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Rhim HC, Tenforde A, Mohr L, Hollander K, Vogt L, Groneberg DA, Wilke J. Association between physical activity and musculoskeletal pain: an analysis of international data from the ASAP survey. BMJ Open 2022; 12:e059525. [PMID: 36123076 PMCID: PMC9486184 DOI: 10.1136/bmjopen-2021-059525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE To explore the association of physical activity (PA) with musculoskeletal pain (MSK pain). DESIGN Cross-sectional study SETTING: 14 countries (Argentina, Australia, Austria, Brazil, Chile, France, Germany, Italy, the Netherlands, Singapore, South Africa, Spain, Switzerland and the USA). PARTICIPANTS Individuals aged 18 or older. PRIMARY AND SECONDARY OUTCOME MEASURES PA volumes were assessed with an adapted version of the Nordic Physical Activity Questionnaire-short. Prevalence of MSK pain was captured by means of a 20-item checklist of body locations. Based on the WHO recommendation on PA, participants were classified as non-compliers (0-150 min/week), compliers (150-300 min/week), double compliers (300-450 min/week), triple compliers (450-600 min/week), quadruple compliers (600-750 min/week), quintuple compliers (750-900 min/week) and top compliers (more than 900 min/week). Multivariate logistic regression was used to obtain adjusted ORs of the association between PA and MSK pain for each body location, correcting for age, sex, employment status and depression risk. RESULTS A total of 13 741 participants completed the survey. Compared with non-compliers, compliers had smaller odds of MSK pain in one location (thoracic pain, OR 0.77, 95% CI 0.64 to 0.93). Double compliance was associated with reduced pain occurrence in six locations (elbow, OR 0.70, 95% CI 0.50 to 0.98; forearm, OR 0.63, 95% CI 0.40 to 0.99; wrist, OR 0.74, 95% CI 0.57 to 0.98; hand, OR 0.57, 95% CI 0.40 to 0.79; fingers, OR 0.72, 95% CI 0.52 to 0.99; abdomen, OR 0.61, 95% CI 0.41 to 0.91). Triple to top compliance was also linked with lower odds of MSK pain (five locations in triple compliance, three in quadruple compliance, two in quintuple compliance, three in top compliance), but, at the same time, presented increased odds of MSK pain in some of the other locations. CONCLUSION A dose of 300-450 min WHO-equivalent PA/week was associated with lower odds of MSK pain in six body locations. On the other hand, excessive doses of PA were associated with higher odds of pain in certain body locations.
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Affiliation(s)
- Hye Chang Rhim
- Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA
- Spaulding Rehabilitation Hospital, Charlestown, Massachusetts, USA
| | - Adam Tenforde
- Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA
- Spaulding Rehabilitation Hospital, Charlestown, Massachusetts, USA
| | - Lisa Mohr
- Department of Sports Medicine and Exercise Physiology, Goethe University Frankfurt, Frankfurt am Main, Germany
| | - Karsten Hollander
- Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany
| | - Lutz Vogt
- Department of Sports Medicine and Exercise Physiology, Goethe University Frankfurt, Frankfurt am Main, Germany
| | - David A Groneberg
- Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University Frankfurt, Frankfurt am Main, Germany
| | - Jan Wilke
- Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University Frankfurt, Frankfurt am Main, Germany
- Department of Movement Sciences, University of Klagenfurt, Klagenfurt am Wörthersee, Austria
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2
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Wilke J, Mohr L, Yuki G, Bhundoo AK, Jiménez-Pavón D, Laiño F, Murphy N, Novak B, Nuccio S, Ortega-Gómez S, Pillay JD, Richter F, Rum L, Sanchez-Ramírez C, Url D, Vogt L, Hespanhol L. Train at home, but not alone: a randomised controlled multicentre trial assessing the effects of live-streamed tele-exercise during COVID-19-related lockdowns. Br J Sports Med 2022; 56:667-675. [PMID: 35168957 PMCID: PMC8861875 DOI: 10.1136/bjsports-2021-104994] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/21/2022] [Indexed: 12/11/2022]
Abstract
OBJECTIVE Public life restrictions associated with the COVID-19 pandemic caused reductions in physical activity (PA) and decreases in mental and somatic health. Considering the interplay between these factors, we investigated the effects of digital home exercise (DHE) during government-enforced lockdowns. METHODS A multicentre randomised controlled trial was performed allocating healthy individuals from nine countries (N=763; 523 female) to a DHE or an inactive control group. During the 4-week main intervention, DHE members engaged in live-streamed multicomponent home exercise. Subsequently, both groups had access to prerecorded workouts for an additional 4 weeks. Outcomes, assessed weekly, included PA level (Nordic Physical Activity Questionnaire-Short), anxiety (Generalized Anxiety Disorder Scale-7), mental well-being (WHO-5 Questionnaire), sleep quality (Medical Outcome Study Sleep Scale), pain/disability (Chronic Pain Grade Scale) and exercise motivation (Self-Concordance Scale). Mixed