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de Lima AP, Marques IG, Goessler KF, De Cleva R, Santo MA, Roschel H, Gualano B, Benatti FB. IMPACT OF THE COVID-19 QUARANTINE ON THE MENTAL AND EMOTIONAL HEALTH OF POST-BARIATRIC SURGERY WOMEN: A QUALITATIVE STUDY. ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA : ABCD = BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY 2025; 38:e1878. [PMID: 40243880 PMCID: PMC11996039 DOI: 10.1590/0102-6720202500009e1878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 03/21/2024] [Accepted: 10/15/2024] [Indexed: 04/18/2025]
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) greatly impacted patients undergoing bariatric surgery due to prolonged quarantine and lockdown measures. AIMS The aim of this study was to qualitatively investigate the impact of the COVID-19 quarantine and lockdown measures on the mental and emotional health of post-bariatric surgery women. METHODS A qualitative study was carried out, with individual interviews conducted via video calls using a video-communication service (Google Meet®). The moderator guide inquired about three pre-established topics based on the literature: mental and emotional health, social relationship, and the use of health technology. RESULTS A total of 12 women participated in this study, with an average age of 43±9.83 years, a body mass of 82.33±13.83 kg, a height of 1.62±0.06 m, a body mass index of 26.32±2.97 kg/m2, and post-surgery time of 12.83±4.37 months. The interviews had an average duration of 50.71±7.26 min. Our results suggested a negative impact of the COVID-19 pandemic on aspects of mental and emotional health, such as increased anxiety, depressive symptoms, fear, stress, and anguish, which were somehow diminished in patients who were closer to family members. Bariatric surgery was mentioned as a positive aspect by the patients for coping with clinical risk conditions. CONCLUSIONS The study showed a negative impact of the COVID-19 pandemic on aspects of mental and emotional health mostly due to lockdown measures, which led to social isolation and an increased burden with household chores.
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Affiliation(s)
- Alisson Padilha de Lima
- Faculdade IELUSC, School of Physical Education – Joinville (SC), Brazil
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Center of Lifestyle Medicine; Laboratory of Assessment and Conditioning in Rheumatology – São Paulo (SP), Brazil
| | - Isabela Gouveia Marques
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Center of Lifestyle Medicine; Laboratory of Assessment and Conditioning in Rheumatology – São Paulo (SP), Brazil
- Universidade de São Paulo, Faculdade de Medicina, Escola de Educação Física e Desporto, Applied Physiology and Nutrition Research Group – São Paulo (SP), Brazil
| | - Karla Fabiana Goessler
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Center of Lifestyle Medicine; Laboratory of Assessment and Conditioning in Rheumatology – São Paulo (SP), Brazil
- Universidade de São Paulo, Faculdade de Medicina, Escola de Educação Física e Desporto, Applied Physiology and Nutrition Research Group – São Paulo (SP), Brazil
| | - Roberto De Cleva
- Universidade de São Paulo, Faculdade de Medicina, Department of Gastroenterology – São Paulo (SP), Brazil
| | - Marco Aurélio Santo
- Universidade de São Paulo, Faculdade de Medicina, Department of Gastroenterology – São Paulo (SP), Brazil
| | - Hamilton Roschel
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Center of Lifestyle Medicine; Laboratory of Assessment and Conditioning in Rheumatology – São Paulo (SP), Brazil
- Universidade de São Paulo, Faculdade de Medicina, Escola de Educação Física e Desporto, Applied Physiology and Nutrition Research Group – São Paulo (SP), Brazil
| | - Bruno Gualano
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Center of Lifestyle Medicine; Laboratory of Assessment and Conditioning in Rheumatology – São Paulo (SP), Brazil
- Universidade de São Paulo, Faculdade de Medicina, Escola de Educação Física e Desporto, Applied Physiology and Nutrition Research Group – São Paulo (SP), Brazil
| | - Fabiana Braga Benatti
- Universidade de São Paulo, Faculdade de Medicina, Escola de Educação Física e Desporto, Applied Physiology and Nutrition Research Group – São Paulo (SP), Brazil
- Universidade Estadual de Campinas, Faculdade de Ciências Aplicadas – Limeira (SP), Brazil
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Yu J, Sze KYP, Lai AYK, Sit SMM, Gong WJ, Guo J, Lam TH, Wang MP, Ho SY. Associations of Home-Based Individual and Family Exercise with Personal and Family Well-Being Amid the COVID-19 Pandemic: A Population-Based Survey in Hong Kong. Behav Sci (Basel) 2025; 15:376. [PMID: 40150270 PMCID: PMC11939306 DOI: 10.3390/bs15030376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2024] [Revised: 03/07/2025] [Accepted: 03/13/2025] [Indexed: 03/29/2025] Open
Abstract
Exercise benefits individuals, but research about exercising with family members (EFM) and personal and family well-being is scarce. We investigated the associations of home-based individual exercise (IE) and EFM with personal and family well-being amid the COVID-19 pandemic. A population-based cross-sectional survey on Hong Kong Chinese adults was conducted from February to March 2021, when COVID-19 was under control (N = 5825). Respondents reported the number of days IE and EFM occurred at home in the past 7 days (0, 1-2, 3-4, 5-6, 7), respectively. Family well-being, personal happiness, and personal/family adversity coping capability (ACC/FACC) were each measured with an 11-point scale (range 0-10). Psychological distress was measured using the four-item Patient Health Questionnaire (range 0-12). Associations were assessed using multiple linear regressions. Of 1911 respondents, 9.2% reported having ≥3 days of EFM. After adjusting for each other and sociodemographic characteristics, more frequent IE or EFM (≥3 vs. 0-2 days) was associated with greater family well-being, FACC, personal happiness, and lower psychological distress. Our findings suggest that home-based EFM or IE may promote personal/family well-being and highlight the potential for incorporating home-based exercise into public health strategies to enhance overall well-being.
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Affiliation(s)
- Jinzhou Yu
- School of Nursing, The University of Hong Kong, Hong Kong, China; (J.Y.); (K.Y.-P.S.)
| | | | - Agnes Yuen-Kwan Lai
- School of Nursing and Health Sciences, Hong Kong Metropolitan University, Hong Kong, China;
| | - Shirley Man-Man Sit
- School of Public Health, The University of Hong Kong, Hong Kong, China; (S.M.-M.S.); (T.-H.L.); (S.-Y.H.)
| | - Wei-Jie Gong
- Department of Family Medicine, Medical School, Shenzhen University, Shenzhen 518060, China;
| | - Jia Guo
- Xiangya School of Nursing, Central South University, Changsha 410013, China;
| | - Tai-Hing Lam
- School of Public Health, The University of Hong Kong, Hong Kong, China; (S.M.-M.S.); (T.-H.L.); (S.-Y.H.)
| | - Man-Ping Wang
- School of Nursing, The University of Hong Kong, Hong Kong, China; (J.Y.); (K.Y.-P.S.)
| | - Sai-Yin Ho
- School of Public Health, The University of Hong Kong, Hong Kong, China; (S.M.-M.S.); (T.-H.L.); (S.-Y.H.)
