|
1
|
Salihu D, Wong EML, Kwan RYC, Ho GWK, Chutiyami M, Surajo KS, Bello UM, Ibrahim AA, Ali MU, Wang S, Bashir K, Jalo HA, Haddad MM, Suleiman AD, Ajio DK, Ali GM, Leung DYP. Anxiety, depression and stress among internally displaced persons and host community in an armed conflict region: A comparative study. Psychiatry Res 2022; 315:114700. [PMID: 35803168 DOI: 10.1016/j.psychres.2022.114700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Revised: 06/23/2022] [Accepted: 06/25/2022] [Indexed: 12/29/2022]
Abstract
This study compares the psychological profile of Internally Displaced Persons (IDPs) and individuals living in host communities in the war-affected setting. We conducted a cross-sectional survey from October-November 2019. Subjects were recruited from six IDPs camps and the surrounding host communities within the metropolis of Maiduguri, Nigeria by convenience sampling. Data were collected using the Hausa version of Depression Anxiety Stress Scale-21, and analysed by logistic regression using adjusted odds ratio (AOR) at 95% Confidence Interval (CI). A total of 562 subjects were recruited. Living in IDP camp was the most significantly predictor of depression, anxiety, and stress. The common predictors were living in an IDP camp, and marital status (separated). Aged 18-29years was a protective factor compared to those ≥50years. Living in IDP camps, separated from partners, lack of education and pre-conflict employment were significant predictors of depression, anxiety and stress.
Collapse
Affiliation(s)
- D Salihu
- School of Nursing, The Hong Kong Polytechnic University, HKSAR, China.
| | - E M L Wong
- School of Nursing, Tung Wah College, HKSAR, China
| | - R Y C Kwan
- School of Nursing, Tung Wah College, HKSAR, China.
| | - G W K Ho
- School of Nursing, The Hong Kong Polytechnic University, HKSAR, China
| | - M Chutiyami
- School of Nursing, Institute of Health and Management, Sydney, Australia
| | - K S Surajo
- Department of Physiotherapy, Faculty of Allied Health Sciences, College of Health Sciences, Bayero University Kano, Kano, Nigeria
| | - U M Bello
- Department of Physiotherapy and paramedicine, Glasgow Caledonian University, Glasgow, United Kingdom
| | - A A Ibrahim
- Department of Physiotherapy, Muhammad Abdullahi Wase Teaching Hospital, Hospitals Management Board, Kano, Nigeria
| | - M U Ali
- Department of Rehabilitation Sciences, the Hong Kong Polytechnic University, HKSAR, China
| | - S Wang
- School of Nursing, The Hong Kong Polytechnic University, HKSAR, China
| | - K Bashir
- Department of Physiotherapy, Faculty of Allied Health Sciences, College of Health Sciences, Bayero University Kano, Kano, Nigeria
| | - H A Jalo
- State Specialist Hospital, Damaturu, Damaturu, Yobe State, Nigeria
| | - M M Haddad
- Department of Nursing, Faculty of Allied Health Sciences, College of Health Sciences, Bayero University Kano, Kano, Nigeria
| | - A D Suleiman
- Shehu Sule College of Nursing and Midwifery, Damaturu, Damaturu, Yobe State, Nigeria
| | - D K Ajio
- Department of Nursing Science, Faculty of Medical Sciences University of Jos, Jos, Plateau State, Nigeria
| | - G M Ali
- 461 Nigerian Air Force Hospital, Kaduna, Kaduna State, Nigeria
| | - Doris Y P Leung
- School of Nursing, The Hong Kong Polytechnic University, HKSAR, China
| |
Collapse
|
|
2
|
Ali GM. Medical supplies agencies and access to foreign currency in resourcelimited settings: case studies from Sudan. East Mediterr Health J 2022; 28:74-77. [DOI: 10.26719/emhj.22.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Accepted: 06/15/2021] [Indexed: 11/09/2022]
|
|
3
|
Trabelsi K, Ammar A, Masmoudi L, Boukhris O, Chtourou H, Bouaziz B, Brach M, Bentlage E, How D, Ahmed M, Mueller P, Mueller N, Hsouna H, Elghoul Y, Romdhani M, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna-Dos-Santos LJ, Taheri M, Irandoust K, Bragazzi NL, Strahler J, Washif JA, Andreeva A, Bailey SJ, Acton J, Mitchell E, Bott NT, Gargouri F, Chaari L, Batatia H, Khoshnami SC, Samara E, Zisi V, Sankar P, Ahmed WN, Ali GM, Abdelkarim O, Jarraya M, Abed KE, Moalla W, Souissi N, Aloui A, Souissi N, Gemert-Pijnen LV, Riemann BL, Riemann L, Delhey J, Gómez-Raja J, Epstein M, Sanderman R, Schulz S, Jerg A, Al-Horani R, Mansi T, Dergaa I, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Pišot S, Gaggioli A, Steinacker J, Zmijewski P, Apfelbacher C, Glenn JM, Khacharem A, Clark CC, Saad HB, Chamari K, Driss T, Hoekelmann A. Sleep Quality and Physical Activity as Predictors of Mental Wellbeing Variance in Older Adults during COVID-19 Lockdown: ECLB COVID-19 International Online Survey. Int J Environ Res Public Health 2021; 18:4329. [PMID: 33921852 PMCID: PMC8073845 DOI: 10.3390/ijerph18084329] [Citation(s) in RCA: 80] [Impact Index Per Article: 26.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 04/15/2021] [Accepted: 04/16/2021] [Indexed: 12/18/2022]
Abstract
BACKGROUND The COVID-19 lockdown could engender disruption to lifestyle behaviors, thus impairing mental wellbeing in the general population. This study investigated whether sociodemographic variables, changes in physical activity, and sleep quality from pre- to during lockdown were predictors of change in mental wellbeing in quarantined older adults. METHODS A 12-week international online survey was launched in 14 languages on 6 April 2020. Forty-one research institutions from Europe, Western-Asia, North-Africa, and the Americas, promoted the survey. The survey was presented in a differential format with questions related to responses "pre" and "during" the lockdown period. Participants responded to the Short Warwick-Edinburgh Mental Wellbeing Scale, the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and the short form of the International Physical Activity Questionnaire. RESULTS Replies from older adults (aged >55 years, n = 517), mainly from Europe (50.1%), Western-Asia (6.8%), America (30%), and North-Africa (9.3%) were analyzed. The COVID-19 lockdown led to significantly decreased mental wellbeing, sleep quality, and total physical activity energy expenditure levels (all p < 0.001). Regression analysis showed that the change in total PSQI score and total physical activity energy expenditure (F(2, 514) = 66.41 p < 0.001) were significant predictors of the decrease in mental wellbeing from pre- to during lockdown (p < 0.001, R2: 0.20). CONCLUSION COVID-19 lockdown deleteriously affected physical activity and sleep patterns. Furthermore, change in the total PSQI score and total physical activity energy expenditure were significant predictors for the decrease in mental wellbeing.
Collapse
Affiliation(s)
- Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Achraf Ammar
- Institute of Sport Science, Otto-Von-Guericke University, 39106 Magdeburg, Germany;
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France;
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Bassem Bouaziz
- Multimedia InfoRmation Systems and Advanced Computing Laboratory (MIRACL), Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia; (B.B.); (F.G.)
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Patrick Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), 39120 Magdeburg, Germany; (P.M.); (N.M.)
- Department of Neurology, Medical Faculty, Otto-Von-Guericke University, 39120 Magdeburg, Germany
| | - Notger Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), 39120 Magdeburg, Germany; (P.M.); (N.M.)