models were used for analysis. RESULTS Live-streamed DHE consistently increased moderate PA (eg, week 1: 1.65 times more minutes per week, 95% CI 1.40 to 1.94) and vigorous PA (eg, week 1: 1.31 times more minutes per week, 95% CI 1.08 to 1.61), although the effects decreased over time. In addition, exercise motivation, sleep quality and anxiety were slightly improved for DHE in the 4-week live streaming period. The same applied to mental well-being (mean difference at week 4: +0.99, 95% CI 0.13 to 1.86), but an inverted trend was observed after live streaming was substituted by prerecorded exercise. CONCLUSIONS Live-streamed DHE represents an efficacious method to enhance PA and selected markers of health during pandemic-related public life restrictions. However, research on implementation is warranted to reduce dropout rates. TRIAL REGISTRATION NUMBER DRKS00021273.
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Affiliation(s)
- Jan Wilke
- Institute of Occupational, Social and Environmental Medicine, Goethe University Frankfurt, Frankfurt am Main, Germany
| | - Lisa Mohr
- Department of Sports Medicine and Exercise Physiology, Goethe University, Frankfurt am Main, Germany
| | - Gustavo Yuki
- Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de Sao Paulo, Sao Paulo, Brazil
| | - Adelle Kemlall Bhundoo
- Department of Basic Medical Sciences, Durban University of Technology, Durban, South Africa
| | - David Jiménez-Pavón
- MOVE-IT Research Group, Department of Physical Education, Faculty of Education Sciences and Biomedical Research Innovation Institute of Cádiz, University of Cádiz, CIBERFES, Cádiz, Spain, Cadiz, Spain
- ImFine Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid; Exercise is Medicine, Madrid, Spain
| | - Fernando Laiño
- Fundación Instituto Superior de Ciencias de la Salud, Buenos Aires, Argentina
| | - Niamh Murphy
- Department of Sport and Exercise Science, Waterford Institute of Technology, Waterford, Ireland
| | - Bernhard Novak
- Institute of Human Movement Science, Sport and Health, Karl-Franzens-Universitat Graz, Graz, Austria
| | - Stefano Nuccio
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Sonia Ortega-Gómez
- MOVE-IT Research Group, Department of Physical Education, Faculty of Education Sciences and Biomedical Research Innovation Institute of Cádiz, University of Cádiz, CIBERFES, Cádiz, Spain, Cadiz, Spain
- ImFine Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid; Exercise is Medicine, Madrid, Spain
| | - Julian David Pillay
- Department of Basic Medical Sciences, Durban University of Technology, Durban, South Africa
| | - Falk Richter
- Department of Sports Medicine and Exercise Physiology, Goethe University Frankfurt, Frankfurt am Main, Germany
| | - Lorenzo Rum
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Celso Sanchez-Ramírez
- Sciences of Physical Activity, Sports and Health School, Universidad de Santiago de Chile, Santiago de Chile, Chile
| | - David Url
- Institute of Human Movement Science, Sport and Health, Karl-Franzens-Universitat Graz, Graz, Austria
| | - Lutz Vogt
- Department of Sports Medicine and Exercise Physiology, Goethe University, Frankfurt am Main, Germany
| | - Luiz Hespanhol
- Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de Sao Paulo, Sao Paulo, Brazil
- Department of Public and Occupational Health and the Amsterdam Public Health research institute, VU University Medical Center Amsterdam, Amsterdam, The Netherlands
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3
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Carpintero-Rubio C, Torres-Chica B, Guadrón-Romero MA, Visiers-Jiménez L, Peña-Otero D. Perception of musculoskeletal pain in the state of confinement: associated factors. Rev Lat Am Enfermagem 2021; 29:e3454. [PMID: 34190945 PMCID: PMC8253348 DOI: 10.1590/1518-8345.4894.3454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Accepted: 12/06/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to describe the perception of musculoskeletal pain in the population and how the state of confinement (adopted as a measure to control contagion by COVID-19) has interfered with it, as well as identifying the sociodemographic, occupational, physical, and psychosocial factors involved. METHOD an observational, cross-sectional and analytical study, with simple random probabilistic sampling, aimed at residents in Spain over 18 years old during the confinement period. An ad hoc survey was conducted, consisting in 59 items. RESULTS a total of 3,247 surveys were answered. Persistent musculoskeletal pain or significant episodes thereof increased 22.2% during confinement. The main location was the spine (49.5%). The related factors were decreased physical activity, increased seated position, and use of electronic devices. The psychological impact of confinement was also related to the perception of musculoskeletal pain. CONCLUSION the state of confinement causes an increase in the perception of musculoskeletal pain. The identification of a particularly sensitive population profile, as well as that of the related factors, allows establishing multidisciplinary approaches in health promotion.