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Asan S, Ulupınar S, Özbay S, Namlı S, Gençoğlu C, Canyurt F, Çingöz YE, Özkara AB. The impact of inactivity during the COVID-19 pandemic on the physical performance of high school athletes. BMC Sports Sci Med Rehabil 2024; 16:126. [PMID: 38845016 PMCID: PMC11154986 DOI: 10.1186/s13102-024-00916-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Accepted: 05/29/2024] [Indexed: 06/09/2024]
Abstract
BACKGROUND/OBJECTIVE This study was conducted during the 2019-2020 academic year to evaluate the impact of participation in school sports on students' Body Mass Index (BMI) and Assessing Levels of Physical Activity (ALPHA) test scores. Interrupted by the COVID-19 pandemic, which led to a suspension of in-person education, the study resumed in September 2021, refocusing on the effects of pandemic-induced inactivity on the physical fitness levels of the same cohort. METHODS The study included twenty-nine male high school students (age: 17,24 ± 0,73 years), divided into thirteen athletes (participating in sports such as football, basketball, and track) and sixteen non-athletic counterparts. They underwent reassessment using the ALPHA test battery, evaluating cardiorespiratory, musculoskeletal, and motor skills fitness. Data were analyzed using independent and paired samples t-tests and a two-way repeated measures ANOVA to assess changes over time and between groups. Discriminant function analysis evaluated the ALPHA test's ability to classify students based on their athletic status pre- and post-pandemic. RESULTS Initially, athlete students exhibited significantly better BMI, 20 m shuttle run, and 4 × 10 m speed run scores compared to their non-athlete peers. After the pandemic, only the 20 m shuttle run scores remained significantly higher for athletes, with diminished distinctions in other fitness areas. The classification accuracy of the ALPHA test battery decreased from 89.7 to 75.9% post-pandemic. CONCLUSION The enforced sedentary lifestyle due to the COVID-19 pandemic adversely affected all students, particularly diminishing health-related fitness parameters such as body composition, cardiorespiratory and musculoskeletal strength, and motor skills. Students previously engaged in regular physical activity, notably school athletes, experienced significant fitness declines. This highlights the urgent need for targeted interventions to encourage active lifestyles among youth in the post-pandemic phase, aiming to avert long-term adverse health outcomes.
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Affiliation(s)
- Selim Asan
- Faculty of Sport Sciences, Erzurum Technical University, Erzurum, Turkey
| | - Süleyman Ulupınar
- Faculty of Sport Sciences, Erzurum Technical University, Erzurum, Turkey.
| | - Serhat Özbay
- Faculty of Sport Sciences, Erzurum Technical University, Erzurum, Turkey
| | - Sevinç Namlı
- Faculty of Sport Sciences, Erzurum Technical University, Erzurum, Turkey
| | - Cebrail Gençoğlu
- Faculty of Sport Sciences, Erzurum Technical University, Erzurum, Turkey
| | - Ferhat Canyurt
- Faculty of Sport Sciences, Erzurum Technical University, Erzurum, Turkey
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Zhang J, Zhang S, Song G, Zhuang S, Li H, An L, Meng Y, Fan J, Wang L. A Nomogram for Predicting the Risk of Deep Vein Thrombosis in Patients With Acute Ischemic Stroke During the COVID-19. Angiology 2024:33197241241790. [PMID: 38532622 DOI: 10.1177/00033197241241790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/28/2024]
Abstract
Deep vein thrombosis (DVT) is an important complication of stroke. As coronavirus disease 2019 (COVID-19) enters the stage of persistent and long-term management, the clinical management of DVT in stroke patients may require adjustment. The present study evaluated whether there was an increased risk of DVT in stroke patients during the COVID-19 period. Furthermore, we analyzed the possible risk factors and developed an easy-to-use nomogram to predict DVT in stroke patients during the long-term management of COVID-19. A total of 7087 stroke patients during the COVID-19 period and 14,174 patients with age, sex, and National Institutes of Health Stroke Scale (NIHSS) scores matched before the period from four centers were included. The incidence of DVT in stroke patients during the COVID-19 period (20.5%) was significantly higher than that before this period (15.9%, P < .001). Age, body mass index, smoking, D-dimer, physical activity level, NIHSS score, and intermittent pneumatic compression were significant predictors of DVT during the COVID-19 period (P < .05). A nomogram was constructed; internal and external validations showed high accuracy, and decision curve analysis showed excellent clinical applicability. This nomogram could evaluate the risk of DVT after stroke and assist in its early prevention during the long-term management of COVID-19.
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Affiliation(s)
- Jie Zhang
- Neuroscience Center, Department of Neurology, First Hospital of Jilin University, Changchun, China
| | - Shurui Zhang
- Department of External Communication, First Hospital of Jilin University, Changchun, China
| | - Ge Song
- Neuroscience Center, Department of Neurology, First Hospital of Jilin University, Changchun, China
| | - Shimeng Zhuang
- Department of Ultrasonography, Siping Central People's Hospital, Siping, China
| | - Hua Li
- Department of Vascular Ultrasonography, Dehui People's Hospital, Dehui, China
| | - Lisi An
- Department of Functional Examination Section, Jilin Electric Power Hospital, Changchun, China
| | - Yan Meng
- Neuroscience Center, Department of Neurology, First Hospital of Jilin University, Changchun, China
| | - Jiayu Fan
- Neuroscience Center, Department of Neurology, First Hospital of Jilin University, Changchun, China
| | - Lijuan Wang
- Neuroscience Center, Department of Neurology, First Hospital of Jilin University, Changchun, China
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Sankova MV, Nikolenko VN, Oganesyan MV, Vovkogon AD, Gadzhiakhmedova AN, Zharikova TS, Zharikov YO. Identifying sex-specific injury predictors as a key factor in maintaining optimal physical activity levels. World J Orthop 2023; 14:146-154. [PMID: 36998385 PMCID: PMC10044326 DOI: 10.5312/wjo.v14.i3.146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 01/11/2023] [Accepted: 02/27/2023] [Indexed: 03/17/2023] Open
Abstract
BACKGROUND Optimal physical activity is known to reduce cardiovascular, respiratory and endocrine system diseases and, as a consequence, improve quality of life. An important risk factor for reinjuries during normal exercise is the initial connective tissue pathology. The variety of clinical dysplastic manifestations significantly complicate the timely diagnosis of this comorbidity. AIM To establish pathognomonic sex-specific dysplasia phenotypes that indicate a particular sensitivity to physical exertion. METHODS The study involved 117 participants with recurrent musculoskeletal injuries that occurred during normal exercise. There were 67 women (57.26%) and 50 men (42.74%), which made it possible to compare the presence of the identified signs between sexes. A validated questionnaire was used to screen their connective tissue status. RESULTS Ranking the most commonly revealed dysplasia signs depending on their clinical significance made it possible to establish pathognomonic sex-specific phenotypes that indicated a particular susceptibility to injuries. Individualized programs of optimal physical activity are necessary for men with chest deformities, flat-valgus feet, dolichostenomelia, arachnodactylia, hemorrhoids, abdominal muscle diastasis and recurrent hernias. In women, special sensitivity to physical exertion was associated with a combination of signs such as asthenic body, joint hypermobility, overly soft auricles, thin hyperelastic skin, atrophic striae, telangiectasias and varicose veins. Of particular importance were universal signs such as gothic palate, scoliosis, kyphosis, leg deformities, temporomandibular joint crunching, and moderate to high myopia. CONCLUSION Participants' connective tissue condition should be considered when designing optimal physical activity programs. Identifying the established sex-specific dysplasia phenotypes will allow timely optimization of training loads, thus reducing the risk of injury.