- Department of Neurology, Medical Faculty, Otto-Von-Guericke University, 39120 Magdeburg, Germany
| | - Hsen Hsouna
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Yousri Elghoul
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Mohamed Romdhani
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Omar Hammouda
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France;
| | - Laisa Liane Paineiras-Domingos
- Programa de Pós-graduação em Ciências Médicas, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20550-170, Brazil;
- Departamento de Fisioterapia, Faculdade Bezerra de Araújo, Rio de Janeiro 23052-180, Brazil
| | - Annemarie Braakman-Jansen
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Sofia Bastoni
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy
| | - Carlos Soares Pernambuco
- Laboratório de Fisiologia do Exercício, Estácio de Sá University, Rio de Janeiro 20261-063, Brasil;
| | | | - Morteza Taheri
- Faculty of Social Science, Imam Khomeini International University, Qazvin 34148-96818, Iran; (M.T.); (K.I.)
| | - Khadijeh Irandoust
- Faculty of Social Science, Imam Khomeini International University, Qazvin 34148-96818, Iran; (M.T.); (K.I.)
| | - Nicola L. Bragazzi
- Department of Health Sciences, Postgraduate School of Public Health, University of Genoa, 16132 Genoa, Italy;
- Laboratory for Industrial and Applied Mathematics, Department of Mathematics and Statistics, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada
| | - Jana Strahler
- Department of Psychology and Sport Science, University of Gießen, 35394 Gießen, Germany;
| | - Jad Adrian Washif
- Sports Performance Division, National Sports Institute of Malaysia, Kuala Lumpur 57000, Malaysia;
| | - Albina Andreeva
- Department of Sports Biomechanics, Moscow Center of Advanced Sport Technologies, 129272 Moscow, Russia;
| | - Stephen J. Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK; (S.J.B.); (J.A.); (E.M.)
| | - Jarred Acton
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK; (S.J.B.); (J.A.); (E.M.)
| | - Emma Mitchell
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK; (S.J.B.); (J.A.); (E.M.)
| | - Nicholas T. Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA;
| | - Faiez Gargouri
- Multimedia InfoRmation Systems and Advanced Computing Laboratory (MIRACL), Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia; (B.B.); (F.G.)
| | - Lotfi Chaari
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122 Toulouse, France; (L.C.); (H.B.)
| | - Hadj Batatia
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122 Toulouse, France; (L.C.); (H.B.)
| | | | | | - Vasiliki Zisi
- Department of Physical Education and Sports Sciences, University of Thessaly, 421 00 Trikala, Greece;
| | - Parasanth Sankar
- Consultant in Internal Medicine and Diabetes, MGM Muthoot Hospitals Pathanamthitta, Kerala 689645, India;
| | - Waseem N. Ahmed
- Consultant Family Physician, CRAFT Hospital and Research Centre, Kodungallur, Kerala 680664, India;
| | - Gamal Mohamed Ali
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt; (G.M.A.); (O.A.)
| | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt; (G.M.A.); (O.A.)
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, 76131 Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
| | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
| | - Nafaa Souissi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
| | - Asma Aloui
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Nizar Souissi
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Lisette Van Gemert-Pijnen
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Bryan L. Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA 30458, USA;
| | | | - Jan Delhey
- Institute of Social Science, Otto-Von-Guericke University, 39106 Magdeburg, Germany;
| | - Jonathan Gómez-Raja
- FundeSalud, Department of Health and Social Services, Government of Extremadura, 06800 Merida, Spain;
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, 9712 Groningen, The Netherlands;
| | - Sebastian Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid 21163, Jordan;
| | - Taysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman 11942, Jordan;
| | - Ismail Dergaa
- PHCC, Primary Health Care Corporation, Doha 3050, Qatar;
| | - Mohamed Jmail
- Digital Research Centre of Sfax, Sfax 3000, Tunisia;
| | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.B.); (F.F.-S.)
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.B.); (F.F.-S.)
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Saša Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Andrea Gaggioli
- Department of Psychology, Catholic University of the Sacred Heart I UNICATT, 20123 Milano, Italy;
| | - Jürgen Steinacker
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Piotr Zmijewski
- Faculty of Physical Education, Jozef Pilsudski University of Physical Education in Warsaw, 00-809 Warsaw, Poland;
| | - Christian Apfelbacher
- Institute for Social Medicine and Health Economy, Otto-Von-Guericke University, 39106 Magdeburg, Germany;
| | - Jordan M. Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR 72701, USA;
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes, LIRTES-EA 7313, Université Paris Est Créteil Val de Marne, 94000 Creteil, France;
| | - Cain C.T. Clark
- Centre for Intelligent Healthcare, Coventry University, Coventry CV1 5FB, UK;
| | - Helmi Ben Saad
- Hôpital Farhat HACHED de Sousse, Laboratoire de Recherche “Insuffisance Cardiaque”, Université de Sousse, Sousse LR12SP09, Tunisie;
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha 29222, Qatar;
- Laboratory “Sport Performance Optimization”, (CNMSS), ISSEP Ksar-Said, Manouba University, Manouba 2010, Tunisia
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France;
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-Von-Guericke University, 39106 Magdeburg, Germany;
| | | |
Collapse
|
|
4
|
Ammar A, Mueller P, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, Bouaziz B, Brach M, Schmicker M, Bentlage E, How D, Ahmed M, Aloui A, Hammouda O, Paineiras-Domingos LL, Braakman-jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna-Dos-Santos LJ, Taheri M, Irandoust K, Khacharem A, Bragazzi NL, Adrian Washif J, Glenn JM, Bott NT, Gargouri F, Chaari L, Batatia H, khoshnami SC, Samara E, Zisi V, Sankar P, Ahmed WN, Ali GM, Abdelkarim O, Jarraya M, El Abed K, Romdhani M, Souissi N, Van Gemert-Pijnen L, Bailey SJ, Moalla W, Gómez-Raja J, Epstein M, Sanderman R, Schulz S, Jerg A, Al-Horani R, Mansi T, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Gaggioli A, Zmijewski P, Steinacker JM, Strahler J, Riemann L, Riemann BL, Mueller N, Chamari K, Driss T, Hoekelmann A. Psychological consequences of COVID-19 home confinement: The ECLB-COVID19 multicenter study. PLoS One 2020; 15:e0240204. [PMID: 33152030 PMCID: PMC7643949 DOI: 10.1371/journal.pone.0240204] [Citation(s) in RCA: 160] [Impact Index Per Article: 40.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Accepted: 09/22/2020] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Public health recommendations and government measures during the COVID-19 pandemic have enforced restrictions on daily-living. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on mental health and emotional wellbeing is undefined. Therefore, an international online survey (ECLB-COVID19) was launched on April 6, 2020 in seven languages to elucidate the impact of COVID-19 restrictions on mental health and emotional wellbeing. METHODS The ECLB-COVID19 electronic survey was designed by a steering group of multidisciplinary scientists, following a structured review of the literature. The survey was uploaded and shared on the Google online-survey-platform and was promoted by thirty-five research organizations from Europe, North-Africa, Western-Asia and the Americas. All participants were asked for their mental wellbeing (SWEMWS) and depressive symptoms (SMFQ) with regard to "during" and "before" home confinement. RESULTS Analysis was conducted on the first 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%). The COVID-19 home confinement had a negative effect on both mental-wellbeing and on mood and feelings. Specifically, a significant decrease (p < .001 and Δ% = 9.4%) in total score of the SWEMWS questionnaire was noted. More individuals (+12.89%) reported a low mental wellbeing "during" compared to "before" home confinement. Furthermore, results from the mood and feelings questionnaire showed a significant increase by 44.9% (p < .001) in SMFQ total score with more people (+10%) showing depressive symptoms "during" compared to "before" home confinement. CONCLUSION The ECLB-COVID19 survey revealed an increased psychosocial strain triggered by the home confinement. To mitigate this high risk of mental disorders and to foster an Active and Healthy Confinement Lifestyle (AHCL), a crisis-oriented interdisciplinary intervention is urgently needed.