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Affiliation(s)
| | | | - María Alexandra Guadrón-Romero
- Hospital de Sierrallana, Servicio Cántabro de Salud, Torrelavega,
Cantabria, Spain
- Universidad Cátolica de Ávila, Escuela Técnico Profesional en
Ciencias de la Salud, Clínica Mompía, Cantabria, Spain
- Cómité Ético de Investigación con Medicamentos de Cantabria,
CEI-CEIm, Santander, Cantabria, Spain
| | - Laura Visiers-Jiménez
- Instituto de Investigación-Grupo de Enfermería-Sanitaria Gregorio
Marañón, IiSGM, Madrid, Spain
| | - David Peña-Otero
- Instituto de Investigación-Grupo de Enfermería-Sanitaria Gregorio
Marañón, IiSGM, Madrid, Spain
- Hospital de Sierrallana, Subdirección de Cuidados, Servicio Cántabro
de Salud, Torrelavega, Cantabria, Spain
- Instituto de Investigación-Grupo de Enfermería-Sanitaria Valdecilla,
IDIVAL, Santander, Cantabria, Spain
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4
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Wilke J, Hollander K, Mohr L, Edouard P, Fossati C, González-Gross M, Sánchez Ramírez C, Laiño F, Tan B, Pillay JD, Pigozzi F, Jimenez-Pavon D, Sattler MC, Jaunig J, Zhang M, van Poppel M, Heidt C, Willwacher S, Vogt L, Verhagen E, Hespanhol L, Tenforde AS. Drastic Reductions in Mental Well-Being Observed Globally During the COVID-19 Pandemic: Results From the ASAP Survey. Front Med (Lausanne) 2021; 8:578959. [PMID: 33842492 PMCID: PMC8032868 DOI: 10.3389/fmed.2021.578959] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Accepted: 02/17/2021] [Indexed: 12/15/2022] Open
Abstract
Most countries affected by the COVID-19 pandemic have repeatedly restricted public life to control the contagion. However, the health impact of confinement measures is hitherto unclear. We performed a multinational survey investigating changes in mental and physical well-being (MWB/PWB) during the first wave of the pandemic. A total of 14,975 individuals from 14 countries provided valid responses. Compared to pre-restrictions, MWB, as measured by the WHO-5 questionnaire, decreased considerably during restrictions (68.1 ± 16.9 to 51.9 ± 21.0 points). Whereas 14.2% of the participants met the cutoff for depression screening pre-restrictions, this share tripled to 45.2% during restrictions. Factors associated with clinically relevant decreases in MWB were female sex (odds ratio/OR = 1.20, 95% CI: 1.11-1.29), high physical activity levels pre-restrictions (OR = 1.29, 95% CI 1.16-1.42), decreased vigorous physical activity during restrictions (OR = 1.14, 95% CI: 1.05-1.23), and working (partially) outside the home vs. working remotely (OR = 1.29, 95% CI: 1.16-1.44/OR = 1.35, 95% CI: 1.23-1.47). Reductions, although smaller, were also seen for PWB. Scores in the SF-36 bodily pain subscale decreased from 85.8 ± 18.7% pre-restrictions to 81.3 ± 21.9% during restrictions. Clinically relevant decrements of PWB were associated with female sex (OR = 1.62, 95% CI: 1.50-1.75), high levels of public life restrictions (OR = 1.26, 95% CI: 1.18-1.36), and young age (OR = 1.10, 95% CI: 1.03-1.19). Study findings suggest lockdowns instituted during the COVID-19 pandemic may have had substantial adverse public health effects. The development of interventions mitigating losses in MWB and PWB is, thus, paramount when preparing for forthcoming waves of COVID-19 or future public life restrictions.