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Affiliation(s)
- Maria V Sankova
- Department of Human Anatomy and Histology, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow 125009, Russia
| | - Vladimir N Nikolenko
- Department of Human Anatomy and Histology, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow 125009, Russia
- Department of Normal and Topographic Anatomy, Lomonosov Moscow State University, Moscow 119991, Russia
| | - Marine V Oganesyan
- Department of Human Anatomy and Histology, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow 125009, Russia
- Department of Normal and Topographic Anatomy, Lomonosov Moscow State University, Moscow 119991, Russia
| | - Andjela D Vovkogon
- Department of Human Anatomy and Histology, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow 125009, Russia
- European Osteopathic Clinical Center of the Moscow Branch of the “Medical Academy of Osteopathic Education”, Saint Petersburg 199106, Russia
| | - Aida N Gadzhiakhmedova
- Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow 119991, Russia
| | - Tatyana S Zharikova
- Department of Human Anatomy and Histology, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow 125009, Russia
- Department of Normal and Topographic Anatomy, Lomonosov Moscow State University, Moscow 119991, Russia
| | - Yury O Zharikov
- Department of Human Anatomy and Histology, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow 125009, Russia
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Li Y, Hou T, Cheng M, Miao Y, Yeerjang Y, Sheng CS, Xue K, Wu C, Zhang S, Yan Q, Pei J, Yang Q, Tian J, Xu W, Shi Y. Anxiety prevalence and its association with physical activity in patients with non-communicable diseases during COVID-19 lockdown: a cross-sectional study in Shanghai, China. BMC Public Health 2023; 23:317. [PMID: 36782166 PMCID: PMC9924212 DOI: 10.1186/s12889-022-14369-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 10/17/2022] [Indexed: 02/15/2023] Open
Abstract
BACKGROUND Quarantine due to the COVID-19 pandemic may have created great psychological stress among vulnerable populations. We aimed to investigate the prevalence of anxiety and explore the association between physical activities (PA) and anxiety risk in people with non-communicable diseases during the period of COVID-19 lockdown. METHODS We conducted a cross-sectional telephone survey from February 25 to April 20, 2020, the period of COVID-19 lockdown in Shanghai. Up to 8000 patients with type 2 diabetes and/or hypertension were selected using multi-stage cluster random sampling. PA level was measured based on the International Physical Activity Questionnaire using Metabolic Equivalent for Task scores, while symptoms of anxiety were assessed by the 7-item Generalized Anxiety Disorder scale. Multiple logistic regression analyses were performed to evaluate the associations of type and level of PA with the risk of anxiety. RESULTS Of a total 4877 eligible patients, 2602 (53.4%) reported with anxiety, and 2463 (50.5%), 123 (2.5%) and 16 (0.3%) reported with mild, moderate, and severe anxiety. The prevalence of anxiety was higher in the females, the elders, non-smokers, non-drinkers, and patients with diabetes, and the associations of anxiety with sex, age, smoking, drinking and diagnosis of diabetes were significant. A significant negative association was observed for housework activities (OR 0.53, 95%CI: [0.45, 0.63], p < 0.001) and trip activities (OR 0.55, 95%CI: [0.48, 0.63], p < 0.001) with anxiety, but no significant was found for exercise activities (OR 1.06, 95%CI: [0.94, 1.20], p = 0.321). Compared with patients with a low PA level, those with a moderate (OR 0.53, 95%CI: [0.44, 0.64], p < 0.001) or a high PA level (OR 0.51, 95%CI: [0.43, 0.51], p < 0.001) had a lower prevalence of anxiety. CONCLUSION This study demonstrates a higher prevalence of anxiety in patients with hypertension, diabetes, or both during the COVID-19 lockdown. The negative associations of housework and trip activities with anxiety highlight the potential benefit of PA among patients with non-communicable diseases.
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Affiliation(s)
- Yanyun Li
- grid.430328.eShanghai Municipal Center for Disease Control and Prevention, Shanghai, China
| | - Tianzhichao Hou
- grid.16821.3c0000 0004 0368 8293Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Minna Cheng
- grid.430328.eShanghai Municipal Center for Disease Control and Prevention, Shanghai, China
| | - Ya Miao
- grid.16821.3c0000 0004 0368 8293Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yeerzati Yeerjang
- grid.8547.e0000 0001 0125 2443Key Lab of Health Technology Assessment (National Health Commission), School of Public Health, Fudan University, Shanghai, China ,grid.8547.e0000 0001 0125 2443School of Public Health, Fudan University, Shanghai, China
| | - Chang-sheng Sheng
- grid.16821.3c0000 0004 0368 8293Center for Epidemiological Studies and Clinical Trials and Center for Vascular Evaluation, Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Kun Xue
- grid.8547.e0000 0001 0125 2443School of Public Health, Fudan University, Shanghai, China
| | - Cui Wu
- Center for Disease Control and Prevention of Baoshan District, Shanghai, China
| | - Sheng Zhang
- grid.430328.eShanghai Municipal Center for Disease Control and Prevention, Shanghai, China
| | - Qinghua Yan
- grid.430328.eShanghai Municipal Center for Disease Control and Prevention, Shanghai, China
| | - Jianfeng Pei
- grid.8547.e0000 0001 0125 2443Key Lab of Health Technology Assessment (National Health Commission), School of Public Health, Fudan University, Shanghai, China ,grid.8547.e0000 0001 0125 2443School of Public Health, Fudan University, Shanghai, China
| | - Qinping Yang
- grid.430328.eShanghai Municipal Center for Disease Control and Prevention, Shanghai, China
| | - Jingyan Tian
- Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. .,Shanghai National Clinical Research Center for Metabolic Diseases, Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of the PR China, Shanghai Key Laboratory for Endocrine Tumor, State Key Laboratory of Medical GenomicsRuijin HospitalShanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
| | - Wanghong Xu
- Key Lab of Health Technology Assessment (National Health Commission), School of Public Health, Fudan University, Shanghai, China. .,School of Public Health, Fudan University, Shanghai, China.
| | - Yan Shi
- Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China. .,National Clinical Research Center for Aging and Medicine, Shanghai, China.
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Ayenigbara IO. Diabetes Prevention and Measures to Ensuring a Healthy Lifestyle during COVID-19 Pandemic and after. Korean J Fam Med 2023; 44:11-20. [PMID: 36709956 PMCID: PMC9887446 DOI: 10.4082/kjfm.21.0216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Accepted: 01/03/2022] [Indexed: 01/20/2023] Open
Abstract
The incidence of diabetes mellitus (DM) is increasing exponentially globally, with 90% of the confirmed cases being type 2 DM. The global incidence of DM is expected to increase by 48% during 2017-2045. The coronavirus disease 2019 (COVID-19) pandemic continues to have a massive impact on human health, causing sudden lifestyle changes through quarantine measures, such as lockdown, social distancing, various curfews, and isolation at home. This in turn might increase the risk of developing numerous chronic diseases, such as DM, obesity, and cardiovascular diseases, which increase the severity of COVID-19. To this end, we performed a comprehensive review to determine viable measures for the prevention of DM and its subsequent upsurge globally. Additionally, we have determined strategies that should be adopted globally to ensure a healthy lifestyle during the COVID-19 pandemic and later.
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Affiliation(s)
- Israel Oluwasegun Ayenigbara
- School and Community Health Promotion Unit, Department of Health Education, University of Ibadan, Ibadan, Nigeria,Corresponding Author: Israel Oluwasegun Ayenigbara https://orcid.org/0000-0002-0085-5493 Tel: +234-8139177538, Fax: +234-8098103043, E-mail:
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Yan WJ, Zhang F, Ouyang H, Xing CQ, Liu WZ. Beneficial for mental health, exercise more or less? World J Psychiatry 2022; 12:1258-1260. [PMID: 36186504 PMCID: PMC9521530 DOI: 10.5498/wjp.v12.i9.1258] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 06/21/2022] [Accepted: 08/17/2022] [Indexed: 02/05/2023] Open
Abstract
Regular physical activity may improve mental health during the pandemic by reducing inflammatory responses. However, overtraining or prolonged exercise training may adversely affect mental health.