Collapse
Affiliation(s)
- Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, Magdeburg, Germany
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning, UFR STAPS, UPL, Paris Nanterre University, Nanterre, France
| | - Patrick Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Magdeburg, Germany
| | - Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax, Tunisia
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Bassem Bouaziz
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax, Tunisia
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Marlen Schmicker
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Asma Aloui
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
- High Institute of Sport and Physical Education, University of Gafsa, Gafsa, Tunisia
| | - Omar Hammouda
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | | | | | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands
| | - Sophia Bastoni
- Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands
- Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy
| | | | | | - Morteza Taheri
- Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran
| | - Khadijeh Irandoust
- Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes; LIRTES-EA 7313. Université Paris Est Créteil Val de Marne, Créteil, France
| | - Nicola L. Bragazzi
- Department of Health Sciences, Postgraduate School of Public Health, University of Genoa, Genoa, Italy
- Department of Mathematics and Statistics, Laboratory for Industrial and Applied Mathematics, York University, Toronto, ON, Canada
| | - Jad Adrian Washif
- Sports Performance Division, National Sports Institute of Malaysia, Kuala Lumpur, Malaysia
| | - Jordan M. Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, Arkansas, United States of America
| | - Nicholas T. Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, California, United States of America
| | - Faiez Gargouri
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax, Tunisia
| | - Lotfi Chaari
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT, Toulouse, France
| | - Hadj Batatia
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT, Toulouse, France
| | | | | | - Vasiliki Zisi
- Department of Physical Education and Sports Sciences, University of Thessaly, Volos, Greece
| | - Parasanth Sankar
- Consultant in Internal Medicine and Diabetes, MGM Muthoot Hospitals Pathanamthitta, Pathanamthitta, Kerala, India
| | - Waseem N. Ahmed
- Consultant Family Physician, CRAFT Hospital and Research Centre, Kodungallur, Kerala, India
| | | | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut, Egypt
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Mohamed Romdhani
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Nizar Souissi
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | | | - Stephen J. Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom
| | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Jonathan Gómez-Raja
- FundeSalud, Dept. of Health and Social Services, Government of Extremadura, Merida, Spain
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Sebastian Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid, Jordan
| | - Taysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman, Jordan
| | | | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Andrea Gaggioli
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
- I.R.C.C.S. Istituto Auxologico Italiano, Milan, Italy
| | - Piotr Zmijewski
- Jozef Pilsudski University of Physical Education in Warsaw, Warsaw, Poland
| | | | - Jana Strahler
- Department of Psychology and Sport Science, University of Gießen, Gießen, Germany
| | - Laurel Riemann
- PharmD, BCBS; PharmIAD, Inc, Savannah, GA, United States of America
| | - Bryan L. Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, United States of America
| | - Notger Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Magdeburg, Germany
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
- Laboratory ''Sport Performance Optimization'', ISSEP Ksar-Said, Manouba University, Manouba, Tunisia
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning, UFR STAPS, UPL, Paris Nanterre University, Nanterre, France
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-von-Guericke University, Magdeburg, Germany
| | | |
Collapse
|
|
5
|
Ammar A, Chtourou H, Boukhris O, Trabelsi K, Masmoudi L, Brach M, Bouaziz B, Bentlage E, How D, Ahmed M, Mueller P, Mueller N, Hsouna H, Aloui A, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna-Dos-Santos LJ, Taheri M, Irandoust K, Khacharem A, Bragazzi NL, Strahler J, Washif JA, Andreeva A, khoshnami SC, Samara E, Zisi V, Sankar P, Ahmed WN, Romdhani M, Delhey J, Bailey SJ, Bott NT, Gargouri F, Chaari L, Batatia H, Ali GM, Abdelkarim O, Jarraya M, Abed KE, Souissi N, Gemert-Pijnen LV, Riemann BL, Riemann L, Moalla W, Gómez-Raja J, Epstein M, Sanderman R, Schulz S, Jerg A, Al-Horani R, Mansi T, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Pišot S, Gaggioli A, Zmijewski P, Apfelbacher C, Steinacker J, Saad HB, Glenn JM, Chamari K, Driss T, Hoekelmann A. COVID-19 Home Confinement Negatively Impacts Social Participation and Life Satisfaction: A Worldwide Multicenter Study. Int J Environ Res Public Health 2020; 17:E6237. [PMID: 32867287 PMCID: PMC7503681 DOI: 10.3390/ijerph17176237] [Citation(s) in RCA: 228] [Impact Index Per Article: 57.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 08/24/2020] [Accepted: 08/25/2020] [Indexed: 12/14/2022]
Abstract
Public health recommendations and governmental measures during the new coronavirus disease (COVID-19) pandemic have enforced numerous restrictions on daily living including social distancing, isolation, and home confinement. While these measures are imperative to mitigate spreading of COVID-19, the impact of these restrictions on psychosocial health is undefined. Therefore, an international online survey was launched in April 2020 to elucidate the behavioral and lifestyle consequences of COVID-19 restrictions. This report presents the preliminary results from more than one thousand responders on social participation and life satisfaction. METHODS Thirty-five research organizations from Europe, North-Africa, Western Asia, and the Americas promoted the survey through their networks to the general society, in 7 languages (English, German, French, Arabic, Spanish, Portuguese, and Slovenian). Questions were presented in a differential format with questions related to responses "before" and "during" confinement conditions. RESULTS 1047 participations (54% women) from Asia (36%), Africa (40%), Europe (21%), and others (3%) were included in the analysis. Findings revealed psychosocial strain during the enforced COVID-19 home confinement. Large decreases (p < 0.001) in the amount of social activity through family (-58%), friends/neighbors (-44.9%), or entertainment (-46.7%) were triggered by the enforced confinement. These negative effects on social participation were also associated with lower life satisfaction (-30.5%) during the confinement period. Conversely, the social contact score through digital technologies significantly increased (p < 0.001) during the confinement period with more individuals (+24.8%) being socially connected through digital technology. CONCLUSION These preliminary findings elucidate the risk of psychosocial strain during the early COVID-19 home confinement period in 2020. Therefore, in order to mitigate the negative psychosocial effects of home confinement, implementation of national strategies focused on promoting social inclusion through a technology-based solution is strongly suggested.
Collapse
Affiliation(s)
- Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany;
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia;
| | - Hamdi Chtourou
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (H.H.); (A.A.); (M.R.); (N.S.)
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Omar Boukhris
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (H.H.); (A.A.); (M.R.); (N.S.)
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, Sfax 3000, Tunisia
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Bassem Bouaziz
- Higher Institute of Computer Science and Multimedia of Sfax, Sfax 3000, Tunisia; (B.B.); (F.G.)
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Patrick Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany; (P.M.); (N.M.)
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Notger Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany; (P.M.); (N.M.)
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Hsen Hsouna
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (H.H.); (A.A.); (M.R.); (N.S.)
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Asma Aloui
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (H.H.); (A.A.); (M.R.); (N.S.)
- High Institute of Sport and Physical Education, University of Gafsa, Gafsa 2112, Tunisia
| | - Omar Hammouda
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia;
| | - Laisa Liane Paineiras-Domingos
- Programa de Pós-graduação em Ciências Médicas, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20550-170, Brazil;
- Departamento de Fisioterapia, Faculdade Bezerra de Araújo, Rio de Janeiro 23052-180, Brazil
| | - Annemarie Braakman-Jansen
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Sophia Bastoni
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy;
| | - Carlos Soares Pernambuco
- Laboratório de Fisiologia do Exercício, Estácio de Sá University, Rio de Janeiro 20261-063, Brazil;
| | - Leonardo Jose Mataruna-Dos-Santos
- Department of Sport Management, Faculty of Management, Canadian University of Dubai, 1st Interchange Sheikh Zayed Rd, Dubai, UAE PO Box 117781, UAE;
| | - Morteza Taheri
- Faculty of Social Science, Imam Khomeini International University, Qazvin 34148-96818, Iran; (M.T.); (K.I.)
| | - Khadijeh Irandoust
- Faculty of Social Science, Imam Khomeini International University, Qazvin 34148-96818, Iran; (M.T.); (K.I.)
