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Azizi M, Aghababa A, Hoseini R, Rohani H, Nabilpour M, Moradi F. Negative mood state in Kermanshah population during COVID-19 quarantine linked to low physical activity levels: a cross-sectional online survey study. Sci Rep 2023; 13:20566. [PMID: 37996488 PMCID: PMC10667235 DOI: 10.1038/s41598-023-48009-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Accepted: 11/21/2023] [Indexed: 11/25/2023] Open
Abstract
One of the most significant consequences of the coronavirus disease (COVID-19) pandemic is the anxiety and stress it causes among the general population, which can be reduced by engaging in regular physical activity. The aim of this study was to estimate the levels of physical activity and mood state during the COVID-19 quarantine among the Kermanshah population. In this cross-sectional study, a total of 2471 subjects (1256 males and 1215 females) were selected in the population of Kermanshah in the west of Iran, using the convenience sampling method. Physical activity levels were assessed using the physical activity (PA) questionnaire short form (IPAQ-SF), and mood state was measured by the abbreviated form of the Iranian version of the standard POMS questionnaire (Bill Morgan 1979). Participants completed the online questionnaire between March 28th and May 20th, 2020. Descriptive statistics (mean, standard deviation, and percentage), and deductive (Chi-square and Spearman's correlation) were used for data analysis. our study found that the majority of participants reported decreased PA levels during the quarantine period. Specifically, 71.7% reported a decrease in moderate-intensity physical activity, 80.5% reported a decrease in high-intensity PA, and 71.3% reported a decrease in the total volume of PA. The results showed that there was a significant difference between the number of sessions (P=0.001), intensity (P=0.001), and duration of exercise (P=0.001) before and during the coronavirus. There was a significant positive relationship between low (r=0.93; P=0.001) and high (r=0.673; P=0.034) levels of PA and negative mood state. Additionally, there was a positive relationship between moderate PA level (r=0.82; P=0.001) and a positive mood states. The study suggests that the current quarantine has negatively affected the mood states of the participants. Overall, the study recommends regular PA to prevent COVID-19 while adhering to health and safety protocols.
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Affiliation(s)
- Mohammad Azizi
- Department of Exercise Physiology, Faculty of Sport Sciences, Razi University, Kermanshah, Iran
| | - Alireza Aghababa
- Department of Sport Psychology, Sport Sciences Research Institute, No. 3, 5th Alley, Miremad Street, Motahari Street, Tehran, Iran.
| | - Rastegar Hoseini
- Department of Exercise Physiology, Faculty of Sport Sciences, Razi University, Kermanshah, Iran
| | - Hadi Rohani
- Department of Exercise Physiology, Sport Sciences Research Institute, Tehran, Iran
| | - Maghsoud Nabilpour
- Department of Exercise Physiology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
| | - Fardin Moradi
- Nutritional Sciences Department, Faculty of Nutritional Sciences and Food Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran
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Zwolińska J, Walski P, Zajdel K. Mental condition and physical activity of individuals working during the COVID-19 pandemic in Poland. Int J Occup Med Environ Health 2023; 36:274-290. [PMID: 37184143 PMCID: PMC10464786 DOI: 10.13075/ijomeh.1896.01984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Accepted: 03/31/2023] [Indexed: 05/16/2023] Open
Abstract
OBJECTIVES The study assessed quality of life and depression in working people during COVID-19 pandemic, relative to their physical activity. MATERIAL AND METHODS The study involved 1194 people living in south-eastern Poland, and assessed life satisfaction (Life Satisfaction Questionnaire - 9 [LISAT-9]), quality of life (World Health Organization Quality of Life - BREF [WHOQoL-BREF]), depression (Beck Depression Inventory [BDI]) and physical activity. RESULTS The respondents on average scored 4.32 in LISAT-9; respectively 66.2, 68.3, 69.6 and 63.5 in physical, psychological, social and environment domains of WHOQoL-BREF and 9.2 in BDI. Regularly performed physical activity positively affected the scores in all the psychometric tests in women with higher and secondary education and in men with vocational education. Women presented lower life satisfaction, poorer quality of life and higher level of depression than men. The psychometric scores were also differentiated by type of employment and job. Depression was identified in 44% of all the respondents. CONCLUSIONS Individuals who are economically active during the pandemic report good quality of life and no or only mild signs of depression. Working people with higher education cope more effectively with adversities of the pandemic, compared to those with lower education. Int J Occup Med Environ Health. 2023;36(2):274-90.
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Affiliation(s)
- Jolanta Zwolińska
- University of Rzeszów, Medical College, Institute of Health Sciences, Rzeszów, Poland
| | - Paweł Walski
- University of Rzeszów, Medical College, Scientific Club of Physical Energy Used in Physiotherapy, Rzeszów, Poland
| | - Kamil Zajdel
- University of Rzeszów, Medical College, Scientific Club of Physical Energy Used in Physiotherapy, Rzeszów, Poland
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Samsudin S, Setiawan E, Abdul Gani R, Winarno M, Anggara Suganda M, Kardiyanto DW, Németh Z. Strategies for conducting online-based physical education research during COVID-19: investigate the lecturer's perception. HEALTH, SPORT, REHABILITATION 2023. [DOI: 10.34142/hsr.2023.09.01.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/21/2023]
Abstract
Purpose
The many obstacles and difficulties to carry out research in the field of physical education are the gaps and urgency in this research. This study aims to investigate perceptions from lecturers regarding the conveniences and difficulties when carrying out research in physical education during COVID-19.
Material and Methods
This study uses a qualitative approach with phenomenological methods through online-based in-depth interviews. Five lecturers from two universities in Indonesia and one lecturers from universities in Hungary were willing to participate in this research. The way to select them was by sending an email to their respective universities and only 10 people participated in this study. However, 4 people did not qualify because they did not have 10 years of research experience. All participants signed a consent letter to participate in this study. The interview started with explanation from participants regarding their research experiences, the conveniences and the difficulties faced when carrying out research during pandemic. After the activity was completed, the results of the interviews were collected and then a qualitative statistical analysis was carried out In this study, statistical analysis used thematic method in the form of interviews transcribed word for word.The transcripts were read repeatedly by researchers and three experts, coding and a collection of phrases were arranged into themes.
Results
The findings of this study indicate that there were several conveniences in carrying out research physical education during the COVID-19 period, including the implementation can be done anywhere and anytime, cost-effective and saving time, data collection is easier and faster. Meanwhile, the difficulties were in obtaining research subjects, subjects who have inadequate technological literacy, poor internet network and inaccurate data.
Conclusions
Thus, the conveniences and difficulties of carrying out research were important and must be continuously evaluated, in order to ensure the study able to conduct optimally even during the COVID-19 pandemic crisis.
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Huang CY, Huang WH, Yen HY. An Exploration of Sedentary Behavior, Physical Activity, and Quality of Life During the COVID-19 Outbreak. Int J Public Health 2023; 68:1605585. [PMID: 36776738 PMCID: PMC9908611 DOI: 10.3389/ijph.2023.1605585] [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: 11/13/2022] [Accepted: 01/10/2023] [Indexed: 01/27/2023] Open
Abstract
Objectives: Staying physically active is a cost-efficient strategy for disease prevention during a pandemic. The purposes of this study were to explore precautionary behaviors, psychological factors associated with physical activity and sedentary behavior, and impacts of active and sedentary lifestyles on the quality of life in the early stage of the coronavirus disease 2019 (COVID-19) outbreak. Methods: Participants were community-dwelling adults aged over 20 years who had not been infected with COVID-19 and who lived in the United States. A study with a cross-sectional design was conducted between July and October 2020. Quantitative data were collected by a self-reported questionnaire. Results: In total, 467 valid responses were obtained. Participants who engaged in an active lifestyle had significantly higher scores on all domains of quality of life compared to those who engaged in an inactive lifestyle. Participants with a non-sedentary lifestyle had significantly higher scores of psychological and social domains of quality of life than those with a sedentary lifestyle. Conclusion: Engaging in an active lifestyle and avoiding a sedentary lifestyle are recommended when facing future, unpredictable pandemics similar to COVID-19.
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Affiliation(s)
| | | | - Hsin-Yen Yen
- School of Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan,*Correspondence: Hsin-Yen Yen, ,
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So B, Kwon KH. A 'health message' on sustainable physical and mental health for the prolonged COVID-19 and other pandemics. Postgrad Med 2023; 135:13-30. [PMID: 36219130 DOI: 10.1080/00325481.2022.2134693] [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: 01/20/2023]
Abstract
The world has been living with another pandemic physical inactivity (PI) and sedentary behavior (SB) and of other nature for years. As social measures to prevent the spread of COVID-19 have been strengthened, the physical activity (PA) barrier has been hit and the PI/SB pandemic has been exacerbated, and in the current situation, triggered by its prolonged period, it is emerging as a problem to be considered in order to combat the PI/SB pandemic through PA and to maintain continuous physical and mental health. This review aims to summarize existing and recent studies on the effects of PA/SB on physical and mental health in preparation for the context of prolonged COVID-19 and provides an easy and fun way to motivate, access PA, and PA recommendations for maintaining physical and mental health. We performed search strategies on PubMed, Medline, Scopus, and Google Scholar databases, and used a literature review of the current available literature on the COVID-19 and the effects of PI, SB, and PA on physical and mental health. The clinical relevance of this review shows that integrating PA into daily life and reducing prolonged sitting time is an important strategy for continuing a healthy life physically and mentally. As a result, for those who have not yet incorporated exercise as part of their daily routine, fun and easy access to PA suggests that in the long run, may be an opportunity to implement newer habits. In addition, in an emergency such as the COVID-19 quarantine period or other pandemics, it is essential for one to maintain health through PA at home, and underscore the 'health message' of the current review that reducing SB, progressively increasing PA, and doing more PA regularly in the current context prolonged COVID-19 can bring significant benefits to long-term habits and physical and mental health.
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Affiliation(s)
- Bohee So
- Division of Beauty Arts Care, Department of Practical Arts, Graduate School of Culture and Arts, Dongguk University, Seoul, Republic of Korea
| | - Ki Han Kwon
- College of General Education, Kookmin University, 02707, Republic of Korea
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Wirnitzer KC, Tanous DR, Motevalli M, Göbel G, Wirnitzer G, Drenowatz C, Ruedl G, Cocca A, Kirschner W. Study protocol of "From Science 2 School"-prevalence of sports and physical exercise linked to omnivorous, vegetarian and vegan, diets among Austrian secondary schools. Front Sports Act Living 2022; 4:967915. [PMID: 36249320 PMCID: PMC9554638 DOI: 10.3389/fspor.2022.967915] [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: 06/13/2022] [Accepted: 09/05/2022] [Indexed: 11/13/2022] Open
Abstract
The increasing prevalence of unhealthy lifestyle choices contribute to almost all chronic conditions negatively affecting individual and public health. As the most beneficial preventative solution, a healthy lifestyle focusing on the dual approach of physical activity (PA) and a healthful diet is highly recommended. Considering the growing number of people interested in sustainable, plant-based diets, it seems crucial to analyze lifestyle behaviors with a special focus on diet type to delve deeper into the unenthusiastic health status among young populations. Therefore, this multidisciplinary study aims to survey and scale health behaviors with a special focus on the prevalence of traditional and vegetarian diets in connection with PA levels among Austrian pupils (10-19 years), teachers and principals in secondary education levels I and II. Following a cross-sectional design, sociodemographic and school-related data along with a complete profile of lifestyle behaviors, including detailed information regarding diet, PA, sports & exercise, and other health-related behaviors, were collected using online-based questionnaires. A total number of 8,845 children/adolescents (~1.2% of the eligible 771,525 Austrian secondary school pupils) and 1,350 adults (~1.5% of total eligible 89,243 Austrian teachers/principals) participated in the study. As this is the first investigation to explore the prevalence of veganism/vegetarianism amongst a large group of pupils, the present study will add an important contribution to overcome the lack of knowledge on PA, sports & exercise linked to healthy alternative diets. With a sustainable healthy lifestyle, a healthy transition from childhood to adulthood occurs, which can result in growing healthier functioning generations at all social levels. As a study protocol, the present article is intended to present comprehensive details of the study design, objectives, and the associated analytical procedures of the "From Science 2 School" study.
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Affiliation(s)
- Katharina C. Wirnitzer
- Department of Research and Development in Teacher Education, University College of Teacher Education Tyrol, Innsbruck, Austria
- Department of Sport Science, Leopold-Franzens University Innsbruck, Innsbruck, Austria
- Research Center Medical Humanities, Leopold-Franzens University Innsbruck, Innsbruck, Austria
| | - Derrick R. Tanous
- Department of Research and Development in Teacher Education, University College of Teacher Education Tyrol, Innsbruck, Austria
- Department of Sport Science, Leopold-Franzens University Innsbruck, Innsbruck, Austria
| | - Mohamad Motevalli
- Department of Research and Development in Teacher Education, University College of Teacher Education Tyrol, Innsbruck, Austria
- Department of Sport Science, Leopold-Franzens University Innsbruck, Innsbruck, Austria
| | - Georg Göbel
- Department of Medical Statistics, Informatics and Health Economics, Medical University Innsbruck, Innsbruck, Austria
| | | | - Clemens Drenowatz
- Division of Sport, Physical Activity and Health, University of Teacher Education Upper Austria, Linz, Austria
| | - Gerhard Ruedl
- Department of Sport Science, Leopold-Franzens University Innsbruck, Innsbruck, Austria
| | - Armando Cocca
- Department of Sport Science, Leopold-Franzens University Innsbruck, Innsbruck, Austria
| | - Werner Kirschner
- Department of Sport Science, Leopold-Franzens University Innsbruck, Innsbruck, Austria
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Beserra V, Nussbaum M, Navarrete M, Garrido N. Online physically active academic lessons in COVID-19 times: A pilot study. TEACHING AND TEACHER EDUCATION 2022; 116:103750. [PMID: 35498547 PMCID: PMC9042788 DOI: 10.1016/j.tate.2022.103750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 03/14/2022] [Accepted: 04/19/2022] [Indexed: 06/14/2023]
Abstract
Schools play an important role in promoting physical activity among students. This paper studies the perception of educators, students, and parents about the use of online physically active academic lessons during COVID-19 in the north of Chile. Starting the first week of November 2020, and for a period of five weeks, 323 students, alongside 11 educators, practiced a geometry-based dance routine online. The qualitative analysis results reveal a positive perception of the experience and an increase in physical activity without reducing the amount of time spent on academic activities. There were also improvements in learning, social relationships, and enjoyment.