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Affiliation(s)
- Wen-Jie Yan
- Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China
| | - Fan Zhang
- Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China
| | - Hui Ouyang
- Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China
| | - Chen-Qi Xing
- Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China
| | - Wei-Zhi Liu
- Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China
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Zhang F, Zhang Y, Yu Y, Lu W, Zhang H. Bibliometric analysis of the top-50 cited articles on COVID-19 and physical activity. Front Public Health 2022; 10:926244. [PMID: 36159319 PMCID: PMC9500202 DOI: 10.3389/fpubh.2022.926244] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Accepted: 08/24/2022] [Indexed: 01/24/2023] Open
Abstract
Background Since the 2019 novel coronavirus (COVID-19) pneumonia outbreak in late 2019, an endless stream of research has emerged surrounding physical activity. This study analyzes the 50 most influential articles on COVID-19 and physical activity over the past 2 years to describe the research landscape and hotspots from bibliometric citation analysis. Methods The top-50 cited articles were extracted from the Web of Science Core Collection database, and bibliometric citation analysis was performed by Excel 2019 and VOSviewer software. Results The top-50 articles were cited 160.48 ± 106.90 (range: 70-587). Most of the articles were from the United States (14), followed by Italy (11) and England (9). The International Journal of Environmental Research and Public Health (n = 10) is the journal with the top-50 cited articles. The collaboration between authors was mainly among three teams, including Smith L, Musumeci G, and Napoli C. The hotspot of research around COVID-19 and physical activity focused on lifestyle change (sedentary behavior, sitting time), mental health (depressive, anxiety, loneliness), the credibility of physical activity assessment tools (reliability, validity), and physical activity of different populations (gender, youth, children). Conclusions Based on a bibliometric analysis of high-impact articles on COVID-19 and physical activity highlights physical activity as an essential lifestyle change and developments and hotspots in this field. These data will provide insights for future researchers regarding the direction of physical activity research in the COVID-19 pandemic.
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Affiliation(s)
- Fan Zhang
- Department of Nephrology, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Ying Zhang
- Department of Surgery, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Yaqi Yu
- Department of Cancer, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Wei Lu
- Department of Nursing, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Huachun Zhang
- Department of Nursing, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China
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Kim SY, Yoo DM, Kwon MJ, Kim JH, Kim JH, Bang WJ, Choi HG. Physical Activity and Sedentary Time in Korean Adults before and during the COVID-19 Pandemic Using Data from the Korea National Health and Nutritional Examination Survey. J Pers Med 2022; 12:1217. [PMID: 35893311 PMCID: PMC9394236 DOI: 10.3390/jpm12081217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Revised: 07/20/2022] [Accepted: 07/23/2022] [Indexed: 11/16/2022] Open
Abstract
Several recent studies suggested reduced physical activity (PA) related to the COVID-19 pandemic without consensus. This study investigated the changes in PA and sedentary time during the COVID-19 pandemic compared to before the COVID-19 era. The Korea National Health and Nutrition Examination Survey 2019 and 2020 were used. The ≥19-year-old population was examined in 2019 and 2020 for time spent engaging in high- and moderate-intensity PA and sedentary time. Based on the recommended level of PA by the World Health Organization, ≥75 min/wk of high PA and ≥150 min/of moderate PA were classified. A sedentary time of ≥120 min/d was selected. Multiple logistic regression analysis with complex sampling was conducted for ≥75 min/wk of high PA, ≥150 min/wk of moderate PA, and ≥120 min/d of sedentary time in the 2020 group compared to the 2019 group. The ≥75 min/wk high PA was not lower in the 2020 group than in the 2019 group (adjusted odds ratio (aOR) = 0.96, 95% confidence intervals (95% CIs) = 0.79-1.18, P = 0.696). The ≥150 min/wk of moderate PA was also not lower in the 2020 group (aOR = 1.12, 95% CI = 0.94-1.32, p = 0.201). However, the ≥150 min/wk of moderate PA in the female group was higher in the 2020 group than in the 2019 group (aOR = 1.29, 95% CI = 1.01-1.65, p = 0.042). Sedentary time ≥ 120 min/d was lower in the 2020 group (aOR = 0.35, 95% CI = 0.17-0.72, p = 0.005). This association was consistent in the 19-39-year-old and female group. In conclusion, during the COVID-19 pandemic, high and moderate PA were not decreased in Korean adults, while sedentary time was reduced.
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Affiliation(s)
- So Young Kim
- Bundang CHA Medical Center, Department of Otorhinolaryngology-Head and Neck Surgery, CHA University, Seongnam 13488, Korea;
| | - Dae Myoung Yoo
- Hallym Data Science Laboratory, Hallym University College of Medicine, Anyang 14066, Korea;
| | - Mi Jung Kwon
- Department of Pathology, Hallym Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Korea;
| | - Ji Hee Kim
- Department of Neurosurgery, Hallym University College of Medicine, Anyang 14068, Korea;
| | - Joo-Hee Kim
- Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, Hallym Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Korea;
| | - Woo Jin Bang
- Department of Urology, Hallym Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Korea
| | - Hyo Geun Choi
- Bundang CHA Medical Center, Department of Otorhinolaryngology-Head and Neck Surgery, CHA University, Seongnam 13488, Korea;
- Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Anyang 14068, Korea
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Mascaró CM, Bouzas C, Montemayor S, García S, Mateos D, Casares M, Gómez C, Ugarriza L, Borràs PA, Martínez JA, Tur JA. Impact of Physical Activity Differences Due to COVID-19 Pandemic Lockdown on Non-Alcoholic Fatty Liver Parameters in Adults with Metabolic Syndrome. Nutrients 2022; 14:2370. [PMID: 35745100 PMCID: PMC9229383 DOI: 10.3390/nu14122370] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Revised: 06/03/2022] [Accepted: 06/05/2022] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND A Mediterranean lifestyle with a Mediterranean diet and regular physical activity (PA) improves metabolic syndrome (MetS) characteristics and non-alcoholic fatty liver disease (NAFLD). The COVID-19 pandemic stopped healthy habits and increased NAFLD progression. OBJECTIVES To assess how PA differences due to COVID-19 lockdown affected NAFLD parameters in adults with MetS. DESIGN Longitudinal 2-year analysis of data obtained between COVID-19 pre- and post-lockdown in a parallel-group randomized trial (n = 57, aged 40-60 years old, with MetS and NAFLD). METHODS NAFLD status and related parameters were assessed by magnetic resonance imaging (MRI), blood collection analysis and related indexes. PA and fitness status were assessed by an Alpha-Fit test battery, accelerometers, validated Minnesota questionnaire and functional fitness score. During lockdown, study personnel telephoned patients to motivate them. Participants were grouped according to PA levels. RESULTS The low PA group improved its fitness score tests (0.2) after lockdown more than the medium PA group, and it decreased its sedentary activity (-48.7 min/day), increased light (20.9 min/day) and moderate (32.3 min/day) PA intensities and improved sleep efficiency (0.6%) in comparison with the medium and high PA groups. The high PA group increased its steps per day more than the other groups. The low PA group was the only group that decreased its gamma glutamyl transferase (GGT) levels (-17.0 U/L). All groups increased their fatty liver index (FLI) after lockdown, but the medium PA group increased its FLI more than the low PA group. Participants in the high PA group decreased their HDL-cholesterol levels more than participants in the medium PA group (-0.4 mg/dL). CONCLUSIONS Stopping regular PA together with an unhealthy lifestyle leads to a worsening of MetS and NAFLD. COVID-19 lockdown induced a decrease in PA in more active people, but inactive people increased their PA levels. Motivation seemed to be very important during lockdown.