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes, LIRTES-EA 7313, Université Paris Est Créteil Val de Marne, 94000 Créteil, France;
| | - Nicola L. Bragazzi
- Department of Health Sciences (DISSAL), Postgraduate School of Public Health, University of Genoa, 16132 Genoa, Italy;
- Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada
| | - Jana Strahler
- Department of Psychology and Sport Science, University of Gießen, 35394 Gießen, Germany;
| | - Jad Adrian Washif
- Sports Performance Division, National Sports Institute of Malaysia, Kuala Lumpur 57000, Malaysia;
| | - Albina Andreeva
- Department of Sports Biomechanics, Moscow Center of Advanced Sport Technologies, 129272 Moscow, Russia;
| | | | | | - Vasiliki Zisi
- Department of Physical Education and Sports Sciences, University of Thessaly, 382 21 Volos, Greece;
| | - Parasanth Sankar
- Consultant in Internal Medicine and Diabetes, MGM Muthoot Hospitals Pathanamthitta, Kerala 689645, India;
| | - Waseem N. Ahmed
- Consultant Family Physician, CRAFT Hospital and Research Centre, Kodungallur, Kerala 680664, India;
| | - Mohamed Romdhani
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (H.H.); (A.A.); (M.R.); (N.S.)
| | - Jan Delhey
- Institute of Social Science, Otto-von-Guericke University, 39106 Magdeburg, Germany;
| | - Stephen J. Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK;
| | - Nicholas T. Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA;
| | - Faiez Gargouri
- Higher Institute of Computer Science and Multimedia of Sfax, Sfax 3000, Tunisia; (B.B.); (F.G.)
| | - Lotfi Chaari
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122 Toulouse, France; (L.C.); (H.B.)
| | - Hadj Batatia
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122 Toulouse, France; (L.C.); (H.B.)
| | - Gamal Mohamed Ali
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt; (G.M.A.); (O.A.)
| | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt; (G.M.A.); (O.A.)
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, 76131 Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Nizar Souissi
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (H.H.); (A.A.); (M.R.); (N.S.)
| | - Lisette Van Gemert-Pijnen
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Bryan L. Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA 30458, USA;
| | | | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Jonathan Gómez-Raja
- FundeSalud, Dept. of Health and Social Services, Government of Extremadura, 06800 Merida, Spain;
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, 9712 Groningen, The Netherlands;
| | - Sebastian Schulz
- Sports and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Achim Jerg
- Sports and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid 21163, Jordan;
| | - Taiysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman 11942, Jordan;
| | - Mohamed Jmail
- Digital Research Centre of Sfax, Sfax 3000, Tunisia;
| | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal;
| | | | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Saša Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Andrea Gaggioli
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy;
- Applied Technology for Neuro-Psychology Lab, I.R.C.C.S. Istituto Auxologico Italiano, 20149 Milan, Italy
| | - Piotr Zmijewski
- Jozef Pilsudski University of Physical Education in Warsaw, 00-809 Warsaw, Poland;
| | - Christian Apfelbacher
- Institute for Social Medicine and Health Economy, Otto-von-Guericke University, 39106 Magdeburg, Germany;
| | - Jürgen Steinacker
- Sports and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Helmi Ben Saad
- Hôpital Farhat Hached de Sousse, Laboratoire de Recherche “Insuffisance Cardiaque’’, Université de Sousse, Sousse LR12SP09, Tunisie;
| | - Jordan M. Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR 72701, USA;
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar and Laboratory “Sport Performance Optimization”, (CNMSS), ISSEP Ksar-Said, Manouba University, 2010 Manouba, Tunisia;
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2-2APS), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France;
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany;
| | | |
Collapse
|
|
6
|
Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, Bouaziz B, Bentlage E, How D, Ahmed M, Müller P, Müller N, Aloui A, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna L, Taheri M, Irandoust K, Khacharem A, Bragazzi NL, Chamari K, Glenn JM, Bott NT, Gargouri F, Chaari L, Batatia H, Ali GM, Abdelkarim O, Jarraya M, Abed KE, Souissi N, Van Gemert-Pijnen L, Riemann BL, Riemann L, Moalla W, Gómez-Raja J, Epstein M, Sanderman R, Schulz SV, Jerg A, Al-Horani R, Mansi T, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Gaggioli A, Bailey SJ, Steinacker JM, Driss T, Hoekelmann A. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients 2020. [PMID: 32481594 DOI: 10.1101/2020.05.05.20091066] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/24/2023] Open
Abstract
BACKGROUND Public health recommendations and governmental measures during the COVID-19 pandemic have resulted in numerous restrictions on daily living including social distancing, isolation and home confinement. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on health behaviours and lifestyles at home is undefined. Therefore, an international online survey was launched in April 2020, in seven languages, to elucidate the behavioural and lifestyle consequences of COVID-19 restrictions. This report presents the results from the first thousand responders on physical activity (PA) and nutrition behaviours. METHODS Following a structured review of the literature, the "Effects of home Confinement on multiple Lifestyle Behaviours during the COVID-19 outbreak (ECLB-COVID19)" Electronic survey was designed by a steering group of multidisciplinary scientists and academics. The survey was uploaded and shared on the Google online survey platform. Thirty-five research organisations from Europe, North-Africa, Western Asia and the Americas promoted the survey in English, German, French, Arabic, Spanish, Portuguese and Slovenian languages. Questions were presented in a differential format, with questions related to responses "before" and "during" confinement conditions. RESULTS 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%) were included in the analysis. The COVID-19 home confinement had a negative effect on all PA intensity levels (vigorous, moderate, walking and overall). Additionally, daily sitting time increased from 5 to 8 h per day. Food consumption and meal patterns (the type of food, eating out of control, snacks between meals, number of main meals) were more unhealthy during confinement, with only alcohol binge drinking decreasing significantly. CONCLUSION While isolation is a necessary measure to protect public health, results indicate that it alters physical activity and eating behaviours in a health compromising direction. A more detailed analysis of survey data will allow for a segregation of these responses in different age groups, countries and other subgroups, which will help develop interventions to mitigate the negative lifestyle behaviours that have manifested during the COVID-19 confinement.