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Affiliation(s)
- Jan Wilke
- Department of Sports Medicine, Goethe University Frankfurt, Frankfurt, Germany
| | - Karsten Hollander
- Faculty of Medicine, Medical School Hamburg, Hamburg, Germany
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Harvard Medical School, Charlestown, MA, United States
| | - Lisa Mohr
- Department of Sports Medicine, Goethe University Frankfurt, Frankfurt, Germany
| | - Pascal Edouard
- Inter-University Laboratory of Human Movement Science (LIBM EA 7424), University of Lyon, University Jean Monnet, Saint Etienne, France
- Department of Clinical and Exercise Physiology, Sports Medicine Unity, Faculty of Medicine, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - Chiara Fossati
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Rome, Italy
| | - Marcela González-Gross
- ImFine Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain
- Exercise is Medicine Spain, Madrid, Spain
| | - Celso Sánchez Ramírez
- School of Physical Activity Sciences, University of Santiago de Chile, Santiago, Chile
| | - Fernando Laiño
- Fundación Instituto Superior de Ciencias de la Salud, Buenos Aires, Argentina
| | - Benedict Tan
- Department of Sport and Exercise Medicine, Changi General Hospital, Singapore, Singapore
| | - Julian David Pillay
- Department of Basic Medical Sciences, Durban University of Technology, Durban, South Africa
| | - Fabio Pigozzi
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Rome, Italy
| | - David Jimenez-Pavon
- Exercise is Medicine Spain, Madrid, Spain
- MOVE-IT Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz, Cádiz, Spain
| | - Matteo C. Sattler
- Institute of Human Movement Science, Sport and Health, University of Graz, Graz, Austria
| | - Johannes Jaunig
- Institute of Human Movement Science, Sport and Health, University of Graz, Graz, Austria
| | - Mandy Zhang
- Department of Sport and Exercise Medicine, Changi General Hospital, Singapore, Singapore
| | - Mireille van Poppel
- Institute of Human Movement Science, Sport and Health, University of Graz, Graz, Austria
| | - Christoph Heidt
- Department of Orthopedics, University Children's Hospital Basel, University of Basel, Basel, Switzerland
| | - Steffen Willwacher
- School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne, Germany
| | - Lutz Vogt
- Department of Sports Medicine, Goethe University Frankfurt, Frankfurt, Germany
| | - Evert Verhagen
- Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, University Medical Centers—Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Luiz Hespanhol
- Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, University Medical Centers—Vrije Universiteit Amsterdam, Amsterdam, Netherlands
- Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), São Paulo, Brazil
| | - Adam S. Tenforde
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Harvard Medical School, Charlestown, MA, United States
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Wilke J, Mohr L, Tenforde AS, Edouard P, Fossati C, González-Gross M, Sánchez Ramírez C, Laiño F, Tan B, Pillay JD, Pigozzi F, Jimenez-Pavon D, Novak B, Jaunig J, Zhang M, van Poppel M, Heidt C, Willwacher S, Yuki G, Lieberman DE, Vogt L, Verhagen E, Hespanhol L, Hollander K. A Pandemic within the Pandemic? Physical Activity Levels Substantially Decreased in Countries Affected by COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052235. [PMID: 33668262 PMCID: PMC7967678 DOI: 10.3390/ijerph18052235] [Citation(s) in RCA: 107] [Impact Index Per Article: 35.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 01/29/2021] [Accepted: 02/19/2021] [Indexed: 12/28/2022]
Abstract
Governments have restricted public life during the COVID-19 pandemic, inter alia closing sports facilities and gyms. As regular exercise is essential for health, this study examined the effect of pandemic-related confinements on physical activity (PA) levels. A multinational survey was performed in 14 countries. Times spent in moderate-to-vigorous physical activity (MVPA) as well as in vigorous physical activity only (VPA) were assessed using the Nordic Physical Activity Questionnaire (short form). Data were obtained for leisure and occupational PA pre- and during restrictions. Compliance with PA guidelines was calculated based on the recommendations of the World Health Organization (WHO). In total, n = 13,503 respondents (39 ± 15 years, 59% females) were surveyed. Compared to pre-restrictions, overall self-reported PA declined by 41% (MVPA) and 42.2% (VPA). Reductions were higher for occupational vs. leisure time, young and old vs. middle-aged persons, previously more active vs. less active individuals, but similar between men and women. Compared to pre-pandemic, compliance with WHO guidelines decreased from 80.9% (95% CI: 80.3–81.7) to 62.5% (95% CI: 61.6–63.3). Results suggest PA levels have substantially decreased globally during the COVID-19 pandemic. Key stakeholders should consider strategies to mitigate loss in PA in order to preserve health during the pandemic.