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Affiliation(s)
- Vagner Beserra
- Universidad de Tarapacá, Escuela de Diseño e Innovación Tecnológica, 18 de Septiembre 2222, Arica y Parinacota, Chile
| | - Miguel Nussbaum
- Escuela de Ingeniería, Departamento Ciencia de la Computación, Av. Vicuña Mackenna 4860, Santiago, Chile
| | - Mónica Navarrete
- Universidad de Tarapacá, Escuela de Administración y Negocios, 18 de Septiembre 2222, Arica y Parinacota, Chile
| | - Norman Garrido
- Universidad de Tarapacá, Departamento de Ciencias Sociales, Av. Luis Emilio Recabarren 2477, Tarapacá, Chile
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Using IoT Assistive Technologies for Older People Non-Invasive Monitoring and Living Support in Their Homes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19105890. [PMID: 35627427 PMCID: PMC9140921 DOI: 10.3390/ijerph19105890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 05/07/2022] [Accepted: 05/09/2022] [Indexed: 01/27/2023]
Abstract
Many western societies are confronted with issues in planning and adapting their health policies due to an ageing population living alone. The “NOt Alone at Home—NOAH” project aimed to involve older people in the Agile co-creation of services for a collaborative monitoring and awareness notification for remote caregivers. Our research aim was to create a scalable and modern information system that permitted a non-invasive monitorization of the users for keeping their caregivers up to date. This was done via a cloud IoT (Internet of Things), which collects and processes data from its domotic sensors. The notifications generated by the system, via the three applications we developed (NOAH/NOAH Care/Admin Centre), offer caregivers an easy way of detecting changes in the day-to-day behaviour and activities of their patients, giving them time to intervene in case of abnormal activity. Such an approach would lead to a longer and more independent life for the older people. We evaluated our system by conducting a year-long pilot-study, offering caregivers constant information from the end-users while still living independently. For creating our pilot groups, we used the ABAS (Adaptive Behaviour Assessment System) II, which we then matched with the pre-profiled Behavioral Analysis Models of older people familiar with modern communication devices. Our results showed a low association between daily skills and the sensors we used, in contrast with the results from previous studies done in this field. Another result was efficiently capturing the behaviour changes that took place due to the COVID-19 Lockdown measures.
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Hergenroeder A, Quinn TD, Perdomo SJ, Kline CE, Gibbs BB. Effect of a 6-month sedentary behavior reduction intervention on well-being and workplace health in desk workers with low back pain. Work 2022; 71:1145-1155. [DOI: 10.3233/wor-205178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Research suggests reducing sedentary behavior improves low back pain; however, the impact on presenteeism, health, productivity, and sleep in desk workers with chronic low back pain is not known. OBJECTIVE: Evaluate the effect of a sedentary behavior intervention on multiple dimensions of workplace health. METHODS: 24 participants with chronic low back pain and desk jobs were randomized to either a sedentary behavior reduction intervention group or control. Outcomes included a modified Global Physical Activity Questionnaire (GPAQ), the Stanford Presenteeism Scale (SPS), Profile of Mood States (POMS), Health and Work Questionnaire (HWQ), SF-36 Health Survey (SF-36), and Pittsburgh Sleep Quality Index (PSQI). Six-month changes in outcomes were compared across intervention groups using ANCOVA regression, adjusting for baseline values. Cohen’s d effect sizes were calculated for outcomes to explain the magnitude of group differences. RESULTS: The intervention group reported 1.5 hours/day less sitting time (p < 0.001) compared to controls at 6 months. SF-36 subscales of energy/fatigue, social functioning, and pain improved, and sleep disturbance was reduced among intervention participants. Productivity, concentration, and presenteeism were unchanged. CONCLUSIONS: A sedentary behavior reduction intervention may improve well-being and workplace health without impacting productivity and concentration in desk workers with chronic low back pain.
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Affiliation(s)
- Andrea Hergenroeder
- Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, USA
| | - Tyler D. Quinn
- Department of Health and Human Development, School of Education, University of Pittsburgh, USA
| | - Sophy J. Perdomo
- Department of Health and Human Development, School of Education, University of Pittsburgh, USA
| | - Christopher E. Kline
- Department of Health and Human Development, School of Education, University of Pittsburgh, USA
| | - Bethany Barone Gibbs
- Department of Health and Human Development, School of Education, University of Pittsburgh, USA
- Department of Epidemiology and Bioststiatics, School of Public Health, West Virginia University, USA
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Guelmami N, Chalghaf N, Tannoubi A, Puce L, Azaiez F, Bragazzi NL. Initial Psychometric Evidence of Physical Inactivity Perceived Experience Scale (Pipes): COVID-19 Pandemic as a Pilot Study. Front Public Health 2022; 10:819052. [PMID: 35392464 PMCID: PMC8980326 DOI: 10.3389/fpubh.2022.819052] [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: 11/20/2021] [Accepted: 02/16/2022] [Indexed: 11/29/2022] Open
Abstract
Aims Our study aimed to develop a two-factor self-administered orthogonal questionnaire to assess the experience of perceived physical inactivity, to test its psychometric properties, to confirm its relationships with fear of COVID-19, and finally, with perceived stress during the pandemic. Methods A total of 481 Tunisian subjects collected in several cities, aged from 16 to 67 years with a mean age = 32.48 ± 9.46, and of both sexes participate in our study with (male: 51.8%) and (female: 48.2%), divided according to the level of study into three categories. All subjects voluntarily answered the PIPES questionnaire, the IPAQ scale, the COVID-19 fear scale and the PSS-10 test. Results The results of the exploratory and confirmatory factor analysis supported the robustness of the tool measure. In addition, examination of configurational, metric, scalar, and strict invariance supported the equivalence of the structure by gender and educational level. Concurrent validity was established by the positive association of a negative perception of physical inactivity with scores measured by the IPAQ scale and a negative association with scores of COVID-19 fear and perceived stress. Whereas, a positive perception of physical inactivity from the COVID-19 scale was negatively associated with the IPAQ and positively associated with fear of COVID-19 and perceived stress. Conclusion The PIPES-10 scale can be used to measure the perception of physical inactivity in different situations.
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Affiliation(s)
- Noomen Guelmami
- Postgraduate School of Public Health, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.,Group for the Study of Development and Social Environment (GEDES), Faculty of Human and Social Science of Tunis, Tunis, Tunisia.,Department of Human and Social Sciences, Higher Institute of Sport and Physical Education of Kef, University of Jendouba, Jendouba, Tunisia
| | - Nasr Chalghaf
- Postgraduate School of Public Health, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.,Group for the Study of Development and Social Environment (GEDES), Faculty of Human and Social Science of Tunis, Tunis, Tunisia.,Department of Human Sciences, Higher Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Amayra Tannoubi
- Postgraduate School of Public Health, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.,Group for the Study of Development and Social Environment (GEDES), Faculty of Human and Social Science of Tunis, Tunis, Tunisia.,Department of Human and Social Sciences, Higher Institute of Sport and Physical Education of Kef, University of Jendouba, Jendouba, Tunisia.,Department of Human Sciences, Higher Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Luca Puce
- Department of Neuroscience, University of Genoa, Genoa, Italy
| | - Fairouz Azaiez
- Postgraduate School of Public Health, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.,Group for the Study of Development and Social Environment (GEDES), Faculty of Human and Social Science of Tunis, Tunis, Tunisia.,Department of Human Sciences, Higher Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Nicola Luigi Bragazzi
- Postgraduate School of Public Health, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.,Laboratory for Industrial and Applied Mathematics (LIAM), York University, Toronto, Toronto, ON, Canada.,Department of Mathematics and Statistics, York University, Toronto, ON, Canada
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Worobetz A, O' Regan A, Casey M, Hayes P, O' Callaghan M, Walsh JC, Bengoechea EG, Woods C, McGrath D, Glynn LG. Lessons learned from a pandemic: implications for a combined exercise and educational programme for medical students. BMC MEDICAL EDUCATION 2022; 22:255. [PMID: 35395796 PMCID: PMC8990684 DOI: 10.1186/s12909-022-03290-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Accepted: 03/16/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND The 'MED-WELL' programme is a combined exercise and educational intervention designed to promote well-being among medical students and educate students about prescribing exercise as medicine in clinical practice. Due to COVID-19 public health restrictions of social distancing the 'MED-WELL' programme was offered online instead of in-person in 2021. The aim of this study is to compare the experiences of participants in the 'MED-WELL' programme online to those that previously participated in the same programme in-person to understand the student experience and optimize programme delivery. METHODS Purposive sampling was used to recruit 20 participants to a qualitative study using semi-structured interviews. Ten study participants took part in the 'MED-WELL' programme when it was offered in-person, and the other ten study participants took part in the programme when it was offered online. All interviews were audio-recorded and transcribed using Microsoft Teams. A combined inductive and deductive approach was used for analysis. An inductive thematic analysis was utilized to categorize data into higher order codes, themes, and overarching themes. The theory of online learning provided the theoretical framework for a deductive approach. RESULTS Analysis of the data produced five overarching themes: 'student-student', 'student-teacher', 'student-content', 'student-environment', and 'effects of a pandemic'. The first four themes detail distinct types of interaction that participants had with various entities of the 'MED-WELL' programme and the effects that these interactions had on participant experiences. 'Effects of a pandemic' refers to the context of delivering the 'MED-WELL' programme online during a pandemic and how this mode of delivery influenced participants and the programme. CONCLUSIONS Optimizing the 'MED-WELL' programme relies on an understanding of how participants interact with different entities of the programme and are motivated to attend and engage. Participants tended to favour an in-person mode of delivery, however certain advantages of delivering the programme online were also identified. The findings from this study can be used to inform similar experiential and educational exercise interventions, and may help plan for potential future restrictions on in-person educational and exercise-based programmes.
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Affiliation(s)
- Aubree Worobetz
- School of Medicine and Health Research Institute, University of Limerick, Limerick, Ireland
| | - Andrew O' Regan
- School of Medicine and Health Research Institute, University of Limerick, Limerick, Ireland
- HRB Primary Care Clinical Trials Network, Galway, Ireland
| | - Monica Casey
- School of Medicine and Health Research Institute, University of Limerick, Limerick, Ireland
- HRB Primary Care Clinical Trials Network, Galway, Ireland
| | - Peter Hayes
- School of Medicine and Health Research Institute, University of Limerick, Limerick, Ireland
- HRB Primary Care Clinical Trials Network, Galway, Ireland
| | - Mike O' Callaghan
- School of Medicine and Health Research Institute, University of Limerick, Limerick, Ireland
| | - Jane C Walsh
- School of Psychology, National University of Ireland, Galway, Ireland
| | - Enrique García Bengoechea
- HRB Primary Care Clinical Trials Network, Galway, Ireland
- Physical Activity for Health Research Cluster, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
| | - Catherine Woods
- HRB Primary Care Clinical Trials Network, Galway, Ireland
- Physical Activity for Health Research Cluster, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
| | - Deirdre McGrath
- School of Medicine and Health Research Institute, University of Limerick, Limerick, Ireland
| | - Liam G Glynn
- School of Medicine and Health Research Institute, University of Limerick, Limerick, Ireland.
- HRB Primary Care Clinical Trials Network, Galway, Ireland.
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Fang P, Shi S, Menhas R, Laar RA, Saeed MM. Demographic Characteristics and Digital Platforms for Physical Activity Among the Chinese Residents During the COVID-19 Pandemic: A Mediating Analysis. J Multidiscip Healthc 2022; 15:515-529. [PMID: 35321232 PMCID: PMC8935732 DOI: 10.2147/jmdh.s354984] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Accepted: 02/25/2022] [Indexed: 11/23/2022] Open
Abstract
Background Aim Methods Results Conclusion
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Affiliation(s)
- Ping Fang
- School of Sports Science and Physical Education, Nanjing Normal University, Nanjing, Jiangsu Province, People’s Republic of China
| | - Shusheng Shi
- School of Sports Science and Physical Education, Nanjing Normal University, Nanjing, Jiangsu Province, People’s Republic of China
| | - Rashid Menhas
- Research Center of Sports Social Sciences, School of Physical Education and Sports, Soochow University, Suzhou, Jiangsu Province, People’s Republic of China
- Correspondence: Rashid Menhas, Research Center of Sports Social Sciences, School of Physical Education and Sports, Soochow University, Suzhou, Jiangsu Province, People’s Republic of China, Email
| | - Rizwan Ahmed Laar
- College of Physical Education, Hubei Normal University, Huangshi, Hubei Province, People’s Republic of China
- Rizwan Ahmed Laar, College of Physical Education, Hubei Normal University, Huangshi, Hubei Province, People’s Republic of China, Email
| | - Muhammad Muddasar Saeed
- International Education College Chinese and Western Medicine Clinic, Dalian Medical University, Dalian, Liaoning, People’s Republic of China
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13
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Zhong R, Zhang Q, Qiu Y, Chen L, Xie J, Chen Y, Zou Y, Zhu L, Tong L, Zou Y, Wang W, Zhou Y. Results of the Adult COVID-19 Lifestyle Matching Study. Int J Public Health 2022; 67:1604329. [PMID: 35250431 PMCID: PMC8895323 DOI: 10.3389/ijph.2022.1604329] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Accepted: 01/26/2022] [Indexed: 12/14/2022] Open
Abstract
Objective: The aim of our case-control study was to find the influence of lifestyle and comorbidities on COVID-19 susceptibility, identify risk factors and protective factors, and identify ways to encourage people to adopt a healthy lifestyle. Methods: Patients with COVID-19 were matched with non-COVID-19 participants in a ratio of 1:2. Univariate analysis was performed using the chi-square test, and multivariate analysis was performed using conditional logistic regression. Results: Multivariate analysis using conditional logistic regression found that alcohol consumption (AC) and a bland diet increased the risk of COVID-19, while college degrees and above, smoking, drinking tea, and exercise, especially walking, significantly reduced the risk of COVID-19. Conclusion: After removing the effects of demographic factors, the study demonstrated that AC significantly reduced the ability of the body to resist COVID-19 infection. Moreover, following a bland diet increased the susceptibility to COVID-19. Notably, people who drank tea and performed regular exercises, especially walking, were significantly less likely to be infected with COVID-19. College degree or above relative illiteracy is COVID-19 protective factors of infection.
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Affiliation(s)
- Rui Zhong
- Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China
| | | | - Yanfang Qiu
- Key Laboratory for Molecular Radiation Oncology of Hunan Province, Xiangya Hospital, Hunan, China
| | - Lingxia Chen
- Yueyang Central Hospital, Yueyang, China
- *Correspondence: Lingxia Chen, ; Wei Wang,
| | - Jianghua Xie
- School of Nursing, Hunan University of Chinese Medicine, Changsha, China
| | - Yongjun Chen
- Affiliated Nanhua Hospital, University of South China, Hengyang, China
| | - Yajiao Zou
- Affiliated Nanhua Hospital, University of South China, Hengyang, China
| | - Lei Zhu
- School of Nursing, Hunan University of Chinese Medicine, Changsha, China
| | - Li Tong
- The First People’s Hospital of Changde City, Changde, China
| | - Yanhui Zou
- Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China
| | - Wei Wang
- Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China
- *Correspondence: Lingxia Chen, ; Wei Wang,
| | - Yuhua Zhou
- Yueyang City Junshan District the People Hospital, Yueyang, China
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14
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Marconcin P, Werneck AO, Peralta M, Ihle A, Gouveia ÉR, Ferrari G, Sarmento H, Marques A. The association between physical activity and mental health during the first year of the COVID-19 pandemic: a systematic review. BMC Public Health 2022; 22:209. [PMID: 35101022 PMCID: PMC8803575 DOI: 10.1186/s12889-022-12590-6] [Citation(s) in RCA: 68] [Impact Index Per Article: 34.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 01/17/2022] [Indexed: 11/10/2022] Open
Abstract
INTRODUCTION The Coronavirus disease-19 (COVID-19) pandemic affected countries worldwide and has changed peoples' lives. A reduction in physical activity and increased mental health problems were observed, mainly in the first year of the COVID-19 pandemic. Thus, this systematic review aims to examine the association between physical activity and mental health during the first year of the COVID-19 pandemic. METHODS In July 2021, a search was applied to PubMed, Scopus, and Web of Science. Eligibility criteria included cross-sectional, prospective, and longitudinal study designs and studies published in English; outcomes included physical activity and mental health (e.g., depressive symptoms, anxiety, positive and negative effects, well-being). RESULTS Thirty-one studies were included in this review. Overall, the studies suggested that higher physical activity is associated with higher well-being, quality of life as well as lower depressive symptoms, anxiety, and stress, independently of age. There was no consensus for the optimal physical activity level for mitigating negative mental symptoms, neither for the frequency nor for the type of physical activity. Women were more vulnerable to mental health changes and men were more susceptive to physical activity changes. CONCLUSION Physical activity has been a good and effective choice to mitigate the negative effects of the COVID-19 pandemic on mental health during the first year of the COVID-19 pandemic. Public health policies should alert for possibilities to increase physical activity during the stay-at-home order in many countries worldwide.