Collapse
Affiliation(s)
- Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Bassem Bouaziz
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Patrick Müller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Notger Müller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Asma Aloui
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
- High Institute of Sport and Physical Education, University of Gafsa, Gafsa 2112, Tunisia
| | - Omar Hammouda
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia
| | - Laisa Liane Paineiras-Domingos
- Laboratório de Vibrações Mecânicas e Práticas Integrativas, LAVIMPI-UERJ, Universidade do Estado do Rio de Janeiro, Rio de Janeiro RJ 20950-003, Brazil
- Faculdade Bezerra de Araújo, Rio de Janeiro Rj 23052-180, Brazil
| | | | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands
| | - Sofia Bastoni
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy
| | - Carlos Soares Pernambuco
- Laboratório de Fisiologia do Exercício, Estácio de Sá University, Rio de Janeiro 20261-063, Brazil
| | - Leonardo Mataruna
- College of Business Administration, American University in the Emirates, 503000-Dubai Academic City, Dubai, UAE
| | - Morteza Taheri
- Faculty of social science, Imam Khomeini International University, Qazvin 34148-96818, Iran
| | - Khadijeh Irandoust
- Faculty of social science, Imam Khomeini International University, Qazvin 34148-96818, Iran
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes, LIRTES-EA 7313, Université Paris Est Créteil Val de Marne, 94000 Créteil, France
| | - Nicola L Bragazzi
- Department of Health Sciences (DISSAL), Postgraduate School of Public Health, University of Genoa, 16132 Genoa, Italy
- Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha 29222, Qatar
- Laboratory "Sport Performance Optimization", (CNMSS), ISSEP Ksar-Said, Manouba University, Manouba 2010, Tunisia
| | - Jordan M Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR 72701, USA
| | - Nicholas T Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Faiez Gargouri
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Lotfi Chaari
- Computer science department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122, Toulouse, France
| | - Hadj Batatia
- Computer science department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122, Toulouse, France
| | - Gamal Mohamed Ali
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt
| | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, 76131 Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Nizar Souissi
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
| | | | - Bryan L Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA 30458, USA
| | | | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Jonathan Gómez-Raja
- FundeSalud, Dept. of Health and Social Services, Government of Extremadura, 06800 Merida, Spain
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, 9712 Groningen, The Netherlands
| | - Sebastian Vw Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid 21163, Jordan
| | - Taiysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman 11942, Jordan
| | | | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia
| | - Andrea Gaggioli
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy
- Applied Technology for Neuro-Psychology Lab, I.R.C.C.S. Istituto Auxologico Italiano, 20149 Milan, Italy
| | - Stephen J Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK
| | - Jürgen M Steinacker
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2-2APS), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany
| |
Collapse
|
|
7
|
Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, Bouaziz B, Bentlage E, How D, Ahmed M, Müller P, Müller N, Aloui A, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna L, Taheri M, Irandoust K, Khacharem A, Bragazzi NL, Chamari K, Glenn JM, Bott NT, Gargouri F, Chaari L, Batatia H, Ali GM, Abdelkarim O, Jarraya M, El Abed K, Souissi N, Van Gemert-Pijnen L, Riemann BL, Riemann L, Moalla W, Gómez-Raja J, Epstein M, Sanderman R, Schulz SVW, Jerg A, Al-Horani R, Mansi T, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Gaggioli A, Bailey SJ, Steinacker JM, Driss T, Hoekelmann A. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients 2020; 12:E1583. [PMID: 32481594 PMCID: PMC7352706 DOI: 10.3390/nu12061583] [Citation(s) in RCA: 1121] [Impact Index Per Article: 280.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 05/22/2020] [Accepted: 05/25/2020] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Public health recommendations and governmental measures during the COVID-19 pandemic have resulted in numerous restrictions on daily living including social distancing, isolation and home confinement. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on health behaviours and lifestyles at home is undefined. Therefore, an international online survey was launched in April 2020, in seven languages, to elucidate the behavioural and lifestyle consequences of COVID-19 restrictions. This report presents the results from the first thousand responders on physical activity (PA) and nutrition behaviours. METHODS Following a structured review of the literature, the "Effects of home Confinement on multiple Lifestyle Behaviours during the COVID-19 outbreak (ECLB-COVID19)" Electronic survey was designed by a steering group of multidisciplinary scientists and academics. The survey was uploaded and shared on the Google online survey platform. Thirty-five research organisations from Europe, North-Africa, Western Asia and the Americas promoted the survey in English, German, French, Arabic, Spanish, Portuguese and Slovenian languages. Questions were presented in a differential format, with questions related to responses "before" and "during" confinement conditions. RESULTS 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%) were included in the analysis. The COVID-19 home confinement had a negative effect on all PA intensity levels (vigorous, moderate, walking and overall). Additionally, daily sitting time increased from 5 to 8 h per day. Food consumption and meal patterns (the type of food, eating out of control, snacks between meals, number of main meals) were more unhealthy during confinement, with only alcohol binge drinking decreasing significantly. CONCLUSION While isolation is a necessary measure to protect public health, results indicate that it alters physical activity and eating behaviours in a health compromising direction. A more detailed analysis of survey data will allow for a segregation of these responses in different age groups, countries and other subgroups, which will help develop interventions to mitigate the negative lifestyle behaviours that have manifested during the COVID-19 confinement.
Collapse
Affiliation(s)
- Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany; (A.H.)
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia;
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (A.A.); (N.S.)
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (A.A.); (N.S.)
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Bassem Bouaziz
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia; (B.B.); (F.G.)
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Patrick Müller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany; (P.M.); (N.M.)
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Notger Müller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany; (P.M.); (N.M.)
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Asma Aloui
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (A.A.); (N.S.)
- High Institute of Sport and Physical Education, University of Gafsa, 2112 Gafsa, Tunisia
| | - Omar Hammouda
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia;
| | - Laisa Liane Paineiras-Domingos
- Laboratório de Vibrações Mecânicas e Práticas Integrativas, LAVIMPI-UERJ, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ 20950-003, Brazil;
- Faculdade Bezerra de Araújo, Rio de Janeiro, Rj 23052-180, Brazil
| | - Annemarie Braakman-Jansen
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherland; (A.B.-J.); (C.W.); (L.V.G.-P.)
| | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherland; (A.B.-J.); (C.W.); (L.V.G.-P.)
| | - Sofia Bastoni
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherland; (A.B.-J.); (C.W.); (L.V.G.-P.)
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy; (S.B.); (A.G.)
| | - Carlos Soares Pernambuco
- Laboratório de Fisiologia do Exercício, Estácio de Sá University, Rio de Janeiro 20261-063, Brasil;
| | - Leonardo Mataruna
- College of Business Administration, American University in the Emirates, 503000 Dubai Academic City, Dubai, UAE;
| | - Morteza Taheri
- Faculty of social science, Imam Khomeini International University, Qazvin 34148-96818, Iran; (M.T.); (K.I.)
| | - Khadijeh Irandoust
- Faculty of social science, Imam Khomeini International University, Qazvin 34148-96818, Iran; (M.T.); (K.I.)
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes; LIRTES-EA 7313, Université Paris Est Créteil Val de Marne, 94000 Créteil, France;
| | - Nicola L. Bragazzi
- Department of Health Sciences (DISSAL), Postgraduate School of Public Health, University of Genoa, 16132 Genoa, Italy;
- Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha 29222, Qatar;
- Laboratory “Sport Performance Optimization”, (CNMSS); ISSEP Ksar-Said, Manouba University, 2010 Manouba, Tunisia
| | - Jordan M. Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR 72701, USA;
| | - Nicholas T. Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA;
| | - Faiez Gargouri
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia; (B.B.); (F.G.)
| | - Lotfi Chaari
- Computer science department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122, 31500 Toulouse, France; (L.C.); (H.B.)
| | - Hadj Batatia
- Computer science department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122, 31500 Toulouse, France; (L.C.); (H.B.)
| | - Gamal Mohamed Ali
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt; (G.M.A.); (O.A.)
| | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt; (G.M.A.); (O.A.)
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, 76131 Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Nizar Souissi
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (A.A.); (N.S.)
| | - Lisette Van Gemert-Pijnen
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherland; (A.B.-J.); (C.W.); (L.V.G.-P.)
| | - Bryan L. Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA 30458, USA;
| | | | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Jonathan Gómez-Raja
- FundeSalud, Dept. of Health and Social Services, Government of Extremadura, 06800 Merida, Spain;
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, 9712 Groningen, The Netherlands;
| | - Sebastian V. W. Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.V.W.S.); (A.J.); (J.M.S.)
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.V.W.S.); (A.J.); (J.M.S.)
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid 21163, Jordan;
| | - Taiysir Mansi
- Faculty of Physical Education, The University of Jordan, 11942 Amman, Jordan;
| | - Mohamed Jmail
- Digital Research Centre of Sfax, Sfax 3000, Tunisia;
| | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.B.); (F.F.-S.)