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Affiliation(s)
- Jan Wilke
- Department of Sports Medicine, Goethe University Frankfurt, 60488 Frankfurt, Germany; (L.M.); (L.V.)
- Correspondence:
| | - Lisa Mohr
- Department of Sports Medicine, Goethe University Frankfurt, 60488 Frankfurt, Germany; (L.M.); (L.V.)
| | - Adam S. Tenforde
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA 02129, USA; (A.S.T.); (K.H.)
| | - Pascal Edouard
- Inter-University Laboratory of Human Movement Science, University Jean Monnet, 42000 Saint Etienne, France;
- Department of Clinical and Exercise Physiology, Sports Medicine Unity, Faculty of Medicine, University Hospital of Saint-Etienne, 42055 Saint-Etienne, France
| | - Chiara Fossati
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (C.F.); (F.P.)
| | - Marcela González-Gross
- ImFine Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, 28040 Madrid, Spain;
- Exercise Is Medicine, 28040 Madrid, Spain;
| | - Celso Sánchez Ramírez
- Sciences of Physical Activitiy, Sports and Health School, University of Santiago of Chile (USACH), Santiago 9170020, Chile;
| | - Fernando Laiño
- Fundación Instituto Superior de Ciencias de la Salud, Buenos Aires 1885, Argentina;
| | - Benedict Tan
- Changi General Hospital, Singapore 529889, Singapore; (B.T.); (M.Z.)
| | - Julian David Pillay
- Basic Medical Sciences Department, Durban University of Technology, Durban 4001, South Africa;
| | - Fabio Pigozzi
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (C.F.); (F.P.)
| | - David Jimenez-Pavon
- Exercise Is Medicine, 28040 Madrid, Spain;
- MOVE-IT Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz, 11519 Cádiz, Spain
| | - Bernhard Novak
- Institute of Human Movement Science, Sport and Health, University of Graz, 8010 Graz, Austria; (B.N.); (J.J.); (M.v.P.)
| | - Johannes Jaunig
- Institute of Human Movement Science, Sport and Health, University of Graz, 8010 Graz, Austria; (B.N.); (J.J.); (M.v.P.)
| | - Mandy Zhang
- Changi General Hospital, Singapore 529889, Singapore; (B.T.); (M.Z.)
| | - Mireille van Poppel
- Institute of Human Movement Science, Sport and Health, University of Graz, 8010 Graz, Austria; (B.N.); (J.J.); (M.v.P.)
| | - Christoph Heidt
- Department of Orthopedics, University Children’s Hospital Basel, University of Basel, 4056 Basel, Switzerland;
| | - Steffen Willwacher
- School of Human Movement and Nutrition Sciences, University of Queensland, St Lucia, QLD 4067, Australia;
- Faculty of Mechanical and Process Engineering, Offenburg University of Applied Sciences, 77652 Offenburg, Germany
| | - Gustavo Yuki
- Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), Sao Paulo 03071-000, Brazil; (G.Y.); (L.H.)
| | - Daniel E. Lieberman
- Department of Human Evolutionary Biology, Harvard University, Cambridge, MA 02138, USA;
| | - Lutz Vogt
- Department of Sports Medicine, Goethe University Frankfurt, 60488 Frankfurt, Germany; (L.M.); (L.V.)
| | - Evert Verhagen
- Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, University Medical Centers-Vrije Universiteit Amsterdam, 1105 Amsterdam, The Netherlands;
| | - Luiz Hespanhol
- Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), Sao Paulo 03071-000, Brazil; (G.Y.); (L.H.)
- Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, University Medical Centers-Vrije Universiteit Amsterdam, 1105 Amsterdam, The Netherlands;
| | - Karsten Hollander
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA 02129, USA; (A.S.T.); (K.H.)
- Institute of Interdisciplinary Exercise Science and Sports Medicine, Medical School Hamburg, 20457 Hamburg, Germany
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Sang X, Menhas R, Saqib ZA, Mahmood S, Weng Y, Khurshid S, Iqbal W, Shahzad B. The Psychological Impacts of COVID-19 Home Confinement and Physical Activity: A Structural Equation Model Analysis. Front Psychol 2021; 11:614770. [PMID: 33519638 PMCID: PMC7843378 DOI: 10.3389/fpsyg.2020.614770] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Accepted: 12/15/2020] [Indexed: 12/14/2022] Open
Abstract
Background COVID-19 break out has created panic and fear in society. A strict kind of lockdown was imposed in Wuhan, Hubei province of China. During home confinement due to lockdown, people face multidimensional issues. The present study explored the psychological impacts of COVID-19 home confinement during the lockdown period and Wuhan’s residents’ attitude toward physical activity. Methods A cross-sectional online survey was conducted to collect the primary data according to the study objectives. The population was Wuhan residents (+ 18 years) who were in home confinement. A total of 2280 participant’s reply to the online questionnaire survey and collected data after quantifying the data, about 2200 (96.49%); about (49.8%) female, about (49.4%) male, others about (0.2%), and about (0.6%) were not disclosed their gender participants responses were used for analysis. The collected data were analyzed through appropriate statistical techniques. Results According to results, H1 is supported with β = −40.793, t = 57.835, p = 0.000, which claimed a negative association between COVID-19 lockdown policy and behavior and attitude. Results for H2 reveals that the COVID-19 lockdown policy have negative influence on emotional control with β = −0.769, t = 46.766, p = 0.000 and it is supported. H3 documented a significant positive relationship between COVID-19 lockdown policy and lockdown period psychological impact, which means lockdown policy, is the main reason to increase the lockdown psychological impact. Further, COVID-19 lockdown policy have negative influence on physical activity (H4) and self-belief (H5) with β = −0.657, t = 32.766, p = 0.000 and β = −0.620, t = −6.766, p = 0.000 respectively. H6 stated that there is a positive impact of behavior and attitude toward physical activity. The results for H6, behavior, and attitude affecting the physical activity with β = 0.401, t = 10, p = 0.000, which is supported. Conclusion COVID-19 home confinement created various psychological impacts, negatively affecting the emotional state due to depression and anxiety. Physical activity is the best strategy to manage human nature’s psychological issues, and people’s attitudes were positive toward physical activity during home confinement. However, the lockdown policy also affects physical activity participation negatively, and a sedentary lifestyle prevailed during home confinement.
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Affiliation(s)
- Xuehui Sang
- School of Physical Education and Sports, Soochow University, Suzhou, China
| | - Rashid Menhas
- Postdoctoral Researcher, Research Center of Sports Social Sciences, School of Physical Education and Sports, Soochow University, Suzhou, China
| | | | - Sajid Mahmood
- Department of Zoology, Hazara University, Mansehra, Pakistan
| | - Yu Weng
- School of Physical Education and Sports, Soochow University, Suzhou, China
| | - Sumaira Khurshid
- School of Education and Science, Neijiang Normal University, Neijiang, China
| | - Waseem Iqbal
- School of Energy, Soochow University, Suzhou, China
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7
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Wilke J, Mohr L, Tenforde AS, Edouard P, Fossati C, González-Gross M, Ramirez CS, Laiño F, Tan B, Pillay JD, Pigozzi F, Jimenez-Pavon D, Novak B, Url D, Zhang M, van Poppel M, Heidt C, Willwacher S, Vogt L, Verhagen E, Hollander K, Hespanhol L, Yuki G. Restrictercise! Preferences Regarding Digital Home Training Programs during Confinements Associated with the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E6515. [PMID: 32906788 PMCID: PMC7559166 DOI: 10.3390/ijerph17186515] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Revised: 09/02/2020] [Accepted: 09/04/2020] [Indexed: 02/06/2023]
Abstract
Confinement measures during the COVID-19 pandemic have caused substantial reductions in global physical activity (PA) levels. In view of the manifold health benefits of PA, the development of interventions counteracting this trend is paramount. Our survey with 15,261 participants (38 ± 15 years, 58.5% females) examined preferences towards digital home exercise programs in 14 countries affected by COVID-19. More than two-thirds of the sample (68.4%, n = 10,433) indicated being interested in home exercise, and most participants were willing to work out at least three times per week (89.3%, n = 9328). Binary logistic regression revealed that female sex, working part-time, younger age, and being registered in a gym were associated with willingness to exercise. Flexibility (71.1%, n = 7377), resistance (68.6%, n = 7116), and endurance training (62.4%, n = 6478) were the most preferred types of exercise. Our results may guide health providers in developing individually tailored PA interventions during the current and future pandemics.