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Affiliation(s)
- Priscila Marconcin
- KinesioLab, Research Unit in Human Movement Analysis, Insituto Piaget, Almada, Portugal.
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal.
| | - André O Werneck
- Center for Epidemiological Research in Nutrition and Health, Department of Nutrition, School of Public Health, São Paulo, Brazil
| | - Miguel Peralta
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal
- ISAMB, Universidade de Lisboa, Lisbon, Portugal
| | - Andreas Ihle
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Geneva, Switzerland
- Swiss National Centre of Competence in Research LIVES - Overcoming vulnerability: Life course perspectives, Lausanne and Geneva, Switzerland
- Department of Psychology, University of Geneva, Geneva, Switzerland
| | - Élvio R Gouveia
- Universidade da Madeira, Funchal, Portugal
- Interactive Technologies Institute, LARSyS, Funchal, Portugal
| | - Gerson Ferrari
- Laboratorio de Rendimiento Humano, Grupo de Estudio en Educación, Actividad Física y Salud (GEEAFyS), Universidad Católica del Maule, Talca, Chile
| | - Hugo Sarmento
- University of Coimbra, Research Unit for Sport and Physical Activity (CIDAF). Faculty of Sport Sciences and Physical Education, Coimbra, Portugal
| | - Adilson Marques
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal
- Center for Epidemiological Research in Nutrition and Health, Department of Nutrition, School of Public Health, São Paulo, Brazil
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15
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Effects of a Three-Month COVID-19 Lockdown on Body Mass and Nutritional Status of Lebanese Students Who Study Physical Education. SUSTAINABILITY 2022. [DOI: 10.3390/su14031196] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
This study investigated the effects of a three-month COVID-19 lockdown on the body mass of Lebanese students who study physical education and whether these changes reflected in distribution changes in underweight, normal weight, and overweight/obese status. Furthermore, the study investigated whether lockdown affected physical activity behavior and if students who reduced the frequency of training sessions were more likely to increase their body mass. Body mass and body height were assessed in 174 Lebanese physical education students immediately before and at the end of COVID-19 lockdown. Their training routine was assessed using by questionnaire. Wilcoxon signed-rank order assessed the effects of lockdown on body mass, while Chi square test tested the differences in distribution of underweight, normal weight, and overweight/obese status before and after the lockdown. In general, there was a significant (p < 0.001) small increase in body mass. However, about 27% of participants had a moderate to major increase in body mass. This was reflected in a significant shift in nutritional status as the number of overweight/obese students increased by 5.2%. In addition, students who reduced their training frequency due to lockdown were three times more likely to increase body mass than those who remained active (i.e., 38 vs. 5 with moderate to major increase). Given that an increase in body mass increases all health risks, remaining physically active is of high importance for health prevention, especially considering all other positive effects of physical activity on cardio-respiratory and muscle function.
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16
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A qualitative study of orthodontic patients' experiences in quarantine during the COVID-19 pandemic outbreak. Am J Orthod Dentofacial Orthop 2021; 161:e498-e506. [PMID: 35337705 PMCID: PMC8666321 DOI: 10.1016/j.ajodo.2021.11.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 11/01/2021] [Accepted: 11/01/2021] [Indexed: 11/23/2022]
Abstract
Introduction Methods Results Conclusions
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17
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Rahman A M, Chandrasekaran B. Estimating the Impact of the Pandemic on Children's Physical Health: A Scoping Review. THE JOURNAL OF SCHOOL HEALTH 2021; 91:936-947. [PMID: 34494270 PMCID: PMC8662234 DOI: 10.1111/josh.13079] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/29/2021] [Revised: 07/13/2021] [Accepted: 07/22/2021] [Indexed: 05/03/2023]
Abstract
BACKGROUND Children are expected to adhere to the recommended physical activity (PA) dose of 60 minutes per day and minimize sedentary behaviors (SB) to stray away from the cardio-metabolic disease risk. However, there is a lack of review of current evidence pointing to the negative physical health effects of the Covid-19 lockdown, with its barriers and facilitators for effective PA implementation in children aged 3 to 13. METHODS Two independent authors conducted an extensive search on five peer-reviewed journal databases for the studies examining changes in PA or SB in children and the potential barriers during Covid-19 lockdown. RESULTS Of 1039 studies initially screened, only 14 studies were included. Ninety-three percent of the studies were cross-sectional surveys. A 34% reduction in PA was noted while SB, including screen time, increased by 82%. Our review identified potential barriers to the effective implementation of PA behaviors in children at four levels: individual, family, school, and government policies. CONCLUSIONS A moderate reduction in PA and high SB in children during lockdown was linked with obstacles at the individual, family, school, and political levels. Stakeholders should consider the above barriers when designing and implementing interventions to address low PA and SB practices.
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Affiliation(s)
- Mansoor Rahman A
- Department of Movement Sciences, JSS College of PhysiotherapyMysuruKarnataka570004India
| | - Baskaran Chandrasekaran
- Department of Exercise and Sports Sciences, Manipal College of Health ProfessionsManipal Academy of Higher EducationManipalKarnataka576104India
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18
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Eshelby V, Sogut M, Jolly K, Vlaev I, Elliott MT. Stay home and stay active? The impact of stay-at-home restrictions on physical activity routines in the UK during the COVID-19 pandemic. J Sports Sci 2021; 40:310-322. [PMID: 34720042 DOI: 10.1080/02640414.2021.1992885] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
We investigated which population groups were impacted most in terms of physical activity levels during the restrictions applied during the COVID-19 pandemic. We surveyed UK residents, sampled through users of a rewards-for-exercise app (Sweatcoin; n = 749) and an online panel (Prolific; n = 907). Of the app users, n = 487 further provided daily step-count data collected by the app, prior to, and during the periods of restrictions in the UK between March-June 2020. Regression models were used to investigate factors associated with self-reported change in physical activity and change in daily step-count during the periods of restrictions. Significant factors associated with self-reported change in physical activity included rural residents (positive, b = 0.87, p < 0.001), relative to urban dwellers, people classed as obese (negative, b = -0.51, p = 0.008, relative to healthy weight) and gym users (negative, b = -1.10, p < 0.001, relative to walkers). All groups had reduced step counts during restrictions, with Black, Asian and minority ethnic groups showing greater reductions compared to White British ethnicity (negative, b = -0.18, p = 0.008). Targeted interventions are required to ensure that physical and mental health impacts of sedentary behaviour are not exacerbated over the long-term by significant reductions in physical activity identified in these groups particularly those who are also more vulnerable to COVID-19.
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Affiliation(s)
- Victoria Eshelby
- Institute of Digital Healthcare, WMG, University of Warwick, Coventry, UK
| | - Muhammed Sogut
- Institute of Digital Healthcare, WMG, University of Warwick, Coventry, UK
| | - Kate Jolly
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
| | - Ivo Vlaev
- Warwick Business School, University of Warwick, Coventry, UK
| | - Mark T Elliott
- Institute of Digital Healthcare, WMG, University of Warwick, Coventry, UK
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19
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Pavlů D, Škripková A, Pánek D. The Effects of Elastic Band Exercises with PNF on Shooting Speed and Accuracy in Ball Hockey Players during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:11391. [PMID: 34769906 PMCID: PMC8583366 DOI: 10.3390/ijerph182111391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 10/26/2021] [Accepted: 10/28/2021] [Indexed: 11/17/2022]
Abstract
The coronavirus pandemic has affected life and left one of the strongest negative effects on sport. The aim of our study was to evaluate how a simple exercise performed with elastic resistance during the COVID-19 pandemic, when athletes cannot train, affects the basic shooting characteristics of ball hockey players. Extra-league ball hockey players (N = 30, age 19-37 years) were randomly divided into an experimental group, which performed elastic resistance exercises with Proprioceptive Neuromuscular Facilitation (PNF) elements for eight weeks, and a control group, which did not perform any exercises. Before the start of the experiment and after it was completed, the speed and accuracy of shooting were measured. In experimental group, there was no decrease after 8 weeks in the shooting speed, and in the control group, there was a statistically significant decrease. There was a deterioration in the accuracy of shooting in both groups; however, in the experimental group, the deterioration was not significant. The results show that even three simple exercises with elastic resistance according to the PNF concept performed 10 times per day for eight weeks can maintain the level of basic skills of ball hockey players-the speed and accuracy of shooting-even when no other training is performed.
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Affiliation(s)
- Dagmar Pavlů
- Faculty of Physical Education and Sport, Charles University, 16252 Prague, Czech Republic; (A.Š.); (D.P.)
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20
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Physical Education Teachers’ Opinion about Online Teaching during the COVID-19 Pandemic—Comparative Study of European Countries. SUSTAINABILITY 2021. [DOI: 10.3390/su132111730] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
The purpose of this study was to evaluate the quality of implementation and Physical Education (PE) teachers’ perceived advantages, disadvantages, and encountered difficulties of online PE teaching during the first wave of the COVID-19 pandemic. The participants were 1148 professionally active PE teachers from Poland, North Macedonia, Croatia, Turkey, Bulgaria, and Kosovo (613 female, 535 male). A cross-sectional online survey study was performed between May and September 2020 and was done online through an electronic questionnaire. Study results suggest differences in evaluation of online teaching between PE teachers from different countries: a positive evaluation of online teaching reported from teachers from Croatia, Poland, and Bulgaria, neutral in Turkey, and a negative evaluation during that period by teachers in Macedonia and Kosovo. Different ratings of advantages, disadvantages, and difficulties from the studied countries in online teaching in primary and secondary schools were also noted. A lack of proper equipment at home, a lack of proper training for information technology (IT) use, as well as use of different platforms for online teaching were among the highest-ranked difficulties during online teaching. The greatest concerns during online PE teaching were identified in terms of pupils’ safety, the intellectual property of resources, and the quality of curriculum delivery. The results from the study identify the most important areas of teachers work where PE should be supported regarding online teaching.
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21
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Ekblom-Bak E, Väisänen D, Ekblom B, Blom V, Kallings LV, Hemmingsson E, Andersson G, Wallin P, Salier Eriksson J, Holmlund T, Lindwall M, Stenling A, Lönn A. Cardiorespiratory fitness and lifestyle on severe COVID-19 risk in 279,455 adults: a case control study. Int J Behav Nutr Phys Act 2021; 18:135. [PMID: 34666788 PMCID: PMC8524225 DOI: 10.1186/s12966-021-01198-5] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Accepted: 09/02/2021] [Indexed: 12/24/2022] Open
Abstract
Background The impact of cardiorespiratory fitness (CRF) and other lifestyle-related factors on severe COVID-19 risk is understudied. The present study aims to investigate lifestyle-related and socioeconomic factors as possible predictors of COVID-19, with special focus on CRF, and to further study whether these factors may attenuate obesity- and hypertension-related risks, as well as mediate associations between socioeconomic factors and severe COVID-19 risk. Methods Out of initially 407,131 participants who participated in nationwide occupational health service screening between 1992 and 2020, n = 857 cases (70% men, mean age 49.9 years) of severe COVID-19 were identified. CRF was estimated using a sub-maximum cycle test, and other lifestyle variables were self-reported. Analyses were performed including both unmatched, n = 278,598, and sex-and age-matched, n = 3426, controls. Severe COVID-19 included hospitalization, intensive care or death due to COVID-19. Results Patients with more severe COVID-19 had significantly lower CRF, higher BMI, a greater presence of comorbidities and were more often daily smokers. In matched analyses, there was a graded decrease in odds for severe COVID-19 with each ml in CRF (OR = 0.98, 95% CI 0.970 to 0.998), and a two-fold increase in odds between the lowest and highest (< 32 vs. ≥ 46 ml·min−1·kg−1) CRF group. Higher BMI (per unit increase, OR = 1.09, 1.06 to 1.12), larger waist circumference (per cm, OR = 1.04, 1.02 to 1.06), daily smoking (OR = 0.60, 0.41 to 0.89) and high overall stress (OR = 1.36, 1.001 to 1.84) also remained significantly associated with severe COVID-19 risk. Obesity- and blood pressure-related risks were attenuated by adjustment for CRF and lifestyle variables. Mediation through CRF, BMI and smoking accounted for 9% to 54% of the associations between low education, low income and blue collar/low skilled occupations and severe COVID-19 risk. The results were consistent using either matched or unmatched controls. Conclusions Both lifestyle-related and socioeconomic factors were associated with risk of severe COVID-19. However, higher CRF attenuated the risk associated with obesity and high blood pressure, and mediated the risk associated with various socioeconomic factors. This emphasises the importance of interventions to maintain or increase CRF in the general population to strengthen the resilience to severe COVID-19, especially in high-risk individuals. Supplementary Information The online version contains supplementary material available at 10.1186/s12966-021-01198-5.