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.B.); (F.F.-S.)
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.)
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.)
| | - Andrea Gaggioli
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy; (S.B.); (A.G.)
- Applied Technology for Neuro-Psychology Lab, I.R.C.C.S. Istituto Auxologico Italiano, 20149 Milan, Italy
| | - Stephen J. Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK;
| | - Jürgen M. Steinacker
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.V.W.S.); (A.J.); (J.M.S.)
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2-2APS), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France;
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany; (A.H.)
| | - On Behalf of the ECLB-COVID19 Consortium
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany; (A.H.)
- Department of Health Sciences (DISSAL), Postgraduate School of Public Health, University of Genoa, 16132 Genoa, Italy;
| |
Collapse
|
|
8
|
Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, Bouaziz B, Bentlage E, How D, Ahmed M, Müller P, Müller N, Aloui A, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna L, Taheri M, Irandoust K, Khacharem A, Bragazzi NL, Chamari K, Glenn JM, Bott NT, Gargouri F, Chaari L, Batatia H, Ali GM, Abdelkarim O, Jarraya M, Abed KE, Souissi N, Van Gemert-Pijnen L, Riemann BL, Riemann L, Moalla W, Gómez-Raja J, Epstein M, Sanderman R, Schulz SV, Jerg A, Al-Horani R, Mansi T, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Gaggioli A, Bailey SJ, Steinacker JM, Driss T, Hoekelmann A. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients 2020; 12:nu12061583. [PMID: 32481594 DOI: 10.1101/2020.05.04.20072447] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 05/22/2020] [Accepted: 05/25/2020] [Indexed: 05/22/2023] Open
Abstract
BACKGROUND Public health recommendations and governmental measures during the COVID-19 pandemic have resulted in numerous restrictions on daily living including social distancing, isolation and home confinement. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on health behaviours and lifestyles at home is undefined. Therefore, an international online survey was launched in April 2020, in seven languages, to elucidate the behavioural and lifestyle consequences of COVID-19 restrictions. This report presents the results from the first thousand responders on physical activity (PA) and nutrition behaviours. METHODS Following a structured review of the literature, the "Effects of home Confinement on multiple Lifestyle Behaviours during the COVID-19 outbreak (ECLB-COVID19)" Electronic survey was designed by a steering group of multidisciplinary scientists and academics. The survey was uploaded and shared on the Google online survey platform. Thirty-five research organisations from Europe, North-Africa, Western Asia and the Americas promoted the survey in English, German, French, Arabic, Spanish, Portuguese and Slovenian languages. Questions were presented in a differential format, with questions related to responses "before" and "during" confinement conditions. RESULTS 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%) were included in the analysis. The COVID-19 home confinement had a negative effect on all PA intensity levels (vigorous, moderate, walking and overall). Additionally, daily sitting time increased from 5 to 8 h per day. Food consumption and meal patterns (the type of food, eating out of control, snacks between meals, number of main meals) were more unhealthy during confinement, with only alcohol binge drinking decreasing significantly. CONCLUSION While isolation is a necessary measure to protect public health, results indicate that it alters physical activity and eating behaviours in a health compromising direction. A more detailed analysis of survey data will allow for a segregation of these responses in different age groups, countries and other subgroups, which will help develop interventions to mitigate the negative lifestyle behaviours that have manifested during the COVID-19 confinement.
Collapse
Affiliation(s)
- Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Bassem Bouaziz
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Patrick Müller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Notger Müller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Asma Aloui
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
- High Institute of Sport and Physical Education, University of Gafsa, Gafsa 2112, Tunisia
| | - Omar Hammouda
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia
| | - Laisa Liane Paineiras-Domingos
- Laboratório de Vibrações Mecânicas e Práticas Integrativas, LAVIMPI-UERJ, Universidade do Estado do Rio de Janeiro, Rio de Janeiro RJ 20950-003, Brazil
- Faculdade Bezerra de Araújo, Rio de Janeiro Rj 23052-180, Brazil
| | | | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands
| | - Sofia Bastoni
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy
| | - Carlos Soares Pernambuco
- Laboratório de Fisiologia do Exercício, Estácio de Sá University, Rio de Janeiro 20261-063, Brazil
| | - Leonardo Mataruna
- College of Business Administration, American University in the Emirates, 503000-Dubai Academic City, Dubai, UAE
| | - Morteza Taheri
- Faculty of social science, Imam Khomeini International University, Qazvin 34148-96818, Iran
| | - Khadijeh Irandoust
- Faculty of social science, Imam Khomeini International University, Qazvin 34148-96818, Iran
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes, LIRTES-EA 7313, Université Paris Est Créteil Val de Marne, 94000 Créteil, France
| | - Nicola L Bragazzi
- Department of Health Sciences (DISSAL), Postgraduate School of Public Health, University of Genoa, 16132 Genoa, Italy
- Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha 29222, Qatar
- Laboratory "Sport Performance Optimization", (CNMSS), ISSEP Ksar-Said, Manouba University, Manouba 2010, Tunisia
| | - Jordan M Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR 72701, USA
| | - Nicholas T Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Faiez Gargouri
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Lotfi Chaari
- Computer science department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122, Toulouse, France
| | - Hadj Batatia
- Computer science department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122, Toulouse, France
| | - Gamal Mohamed Ali
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt
| | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, 76131 Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Nizar Souissi
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
| | | | - Bryan L Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA 30458, USA
| | | | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Jonathan Gómez-Raja
- FundeSalud, Dept. of Health and Social Services, Government of Extremadura, 06800 Merida, Spain
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, 9712 Groningen, The Netherlands
| | - Sebastian Vw Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid 21163, Jordan
| | - Taiysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman 11942, Jordan
| | | | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia
| | - Andrea Gaggioli
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy
- Applied Technology for Neuro-Psychology Lab, I.R.C.C.S. Istituto Auxologico Italiano, 20149 Milan, Italy
| | - Stephen J Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK
| | - Jürgen M Steinacker
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2-2APS), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany
| |
Collapse
|
|
9
|
Ammar A, Mueller P, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, Bouaziz B, Brach M, Schmicker M, Bentlage E, How D, Ahmed M, Aloui A, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna-Dos-Santos LJ, Taheri M, Irandoust K, Khacharem A, Bragazzi NL, Adrian Washif J, Glenn JM, Bott NT, Gargouri F, Chaari L, Batatia H, Khoshnami SC, Samara E, Zisi V, Sankar P, Ahmed WN, Ali GM, Abdelkarim O, Jarraya M, El Abed K, Romdhani M, Souissi N, Van Gemert-Pijnen L, Bailey SJ, Moalla W, Gómez-Raja J, Epstein M, Sanderman R, Schulz S, Jerg A, Al-Horani R, Mansi T, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Gaggioli A, Zmijewski P, Steinacker JM, Strahler J, Riemann L, Riemann BL, Mueller N, Chamari K, Driss T, Hoekelmann A. Psychological consequences of COVID-19 home confinement: The ECLB-COVID19 multicenter study. PLoS One 2020. [PMID: 33152030 DOI: 10.1101/2020.05.05.20091058v1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/16/2023] Open
Abstract
BACKGROUND Public health recommendations and government measures during the COVID-19 pandemic have enforced restrictions on daily-living. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on mental health and emotional wellbeing is undefined. Therefore, an international online survey (ECLB-COVID19) was launched on April 6, 2020 in seven languages to elucidate the impact of COVID-19 restrictions on mental health and emotional wellbeing. METHODS The ECLB-COVID19 electronic survey was designed by a steering group of multidisciplinary scientists, following a structured review of the literature. The survey was uploaded and shared on the Google online-survey-platform and was promoted by thirty-five research organizations from Europe, North-Africa, Western-Asia and the Americas. All participants were asked for their mental wellbeing (SWEMWS) and depressive symptoms (SMFQ) with regard to "during" and "before" home confinement. RESULTS Analysis was conducted on the first 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%). The COVID-19 home confinement had a negative effect on both mental-wellbeing and on mood and feelings. Specifically, a significant decrease (p < .001 and Δ% = 9.4%) in total score of the SWEMWS questionnaire was noted. More individuals (+12.89%) reported a low mental wellbeing "during" compared to "before" home confinement. Furthermore, results from the mood and feelings questionnaire showed a significant increase by 44.9% (p < .001) in SMFQ total score with more people (+10%) showing depressive symptoms "during" compared to "before" home confinement. CONCLUSION The ECLB-COVID19 survey revealed an increased psychosocial strain triggered by the home confinement. To mitigate this high risk of mental disorders and to foster an Active and Healthy Confinement Lifestyle (AHCL), a crisis-oriented interdisciplinary intervention is urgently needed.