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Affiliation(s)
- Catalina M. Mascaró
- Research Group on Community Nutrition and Oxidative Stress, University of the Balearic Islands-IUNICS, 07122 Palma de Mallorca, Spain; (C.M.M.); (C.B.); (S.M.); (S.G.); (D.M.); (C.G.); (L.U.)
- Health Institute of the Balearic Islands (IDISBA), 07120 Palma de Mallorca, Spain
| | - Cristina Bouzas
- Research Group on Community Nutrition and Oxidative Stress, University of the Balearic Islands-IUNICS, 07122 Palma de Mallorca, Spain; (C.M.M.); (C.B.); (S.M.); (S.G.); (D.M.); (C.G.); (L.U.)
- Health Institute of the Balearic Islands (IDISBA), 07120 Palma de Mallorca, Spain
- CIBEROBN (Physiopathology of Obesity and Nutrition CB12/03/30038), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain
| | - Sofía Montemayor
- Research Group on Community Nutrition and Oxidative Stress, University of the Balearic Islands-IUNICS, 07122 Palma de Mallorca, Spain; (C.M.M.); (C.B.); (S.M.); (S.G.); (D.M.); (C.G.); (L.U.)
- Health Institute of the Balearic Islands (IDISBA), 07120 Palma de Mallorca, Spain
| | - Silvia García
- Research Group on Community Nutrition and Oxidative Stress, University of the Balearic Islands-IUNICS, 07122 Palma de Mallorca, Spain; (C.M.M.); (C.B.); (S.M.); (S.G.); (D.M.); (C.G.); (L.U.)
- Health Institute of the Balearic Islands (IDISBA), 07120 Palma de Mallorca, Spain
| | - David Mateos
- Research Group on Community Nutrition and Oxidative Stress, University of the Balearic Islands-IUNICS, 07122 Palma de Mallorca, Spain; (C.M.M.); (C.B.); (S.M.); (S.G.); (D.M.); (C.G.); (L.U.)
- Health Institute of the Balearic Islands (IDISBA), 07120 Palma de Mallorca, Spain
| | - Miguel Casares
- Radiodiagnosis Service, Red Asistencial Juaneda, 07011 Palma de Mallorca, Spain;
| | - Cristina Gómez
- Research Group on Community Nutrition and Oxidative Stress, University of the Balearic Islands-IUNICS, 07122 Palma de Mallorca, Spain; (C.M.M.); (C.B.); (S.M.); (S.G.); (D.M.); (C.G.); (L.U.)
- Clinical Analysis Service, University Hospital Son Espases, 07120 Palma de Mallorca, Spain
| | - Lucía Ugarriza
- Research Group on Community Nutrition and Oxidative Stress, University of the Balearic Islands-IUNICS, 07122 Palma de Mallorca, Spain; (C.M.M.); (C.B.); (S.M.); (S.G.); (D.M.); (C.G.); (L.U.)
- Health Institute of the Balearic Islands (IDISBA), 07120 Palma de Mallorca, Spain
- Camp Redó Primary Health Care Center, 07010 Palma de Mallorca, Spain
| | - Pere-Antoni Borràs
- Area of Physical Education and Sports, Department of Pedagogy and Specific Didactics, University of the Balearic Islands, 07122 Palma de Mallorca, Spain;
| | - J. Alfredo Martínez
- Cardiometabolics Precision Nutrition Program, IMDEA Food, CEI UAM-CSIC, 28049 Madrid, Spain;
- Department of Nutrition, Food Sciences, and Physiology, University of Navarra, 31008 Pamplona, Spain
| | - Josep A. Tur
- Research Group on Community Nutrition and Oxidative Stress, University of the Balearic Islands-IUNICS, 07122 Palma de Mallorca, Spain; (C.M.M.); (C.B.); (S.M.); (S.G.); (D.M.); (C.G.); (L.U.)
- Health Institute of the Balearic Islands (IDISBA), 07120 Palma de Mallorca, Spain
- CIBEROBN (Physiopathology of Obesity and Nutrition CB12/03/30038), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain
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12
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Mason MR, Hudgins JH, Campbell MS, Biddle MJ, Ickes MJ, Dugan A, Bollinger LM. Changes in physical activity during the initial stages of the COVID-19 pandemic. J Sports Sci 2022; 40:116-124. [PMID: 34503395 PMCID: PMC8831426 DOI: 10.1080/02640414.2021.1976569] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
INTRODUCTION The COVID-19 pandemic response limited access to many traditional forms of physical activity (PA). Purpose:To assess changes in objectively measured PAofUniversity staff during the initial stageofthe COVID-19 pandemic. METHODS We implemented a repeated measures natural experiment design. PA data (walking distance, steps∙d#x2D;1, and Moderate#x2D;to#x2D;Vigorous PA (MVPA) time) from commercial grade triaxial accelerometers were collected from employees (N#x3D;625) of a large, public university in the southeast United States during the months of Jan#x2D;May in calendar years 2019 and 2020. RESULTS Walking distance (6#x2D;9#x25;, p#x3C;0.001) and steps∙d#x2D;1(7#x2D;11#x25;, p#x3C;0.001) were lower during April and May 2020 compared to 2019. However, MVPA time was not significantly different among calendar years for the months of March#x2D;May. Steps∙d#x2D;1significantly decreased after WHO's worldwide pandemic declaration (10,348#xB1;171 v. 9551#xB1;156 steps∙d#x2D;1, p#x3C;0.001) and campus closure (10,100#xB1;160 v. 9,186#xB1;167 steps∙d#x2D;1, p#x3C;0.001). Conversely, steps∙d#x2D;1significantly increased after implementation of the state's "Healthy at Home" order (9,693#xB1;177 vs. 10,156#xB1;185 steps∙d#x2D;1, p#x3C;0.001). CONCLUSION A decrease in daily steps, but not MVPA, suggests increased sedentary behavior, not reduced participation in exercise, during the early stages of the COVID#x2D;19 pandemic. Specific pandemic response policies may positively or negatively affect PA and sedentary behavior.