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Affiliation(s)
- Elin Ekblom-Bak
- Department of Physical Activity and Health, The Swedish School of Sport and Health Sciences, PO Box 5626, 114 86, Stockholm, Sweden.
| | - Daniel Väisänen
- Department of Physical Activity and Health, The Swedish School of Sport and Health Sciences, PO Box 5626, 114 86, Stockholm, Sweden
| | - Björn Ekblom
- Department of Physical Activity and Health, The Swedish School of Sport and Health Sciences, PO Box 5626, 114 86, Stockholm, Sweden
| | - Victoria Blom
- Department of Physical Activity and Health, The Swedish School of Sport and Health Sciences, PO Box 5626, 114 86, Stockholm, Sweden
| | - Lena V Kallings
- Department of Physical Activity and Health, The Swedish School of Sport and Health Sciences, PO Box 5626, 114 86, Stockholm, Sweden
| | - Erik Hemmingsson
- Department of Physical Activity and Health, The Swedish School of Sport and Health Sciences, PO Box 5626, 114 86, Stockholm, Sweden
| | - Gunnar Andersson
- Research Department, HPI Health Profile Institute, PO Box 35, 182 11, Danderyd, Sweden
| | - Peter Wallin
- Research Department, HPI Health Profile Institute, PO Box 35, 182 11, Danderyd, Sweden
| | - Jane Salier Eriksson
- Department of Physical Activity and Health, The Swedish School of Sport and Health Sciences, PO Box 5626, 114 86, Stockholm, Sweden
| | - Tobias Holmlund
- Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institute, 141 83, Stockholm, Sweden
| | - Magnus Lindwall
- Department of Physical Activity and Health, The Swedish School of Sport and Health Sciences, PO Box 5626, 114 86, Stockholm, Sweden.,Department of Psychology, University of Gothenburg, 405 30, Gothenburg, Sweden
| | - Andreas Stenling
- Department of Psychology, Umeå University, 901 87, Umeå, Sweden.,Department of Sport Science and Physical Education, University of Agder, 4630, Kristiansand, Norway
| | - Amanda Lönn
- Department of Physical Activity and Health, The Swedish School of Sport and Health Sciences, PO Box 5626, 114 86, Stockholm, Sweden.,Women's Health and Allied Health Professionals Theme Medical Unit Occupational Therapy and Physiotherapy, Stockholm, Sweden
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22
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Katayama O, Lee S, Bae S, Makino K, Chiba I, Harada K, Morikawa M, Tomida K, Shimada H. Are non-face-to-face interactions an effective strategy for maintaining mental and physical health? Arch Gerontol Geriatr 2021; 98:104560. [PMID: 34700135 PMCID: PMC8529631 DOI: 10.1016/j.archger.2021.104560] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Revised: 10/04/2021] [Accepted: 10/13/2021] [Indexed: 01/08/2023]
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has led to social isolation measures, forcing many people to stay indoors, stop daily outdoor activities, and limit face-to-face social interactions with friends, colleagues, and family. This study aimed to identify if non-face-to-face interaction affects depressive symptoms and frailty in older adults. METHODS We included 3834 older adults (age: 71.1 ± 6.9 [mean ± standard deviation] years; range: 60-96 years; 2153 women) from the National Center for Geriatrics and Gerontology-Study of Geriatric Syndromes. Interaction status was assessed using a self-reported questionnaire. Participants were categorized into: "both interactions" (both face-to-face and non-face-to-face interactions), "face-to-face only" (only face-to-face interactions), "non-face-to-face only" (only non-face-to-face interactions), "no interactions" (neither face-to-face nor non-face-to-face interactions) groups. Depressive symptoms and frailty were measured using the 15-item Geriatric Depression Scale and Kihon Checklist, respectively. RESULTS Potential confounding factors-adjusted odds ratios for both, face-to-face only and non-face-to-face only groups for developing depressive symptoms were 0.39 (95%CI, 0.26-0.57; p<0.001), 0.56 (95%CI, 0.38-0.84; p=0.004), and 0.51 (95%CI, 0.27-0.96; p=0.038), respectively, and those for development of frailty were 0.44 (95%CI, 0.30-0.65; p<0.001), 0.59 (95%CI, 0.39-0.87; p=0.008), and 0.63 (95%CI, 0.34-1.15; p=0.128), respectively. CONCLUSIONS Our findings indicate that non-face-to-face interactions are also important in preventing the deterioration of mental health, which is a concern during the COVID-19 pandemic. However, non-face-to-face interactions alone may not be sufficient to maintain physical health, and it is important to maintain opportunities for face-to-face interaction among older adults, particularly during the COVID-19 pandemic.
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Affiliation(s)
- Osamu Katayama
- Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi 474-8511, Japan; Japan Society for the Promotion of Science, Chiyoda-ku, Tokyo 102-0083, Japan.
| | - Sangyoon Lee
- Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi 474-8511, Japan
| | - Seongryu Bae
- Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi 474-8511, Japan
| | - Keitaro Makino
- Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi 474-8511, Japan; Japan Society for the Promotion of Science, Chiyoda-ku, Tokyo 102-0083, Japan
| | - Ippei Chiba
- Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi 474-8511, Japan
| | - Kenji Harada
- Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi 474-8511, Japan
| | - Masanori Morikawa
- Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi 474-8511, Japan
| | - Kouki Tomida
- Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi 474-8511, Japan
| | - Hiroyuki Shimada
- Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi 474-8511, Japan
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23
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Molina-Montes E, Uzhova I, Verardo V, Artacho R, García-Villanova B, Jesús Guerra-Hernández E, Kapsokefalou M, Malisova O, Vlassopoulos A, Katidi A, Koroušić Seljak B, Modic R, Eftimov T, Hren I, Valenčič E, Šatalić Z, Panjkota Krbavčić I, Vranešić Bender D, Giacalone D, Bom Frøst M, Konic Ristic A, Milesevic J, Nikolic M, Kolay E, Güney M, Kriaucioniene V, Czlapka-Matyasik M, Bykowska-Derda A, Kujundzic E, Taljić I, Brka M, Spiroski I, Cunha Velho S, Patrícia Sousa Pinto S, Nascimento Monteiro I, Adriana Pereira J, Dolores Ruíz-López M, Rodríguez-Pérez C. Impact of COVID-19 confinement on eating behaviours across 16 European countries: The COVIDiet cross-national study. Food Qual Prefer 2021; 93:104231. [PMID: 36569642 PMCID: PMC9759462 DOI: 10.1016/j.foodqual.2021.104231] [Citation(s) in RCA: 34] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 02/08/2021] [Accepted: 03/04/2021] [Indexed: 12/27/2022]
Abstract
We aimed to evaluate the changes in eating behaviours of the adult population across 16 European countries due to the COVID-19 confinement and to evaluate whether these changes were somehow related to the severity of the containment measures applied in each country. An anonymous online self-reported questionnaire on socio-demographic characteristics, validated 14-items Mediterranean diet (MedDiet) Adherence Screener (MEDAS) as a reference of a healthy diet, eating and lifestyle behaviours prior to and during the COVID-19 confinement was used to collect data. The study included an adult population residing in 16 European countries at the time of the survey. Aggregated Stringency Index (SI) score, based on data from the Oxford COVID-19 Government Response Tracker, was calculated for each country at the time the questionnaire was distributed (range: 0-100). A total of 36,185 participants completed the questionnaire (77.6% female, 75.2% with high educational level and 42.7% aged between 21 and 35 years). In comparison to pre-confinement, a significantly higher adherence to the MedDiet during the confinement was observed across all countries (overall MEDAS score prior to- and during confinement: 5.23 ± 2.06 vs. 6.15 ± 2.06; p < 0.001), with the largest increase seen in Greece and North Macedonia. The highest adherence to MedDiet during confinement was found in Spain and Portugal (7.18 ± 1.84 and 7.34 ± 1.95, respectively). Stricter contingency restrictions seemed to lead to a significantly higher increase in the adherence to the MedDiet. The findings from this cross-sectional study could be used to inform current diet-related public health guidelines to ensure optimal nutrition is followed among the population, which in turn would help to alleviate the current public health crisis.
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Affiliation(s)
- Esther Molina-Montes
- Department of Nutrition and Food Science, University of Granada, Campus of Cartuja, 18071 Granada, Spain,Institute of Nutrition and Food Technology (INYTA) ‘José Mataix’, Biomedical Research Centre, University of Granada, Avenida del Conocimiento s/n, E-18071 Granada, Spain,Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain,Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública CIBERESP, Madrid, Spain
| | - Irina Uzhova
- Department of Health and Nutritional Sciences, Institute of Technology Sligo, Ash Ln, Bellanode, Sligo F91 YW50, Ireland
| | - Vito Verardo
- Department of Nutrition and Food Science, University of Granada, Campus of Cartuja, 18071 Granada, Spain,Institute of Nutrition and Food Technology (INYTA) ‘José Mataix’, Biomedical Research Centre, University of Granada, Avenida del Conocimiento s/n, E-18071 Granada, Spain
| | - Reyes Artacho
- Department of Nutrition and Food Science, University of Granada, Campus of Cartuja, 18071 Granada, Spain
| | - Belén García-Villanova
- Department of Nutrition and Food Science, University of Granada, Campus of Cartuja, 18071 Granada, Spain
| | | | - Maria Kapsokefalou
- Department of Food Science and Nutrition, Agricultural University of Athens, Iera Odos 75, Athens 11855, Greece
| | - Olga Malisova
- Department of Food Science and Nutrition, Agricultural University of Athens, Iera Odos 75, Athens 11855, Greece
| | - Antonis Vlassopoulos
- Department of Food Science and Nutrition, Agricultural University of Athens, Iera Odos 75, Athens 11855, Greece
| | - Alexandra Katidi
- Department of Food Science and Nutrition, Agricultural University of Athens, Iera Odos 75, Athens 11855, Greece
| | | | - Robert Modic
- Computer Systems Department, Jožef Stefan Institute, Jamova cesta 39, Ljubljana, Slovenia
| | - Tome Eftimov
- Computer Systems Department, Jožef Stefan Institute, Jamova cesta 39, Ljubljana, Slovenia
| | - Irena Hren
- General Hospital Novo mesto, Šmihelska cesta 1, 8000 Novo mesto, Slovenia
| | - Eva Valenčič
- Computer Systems Department, Jožef Stefan Institute, Jamova cesta 39, Ljubljana, Slovenia
| | - Zvonimir Šatalić
- University of Zagreb, Faculty of Food Technology and Biotechnology, Pierottijeva ul. 6, 10000 Zagreb, Croatia
| | - Ines Panjkota Krbavčić
- University of Zagreb, Faculty of Food Technology and Biotechnology, Pierottijeva ul. 6, 10000 Zagreb, Croatia
| | - Darija Vranešić Bender
- University Hospital Centre Zagreb, Department of Internal Medicine, Division of Gastroenterology and Hepatology & Unit of Clinical Nutrition, Kišpatićeva ul. 12, 10000 Zagreb, Croatia
| | - Davide Giacalone
- Department of Technology and Innovation, University of Southern Denmark, Campusvej 55, DK5230 Odense, Denmark
| | - Michael Bom Frøst
- Department of Food Science, University of Copenhagen, Rolighedsvej 26, DK-1958 Frederiksberg, Denmark
| | - Aleksandra Konic Ristic
- Institute for Medical Research, Centre of Research Excellence in Nutrition and Metabolism, University of Belgrade, National Institute of Serbia, Beograd, Tadeuša Košćuška 1, PAK 104 201, 11158 Belgrade, Serbia,Institute of Food and Health, University College Dublin, Belfield, Dublin 4, Ireland
| | - Jelena Milesevic
- Institute for Medical Research, Centre of Research Excellence in Nutrition and Metabolism, University of Belgrade, National Institute of Serbia, Beograd, Tadeuša Košćuška 1, PAK 104 201, 11158 Belgrade, Serbia
| | - Marina Nikolic
- Institute for Medical Research, Centre of Research Excellence in Nutrition and Metabolism, University of Belgrade, National Institute of Serbia, Beograd, Tadeuša Košćuška 1, PAK 104 201, 11158 Belgrade, Serbia
| | - Ezgi Kolay
- Poznan University of Life Sciences, Department of Human Nutrition and Dietetics, Wojska Polskiego 28, 60-637 Poznan, Poland
| | - Merve Güney
- Bezmialem Vakif University, Medical Faculty Hospital, Nutrition and Diet Department, Vatan Cad. 34093, Istanbul, Turkey
| | - Vilma Kriaucioniene
- Faculty of Public Health, Lithuanian University of Health Sciences, Tilzes str. 18, LT-47181 Kaunas, Lithuania
| | - Magdalena Czlapka-Matyasik
- Poznan University of Life Sciences, Department of Human Nutrition and Dietetics, Wojska Polskiego 28, 60-637 Poznan, Poland
| | - Aleksandra Bykowska-Derda
- Poznan University of Life Sciences, Department of Human Nutrition and Dietetics, Wojska Polskiego 28, 60-637 Poznan, Poland
| | - Enisa Kujundzic
- Center for Health Ecology of Institute of Public Health of Montenegro, Dzona Dzeksona bb, 81 000 Podgorica, Montenegro
| | - Irzada Taljić
- Faculty of Agriculture and Food Sciences, University of Sarajevo, Sarajevo, Bosnia and Herzegovina, Zmaja od Bosne 8, 71000 Sarajevo, Bosnia and Herzegovina
| | - Muhamed Brka
- Faculty of Agriculture and Food Sciences, University of Sarajevo, Sarajevo, Bosnia and Herzegovina, Zmaja od Bosne 8, 71000 Sarajevo, Bosnia and Herzegovina
| | - Igor Spiroski
- Institute of Public Health, 50. Divizija 6, 1000 Skopje, Macedonia,Faculty of Medicine, Ss. Cyril and Methodius University, 50. Divizija 6, 1000 Skopje, Macedonia
| | | | | | | | | | - María Dolores Ruíz-López
- Department of Nutrition and Food Science, University of Granada, Campus of Cartuja, 18071 Granada, Spain,Institute of Nutrition and Food Technology (INYTA) ‘José Mataix’, Biomedical Research Centre, University of Granada, Avenida del Conocimiento s/n, E-18071 Granada, Spain
| | - Celia Rodríguez-Pérez
- Institute of Nutrition and Food Technology (INYTA) ‘José Mataix’, Biomedical Research Centre, University of Granada, Avenida del Conocimiento s/n, E-18071 Granada, Spain,Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain,Department of Nutrition and Food Science, University of Granada, Campus of Melilla, Calle Santander, 1. 52071, Melilla, Spain,Corresponding author at: Department of Nutrition and Food Science, University of Granada, Campus of Melilla, Calle Santander, 1. 52071, Melilla, Spain
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Jakobsson J, Cotgreave I, Furberg M, Arnberg N, Svensson M. Potential Physiological and Cellular Mechanisms of Exercise That Decrease the Risk of Severe Complications and Mortality Following SARS-CoV-2 Infection. Sports (Basel) 2021; 9:121. [PMID: 34564326 PMCID: PMC8472997 DOI: 10.3390/sports9090121] [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: 07/23/2021] [Revised: 08/19/2021] [Accepted: 08/23/2021] [Indexed: 01/08/2023] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has unmasked mankind's vulnerability to biological threats. Although higher age is a major risk factor for disease severity in COVID-19, several predisposing risk factors for mortality are related to low cardiorespiratory and metabolic fitness, including obesity, cardiovascular disease, diabetes, and hypertension. Reaching physical activity (PA) guideline goals contribute to protect against numerous immune and inflammatory disorders, in addition to multi-morbidities and mortality. Elevated levels of cardiorespiratory fitness, being non-obese, and regular PA improves immunological function, mitigating sustained low-grade systemic inflammation and age-related deterioration of the immune system, or immunosenescence. Regular PA and being non-obese also improve the antibody response to vaccination. In this review, we highlight potential physiological, cellular, and molecular mechanisms that are affected by regular PA, increase the host antiviral defense, and may determine the course and outcome of COVID-19. Not only are the immune system and regular PA in relation to COVID-19 discussed, but also the cardiovascular, respiratory, renal, and hormonal systems, as well as skeletal muscle, epigenetics, and mitochondrial function.
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Affiliation(s)
- Johan Jakobsson
- Section of Sports Medicine, Department of Community Medicine and Rehabilitation, Umeå University, 901 87 Umeå, Sweden;
| | - Ian Cotgreave
- Division of Biomaterials and Health, Department of Pharmaceutical and Chemical Safety, Research Institutes of Sweden, 151 36 Södertälje, Sweden;
| | - Maria Furberg
- Department of Clinical Microbiology, Umeå University, 901 87 Umeå, Sweden; (M.F.); (N.A.)
| | - Niklas Arnberg
- Department of Clinical Microbiology, Umeå University, 901 87 Umeå, Sweden; (M.F.); (N.A.)
| | - Michael Svensson
- Section of Sports Medicine, Department of Community Medicine and Rehabilitation, Umeå University, 901 87 Umeå, Sweden;
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25
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Cheikh Ismail L, Hashim M, Mohamad MN, Hassan H, Ajab A, Stojanovska L, Jarrar AH, Hasan H, Abu Jamous DO, Saleh ST, Al Daour R, Osaili TM, Al Dhaheri AS. Dietary Habits and Lifestyle During Coronavirus Pandemic Lockdown: Experience From Lebanon. Front Nutr 2021; 8:730425. [PMID: 34527692 PMCID: PMC8435593 DOI: 10.3389/fnut.2021.730425] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Accepted: 08/09/2021] [Indexed: 12/16/2022] Open
Abstract
This study aimed to examine the impact of quarantine on eating habits and lifestyle behaviors among the Lebanese adult population. A cross-sectional study was conducted using an online questionnaire designed on Google Forms between 3 June and 28 June 2020. The survey questions were adapted from the Short Food Frequency Questionnaire, the International Physical Activity Questionnaire Short Form, and the second version of the Copenhagen Psychosocial Questionnaire. A total of 2,507 adults completed the questionnaire. During the lockdown, 32.8% claimed weight gain, 44.7% did not eat fruits daily, 35.3% did not eat vegetables on daily basis, and 72.9% reported drinking less than eight cups of water per day. Moreover, there was a significant increase in the number of meals consumed per day, consumption of homemade meals, sedentary time, stress, and sleeping disturbances during the pandemic compared to before the pandemic (all p < 0.001). However, there was a significant decrease in physical activity engagement, sleep quality, and energy level during the lockdown compared to before the pandemic (all p < 0.001). The study highlights that the COVID-19 lockdown was associated with unfavorable changes in dietary habits and lifestyle behaviors in Lebanon. Sleep and mental health were also negatively impacted by the pandemic.