Collapse
Affiliation(s)
- Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, Magdeburg, Germany
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning, UFR STAPS, UPL, Paris Nanterre University, Nanterre, France
| | - Patrick Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Magdeburg, Germany
| | - Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax, Tunisia
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Bassem Bouaziz
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax, Tunisia
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Marlen Schmicker
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Asma Aloui
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
- High Institute of Sport and Physical Education, University of Gafsa, Gafsa, Tunisia
| | - Omar Hammouda
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | | | | | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands
| | - Sophia Bastoni
- Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands
- Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy
| | | | | | - Morteza Taheri
- Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran
| | - Khadijeh Irandoust
- Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes; LIRTES-EA 7313. Université Paris Est Créteil Val de Marne, Créteil, France
| | - Nicola L Bragazzi
- Department of Health Sciences, Postgraduate School of Public Health, University of Genoa, Genoa, Italy
- Department of Mathematics and Statistics, Laboratory for Industrial and Applied Mathematics, York University, Toronto, ON, Canada
| | - Jad Adrian Washif
- Sports Performance Division, National Sports Institute of Malaysia, Kuala Lumpur, Malaysia
| | - Jordan M Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, Arkansas, United States of America
| | - Nicholas T Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, California, United States of America
| | - Faiez Gargouri
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax, Tunisia
| | - Lotfi Chaari
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT, Toulouse, France
| | - Hadj Batatia
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT, Toulouse, France
| | | | | | - Vasiliki Zisi
- Department of Physical Education and Sports Sciences, University of Thessaly, Volos, Greece
| | - Parasanth Sankar
- Consultant in Internal Medicine and Diabetes, MGM Muthoot Hospitals Pathanamthitta, Pathanamthitta, Kerala, India
| | - Waseem N Ahmed
- Consultant Family Physician, CRAFT Hospital and Research Centre, Kodungallur, Kerala, India
| | | | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut, Egypt
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Mohamed Romdhani
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Nizar Souissi
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | | | - Stephen J Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom
| | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Jonathan Gómez-Raja
- FundeSalud, Dept. of Health and Social Services, Government of Extremadura, Merida, Spain
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Sebastian Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid, Jordan
| | - Taysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman, Jordan
| | | | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Andrea Gaggioli
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
- I.R.C.C.S. Istituto Auxologico Italiano, Milan, Italy
| | - Piotr Zmijewski
- Jozef Pilsudski University of Physical Education in Warsaw, Warsaw, Poland
| | | | - Jana Strahler
- Department of Psychology and Sport Science, University of Gießen, Gießen, Germany
| | - Laurel Riemann
- PharmD, BCBS; PharmIAD, Inc, Savannah, GA, United States of America
| | - Bryan L Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, United States of America
| | - Notger Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Magdeburg, Germany
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
- Laboratory ''Sport Performance Optimization'', ISSEP Ksar-Said, Manouba University, Manouba, Tunisia
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning, UFR STAPS, UPL, Paris Nanterre University, Nanterre, France
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-von-Guericke University, Magdeburg, Germany
| |
Collapse
|
|
10
|
Ammar A, Mueller P, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, Bouaziz B, Brach M, Schmicker M, Bentlage E, How D, Ahmed M, Aloui A, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna-Dos-Santos LJ, Taheri M, Irandoust K, Khacharem A, Bragazzi NL, Adrian Washif J, Glenn JM, Bott NT, Gargouri F, Chaari L, Batatia H, Khoshnami SC, Samara E, Zisi V, Sankar P, Ahmed WN, Ali GM, Abdelkarim O, Jarraya M, El Abed K, Romdhani M, Souissi N, Van Gemert-Pijnen L, Bailey SJ, Moalla W, Gómez-Raja J, Epstein M, Sanderman R, Schulz S, Jerg A, Al-Horani R, Mansi T, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Gaggioli A, Zmijewski P, Steinacker JM, Strahler J, Riemann L, Riemann BL, Mueller N, Chamari K, Driss T, Hoekelmann A. Psychological consequences of COVID-19 home confinement: The ECLB-COVID19 multicenter study. PLoS One 2020. [PMID: 33152030 DOI: 10.1371/%20journal.pone.0240204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/17/2023] Open
Abstract
BACKGROUND Public health recommendations and government measures during the COVID-19 pandemic have enforced restrictions on daily-living. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on mental health and emotional wellbeing is undefined. Therefore, an international online survey (ECLB-COVID19) was launched on April 6, 2020 in seven languages to elucidate the impact of COVID-19 restrictions on mental health and emotional wellbeing. METHODS The ECLB-COVID19 electronic survey was designed by a steering group of multidisciplinary scientists, following a structured review of the literature. The survey was uploaded and shared on the Google online-survey-platform and was promoted by thirty-five research organizations from Europe, North-Africa, Western-Asia and the Americas. All participants were asked for their mental wellbeing (SWEMWS) and depressive symptoms (SMFQ) with regard to "during" and "before" home confinement. RESULTS Analysis was conducted on the first 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%). The COVID-19 home confinement had a negative effect on both mental-wellbeing and on mood and feelings. Specifically, a significant decrease (p < .001 and Δ% = 9.4%) in total score of the SWEMWS questionnaire was noted. More individuals (+12.89%) reported a low mental wellbeing "during" compared to "before" home confinement. Furthermore, results from the mood and feelings questionnaire showed a significant increase by 44.9% (p < .001) in SMFQ total score with more people (+10%) showing depressive symptoms "during" compared to "before" home confinement. CONCLUSION The ECLB-COVID19 survey revealed an increased psychosocial strain triggered by the home confinement. To mitigate this high risk of mental disorders and to foster an Active and Healthy Confinement Lifestyle (AHCL), a crisis-oriented interdisciplinary intervention is urgently needed.