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Affiliation(s)
- M Ryan Mason
- Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY
| | - James H Hudgins
- Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY
| | - Marilyn S Campbell
- Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY
| | | | - Mindy J Ickes
- Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY
| | - Adam Dugan
- Department of Biostatistics, University of Kentucky, Lexington, KY
| | - Lance M Bollinger
- Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY
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Magutah K, Mbuthia G. Physical activity engagement in Eldoret, Kenya, during COVID-19 pandemic. PLOS GLOBAL PUBLIC HEALTH 2022; 2:e0000339. [PMID: 36962184 PMCID: PMC10021677 DOI: 10.1371/journal.pgph.0000339] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Accepted: 03/22/2022] [Indexed: 01/04/2023]
Abstract
The World Health Organization (WHO) recommends that individuals of all ages participate in regular physical activity (PA) for optimal health and to support with the control of multiple non-communicable diseases. In Kenya however, involvement in PA across the general population is low and there is an increase in sedentary lifestyles in both rural and urban areas. An inverse relationship exists between socioeconomic status and involvement in PA. The novel COVID-19 ushered in associated control measures to limit the spread of the virus. These measures included staying at home, social distancing, and closure of physical spaces such as gyms, public parks, sports grounds, outdoor playing areas and schools. The impact was immediate, impacting patterns and routines of PA in Kenya. The primary aim of this study was to verify if COVID-19 affected PA prevalence and patterns amongst adults in Eldoret, Kenya. The secondary aim was to ascertain if the modification in behaviour is consistent amongst individuals from different socioeconomic backgrounds. We used a cross-sectional study to examine self-reported PA data amongst 404 participants. All participants were ≥18 years and resided in Eldoret, Kenya. Data were collected using a self-administered, structured questionnaire adapted from the WHO Global Physical Activity Questionnaire (WHO GPAQ). The characteristics of participants' is summarized using descriptive statistics, and bivariate analyses for measures of associations of variables was done using Chi-squared and Fishers exact tests. Binary logistic regressions were performed to adjust for the various factors and report associations between variables. The p-value considered for significant differences was set at <0.05. Participants in this study had mean age of 30.2±9.8 years. Almost 90% of the participants were not aware of the current WHO guidelines on PA, 9% stopped PA engagement after COVID-19 was first reported in Kenya, and only 25% continued regular PA. Less than half maintained PA intensity after the advent of COVID-19, with almost half reporting a drop. Males had a drop in time taken per PA session while females maintained session lengths after COVID-19 (p = 0.03). Males preferred gym-setup or mixed-type PA while females opted for indoor (home) aerobics before and after COVID-19 (p = 0.01, p = 0.02 respectively). Compared to males, females were less likely to achieve both vigorous- and moderate-intensity PA recommendations (p<0.01 and p = 0.02 respectively). Zone of residence was associated with participation in aerobic PA (p = 0.04; 95% CI = 0.02499-0.96086) and, similarly, level of education was associated with knowledge of WHO recommendations for PA (p = 0.01; 95% CI = -1.7544 - -0.2070). A majority of the urban population of Eldoret, Kenya and especially those with lower level of education are unaware of WHO recommendations for PA, and 30% of them have not engaged in any form of PA for many years. The majority that report involvement in PA do not achieve the WHO recommended threshold levels of PA. The results also indicated that COVID-19 has negatively affected intensity of PA, and that there has been an increase in time spent sitting/reclining amongst individuals in the higher socio-economic classes and specifically amongst females.
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Affiliation(s)
| | - Grace Mbuthia
- Jomo Kenyatta University College of Health Sciences, Juja, Kenya
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14
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The Effects of Physical Exercise on Mental Health: From Cognitive Improvements to Risk of Addiction. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182413384. [PMID: 34948993 PMCID: PMC8705508 DOI: 10.3390/ijerph182413384] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 12/09/2021] [Accepted: 12/12/2021] [Indexed: 12/28/2022]
Abstract
(1) Background: we aimed to investigate the effects of physical activity on cognitive functions and deficits of healthy population and other needy groups. Secondly, we investigated the relation between healthy habits and psychopathological risks. Finally, we investigated the impact of COVID-19 pandemic on exercise addiction and possible associated disorders. (2) Methods: From April 2021 to October 2021, we conducted a review aimed at identifying the effects of physical exercise on mental health, from cognitive improvements to risk of addiction; we searched for relevant studies on PubMed, Web of Science, EMBASE, PsycINFO and CINHAL. (3) Results: For the first purpose, results indicated multiple effects such as better precision and response speed in information processing tasks on healthy populations; improvement of executive functions, cognitive flexibility and school performance in children; improvement of attention and executive functions and less hyperactivity and impulsiveness on children with attention deficit hyperactivity disorder (ADHD); improvement of executive and global functions on adults; improvement of overall cognitive functioning on patients with schizophrenic spectrum disorder or bipolar disorder. Data also demonstrated that exercise addiction seems to be related to low levels of education, low self-esteem, eating disorders and body dysmorphisms. Eventually, it was found that people with lower traits and intolerance of uncertainty show a strong association between COVID-19 anxiety and compulsive exercise and eating disorder. (4) Conclusions: these findings underline on one side the beneficial effects of physical activity on cognitive function in healthy individuals in a preventive and curative key, while on the other side the importance of an adequate evaluation of psychological distress and personality characteristics associated with exercise addiction.
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Togni G, Puccinelli PJ, Costa T, Seffrin A, de Lira CAB, Vancini RL, Santos DDAT, Nikolaidis PT, Knechtle B, Andrade MS. Factors Associated with Reduction in Physical Activity during the COVID-19 Pandemic in São Paulo, Brazil: An Internet-Based Survey Conducted in June 2020. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:11397. [PMID: 34769910 PMCID: PMC8583209 DOI: 10.3390/ijerph182111397] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 10/23/2021] [Accepted: 10/24/2021] [Indexed: 12/15/2022]
Abstract
BACKGROUND The COVID-19 pandemic negatively affected physical activity levels. This study investigated the factors associated with the change in physical activity level in Brazilians residing in the city of São Paulo. METHODS A self-administered questionnaire, addressing personal data, restriction level, education level, family income, daily working hours, and physical activity level, was answered by 2140 volunteers, of which 1179 were excluded because the answers were either incomplete or the respondents were not from São Paulo. The total number of participants selected was 961 (581 female and 380 male). RESULTS The physical activity level adopted prior to the pandemic period (p < 0.001) and family income (p = 0.001) correlated significantly with physical activity level reduction during the pandemic. The proportion of people who reduced their physical activity was greater among those who were very active than those who were active (adjusted prevalence ratio [aPR]: 0.65 [confidence interval (CI): 0.52-0.80]) or insufficiently active [aPR: 0.39 (0.18-0.82)]. The proportion of people who reduced their physical activity was greater among those who received a salary less than minimum wage (MW) than those who received a salary between three to six times minimum wage [(aPR: 0.50 (CI 0.35-0.70)] or more than 6 MW [(aPR: 0.56 (CI 0.40-0.79)]. CONCLUSIONS A higher prevalence of Brazilians residing in the city of São Paulo reduced their physical activity who had a vigorous level of physical activity prior to the pandemic and who received less than a MW.
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Affiliation(s)
- Gabriela Togni
- Department of Physiology, Federal University of São Paulo, São Paulo 04021-001, Brazil; (G.T.); (P.J.P.); (T.C.); (A.S.); (M.S.A.)
| | - Paulo José Puccinelli
- Department of Physiology, Federal University of São Paulo, São Paulo 04021-001, Brazil; (G.T.); (P.J.P.); (T.C.); (A.S.); (M.S.A.)
| | - Taline Costa
- Department of Physiology, Federal University of São Paulo, São Paulo 04021-001, Brazil; (G.T.); (P.J.P.); (T.C.); (A.S.); (M.S.A.)
| | - Aldo Seffrin
- Department of Physiology, Federal University of São Paulo, São Paulo 04021-001, Brazil; (G.T.); (P.J.P.); (T.C.); (A.S.); (M.S.A.)
| | - Claudio Andre Barbosa de Lira
- Human and Exercise Physiology Division, Faculty of Physical Education and Dance, Federal University of Goiás, Goiânia 74690-900, Brazil
| | - Rodrigo Luiz Vancini
- Center for Physical Education and Sports, Federal University of Espírito Santo, Vitória 29075-910, Brazil;
| | | | | | - Beat Knechtle
- Institute of Primary Care, University of Zurich, 8091 Zurich, Switzerland;
| | - Marilia Santos Andrade
- Department of Physiology, Federal University of São Paulo, São Paulo 04021-001, Brazil; (G.T.); (P.J.P.); (T.C.); (A.S.); (M.S.A.)