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Affiliation(s)
- Leila Cheikh Ismail
- Clinical Nutrition and Dietetics Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
- Nuffield Department of Women's & Reproductive Health, University of Oxford, Oxford, United Kingdom
| | - Mona Hashim
- Clinical Nutrition and Dietetics Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Maysm N. Mohamad
- Department of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Hussein Hassan
- Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, Beirut, Lebanon
| | - Abir Ajab
- Clinical Nutrition and Dietetics Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Lily Stojanovska
- Department of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
- Institute for Health and Sport, Victoria University, Melbourne, VIC, Australia
| | - Amjad H. Jarrar
- Department of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Hayder Hasan
- Clinical Nutrition and Dietetics Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Dima O. Abu Jamous
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Sheima T. Saleh
- Clinical Nutrition and Dietetics Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Rameez Al Daour
- Clinical Nutrition and Dietetics Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Tareq M. Osaili
- Clinical Nutrition and Dietetics Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
- Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, Irbid, Jordan
| | - Ayesha S. Al Dhaheri
- Department of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
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26
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Somani N, Beukes E, Latham K, Andersson G, Allen PM. Designing an internet-based intervention for improving wellbeing in people with acquired vision loss: A Delphi consensus study. Ophthalmic Physiol Opt 2021; 41:971-984. [PMID: 34392552 DOI: 10.1111/opo.12849] [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: 02/18/2021] [Revised: 04/27/2021] [Accepted: 05/13/2021] [Indexed: 11/30/2022]
Abstract
PURPOSE Vision impairment (VI) may impact a person's functional ability resulting in a loss of independence, anxiety, depression, social isolation and reduced quality of life. Caregivers also experience similar problems due to the increased burden placed on them. Support to address these difficulties encountered by those with VI and their caregivers may not always be accessible. An internet-based intervention may provide more accessible support. The aim of this study was to obtain consensus regarding the content and accessibility features required to design an internet-based intervention to promote wellbeing for people with VI and their caregivers. METHOD A three-round Delphi review was conducted with a panel of 30 stakeholders. Three stakeholder groups were included, namely individuals with vision loss, experts in the field of vision loss and mental health and carers of individuals with vision loss. Conceptual wellbeing ideas were examined in round 1, the intervention modules and module content were proposed in round 2 and refined in round 3. RESULTS Consensus of 75% or more was reached to include 18 modules into the intervention. These were divided into seven sections: understanding vision loss, emotional wellbeing, functional wellbeing, social wellbeing, physical wellbeing, wellbeing for carers and maintaining wellbeing. The accessibility features deemed most important were font size, colour and contrast options, compatibility with low vision aids and layout of the intervention. CONCLUSIONS The Delphi process positively informed the design of an internet-based intervention for individuals with acquired VI and their caregivers. Suggestions provided by stakeholders should now be incorporated into the intervention. Future evaluation of efficacy and cost-effectiveness of such an intervention are necessary.
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Affiliation(s)
- Nurbanu Somani
- Vision and Hearing Sciences Research Centre, Anglia Ruskin University, Cambridge, UK
| | - Eldre Beukes
- Vision and Hearing Sciences Research Centre, Anglia Ruskin University, Cambridge, UK
| | - Keziah Latham
- Vision and Hearing Sciences Research Centre, Anglia Ruskin University, Cambridge, UK
| | - Gerhard Andersson
- Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.,Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden
| | - Peter M Allen
- Vision and Hearing Sciences Research Centre, Anglia Ruskin University, Cambridge, UK
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27
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Silva MN, Gregório MJ, Santos R, Marques A, Rodrigues B, Godinho C, Silva CS, Mendes R, Graça P, Arriaga M, Freitas G. Towards an In-Depth Understanding of Physical Activity and Eating Behaviours during COVID-19 Social Confinement: A Combined Approach from a Portuguese National Survey. Nutrients 2021; 13:2685. [PMID: 34444845 PMCID: PMC8399723 DOI: 10.3390/nu13082685] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 07/15/2021] [Accepted: 07/28/2021] [Indexed: 01/08/2023] Open
Abstract
Rapid worldwide decreases in physical activity (PA), an increase in sedentary behaviour (SB) and poorer dietary patterns have been reported during COVID-19 confinement periods. However, as national variability has been observed, this study sought to describe PA, SB and eating patterns, and to explore their gender as well as other socio-demographic correlates and how they interrelate in a representative sample of Portuguese adults during the COVID-19 first mandatory social confinement. The survey was applied online and by telephone to 5856 adults (mean age = 45.8 years; 42.6% women). The majority reported high (46.0%) or moderate (20.5%) PA levels. Men, younger participants, those with higher education levels and a favourable perception of their financial situation reported higher PA levels, with the opposite pattern for SB. Physical fitness activities and household chores were more reported by women, with more strength training and running activities reported by men. Regarding eating behaviours, 45.1% reported changes, positive (58%) and negative (42%), with 18.2% reporting increases in consumption of fruit, vegetables, and fish and other seafood consumption, while 10.8% (most with lower educational level and less comfortable with their income) reported an increase in consumption of ready-to-eat meals, soft drinks, savoury snacks, and take-away and delivered meals. Two clusters-a health-enhancing vs. risky pattern-emerged through multiple correspondence analysis characterized by co-occurrence of high vs. low PA levels, positive vs. negative eating changes, awareness or not of the COVID-19 PA and dietary recommendations, perceived financial situation, higher vs. lower educational level and time in social confinement. In conclusion, while in social confinement, both positive and negative PA and eating behaviours and trends were displayed, highlighting the role of key sociodemographic correlates contributing to healthy vs. risky patterns. Results may inform future health interventions and policies to be more targeted to those at risk, and also advocate the promotion of PA and healthy eating in an integrated fashion.
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Affiliation(s)
- Marlene Nunes Silva
- Programa Nacional para a Promoção da Atividade Física, Direção-Geral da Saúde, 1049 Lisboa, Portugal; (R.S.); (A.M.); (B.R.); (C.G.); (C.S.S.); (R.M.)
- CIDEFES, Faculdade de Educação Física e Desporto, Universidade Lusófona de Humanidades e Tecnologias, 1749 Lisboa, Portugal
| | - Maria João Gregório
- Programa Nacional para a Promoção da Alimentação Saudável, Direção-Geral da Saúde, 1049 Lisboa, Portugal;
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, 4150 Porto, Portugal;
| | - Rute Santos
- Programa Nacional para a Promoção da Atividade Física, Direção-Geral da Saúde, 1049 Lisboa, Portugal; (R.S.); (A.M.); (B.R.); (C.G.); (C.S.S.); (R.M.)
- Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, 4200 Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4050 Porto, Portugal
| | - Adilson Marques
- Programa Nacional para a Promoção da Atividade Física, Direção-Geral da Saúde, 1049 Lisboa, Portugal; (R.S.); (A.M.); (B.R.); (C.G.); (C.S.S.); (R.M.)
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, 1495 Lisboa, Portugal
| | - Bruno Rodrigues
- Programa Nacional para a Promoção da Atividade Física, Direção-Geral da Saúde, 1049 Lisboa, Portugal; (R.S.); (A.M.); (B.R.); (C.G.); (C.S.S.); (R.M.)
- Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, 4200 Porto, Portugal
| | - Cristina Godinho
- Programa Nacional para a Promoção da Atividade Física, Direção-Geral da Saúde, 1049 Lisboa, Portugal; (R.S.); (A.M.); (B.R.); (C.G.); (C.S.S.); (R.M.)
- Católica Research Centre for Psychological, Family and Social Wellbeing, Universidade Católica Portuguesa, 1649 Lisbon, Portugal
| | - Catarina Santos Silva
- Programa Nacional para a Promoção da Atividade Física, Direção-Geral da Saúde, 1049 Lisboa, Portugal; (R.S.); (A.M.); (B.R.); (C.G.); (C.S.S.); (R.M.)
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, 1495 Lisboa, Portugal
| | - Romeu Mendes
- Programa Nacional para a Promoção da Atividade Física, Direção-Geral da Saúde, 1049 Lisboa, Portugal; (R.S.); (A.M.); (B.R.); (C.G.); (C.S.S.); (R.M.)
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4050 Porto, Portugal
- EPIUnit-Instituto de Saúde Pública, Universidade do Porto, 4050 Porto, Portugal
- Northern Region Health Administration, 4000 Porto, Portugal
| | - Pedro Graça
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, 4150 Porto, Portugal;
| | - Miguel Arriaga
- Divisão de Literacia, Saúde e Bem-Estar, Direção-Geral da Saúde, 1049 Lisboa, Portugal;
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Brugnatelli V, Facco E, Zanette G. Lifestyle Interventions Improving Cannabinoid Tone During COVID-19 Lockdowns May Enhance Compliance With Preventive Regulations and Decrease Psychophysical Health Complications. Front Psychiatry 2021; 12:565633. [PMID: 34335317 PMCID: PMC8322115 DOI: 10.3389/fpsyt.2021.565633] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Accepted: 05/18/2021] [Indexed: 01/20/2023] Open
Abstract
Studies investigating the psychosomatic effects of social isolation in animals have shown that one of the physiologic system that gets disrupted by this environment-affective change is the Endocannabinoid System. As the levels of endocannabinoids change in limbic areas and prefrontal cortex during stressful times, so is the subject more prone to fearful and negative thoughts and aggressive behavior. The interplay of social isolation on the hypothalamic-pituitary-adrenal axis and cannabinoid tone triggers a vicious cycle which further impairs the natural body's homeostatic neuroendocrine levels and provokes a series of risk factors for developing health complications. In this paper, we explore the psychosomatic impact of prolonged quarantine in healthy individuals, and propose management and coping strategies that may improve endocannabinoid tone, such as integration of probiotics, cannabidiol, meditation, and physical exercise interventions with the aim of supporting interpersonal, individual, and professional adherence with COVID-19 emergency public measures whilst minimizing their psycho-physical impact.
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The Influence of COVID-19-Induced Daily Activities on Health Parameters—A Case Study in Malaysia. SUSTAINABILITY 2021. [DOI: 10.3390/su13137465] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Since December 2019, the COVID-19 epidemic has been spreading all over the world. This epidemic has brought a risk of death in the daily activity (physical and social) participation that influences travellers’ physical, social, and mental health. To analyze the impact of the COVID-19-induced daily activities on health parameters of higher education institutes, 150 students of the Universiti Teknologi PETRONAS, Perak, Malaysia, were surveyed through an online web survey using random sampling techniques. The data were analyzed through RStudio and SPSS using multilevel linear regression analysis and Hierarchical Structural Equation Modeling. The estimated results indicate that restricting individuals from doing out-of-home activities negatively influences physical and social health. A unit increase in the in-home maintenance activities during the COVID-19 pandemic introduced a daily increase of 0.5% in physical health. Moreover, a unit increase in the in-home activities at leisure time represents a 1% positive improvement in social health. Thus, physical activity has proven to be beneficial in improving physical and social health with severe COVID-19. In contrast, the coefficient of determination (R2) for all endogenous variables ranges from 0.148 to 0.227, which is incredibly acceptable in psychological research. For a healthier society with a better quality of life, this study adopted multidisciplinary approaches that are needed to be designed.
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30
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Bird JM, Karageorghis CI, Hamer M. Relationships among behavioural regulations, physical activity, and mental health pre- and during COVID-19 UK lockdown. PSYCHOLOGY OF SPORT AND EXERCISE 2021; 55:101945. [PMID: 34518758 PMCID: PMC8425532 DOI: 10.1016/j.psychsport.2021.101945] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 03/24/2021] [Accepted: 04/05/2021] [Indexed: 06/13/2023]
Abstract
A nationwide survey was conducted during the first UK lockdown to further understanding of the degree to which motives for exercise were associated with physical activity (PA) behaviours and, in turn, how PA behaviours were associated with mental health. A cross-sectional design was employed and data were collected by use of a one-off online survey (N = 392; 18-85 years; M BMI = 25.48; SD BMI = 5.05; 314 women). Exercise motives, PA, and mental health were measured by use of the Behavioural Regulations in Exercise Questionnaire-3, Brunel Lifestyle Physical Activity Questionnaire, and General Health Questionnaire-12, respectively. Participants were also asked to specify their average step count per day, if they used a mobile device for this purpose (n = 190). Analyses comprised hierarchical regressions and partial correlations. Results indicated that behavioural regulations were more strongly associated with planned PA pre-lockdown, compared to during lockdown. There were no differences observed in explained variance between pre- and during lockdown for unplanned PA and steps per day. Planned and unplanned PA were significant explanatory variables for mental health both pre- and during lockdown, but sedentary behaviour was not. Partial correlations, with BMI and age partialled out, showed that steps per day were not correlated with mental health either pre- or during lockdown. The range of variables used to explain planned and unplanned PA and mental health suggest that people's motives to exercise were tempered by lockdown. For those who routinely measured their steps per day, the step count was unrelated to their mental health scores both pre- and during lockdown. It appears that engagement in regular PA confers some minor benefits for mental health.
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Affiliation(s)
- Jonathan M Bird
- Department of Science, Innovation, Technology, and Entrepreneurship, University of Exeter, Devon, United Kingdom
| | | | - Mark Hamer
- Institute of Sport, Exercise & Health, Research Department of Targeted Intervention, University College London, London, United Kingdom
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Lage A, Carrapatoso S, Sampaio de Queiroz Neto E, Gomes S, Soares-Miranda L, Bohn L. Associations Between Depressive Symptoms and Physical Activity Intensity in an Older Adult Population During COVID-19 Lockdown. Front Psychol 2021; 12:644106. [PMID: 34163399 PMCID: PMC8215341 DOI: 10.3389/fpsyg.2021.644106] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Accepted: 04/16/2021] [Indexed: 11/21/2022] Open
Abstract
Introduction The COVID-19 pandemic led to the implementation of physical–social distancing measures–including self-isolation, home confinement, and quarantine around the world, with psychological consequences such as depression. Older adults are especially likely to develop depressive symptomatology. This study aims to investigate the association between physical activity intensities and sedentary behavior with depression levels among previously active older adults during the COVID-19 lockdown. Methods A total of 1,123 physically active older Brazilian adults (67.68 ± 5.91 years, 91.00% female) were interviewed by telephone in regard to sociodemographic, general health status, depression (GDS-15), and physical activity (IPAQ-SV) after being home-confined for 11.59 ± 2.42 weeks. Participants were also asked to self-report changes in their physical activity levels and time spent sitting. Descriptive statistics (mean, frequencies), between-groups comparisons (t-tests and chi-square), and hierarchical regression analysis were used. Results About 83.80% of older adults self-reported a decrease in daily physical activity levels and 73.90% increased sitting time. Overall, depressive symptoms were observed in 30.40, and 20.80% met physical activity recommendations. Daily moderate (β = −0.174; 95% CI = −0.026; -0.012) and moderate-to-vigorous (β = −0.183; 95% CI = −0.023; 0.011) physical activity intensities were negatively associated with depression score explaining 2.6 and 2.9% of depression variability, respectively, after adjusting for age, gender, education level, body mass index, and polypharmacy. Daily walking and sitting time were not associated with the depression score (p > 0.05). Conclusion The results provide empiric suggestion supporting moderate to vigorous physical activity as a way to reduce depressive levels among older adults during COVID-19 confinement. Supervised home-based exercise programs, specifically designed for older adults, might be an important strategy to maintain and improve older adults’ mental health.