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Affiliation(s)
- Jan Wilke
- Department of Sports Medicine, Goethe University Frankfurt, 60488 Frankfurt/Main, Germany; (L.M.); (L.V.)
| | - Lisa Mohr
- Department of Sports Medicine, Goethe University Frankfurt, 60488 Frankfurt/Main, Germany; (L.M.); (L.V.)
| | - Adam S. Tenforde
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, 02129 MA, USA; (A.S.T.); (K.H.)
| | - Pascal Edouard
- Inter-University Laboratory of Human Movement Science, University of Lyon, University Jean Monnet, 42000 Saint Etienne, France;
- Department of Clinical and Exercise Physiology, Sports Medicine Unity, University Hospital of Saint-Etienne, Faculty of Medicine, CEDEX 2, 42055 Saint-Etienne, France
| | - Chiara Fossati
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (C.F.); (F.P.)
| | - Marcela González-Gross
- ImFine Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, 28040 Madrid, Spain;
- Exercise is Medicine Spain, 28040 Madrid, Spain;
| | - Celso Sanchez Ramirez
- School of Physical Activity Sciences, University of Santiago de Chile, 8320000 Santiago de Chile, Chile;
| | - Fernando Laiño
- Fundación Instituto Superior de Ciencias de la Salud, 1406 Buenos Aires, Argentina;
| | - Benedict Tan
- Changi General Hospital, Singapore 529889, Singapore; (B.T.); (M.Z.)
| | | | - Fabio Pigozzi
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (C.F.); (F.P.)
| | - David Jimenez-Pavon
- Exercise is Medicine Spain, 28040 Madrid, Spain;
- Department of Physical Education, MOVE-IT Research Group, Faculty of Education Sciences University of Cádiz, 11519 Puerto Real, Spain
| | - Bernhard Novak
- Institute of Human Movement Science, Sport and Health, University of Graz, 8010 Graz, Austria; (B.N.); (D.U.); (M.v.P.)
| | - David Url
- Institute of Human Movement Science, Sport and Health, University of Graz, 8010 Graz, Austria; (B.N.); (D.U.); (M.v.P.)
| | - Mandy Zhang
- Changi General Hospital, Singapore 529889, Singapore; (B.T.); (M.Z.)
| | - Mireille van Poppel
- Institute of Human Movement Science, Sport and Health, University of Graz, 8010 Graz, Austria; (B.N.); (D.U.); (M.v.P.)
| | - Christoph Heidt
- Department of Orthopedics, University Children’s Hospital Basel, University of Basel, 4056 Basel, Switzerland;
| | - Steffen Willwacher
- School of Human Movement and Nutrition Sciences, University of Queensland, St Lucia, QLD 4067, Australia;
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, 50933 Cologne, Germany
| | - Lutz Vogt
- Department of Sports Medicine, Goethe University Frankfurt, 60488 Frankfurt/Main, Germany; (L.M.); (L.V.)
| | - Evert Verhagen
- Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, University Medical Centers-Vrije Universiteit Amsterdam, 1105 Amsterdam, The Netherlands; (E.V.); (L.H.)
| | - Karsten Hollander
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, 02129 MA, USA; (A.S.T.); (K.H.)
- Faculty of Medicine, MSH Medical School Hamburg, 20457 Hamburg, Germany
| | - Luiz Hespanhol
- Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, University Medical Centers-Vrije Universiteit Amsterdam, 1105 Amsterdam, The Netherlands; (E.V.); (L.H.)
- Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), Sao Paulo 03071-000, Brazil;
| | - Gustavo Yuki
- Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), Sao Paulo 03071-000, Brazil;
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