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de Souza EA, Alves FR, Façanha JN, Torres MGR. Perceived barriers to physical activity during the 2nd lockdown in a northeastern state of Brazil. SPORT SCIENCES FOR HEALTH 2021; 18:473-480. [PMID: 34493942 PMCID: PMC8412858 DOI: 10.1007/s11332-021-00827-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2021] [Accepted: 08/07/2021] [Indexed: 10/31/2022]
Abstract
Background The practice of physical activity has been recommended during the pandemic period of COVID-19 as a way of preventing the worsening of physical and mental health. After the increase in COVID-19 cases in Brazil and the new lockdown decrees, many people have reported that they are unable to engage in physical activity during the lockdown. Aims The present study aimed to investigate the barriers to physical activity in the 2nd lockdown in the state of Ceará, Northeast Brazil. Methods 1036 (55.6% women) residents of the state of Ceará, Northeastern Brazil participated in the study. For data collection, a questionnaire was used including sample characterization questions, physical activity, and barriers to physical activity during the 2nd lockdown in the state of Ceará. This instrument was made available by Google Forms, between March 8th and 19th, 2021. Descriptive statistics and logistic regression were used for data analysis. Results The three most relevant barriers were: Lack of motivation (7.3%), lack of space at home (5.9%) professional instructions (2.8%). The lack of space at home barrier was associated with age (OR = 2.56; CI 95% 1.05-6.02) and living in the capital (OR = 2.53; CI 95% 1.26-5.33). The barriers, taking care of children (OR = 3.75; CI 95% 1.37-10.2) and increased time spent on daily activities (OR = 2.20; CI 95% 1.02-4.74) were associated with living in the metropolitan region. Conclusion The lack of motivation, space at home, and professional instruction showed as being limiting factors to physical activity during the lockdown, indicating plans of action aimed at encouraging the practice of physical activity during a pandemic period.
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Affiliation(s)
- Evanice Avelino de Souza
- Laboratory of Sleep and Biologic Rhythms, Universidade Federal do Ceará, Fortaleza, Brazil
- Faculdade Terra Nordeste FATENE, Caucaia, Brazil
| | - Felipe Rocha Alves
- Laboratory of Sleep and Biologic Rhythms, Universidade Federal do Ceará, Fortaleza, Brazil
- Faculdade Terra Nordeste FATENE, Caucaia, Brazil
| | | | - Michele Gonçalves Romcy Torres
- Laboratory of Sleep and Biologic Rhythms, Universidade Federal do Ceará, Fortaleza, Brazil
- Faculdade Terra Nordeste FATENE, Caucaia, Brazil
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Perrone MA, Feola A, Pieri M, Donatucci B, Salimei C, Lombardo M, Perrone A, Parisi A. The Effects of Reduced Physical Activity on the Lipid Profile in Patients with High Cardiovascular Risk during COVID-19 Lockdown. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18168858. [PMID: 34444607 PMCID: PMC8393411 DOI: 10.3390/ijerph18168858] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Revised: 08/18/2021] [Accepted: 08/19/2021] [Indexed: 12/11/2022]
Abstract
Background: The COVID-19 pandemic is a serious global health problem. In Italy, to limit the infections, the government ordered lockdown from March 2020. This measure, designed to contain the virus, led to serious limitations on the daily life of the individuals it affected, and in particular in the limitation of physical exercise. The aim of this study was to evaluate the effects of reduced physical activity on the lipid profile in patients with high cardiovascular risk. Methods: We enrolled 38 dyslipidemic patients, 56% male, with an age range of 44-62 years, considered to be at high cardiovascular risk. All patients were prescribed statin drug therapy (atorvastatin 40 mg) and a vigorous physical activity program four times a week, 1 h per session. In addition, a personalized Mediterranean diet was prescribed to all the patients. Total cholesterol, LDL, HDL and triglycerides were measured in patients at T0 before lockdown and at T1 during lockdown. Results: Data showed a significant increase (p < 0.01) in total cholesterol (+6,8%) and LDL (+15,8%). Furthermore, the analysis of the data revealed a reduction in HDL (-3%) and an increase in triglycerides (+3,2%), although both were not significant (p > 0.05). Conclusions: Our study showed that the reduction in physical activity during lockdown led to an increase in LDL levels, and therefore, in the risk of ischemic heart disease in dyslipidemic patients with high cardiovascular risk.
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Affiliation(s)
- Marco Alfonso Perrone
- Department of Systems Medicine, University of Roma Tor Vergata, 00133 Rome, Italy;
- University Sports Centre, University of Rome Tor Vergata, 00133 Rome, Italy;
- Correspondence:
| | - Alessandro Feola
- Department of Experimental Medicine, University of Campania Luigi Vanvitelli, 80138 Naples, Italy;
| | - Massimo Pieri
- Department of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy;
| | - Bruno Donatucci
- University Sports Centre, University of Rome Tor Vergata, 00133 Rome, Italy;
| | - Chiara Salimei
- Department of Systems Medicine, University of Roma Tor Vergata, 00133 Rome, Italy;
| | - Mauro Lombardo
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, 00166 Rome, Italy;
| | - Andrea Perrone
- Department of Management Engineering, University of Rome Tor Vergata, 00133 Rome, Italy;
| | - Attilio Parisi
- Department of Movement, Human and Health Science, University of Rome Foro Italico, 00135 Rome, Italy;
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Dzhambov AM, Lercher P, Browning MHEM, Stoyanov D, Petrova N, Novakov S, Dimitrova DD. Does greenery experienced indoors and outdoors provide an escape and support mental health during the COVID-19 quarantine? ENVIRONMENTAL RESEARCH 2021; 196:110420. [PMID: 33157110 PMCID: PMC8454400 DOI: 10.1016/j.envres.2020.110420] [Citation(s) in RCA: 90] [Impact Index Per Article: 22.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 10/27/2020] [Accepted: 10/28/2020] [Indexed: 05/12/2023]
Abstract
BACKGROUND The COVID-19 pandemic has profoundly changed people's ability to recreate in public green spaces, which is likely to exacerbate the psychological impacts of the pandemic. In the current study, we seek to understand whether greenery can support mental health even with insufficient outdoor exposure in times of physical isolation from the outdoor environment. METHODS Between 17 May and 10 June, 2020, we conducted an online survey among 323 students (21.99 ± 3.10 years; 31% male) in health-related programs from two universities in the city of Plovdiv, Bulgaria. Severities of depressive and anxiety symptoms over the past two weeks were measured with the Patient Health Questionnaire 9-item and the Generalized Anxiety Disorder 7-item scale. We employed two self-reported measures of greenery experienced indoors (number of houseplants in the home and proportion of exterior greenery visible from inside the home) and two measures of greenery experienced outdoors (presence/absence of a domestic garden and availability of neighborhood greenery). Restorative quality of the home (the "being away" dimension of the Perceived Restorativeness Scale; PRS) and the neighborhood (the "being away" and "fascination" dimensions of the PRS), engagement with outdoor greenery (frequency of different types of interaction) and perceived social support were treated as mediators. Associations between greenery and mental health were tested using generalized linear regression and logistic regression. Structural equation modelling (SEM) techniques were used to test the theoretically-indicated relations among the variables. RESULTS Clinically-meaningful symptoms of moderate depression and anxiety were reported by approximately 33% and 20% of the students, respectively. The relative abundance of greenery visible from the home or in the neighborhood was associated with reduced depressive/anxiety symptoms and lower depression/anxiety rates. Having more houseplants or a garden was also associated with some of these markers of mental health. As hypothesized, the mental health-supportive effects of indoor greenery were largely explained by increased feelings of being away while at home. Neighborhood greenery contributed to neighborhood restorative quality, which in turn facilitated social support and more frequent engagement with greenery, and that led to better mental health. CONCLUSIONS Students who spent most of their time at home during the COVID-19 epidemic experienced better mental health when exposed to more greenery. Our findings support the idea that exposure to greenery may be a valuable resource during social isolation in the home. However, causal interpretation of these associations is not straightforward.