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Affiliation(s)
- Ana Lage
- Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sports, University of Porto (FADEUP), Portugal Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal
| | - Susana Carrapatoso
- Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sports, University of Porto (FADEUP), Portugal Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal.,Faculty of Phycology, Education and Sport, University Lusófona of Porto, Porto, Portugal
| | - Elzier Sampaio de Queiroz Neto
- Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sports, University of Porto (FADEUP), Portugal Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal
| | - Sérgio Gomes
- Prefeitura Municipal de Fortaleza, Coordenadoria do Idoso, Fortaleza, Brazil
| | - Luísa Soares-Miranda
- Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sports, University of Porto (FADEUP), Portugal Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal.,Department of Hematology, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - Lucimere Bohn
- Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sports, University of Porto (FADEUP), Portugal Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal.,Faculty of Phycology, Education and Sport, University Lusófona of Porto, Porto, Portugal
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Michelini E, Bortoletto N, Porrovecchio A. Outdoor Physical Activity During the First Wave of the COVID-19 Pandemic. A Comparative Analysis of Government Restrictions in Italy, France, and Germany. Front Public Health 2021; 9:615745. [PMID: 34150694 PMCID: PMC8212034 DOI: 10.3389/fpubh.2021.615745] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Accepted: 04/22/2021] [Indexed: 12/23/2022] Open
Abstract
Introduction: Mandated restrictions on outdoor physical activity (PA) during the coronavirus pandemic disrupted the lifeworld of millions of people and led to a contradictory situation. On the one hand, PA was perceived as risky behaviour, as it might facilitate transmission of the virus. On the other hand, while taking precautions, regular PA was an important tool to promote the population's health during the lockdown. Methods: This paper examines the differences in government restrictions on PA in France, Germany, and Italy during the first wave of the COVID-19 pandemic. We draw on techniques of qualitative content analysis and apply a critical theoretical framework to assess the countries' restrictions on PA. Results: Our analysis shows that the restrictions on PA varied in the three countries, in all three countries. This variance is attributed both to differences in the timing and severity of the pandemic in the countries analysed, as well as to the divergence in the relationships between the countries' sport and health systems. Conclusion: At the national level, the variance in restrictions on PA reflect the differences in the spread of the coronavirus and in the health systems' understanding of and approach to PA. The global scientific discourse on the pandemic represents a further key influencing factor. The management of the coronavirus pandemic has demonstrated that the extreme complexity of societies in terms of public health, politics, and the economy pose challenges and unsolvable contradictions.
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Affiliation(s)
- Enrico Michelini
- Department of Sport and Sport Science, Technical University of Dortmund, Dortmund, Germany
| | - Nico Bortoletto
- Department of Communication Sciences, University of Teramo, Teramo, Italy
| | - Alessandro Porrovecchio
- Univ. Littoral Côte d'Opale, Univ. Lille, Univ. Artois-ULR 7369-URePSSS-Unité de Recherche Pluridisciplinaire Sport Santé Société, Dunkirk, France
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Czenczek-Lewandowska E, Wyszyńska J, Leszczak J, Baran J, Weres A, Mazur A, Lewandowski B. Health behaviours of young adults during the outbreak of the Covid-19 pandemic - a longitudinal study. BMC Public Health 2021; 21:1038. [PMID: 34078340 PMCID: PMC8170456 DOI: 10.1186/s12889-021-11140-w] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2020] [Accepted: 05/25/2021] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND The outbreak of the Covid-19 pandemic has created a number of obstacles to daily functioning, which have led to a need for major changes in lifestyles. The aim of the study was to assess whether and to what extent the outbreak of the Covid-19 pandemic has affected the health behaviours of young adults. METHODS 506 people aged 18 to 34 ([Formula: see text] =24.67 years ±4.23 years) who filled in an online survey were qualified for the study. Assessment was made of eating habits (a modified Food Frequency Questionnaire, FFQ), physical activity and sedentary behaviours (International Physical Activity Questionnaire, short form IPAQ-SF), sleep quality (The Pittsburgh Sleep Quality Index, PSQI), and generalized anxiety (Generalized anxiety Disorder, 7-item, GAD-7 scale). RESULTS During the pandemic, young adults changed their dietary preferences toward sweets and cereal products, increased alcohol (p < 0.001) and fat (p = 0.005) intake, significantly reduced their physical activity (from 8752.5 metabolic equivalents (MET) min/week vs. 6174.6 MET min/week, p < 0.001), increased the time spent sedentarily (Me = 240 min vs. Me = 360 min, p < 0.001) and had decreased sleep quality (PSQI score Me = 7.00 vs. Me = 9.00). CONCLUSIONS The Covid-19 pandemic worsened health behaviours and intensified the feeling of generalized anxiety in young adults. Generalized anxiety during obligatory lockdown had the greatest negative impact on sedentary behaviours and sleep quality.
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Affiliation(s)
| | - Justyna Wyszyńska
- Institute of Health Sciences, Medical College, University of Rzeszów, ul. Kopisto 2a, 35-959, Rzeszów, Poland
| | - Justyna Leszczak
- Institute of Health Sciences, Medical College, University of Rzeszów, ul. Kopisto 2a, 35-959, Rzeszów, Poland
| | - Joanna Baran
- Institute of Health Sciences, Medical College, University of Rzeszów, ul. Kopisto 2a, 35-959, Rzeszów, Poland
| | - Aneta Weres
- Institute of Health Sciences, Medical College, University of Rzeszów, ul. Kopisto 2a, 35-959, Rzeszów, Poland
| | - Artur Mazur
- Institute of Medical Sciences, Medical College, University of Rzeszów, ul. Kopisto 2a, 35-959, Rzeszów, Poland
| | - Bogumił Lewandowski
- Institute of Medical Sciences, Medical College, University of Rzeszów, ul. Kopisto 2a, 35-959, Rzeszów, Poland
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Porrovecchio A, Olivares PR, Masson P, Pezé T, Lombi L. The Effect of Social Isolation on Physical Activity during the COVID-19 Pandemic in France. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18105070. [PMID: 34064817 PMCID: PMC8150978 DOI: 10.3390/ijerph18105070] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 04/28/2021] [Accepted: 05/08/2021] [Indexed: 11/16/2022]
Abstract
The objective of this cross-sectional study is to analyze the changes in physical activity (PA) practice of a sample of 2099 French adults, mostly females, who answered an online questionnaire during the first COVID-19 lockdown (March-May 2020). A descriptive analysis of participants was performed using relative frequencies. Chi-squared tests were performed to compare the responses of selected variables. Multinomial logistic regressions were performed to compare the variations of PA with all the variables identified. The age of participants ranged from 18 to 88. Among people who practiced PAs before the first lockdown, the probability to keep practicing PAs is higher among those with a lower level of education, among housewives and retirees and among those who lived in cities of 10,000-19,999 inhabitants. For those who did not practice PAs before the social distancing, the probability of starting to practice is greater in those with a lower level of education and for those who suffered from a chronic disease. Our results place the emphasis on the complexity and multifactoriality of the changes that emerged during the first lockdown. The "education" factor emerges, as a significant determinant of PA that should certainly be explored further.
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Affiliation(s)
- Alessandro Porrovecchio
- Univ. Littoral Côte d’Opale, Univ. Lille, Univ. Artois ULR 7369—URePSSS—Unité de Recherche Pluridiscipli-Naire Sport Santé Société, 59140 Dunkerque, France;
- Correspondence: ; Tel.: +33-06 47 12 04 23
| | - Pedro R. Olivares
- Faculty of Sport Sciences, Universidad de Huelva, 21007 Huelva, Spain;
- Institute of Physical Activity and Health, Universidad Autonoma de Chile, Talca 3460000, Chile
| | - Philippe Masson
- Univ. Lille, Univ. Littoral Côte d’Opale, Univ. Artois—ULR 7369—URePSSS—Unité de Recherche Pluridisciplinaire Sport Santé Société, 59000 Lille, France;
| | - Thierry Pezé
- Univ. Littoral Côte d’Opale, Univ. Lille, Univ. Artois ULR 7369—URePSSS—Unité de Recherche Pluridiscipli-Naire Sport Santé Société, 59140 Dunkerque, France;
| | - Linda Lombi
- Department of Sociology, Università Cattolica del Sacro Cuore, 20125 Milan, Italy;
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Strauss M, Foshag P, Brzęk A, Vollenberg R, Jehn U, Littwitz H, Leischik R. Cardiorespiratory Fitness Is Associated with a Reduced Cardiovascular Risk in Occupational Groups with Different Working Conditions: A Cross-Sectional Study among Police Officers and Office Workers. J Clin Med 2021; 10:jcm10092025. [PMID: 34065102 PMCID: PMC8126004 DOI: 10.3390/jcm10092025] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 05/01/2021] [Accepted: 05/03/2021] [Indexed: 12/11/2022] Open
Abstract
Several studies reported a high prevalence of cardiovascular risk factors among police officers and office workers, and adequate cardiorespiratory fitness was reported to have protective effects in reducing cardiovascular risk. Therefore, the present study aimed to evaluate the effects of cardiorespiratory fitness on reducing cardiovascular risk factors in these occupational groups. This cross-sectional study enrolled 101 male participants (55 police officers and 46 office workers). Cardiorespiratory fitness was assessed via spiroergometry. Cardiovascular risk factors were also examined, and the 10-year cardiovascular risk and heart/vascular age were reported using the Framingham risk score. In both groups, higher cardiorespiratory fitness was associated with lower cardiovascular risk factors. Police officers and office workers with higher cardiorespiratory fitness demonstrated significantly lower values in BMI, waist circumference, body fat percentage, diastolic resting blood pressure, heart rate, triglycerides and total cholesterol values, and 10-year cardiovascular risk and heart/vascular age (all factors p < 0.0077, age adjusted). Police officers and office workers mostly presented low levels of cardiorespiratory fitness: 60% of police officers and 58% of office workers were considered “not fit and obese”. Despite different working conditions, both occupational groups had a high rate of low cardiorespiratory fitness levels and showed no differences in their cardiovascular risk profiles. In both groups, cardiorespiratory fitness reduced cardiovascular risk factors, but there was no difference in the influence of cardiorespiratory fitness on cardiovascular risk factors.
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Affiliation(s)
- Markus Strauss
- Department of Cardiology, Faculty of Health, School of Medicine, University Witten/Herdecke, 58095 Hagen, Germany; (P.F.); (H.L.)
- Department of Cardiology I-Coronary and Peripheral Vascular Disease, Heart Failure Medicine, University Hospital Muenster, 48149 Muenster, Germany
- Correspondence: (M.S.); (R.L.)
| | - Peter Foshag
- Department of Cardiology, Faculty of Health, School of Medicine, University Witten/Herdecke, 58095 Hagen, Germany; (P.F.); (H.L.)
| | - Anna Brzęk
- Department of Physiotherapy, School of Health Sciences, Medical University of Silesia, 40000 Katowice, Poland;
| | - Richard Vollenberg
- Department of Medicine B, Gastroenterology and Hepatology, University Hospital Muenster, 48149 Muenster, Germany;
| | - Ulrich Jehn
- Department of Medicine D, Division of General Internal Medicine, Nephrology and Rheumatology, University Hospital of Muenster, 48149 Muenster, Germany;
| | - Henning Littwitz
- Department of Cardiology, Faculty of Health, School of Medicine, University Witten/Herdecke, 58095 Hagen, Germany; (P.F.); (H.L.)
| | - Roman Leischik
- Department of Cardiology, Faculty of Health, School of Medicine, University Witten/Herdecke, 58095 Hagen, Germany; (P.F.); (H.L.)
- Correspondence: (M.S.); (R.L.)
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36
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Beck AM, Gilbert AS, Duncan DD, Wiedenman EM. A Cross-Sectional Comparison of Physical Activity during COVID-19 in a Sample of Rural and Non-Rural Participants in the US. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:4991. [PMID: 34066791 PMCID: PMC8125949 DOI: 10.3390/ijerph18094991] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/02/2021] [Revised: 04/20/2021] [Accepted: 05/03/2021] [Indexed: 12/29/2022]
Abstract
Physical activity (PA) pre-COVID-19 was lower in rural areas compared to non-rural areas. The purpose of this study was to determine COVID-19's impact on PA in rural and non-rural residents. A cross-sectional study consisting of a convenience sample of 278 participants (50% rural, 50% non-rural) from 25 states completed an online survey describing their PA behaviors and perceptions during COVID-19. The global physical activity questionnaire was used to determine PA in various domains and summed to determine if the participant met the PA guidelines. Rural participants had a significantly higher body mass index, lower income, and a lower educational attainment. Conversely, non-rural participants reported more barriers to PA. There was no difference in the perception of COVID-19's impact on PA, specifically; however, rural participants were significantly less likely to meet cardiorespiratory PA recommendations compared to non-rural participants. Conclusions: This study demonstrates the continued disparity in PA between rural and non-rural residents, despite the supposition of COVID-19 being less impactful in rural areas due to sparse populations. Efforts should be pursued to close the PA gap between rural and non-rural residents.
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Affiliation(s)
- Alan M. Beck
- Prevention Research Center, Washington University in St. Louis, St. Louis, MO 63130, USA; (A.S.G.); (D.D.D.); (E.M.W.)
| | - Amanda S. Gilbert
- Prevention Research Center, Washington University in St. Louis, St. Louis, MO 63130, USA; (A.S.G.); (D.D.D.); (E.M.W.)
| | - Dixie D. Duncan
- Prevention Research Center, Washington University in St. Louis, St. Louis, MO 63130, USA; (A.S.G.); (D.D.D.); (E.M.W.)
| | - Eric M. Wiedenman
- Prevention Research Center, Washington University in St. Louis, St. Louis, MO 63130, USA; (A.S.G.); (D.D.D.); (E.M.W.)