Collapse
Affiliation(s)
- Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, Magdeburg, Germany
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning, UFR STAPS, UPL, Paris Nanterre University, Nanterre, France
| | - Patrick Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Magdeburg, Germany
| | - Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax, Tunisia
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Bassem Bouaziz
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax, Tunisia
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Marlen Schmicker
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Asma Aloui
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
- High Institute of Sport and Physical Education, University of Gafsa, Gafsa, Tunisia
| | - Omar Hammouda
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | | | | | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands
| | - Sophia Bastoni
- Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands
- Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy
| | | | | | - Morteza Taheri
- Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran
| | - Khadijeh Irandoust
- Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes; LIRTES-EA 7313. Université Paris Est Créteil Val de Marne, Créteil, France
| | - Nicola L Bragazzi
- Department of Health Sciences, Postgraduate School of Public Health, University of Genoa, Genoa, Italy
- Department of Mathematics and Statistics, Laboratory for Industrial and Applied Mathematics, York University, Toronto, ON, Canada
| | - Jad Adrian Washif
- Sports Performance Division, National Sports Institute of Malaysia, Kuala Lumpur, Malaysia
| | - Jordan M Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, Arkansas, United States of America
| | - Nicholas T Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, California, United States of America
| | - Faiez Gargouri
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax, Tunisia
| | - Lotfi Chaari
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT, Toulouse, France
| | - Hadj Batatia
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT, Toulouse, France
| | | | | | - Vasiliki Zisi
- Department of Physical Education and Sports Sciences, University of Thessaly, Volos, Greece
| | - Parasanth Sankar
- Consultant in Internal Medicine and Diabetes, MGM Muthoot Hospitals Pathanamthitta, Pathanamthitta, Kerala, India
| | - Waseem N Ahmed
- Consultant Family Physician, CRAFT Hospital and Research Centre, Kodungallur, Kerala, India
| | | | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut, Egypt
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Mohamed Romdhani
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Nizar Souissi
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | | | - Stephen J Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom
| | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Jonathan Gómez-Raja
- FundeSalud, Dept. of Health and Social Services, Government of Extremadura, Merida, Spain
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Sebastian Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid, Jordan
| | - Taysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman, Jordan
| | | | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Andrea Gaggioli
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
- I.R.C.C.S. Istituto Auxologico Italiano, Milan, Italy
| | - Piotr Zmijewski
- Jozef Pilsudski University of Physical Education in Warsaw, Warsaw, Poland
| | | | - Jana Strahler
- Department of Psychology and Sport Science, University of Gießen, Gießen, Germany
| | - Laurel Riemann
- PharmD, BCBS; PharmIAD, Inc, Savannah, GA, United States of America
| | - Bryan L Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, United States of America
| | - Notger Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Magdeburg, Germany
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
- Laboratory ''Sport Performance Optimization'', ISSEP Ksar-Said, Manouba University, Manouba, Tunisia
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning, UFR STAPS, UPL, Paris Nanterre University, Nanterre, France
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-von-Guericke University, Magdeburg, Germany
| |
Collapse
|
|
11
|
Shahzad A, Ahmad M, Iqbal M, Ahmed I, Ali GM. Evaluation of wheat landrace genotypes for salinity tolerance at vegetative stage by using morphological and molecular markers. Genet Mol Res 2012; 11:679-92. [PMID: 22535404 DOI: 10.4238/2012.march.19.2] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Identification of new sources of salt tolerance is particularly important to develop crop varieties suitable for saline soils. We evaluated 129 Pakistani and 58 exotic wheat landraces/cultivars grown in Hoagland's hydroponic nutrient solution, under control (tap water equivalent to 10 mM salt) and salt stress (200 mM NaCl) conditions. Forty-four genotypes were also tested under 250 mM NaCl stress. High heritability and positive correlations suggested that number of tillers per plant, root length, root fresh and dry weights, and shoot fresh and dry weights are associated with salt tolerance and could be used as selection criteria. SSR markers revealed high genetic variation in the wheat genotypes. Twelve SSR markers (cfd 1, cfd 9, cfd 18, cfd 46, cfd 49, cfd 183, wmc 11, wmc 17, wmc 18, wmc 154, wmc 432, and wmc 503) were found to be associated with salt tolerance because they were amplified in tolerant genotypes only. Five markers, cfd 9, cfd 18, cfd 183, wmc 96, and wmc 405, were identified as most suitable to evaluate salt tolerance because they were associated with four or more salt tolerance traits studied. Cultivars Pasban 90, accessions 10790, 10828, 10823, and 4098805 from Pakistan and Sakha-92 from Egypt performed best at both stress levels.
Collapse
Affiliation(s)
- A Shahzad
- National Agriculture Research Center, Islamabad, Pakistan.
| | | | | | | | | |
Collapse
|
|
12
|
Arbab MA, Idris MN, Sokrab TE, Saeed ES, Ali GM, Tariq MY, Ahmed AE. Clinical presentation and CAT scan findings in mycetoma of the head. East Afr Med J 1998; 75:246-8. [PMID: 9745844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Nine cases comprising seven males and two females with mycetoma of the cranium were studied between January 1990 and June 1997. Streptomyces somaliensis was the most common causative organism. The source of the infection was thought to be known in only three cases. The common mode of presentation was headache and scalp swelling. The next common presentation was epilepsy. Other focal neurological disorders also occur. CT scan findings of the cranium showed osteosclerotic rather than osteolytic changes.
Collapse
Affiliation(s)
- M A Arbab
- Department of Surgery, Faculty of Medicine, University of Khartoum, Sudan
| | | | | | | | | | | | | |
Collapse
|
|
13
|
Richter J, Dengler A, Mohammed EG, Ali GM, Abdel-Rahim I, Kaiser C, Doehring-Schwerdtfeger E. Results of echocardiographic examinations in a regional hospital of central Sudan. Trans R Soc Trop Med Hyg 1990; 84:749-52. [PMID: 2278091 DOI: 10.1016/0035-9203(90)90176-f] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Sixty-seven patients were examined with a small portable echocardiograph in Wad Medani Teaching Hospital in central Sudan. The cardiac alterations detected in the referred patients, namely valvular disease and pericardial effusion, suggested a high prevalence of inflammatory heart disease in this area. Other findings were dilatative cardiomyopathy, congenital heart disease, mitral valve prolapse and a cardiac mass. Echocardiographic examination of patients with advanced hepatosplenic schistosomiasis revealed no evidence of cardiac alterations or abnormal right heart function. For echocardiography a general purpose ultrasound scanner, as defined by the World Health Organization, was used, additionally equipped with M mode facilities. It was concluded that echocardiography is applicable even in remote tropical areas and that its value, considering costs, therapeutic consequences and clinical benefit in developing countries, can be substantial. It was particularly helpful with pericardial disease.
Collapse
Affiliation(s)
- J Richter
- Department of Pediatric Nephrology and Metabolic Disorders, Medizinische Hochschule, Hannover, Federal Republic of Germany
| | | | | | | | | | | | | |
Collapse
|
|
14
|
Elsheikh M, Doehring-Schwerdtfeger E, Kaiser C, Abdelrahim IM, Ali GM, Franke D, Porrath K, Kardorff R, Ehrich JH. Renal function in Sudanese school children with Schistosoma mansoni infection. Pediatr Nephrol 1989; 3:259-64. [PMID: 2518450 DOI: 10.1007/bf00858526] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Renal function was investigated in 218 school children with Schistosoma mansoni infection in the Providence of Gezira in central Sudan and in 65 Sudanese and 65 German age-matched controls. Serum creatinine was normal in all children. A pathological urinary protein-creatinine ratio was found in 3% of S. mansoni-infected children and in 5% of Sudanese controls but in none of the European children. Characterization of pathological proteinuria using albumin nephelometry, alpha-1 microglobulin immunodiffusion and SDS-polyacrylamide gel electrophoresis in these children showed glomerular, tubular or mixed glomerulotubular patterns. One, 4 and 6 months following treatment of schistosomiasis with praziquantel, stools were re-examined; 57% of patients were cured, 16% were found to be reinfected and 27% had persistent egg excretion. Six months after therapy, pathological urinary protein-creatinine ratios were encountered in 3% of S. mansoni patients and in none of the 34 reinvestigated controls. Proteinuria was similar in patients with persistent S. mansoni egg excretion and in children cured of schistosomiasis infection. It is concluded that there was no evidence for S. mansoni associated glomerulonephritis in this group of Sudanese children. The high rate of pathological proteinuria in S. mansoni-infected and non-infected Sudanese children may be due to other causes.
Collapse
Affiliation(s)
- M Elsheikh
- Department of Medicine, University of Gezira, Sudan
| | | | | | | | | | | | | | | | | |
Collapse
|