. The editorial board ensures transparency, fairness, and integrity throughout the publication process.

Section E: Publishing Ethics and Research Integrity

The Editorial Board of DAHUDER Medical Journal fully complies with the principles and guidelines of the Committee on Publication Ethics (COPE), the International Committee of Medical Journal Editors (ICMJE), and the World Association of Medical Editors (WAME).

1. Editors, associate editors, and members of the editorial board are allowed to submit their own manuscripts to the journal. However, they cannot access or participate in any stage of the editorial or peer-review process related to their own submissions. For such manuscripts, all editorial privileges and system permissions of the author-editor are automatically restricted, and the editorial process is handled independently by another qualified editor or guest editor to ensure transparency and impartiality.
2. All parties involved—authors, reviewers, editors, and publishers—must adhere to the ethical standards set by COPE.
3. Manuscripts found to contain plagiarized, fabricated, or manipulated data will be rejected or retracted, and the authors’ institutions may be informed.
4. Authors may not make major modifications to their manuscripts after acceptance without the editorial board’s approval.
5. All corrections, retractions, or clarifications will be published transparently and promptly.
6. Complaints, appeals, or ethical concerns will be handled according to COPE procedures.
7. The journal strongly supports open science, research transparency, and data sharing in accordance with FAIR principles (Findable, Accessible, Interoperable, Reusable).

Section F: Use of Artificial Intelligence in Scientific Writing and Research

1. Authors must disclose any use of Artificial Intelligence (AI) tools (e.g., ChatGPT, language models, image or data generation software) in the Methods or Acknowledgments section.
2. AI tools cannot be listed as authors and must not replace human scholarly judgment or interpretation.
3. The use of AI is acceptable only for technical assistance, such as improving language, checking grammar, or formatting references, provided it does not affect the integrity or originality of the research.
4. Authors are fully responsible for the accuracy and validity of any content generated or assisted by AI.
5. Editors and reviewers may use AI-assisted tools only for technical screening (e.g., plagiarism detection, language check) but not for decision-making.
6. Undisclosed or inappropriate use of AI in manuscript preparation or peer review will be treated as a breach of publication ethics.

• DAHUDER Medical Journal does not charge any fees for article submission, peer review, editorial processing, page layout, or publication (including page or color charges).
• DAHUDER MJ does not pay any fees or honoraria to authors, reviewers, editors, or editorial board members.
• All articles are free to read and download.
• DAHUDER MJ is an open-access journal and does not require any subscription fees.
• DAHUDER MJ is a signatory to the Budapest Open Access Initiative (BOAI) and adheres to the Open Access principles set out in this initiative.
• All articles are preserved via the LOCKSS (Lots Of Copies Keep Stuff Safe) system through TÜBİTAK ULAKBİM DergiPark.
• In line with its publication policy, the journal does not accept announcements, advertisements, sponsorships, or similar content.
• The journal does not offer a reprint service for professional-quality reproductions of articles.
• All expenses of DAHUDER MJ are covered by the publisher.

Other Indexes

Editorial Board

Toxicology, Cardiology, ​Internal Diseases, Nanotoxicology, Health and Safety

Assistant Editor

​Internal Diseases

Editorial Board_eski

Cellular Interactions, Proteomics and Intermolecular Interactions, Medical Pharmacology, Biologically Active Molecules, Biomolecular Modelling and Design, Cheminformatics and Quantitative Structure-Activity Relationships
​Internal Diseases, Medical Education
Respiratory Diseases, Endocrinology, Gastroenterology and Hepatology, Geriatrics and Gerontology, ​Internal Diseases, Rural Clinical Health, Clinimetrics, Nefroloji, Intensive Care, Clinical Sciences (Other)
​Internal Diseases
Immunology (Other), Haematology, Endocrinology, ​Internal Diseases, Clinical Oncology, Rheumatology and Arthritis
​Internal Diseases
​Internal Diseases
​Internal Diseases
​Internal Diseases
​Internal Diseases
​Internal Diseases
​Internal Diseases

INDEXING & ABSTRACTING & ARCHIVING

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DAHUDER Medical Journal, hosted by Turkish JournalPark ACADEMIC, is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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