- Department of Surgery, Division of Public Health Sciences, Washington University in St. Louis, St. Louis, MO 63130, USA
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Goulart CDL, Silva RN, Oliveira MR, Guizilini S, Rocco IS, Mendez VMF, Bonjorno JC, Caruso FR, Arena R, Borghi-Silva A. Lifestyle and rehabilitation during the COVID-19 pandemic: guidance for health professionals and support for exercise and rehabilitation programs. Expert Rev Anti Infect Ther 2021; 19:1385-1396. [PMID: 33852807 DOI: 10.1080/14787210.2021.1917994] [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: 12/16/2022]
Abstract
Introduction: The coronavirus disease-2019 (COVID-19) is a highly contagious respiratory viral disease for both the general population and healthcare professionals caring for infected patients. Of particular concern is the potential for significant respiratory, cardiovascular, physical, and psychological dysfunctions.Areas covered: In this context, the current review will focus on the following areas: 1) staying physically active during the COVID-19 pandemic; 2) highlighting the importance of understanding COVID-19 mechanisms; 3) preventing infections for healthcare workers by using personal protective equipment; 4) highlighting importance of respiratory care and physical therapy during hospitalization in patients with COVID-19; and 5) facilitating referral to a rehabilitation program in patients recovering from COVID-19.Expert opinion: We recommend daily physical exercise, outdoors or at home, as physical exercise increases the synthesis of anti-inflammatory cytokines; Patients with COVID-19 may develop severe acute respiratory syndrome, hypoxemia, diffuse alveolar damage, ACE2 reduction in the cardiovascular system and muscle weakness acquired through a prolonged hospital stay; The role of the physiotherapist in the hospital environment is of fundamental importance-early mobilization is highly recommended in severe cases of COVID-19.
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Affiliation(s)
- Cássia Da Luz Goulart
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Universidade Federal De Sao Carlos, Sao Carlos, SP, Brazil
| | - Rebeca Nunes Silva
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Universidade Federal De Sao Carlos, Sao Carlos, SP, Brazil
| | - Murilo Rezende Oliveira
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Universidade Federal De Sao Carlos, Sao Carlos, SP, Brazil
| | - Solange Guizilini
- Department of the Human Movement Sciences, Universidade Federal De São Paulo - UNIFESP, Santos, SP, Brazil
| | - Isadora Salvador Rocco
- Department of the Human Movement Sciences, Universidade Federal De São Paulo - UNIFESP, Santos, SP, Brazil
| | | | - José Carlos Bonjorno
- Department of Medicine, Universidade Federal De Sao Carlos, Sao Carlos, SP, Brazil
| | - Flavia Rossi Caruso
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Universidade Federal De Sao Carlos, Sao Carlos, SP, Brazil
| | - Ross Arena
- Department of Physical Therapy, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL., USA.,Healthy Living for Pandemic Event Protection (HL - PIVOT) Network, Chicago, IL, USA
| | - Audrey Borghi-Silva
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Universidade Federal De Sao Carlos, Sao Carlos, SP, Brazil.,Healthy Living for Pandemic Event Protection (HL - PIVOT) Network, Chicago, IL, USA
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Ambroży T, Rydzik Ł, Obmiński Z, Klimek AT, Serafin N, Litwiniuk A, Czaja R, Czarny W. The Impact of Reduced Training Activity of Elite Kickboxers on Physical Fitness, Body Build, and Performance during Competitions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:4342. [PMID: 33923913 PMCID: PMC8073118 DOI: 10.3390/ijerph18084342] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 04/15/2021] [Accepted: 04/17/2021] [Indexed: 11/16/2022]
Abstract
Background: Kickboxing is a combat sport where athletes require constant supervision of a coach. The outbreak of the pandemic caused by SARS-CoV-2 has led to a crisis in many sectors, including sport. Global efforts to limit the spread of the pathogen resulted in temporary lockdowns that limited sporting activity, thus deteriorating athletes' physical fitness. Methods: The participants included 20 kickboxers competing at the international level. Their physical fitness was evaluated based on the test developed by the International Committee on the Standardization of Physical Fitness Test (ICSPFT) and their body build was assessed using Tanita BC601 body composition monitor and a body height meter. Differences between physical fitness before the COVID-19 outbreak and during the pandemic after re-opening sports facilities were evaluated. Results: Temporary closing of sports clubs has led to the increase in body mass of the participants by 2.65 kg on average and significantly deteriorated physical fitness. Conclusions: Temporary closing of sports clubs and restrictions on physical activity aimed at containing the spread of COVID-19 caused a significant reduction in physical fitness and increased body mass of the participants. This is likely to cause worse performance in the nearest competitions and have a negative impact on the athletes' health status and immunity to diseases.
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Affiliation(s)
- Tadeusz Ambroży
- Institute of Sports Sciences, University of Physical Education, 31-571 Krakow, Poland;
| | - Łukasz Rydzik
- Institute of Sports Sciences, University of Physical Education, 31-571 Krakow, Poland;
| | - Zbigniew Obmiński
- Department of Endocrinology, Institute of Sport-National Research Institute, 01-982 Warsaw, Poland;
| | - Andrzej T. Klimek
- Department of Physiology and Biochemistry, Faculty of Physical Education and Sport, University of Physical Education in Kraków, 31-571 Kraków, Poland;
| | - Natalia Serafin
- Faculty of Physical Education and Sport, Institute of Social Sciences, University of Physical Education in Krakow, 31-571 Kraków, Poland;
| | - Artur Litwiniuk
- Faculty of Physical Education and Health in Biała Podlaska, Józef Piłsudski University of Physical Education, 00-809 Warsaw, Poland;
| | - Robert Czaja
- College of Medical Sciences, Institute of Physical Culture Studies, University of Rzeszow, 35-310 Rzeszów, Poland; (R.C.); (W.C.)
| | - Wojciech Czarny
- College of Medical Sciences, Institute of Physical Culture Studies, University of Rzeszow, 35-310 Rzeszów, Poland; (R.C.); (W.C.)
- Department of Sports Kinanthropology, Faculty of Sports, Universtiy of Presov, 080-01 Prešov, Slovakia
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The Impact of Coronavirus (COVID-19) Related Public-Health Measures on Training Behaviours of Individuals Previously Participating in Resistance Training: A Cross-Sectional Survey Study. Sports Med 2021; 51:1561-1580. [PMID: 33871831 PMCID: PMC8054258 DOI: 10.1007/s40279-021-01438-5] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/12/2021] [Indexed: 11/06/2022]
Abstract
Introduction Understanding the impact of lockdown upon resistance training (RT), and how people adapted their RT behaviours, has implications for strategies to maintain engagement in similar positive health behaviours. Further, doing so will provide a baseline for investigation of the long-term effects of these public health measures upon behaviours and perceptions, and facilitate future follow-up study. Objectives To determine how the onset of coronavirus (COVID-19), and associated ‘lockdown’, affected RT behaviours, in addition to motivation, perceived effectiveness, enjoyment, and intent to continue, in those who regularly performed RT prior to the pandemic. Methods We conducted an observational, cross-sectional study using online surveys in multiple languages (English, Danish, French, German, Italian, Portuguese, Slovakian, Swedish, and Japanese) distributed across social media platforms and through authors’ professional and personal networks. Adults (n = 5389; median age = 31 years [interquartile range (IQR) = 25, 38]), previously engaged in RT prior to lockdown (median prior RT experience = 7 years [IQR = 4, 12]) participated. Outcomes were self-reported RT behaviours including: continuation of RT during lockdown, location of RT, purchase of specific equipment for RT, method of training, full-body or split routine, types of training, repetition ranges, exercise number, set volumes (per exercise and muscle group), weekly frequency of training, perception of effort, whether training was planned/recorded, time of day, and training goals. Secondary outcomes included motivation, perceived effectiveness, enjoyment, and intent to continue RT. Results A majority of individuals (82.8%) maintained participation in RT during-lockdown. Marginal probabilities from generalised linear models and generalised estimating equations for RT behaviours were largely similar from pre- to during-lockdown. There was reduced probability of training in privately owned gyms (~ 59% to ~ 7%) and increased probability of training at home (~ 18% to ~ 89%); greater probability of training using a full-body routine (~ 38% to ~ 51%); reduced probability of resistance machines (~ 66% to ~ 13%) and free weight use (~ 96% to ~ 81%), and increased probability of bodyweight training (~ 62% to ~ 82%); reduced probability of moderate repetition ranges (~ 62–82% to ~ 55–66%) and greater probability of higher repetition ranges (~ 27% to ~ 49%); and moderate reduction in the perception of effort experienced during-training (r = 0.31). Further, individuals were slightly less likely to plan or record training during lockdown and many changed their training goals. Additionally, perceived effectiveness, enjoyment, and likelihood of continuing current training were all lower during-lockdown. Conclusions Those engaged in RT prior to lockdown these behaviours with only slight adaptations in both location and types of training performed. However, people employed less effort, had lower motivation, and perceived training as less effective and enjoyable, reporting their likelihood of continuing current training was similar or lower than pre-lockdown. These results have implications for strategies to maintain engagement in positive health behaviours such as RT during-restrictive pandemic-related public health measures. Pre-registration https://osf.io/qcmpf. Preprint The preprint version of this work is available on SportRχiv: https://osf.io/preprints/sportrxiv/b8s7e/. Supplementary Information The online version contains supplementary material available at 10.1007/s40279-021-01438-5.
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Zieff G, Bates LC, Kerr ZY, Moore JB, Hanson ED, Battaglini C, Stoner L. Targeting sedentary behavior as a feasible health strategy during COVID-19. Transl Behav Med 2021; 11:826-831. [PMID: 33118596 PMCID: PMC7665775 DOI: 10.1093/tbm/ibaa101] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Sedentary behavior is associated with poor physical and mental health. Targeting sedentary behavior is a simple strategy that may help counter physical and mental health concerns associated with COVID-19-related social restrictions. Of course, traditional strategies such as achieving optimal exercise and physical activity levels are also important and should be recommended. However, even under normal circumstances, the difficulty in promoting lasting exercise habits at multiple levels (e.g. individual, environment, policy) are well documented, and chances of maintaining or improving these factors is now even lower. Thus, relative to other lifestyle behaviors - sedentary behavior may be more amenable to change. Moreover, reducing sedentary behavior may be less susceptible to influence from factors associated with health disparities such as age, race, and socio-economic status compared to exercise or physical activity. Sedentary behavior is a feasible health strategy that should be targeted during COVID-19.
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Affiliation(s)
- Gabriel Zieff
- Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA
| | - Lauren C Bates
- Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA
| | - Zachary Y Kerr
- Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Justin B Moore
- Implementation Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | - Erik D Hanson
- Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Claudio Battaglini
- Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Lee Stoner
- Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA
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Muhammad M, Ibrahim SA, Yarube IU, Bello B. A REVIEW ON EMERGING PATHOGENESIS OF COVID-19 AND POINTS OF CONCERN FOR RESEARCH COMMUNITIES IN NIGERIA. Afr J Infect Dis 2021; 15:36-43. [PMID: 33889801 PMCID: PMC8052969 DOI: 10.21010/ajid.v15i2.7] [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: 07/24/2020] [Revised: 03/02/2021] [Accepted: 03/03/2021] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND COVID-19 remains an emerging pandemic that continuously poses an alarming threat and challenge to economic, social and well-being of the people throughout the world. It also remains an evolving disease which complete pathogenesis that translates into clinical features is only just emerging by each second of the day. There have been observations about the emerging trends of the disease in Nigeria like in any other country in the world where there is outbreak. This study examined from evidence-based literature the emerging pathogenesis of COVID-19 and important points of concern of the disease in Nigeria. MATERIALS AND METHODS The paper reviewed published articles in PubMed and Google Scholar using search terms 'COVID-19" and "SARS-CoV-2", as well as searched for general COVID-19 information on internet. RESULTS The result summarized literature on emerging pathogenesis of COVID-19 and important points of concern as well as research questions as to the peculiar trends of the disease in Nigeria. CONCLUSION Pathogenesis of COVID-19 remains an emerging knowledge and there are many important research questions that need to be scientifically answered for a successful containment of COVID-19 in Nigeria. It is recommended that all members of intellectual research communities should join the fight against COVID-19 pandemic.
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Affiliation(s)
- Mubarak Muhammad
- Department of Physiology, College of Medicine, University of Ibadan, Nigeria
| | - Salisu Ahmed Ibrahim
- Department of Human Physiology, College of Health Sciences, Bayero University Kano, Nigeria
| | - Isyaku Umar Yarube
- Department of Human Physiology, College of Health Sciences, Bayero University Kano, Nigeria
| | - Bashir Bello
- Department of Physiotherapy, College of Health Sciences, Bayero University Kano, Nigeria
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Resting Heart Rate Measurement in Elite Athletes during COVID-19 Lockdown: The Impact of Decreased Physical Activity. SUSTAINABILITY 2021. [DOI: 10.3390/su13052970] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
The purpose was to observe the effects of a four-week lockdown on the resting heart rate (RHR) and well-being perception of elite swimmers. Twenty elite swimmers performed RHR measurements upon waking in supine and standing positions. Baseline values and those measured after four weeks of lockdown were compared. Swimmers completed a questionnaire on their training volume and state of well-being. During the lockdown, swimmers reported a weekly mean physical activity of 10.4 ± 3.6 h (an estimated reduction of 254% compared to their usual training volume). After four weeks of lockdown, RHR in the supine position increased by more than two beats per minute (58.8 ± 8.2 vs. 56.5 ± 7.4 bpm, p < 0.05). In the standing position, RHR increased by almost 15 beats per minute (103.3 ± 13.2 vs. 88.4 ± 9.4 bpm, p < 0.0001). Fifty percent of these athletes expressed a decrease in well-being. These results underline that the lockdown circumstances induced a large reduction in parasympathetic activity in elite athletes, which was associated with a decrease in training volume. This increase in RHR may reflect that a highatly strenuous environment and maintaining a high level of physical activity in this population could be favorable to preserve physical and psychological health.
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Park KH, Kim AR, Yang MA, Lim SJ, Park JH. Impact of the COVID-19 pandemic on the lifestyle, mental health, and quality of life of adults in South Korea. PLoS One 2021; 16:e0247970. [PMID: 33635897 PMCID: PMC7909697 DOI: 10.1371/journal.pone.0247970] [Citation(s) in RCA: 60] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Accepted: 02/16/2021] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVE The COVID-19 pandemic continues to pose significant challenges to nations. The Korean government aimed to mitigate the spread of COVID-19 through stay-at-home strategies and maintaining social distance, which are likely to result in major changes in the lifestyle, mental health, and quality of life of citizens. This study aimed to investigate the impact of the COVID-19 pandemic on these factors in Koreans over 20 years old. METHODS The study sample consisted of 104 adults in South Korea aged over 20 years. An online survey was conducted between August and October 2020, in which participants were asked to complete the Yonsei Lifestyle Profile to assess lifestyle changes, the Center for Epidemiological Studies-Depression Scale, and the World Health Organization Quality of Life Scale abbreviated version. To investigate the changes in people's lifestyles, depression, and quality of life post COVID-19, descriptive statistics were calculated for these indicators before and after the onset of the pandemic. The p-value was two-sided, and values <0.05, were regarded as statistically significant. RESULTS There was a significant decline in physical and other meaningful activities, including activities of daily living, leisure, social activity, and education. However, there were no significant changes in nutrition, except in the consumption of carbohydrates and minerals. Participants reported that their quality of life and mental health had decreased after the pandemic struck. CONCLUSIONS We obtained novel data on the changes in the lifestyle, mental health, and quality of life of South Korean adults before and after the onset of the pandemic. The results of our study may assist health policymakers and practitioners in the development of health education or relevant interventions to deal with the pandemic situation as well as future crises.