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Affiliation(s)
- Angel M Dzhambov
- Department of Hygiene, Faculty of Public Health, Medical University of Plovdiv, Plovdiv, Bulgaria.
| | - Peter Lercher
- Institute for Highway Engineering and Transport Planning, Graz University of Technology, Graz, Austria
| | - Matthew H E M Browning
- Department of Park, Recreation, and Tourism Management, Clemson University, Clemson, SC, USA
| | - Drozdstoy Stoyanov
- Department of Psychiatry and Medical Psychology, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria; Research Institute at Medical University - Plovdiv, Plovdiv, Bulgaria
| | - Nadezhda Petrova
- Department of Human Anatomy, Histology and Embryology, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria; Department of Plant Physiology and Molecular Biology, Faculty of Biology, University of Plovdiv "Paisii Hilendarski", Plovdiv, Bulgaria
| | - Stoyan Novakov
- Department of Human Anatomy, Histology and Embryology, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria
| | - Donka D Dimitrova
- Department of Health Management and Healthcare Economics, Faculty of Public Health, Medical University of Plovdiv, Plovdiv, Bulgaria
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Vancini RL, Andrade MS, Viana RB, Nikolaidis PT, Knechtle B, Campanharo CRV, de Almeida AA, Gentil P, de Lira CAB. Physical exercise and COVID-19 pandemic in PubMed: Two months of dynamics and one year of original scientific production. SPORTS MEDICINE AND HEALTH SCIENCE 2021; 3:80-92. [PMID: 34189482 PMCID: PMC8105136 DOI: 10.1016/j.smhs.2021.04.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 04/18/2021] [Accepted: 04/19/2021] [Indexed: 01/08/2023] Open
Abstract
Our aim was to conduct a narrative review about physical exercise and Corona Virus Disease 2019 (COVID-19). A literature search was completed crossing the keywords “COVID-19” and “physical exercise”, for a narrative review, and physical activity (PA), physical exercise, physical training, sport, physical fitness, for a systematic review; search strategy (Randomized Controlled Trial, in the last 1 year, English). The first search date was closed on 04/26/2020 and 06/26/2020. This strategy was chosen to assess the dynamics of scientific information production for the pandemic. In two months, an increase of 76%, from 12 (19.4%) to 50 (80.64%) COVID-19 articles (n = 62, 100%) was found. The main types of articles published were editorial articles (16.13%, n = 10 of 62 articles) and commentary (9.68%, n = 6 of 62 articles). The most frequent country of origin of the scientific production was the United States (12.90%, n = 8 of 62 articles), the United Kingdom (12.90%, n = 8 of 62 articles), and Brazil (11.29%, n = 7 of 62 articles). However, in 2020, there were only 2 relevant randomized controlled trials on the COVID-19 topic in the context of physical exercise. Scientific information production shows the concern of the PA science community to bring a solution to the increase in physical inactivity generated by the COVID-19 pandemic. Our findings show the dynamics of scientific production on the COVID-19, in a situation so unique such as a pandemic, denotes that the practice of PA is essential to improve and/or maintain physical and mental health.
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Affiliation(s)
- Rodrigo L Vancini
- Centro de Educação Física e Desportos (CEFD), Universidade Federal do Espírito Santo (UFES), Espírito Santo (ES), Brazil
| | - Marília S Andrade
- Departamento de Fisiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil
| | - Ricardo B Viana
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO), Brazil
| | | | - Beat Knechtle
- Medbase St. Gallen Am Vadianplatz, St. Gallen and Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | | | - Alexandre A de Almeida
- Instituto Federal de Educação, Ciência e Tecnologia do Tocantins (IFTO Araguatins), Campus Araguatins. Povoado Santa Tereza, Km 05 S/N Zona Rural, Araguatins, Tocantins (TO), Brazil
| | - Paulo Gentil
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO), Brazil
| | - Claudio A B de Lira
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO), Brazil
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20
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Folk AL, Wagner BE, Hahn SL, Larson N, Barr-Anderson DJ, Neumark-Sztainer D. Changes to Physical Activity during a Global Pandemic: A Mixed Methods Analysis among a Diverse Population-Based Sample of Emerging Adults in the U.S. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3674. [PMID: 33915944 PMCID: PMC8036670 DOI: 10.3390/ijerph18073674] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 03/27/2021] [Accepted: 03/29/2021] [Indexed: 12/16/2022]
Abstract
Emerging adults' lives have changed because of the COVID-19 pandemic. Physical activity (PA) behaviors need to be examined to inform interventions and improve health. Responses to the C-EAT (COVID-19 Eating and Activity over Time) survey (N = 720; age = 24.7 ± 2.0 yrs) were analyzed. This mixed-methods study quantitatively examined changes in self-reported PA (hours/week of mild PA, moderate-to-vigorous PA (MVPA), and total PA) from 2018 to 2020. Qualitative responses on how COVID-19 impacted PA were analyzed using a grounded theory approach. Hours of PA were lower on average for all intensity levels during COVID-19 than in 2018 (p's < 0.0001). Over half of the sample reported a decrease in MVPA (53.8%) and total PA (55.6%); 42.6% reported a decrease in mild PA. High SES were more likely to report an increase in total PA (p = 0.001) compared to those of lower SES. Most (83.6%) participants perceived that COVID-19 had influenced their PA. The most common explanations were decreased gym access, effects on outdoor PA, and increased dependence on at-home PA. Results suggest that emerging adults would benefit from behavioral interventions and health promotion efforts in response to the pandemic, with a focus on activities that can be easily performed in the home or in safe neighborhood spaces.
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Affiliation(s)
- Amanda L. Folk
- School of Kinesiology, University of Minnesota, Minneapolis, MN 55455, USA; (B.E.W.); (D.J.B.-A.)
| | - Brooke E. Wagner
- School of Kinesiology, University of Minnesota, Minneapolis, MN 55455, USA; (B.E.W.); (D.J.B.-A.)
| | - Samantha L. Hahn
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA; (S.L.H.); (N.L.); (D.N.-S.)
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN 55455, USA
| | - Nicole Larson
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA; (S.L.H.); (N.L.); (D.N.-S.)
| | - Daheia J. Barr-Anderson
- School of Kinesiology, University of Minnesota, Minneapolis, MN 55455, USA; (B.E.W.); (D.J.B.-A.)
| | - Dianne Neumark-Sztainer
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA; (S.L.H.); (N.L.); (D.N.-S.)
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21
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Nyenhuis SM, Greiwe J, Zeiger JS, Nanda A, Cooke A. Reply to "COVID-19 pandemic and home-based physical activity". THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE 2020; 8:2834. [PMID: 32474131 DOI: 10.1016/j.jaip.2020.05.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/16/2020] [Accepted: 05/18/2020] [Indexed: 11/13/2022]
Affiliation(s)
- Sharmilee M Nyenhuis
- Division of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, University of Illinois at Chicago, Chicago, Ill; Center for Dissemination and Implementation Science, Department of Medicine, University of Illinois at Chicago, Chicago, Ill.
| | - Justin Greiwe
- Division of Immunology/Allergy Section, Department of Internal Medicine, The University of Cincinnati College of Medicine, Cincinnati, Ohio; Bernstein Allergy Group, Inc, Cincinnati, Ohio
| | | | - Anil Nanda
- Asthma and Allergy Center, Lewisville and Flower Mound, Texas; Division of Allergy and Immunology, University of Texas Southwestern Medical Center, Dallas, Texas
| | - Andrew Cooke
- Lake Allergy, Asthma and Immunology, Tavares, Fla
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