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Affiliation(s)
- Kang-Hyun Park
- Department of Occupational Therapy, Yonsei University, Wonju, South Korea
| | - Ah-Ram Kim
- Department of Occupational Therapy, Yonsei University, Wonju, South Korea
| | - Min-Ah Yang
- Department of Occupational Therapy, Yonsei University, Wonju, South Korea
| | - Seung-Ju Lim
- Department of Occupational Therapy, Yonsei University, Wonju, South Korea
| | - Ji-Hyuk Park
- Department of Occupational Therapy, Yonsei University, Wonju, South Korea
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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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Marchant G, Bonaiuto F, Bonaiuto M, Guillet Descas E. Exercise and Physical Activity eHealth in COVID-19 Pandemic: A Cross-Sectional Study of Effects on Motivations, Behavior Change Mechanisms, and Behavior. Front Psychol 2021; 12:618362. [PMID: 33692722 PMCID: PMC7937732 DOI: 10.3389/fpsyg.2021.618362] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Accepted: 01/12/2021] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVES The aims of this research were (1) to compare the levels of physical activity of eHealth users and non-users, (2) to determine the effects of these technologies on motivations, and (3) to establish the relationship that could exist between psychological constructs and physical activity behaviors. METHODS This cross-sectional study involved 569 adults who responded to an online questionnaire during confinement in France. The questions assessed demographics, usage of eHealth for exercise and physical activity, and behavioral levels. The questionnaire also measured the constructs of Social Cognitive Theory, the Theory of Planned Behavior, and automaticity facets toward eHealth for exercise and physical activity. RESULTS Participants who were users of eHealth for exercise and physical activity presented significantly higher levels of vigorous physical activity and total physical activity per week than non-users (p < 0.001). The chi-square test showed significant interactions between psychological constructs toward eHealth (i.e., self-efficacy, behavioral attitudes, intentions, and automaticity) and physical activity levels (all interactions were p < 0.05). Self-efficacy was significantly and negatively correlated with walking time per week. Concerning the automaticity facets, efficiency was positive and significantly correlated with vigorous physical activity levels per week (p < 0.05). Then, regressions analyses showed that self-efficacy and automaticity efficiency explained 5% of the variance of walking minutes per week (ß = -0.27, p < 0.01) and vigorous physical activity per week (ß = 0.20, p < 0.05), respectively. CONCLUSION This study has shown that people during confinement looked for ways to stay active through eHealth. However, we must put any technological solution into perspective. The eHealth offers possibilities to stay active, however its benefits and the psychological mechanisms affected by it remains to be demonstrated: eHealth could be adapted to each person and context.
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Affiliation(s)
- Gonzalo Marchant
- Laboratory of Vulnerabilities and Innovation in Sport, UFR STAPS, Claude Bernard University Lyon 1, Lyon, France
| | | | - Marino Bonaiuto
- CIRPA – Interuniversity Research Centre in Environmental Psychology, Department of Psychology of Developmental and Socialization Processes, Sapienza University of Rome, Rome, Italy
| | - Emma Guillet Descas
- Laboratory of Vulnerabilities and Innovation in Sport, UFR STAPS, Claude Bernard University Lyon 1, Lyon, France
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Shekhar S, Liu Y, Wang S, Zhang H, Fang X, Zhang J, Fan L, Zheng B, Roman RJ, Wang Z, Fan F, Booz GW. Novel Mechanistic Insights and Potential Therapeutic Impact of TRPC6 in Neurovascular Coupling and Ischemic Stroke. Int J Mol Sci 2021; 22:2074. [PMID: 33669830 PMCID: PMC7922996 DOI: 10.3390/ijms22042074] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 02/12/2021] [Accepted: 02/17/2021] [Indexed: 12/13/2022] Open
Abstract
Ischemic stroke is one of the most disabling diseases and a leading cause of death globally. Despite advances in medical care, the global burden of stroke continues to grow, as no effective treatments to limit or reverse ischemic injury to the brain are available. However, recent preclinical findings have revealed the potential role of transient receptor potential cation 6 (TRPC6) channels as endogenous protectors of neuronal tissue. Activating TRPC6 in various cerebral ischemia models has been found to prevent neuronal death, whereas blocking TRPC6 enhances sensitivity to ischemia. Evidence has shown that Ca2+ influx through TRPC6 activates the cAMP (adenosine 3',5'-cyclic monophosphate) response element-binding protein (CREB), an important transcription factor linked to neuronal survival. Additionally, TRPC6 activation may counter excitotoxic damage resulting from glutamate release by attenuating the activity of N-methyl-d-aspartate (NMDA) receptors of neurons by posttranslational means. Unresolved though, are the roles of TRPC6 channels in non-neuronal cells, such as astrocytes and endothelial cells. Moreover, TRPC6 channels may have detrimental effects on the blood-brain barrier, although their exact role in neurovascular coupling requires further investigation. This review discusses evidence-based cell-specific aspects of TRPC6 in the brain to assess the potential targets for ischemic stroke management.
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Affiliation(s)
- Shashank Shekhar
- Department of Neurology, University of Mississippi Medical Center, Jackson, MS 39216, USA
| | - Yedan Liu
- Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS 39216, USA; (Y.L.); (S.W.); (H.Z.); (X.F.); (J.Z.); (L.F.); (B.Z.); (R.J.R.); (F.F.); (G.W.B.)
| | - Shaoxun Wang
- Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS 39216, USA; (Y.L.); (S.W.); (H.Z.); (X.F.); (J.Z.); (L.F.); (B.Z.); (R.J.R.); (F.F.); (G.W.B.)
| | - Huawei Zhang
- Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS 39216, USA; (Y.L.); (S.W.); (H.Z.); (X.F.); (J.Z.); (L.F.); (B.Z.); (R.J.R.); (F.F.); (G.W.B.)
| | - Xing Fang
- Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS 39216, USA; (Y.L.); (S.W.); (H.Z.); (X.F.); (J.Z.); (L.F.); (B.Z.); (R.J.R.); (F.F.); (G.W.B.)
| | - Jin Zhang
- School of Medicine, I.M. Sechenov First Moscow State Medical University, Moscow 119048, Russia
| | - Letao Fan
- Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS 39216, USA; (Y.L.); (S.W.); (H.Z.); (X.F.); (J.Z.); (L.F.); (B.Z.); (R.J.R.); (F.F.); (G.W.B.)
| | - Baoying Zheng
- Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS 39216, USA; (Y.L.); (S.W.); (H.Z.); (X.F.); (J.Z.); (L.F.); (B.Z.); (R.J.R.); (F.F.); (G.W.B.)
| | - Richard J. Roman
- Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS 39216, USA; (Y.L.); (S.W.); (H.Z.); (X.F.); (J.Z.); (L.F.); (B.Z.); (R.J.R.); (F.F.); (G.W.B.)
| | - Zhen Wang
- Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, MS 39216, USA;
| | - Fan Fan
- Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS 39216, USA; (Y.L.); (S.W.); (H.Z.); (X.F.); (J.Z.); (L.F.); (B.Z.); (R.J.R.); (F.F.); (G.W.B.)
| | - George W. Booz
- Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS 39216, USA; (Y.L.); (S.W.); (H.Z.); (X.F.); (J.Z.); (L.F.); (B.Z.); (R.J.R.); (F.F.); (G.W.B.)
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Impact of COVID-19 Lockdown on Body Weight, Eating Habits, and Physical Activity of Jordanian Children and Adolescents. Disaster Med Public Health Prep 2021; 16:1855-1863. [PMID: 33588981 PMCID: PMC8129676 DOI: 10.1017/dmp.2021.48] [Citation(s) in RCA: 37] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
OBJECTIVE The lockdown for the COVID-19 pandemic affects lifestyle patterns globally and impacts children and adolescents. This study aims to assess the effect of the lockdown on body weight, eating habits, and physical activity of Jordanian youth (children and adolescents). METHODS A cross-sectional study was conducted on a sample of 477 Jordanian children and adolescents aged 6-17 y. The study tool was a structured validated questionnaire. It comprised 4 parts, including a general description of the study purpose, sociodemographic and anthropometric data, physical activity data, and food intake pattern. Questions were reported before and during lockdown. Changes in outcomes over the 2 study time points were evaluated. RESULTS After the lockdown period, the mean body weight and body mass index for age Z-scores (BAZ) showed a significant increase (P < 0.001) compared with before the lockdown period. More than 50% of the subjects reported that they spent more than 3 h in front of the screen during the lockdown. The percent of subjects who watched TV for more than 3h was increased. Moreover, physical inactivity was increased significantly during the lockdown. All food groups consumption was significantly increased during the lockdown compared to before the lockdown. CONCLUSIONS COVID-19 lockdown period was characterized by an increase in the use of screen-based devices, lower physical activity, uncontrolled food intake, and weight gain.
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48
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Bilgili F, Dundar M, Kuşkaya S, Lorente DB, Ünlü F, Gençoğlu P, Muğaloğlu E. The Age Structure, Stringency Policy, Income, and Spread of Coronavirus Disease 2019: Evidence From 209 Countries. Front Psychol 2021; 11:632192. [PMID: 33643117 PMCID: PMC7907165 DOI: 10.3389/fpsyg.2020.632192] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Accepted: 12/23/2020] [Indexed: 01/19/2023] Open
Abstract
This article aims at answering the following questions: (1) What is the influence of age structure on the spread of coronavirus disease 2019 (COVID-19)? (2) What can be the impact of stringency policy (policy responses to the coronavirus pandemic) on the spread of COVID-19? (3) What might be the quantitative effect of development levelincome and number of hospital beds on the number of deaths due to the COVID-19 epidemic? By employing the methodologies of generalized linear model, generalized moments method, and quantile regression models, this article reveals that the shares of median age, age 65, and age 70 and older population have significant positive impacts on the spread of COVID-19 and that the share of age 70 and older people in the population has a relatively greater influence on the spread of the pandemic. The second output of this research is the significant impact of stringency policy on diminishing COVID-19 total cases. The third finding of this paper reveals that the number of hospital beds appears to be vital in reducing the total number of COVID-19 deaths, while GDP per capita does not affect much the level of deaths of the COVID-19 pandemic. Finally, this article suggests some governmental health policies to control and decrease the spread of COVID-19.
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Affiliation(s)
- Faik Bilgili
- Faculty of Economics and Administrative Sciences, Department of Economics, Erciyes University, Melikgazi, Turkey
| | - Munis Dundar
- Faculty of Medicine, Internal Medical Sciences, Department of Medical Genetics, Erciyes University, Talas, Turkey
| | - Sevda Kuşkaya
- Department of Law, Justice Vocational College, Erciyes University, Talas, Turkey
| | - Daniel Balsalobre Lorente
- Faculty of Social Sciences, Department of Public Finance, University of Castilla La Mancha, Cuenca, Spain
| | - Fatma Ünlü
- Faculty of Economics and Administrative Sciences, Department of Economics, Erciyes University, Talas, Turkey
| | - Pelin Gençoğlu
- Erciyes University Research and Application Center of Kayseri, Melikgazi, Turkey
| | - Erhan Muğaloğlu
- Faculty of Managerial Sciences, Department of Economics, Abdullah Gül University, Kayseri, Turkey
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Albalawi A, Hambly C, Speakman JR. The impact of the novel coronavirus movement restrictions in the United Kingdom on food outlet usage and body mass index. Obes Sci Pract 2021; 7:302-306. [PMID: 34123397 PMCID: PMC8170584 DOI: 10.1002/osp4.477] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Revised: 12/04/2020] [Accepted: 12/09/2020] [Indexed: 01/05/2023] Open
Abstract
Background Many countries have implemented various levels of lockdown to mitigate the spread of the global SARS‐CoV‐2 pandemic. In the United Kingdom, the national lockdown restrictions were implemented between 26 March 2020 and 4 July 2020. These restrictions required all restaurants to close except for takeaway and delivery services. Moreover, individuals were instructed to largely stay in their homes, unless they were identified as essential workers, and to only leave home once per day for exercise. These restrictions might have an impact on energy intake and expenditure, thereby affecting their body weight. Aims The aim of this study was to investigate the impact of the movement restrictions in the United Kingdom on food outlet usage and body mass index (BMI). Materials and Methods Food outlet usage surveys were filled out for 7 consecutive days before and during the lockdown. Changes in BMI and food outlet usage before and during the lockdown were measured. A total of 206 participants were included in this study. Results The mean overall BMI prior to lockdown was 25.8 ± 5.2 kg·m2, and during the lockdown, it was 25.9 ± 5.3 kg·m2 (t= 0.19, p= 0.85). Restaurant usage fell to zero as all establishments were closed. There was a corresponding increase in the use of delivery services to 1.18 ± 0.13 times per week, compared to 0.50 ± 0.05 prior to lockdown (t= 4.44, p< 0.0001). No significant difference in the number of takeaway meals ordered was observed (0.67 ± 0.06 before the lockdown and 0.74 ± 0.12 times per week during the lockdown; t= 0.52, p = 0.60). There was no significant relationship between change in use of fast‐food restaurants and full‐service restaurants and the change in BMI, either alone or in combination (β = −0.012, p = 0.62, R2 = 0.11%). Discussion Despite the large changes in behavior, there was no overall adverse effect of the lockdown with respect to obesity levels. Conclusion Lockdown in the United Kingdom modified restaurant use but had no effect on obesity levels.
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Affiliation(s)
- Ahmad Albalawi
- School of Biological Sciences University of Aberdeen Aberdeen UK
| | - Catherine Hambly
- School of Biological Sciences University of Aberdeen Aberdeen UK
| | - John R Speakman
- School of Biological Sciences University of Aberdeen Aberdeen UK.,Center for Energy Metabolism and Reproduction Shenzhen Institutes of Advanced Technology Shenzhen China.,State Key Laboratory of Molecular Developmental Biology Institute of Genetics and Development Biology Chinese Academy of Sciences Beijing China.,Centre of Excellence in Animal Evolution and Genetics Chinese Academy of Sciences Yunnan China
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50
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Asiamah N, Opuni FF, Mends-Brew E, Mensah SW, Mensah HK, Quansah F. Short-Term Changes in Behaviors Resulting from COVID-19-Related Social Isolation and Their Influences on Mental Health in Ghana. Community Ment Health J 2021; 57:79-92. [PMID: 33033971 PMCID: PMC7543965 DOI: 10.1007/s10597-020-00722-4] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Accepted: 10/01/2020] [Indexed: 12/21/2022]
Abstract
This study assessed the behavioral outcomes of Coronavirus 2019 (COVID-19) social distancing protocols and their influences on mental health. An online survey hosted by Survey Monkey was utilized to collect data from residents of three Ghanaian cities of Accra, Kumasi and Tamale. A total of 621 surveys were analyzed, with a sensitivity analysis utilized to select covariates for the regression model. The average age of participants was about 36 years. Findings indicate that reduced physical activity time and a change in sexual activity and smoking frequency are some short-term changes in behavior resulting from social isolation during the lockdown. An increase in sedentary behavior had a negative influence on mental health. For the most part, changes in behaviors in the short-term were associated with lower mental health scores. The study implied that COVID-19 social distancing measures should be implemented alongside public education for discouraging unhealthy changes in behaviors.
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Affiliation(s)
- Nestor Asiamah
- Africa Centre for Epidemiology, Department of Behavioral Epidemiology, Accra North, P. O. Box AN 16284, Accra, Ghana.
| | | | - Edwin Mends-Brew
- Accra Technical University, Department of Statistics and Mathematics, Accra, Ghana
| | - Samuel Worlanyo Mensah
- Department of Development and Economics, Wisconsin International University College, Accra, Ghana
| | - Henry Kofi Mensah
- Department of Human Resources & Organizational Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Fidelis Quansah
- Faculty of Management Studies, University of Professional Studies Accra, Madina, Ghana
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