COVID-19 Outbreak and Physical Activity in the Italian Population: A Cross-Sectional Analysis of the Underlying Psychosocial Mechanisms
COVID-19 Outbreak and Physical Activity in the Italian Population: A Cross-Sectional Analysis of the Underlying Psychosocial Mechanisms
复制标题
DOI：
10.3389/fpsyg.2020.02100
复制
发表时间：
2020-08-21
影响因子：
3.8
通讯作者：
Codella, Roberto
中科院分区：
文献类型：
--
作者：
Chirico, Andrea;Lucidi, Fabio;Codella, Roberto
意大利是欧洲最早爆发新冠肺炎 (COVID-19) 疫情的震中之一。为了阻止新型冠状病毒的传播，意大利政府加强了从隔离到封锁的保护措施，极大地影响了数百万人的生命。在颁布的限制措施中，禁止所有非必要活动以及所有户外活动。然而，在疫情爆发的最初阶段，大约十几天的时间里，体育活动是被允许的，同时保持社交距离。在此时间范围内，通过采用来自自我决定理论以及计划行为和焦虑状态理论的措施，我们以综合方法，通过结构方程模型测试这些心理社会变量对医疗紧急情况下保持身体健康的意图的影响，调查了这些活动的流行程度。通过对假设模型的充分拟合和多组分析，我们将意大利 COVID-19 疫情最严重的地区伦巴第与意大利其他地区进行了比较，发现伦巴第地区的焦虑程度明显高于该国其他地区。此外，焦虑会对进行体育活动的意愿产生负面影响。考虑到由于个人限制而缺乏身体活动可能产生的有害影响，这些数据可能会提高公共卫生措施的准备程度和建议的吸引力，包括在保持社交距离的情况下锻炼的有益效果，以控制新型传染病的爆发。
Italy is one of the first European epicenters of the COVID-19 pandemic. In attempts to hinder the spread of the novel coronavirus disease, Italian government hardened protective measures, from quarantine to lockdown, impacting millions of lives dramatically. Amongst the enacted restrictions, all non-essential activities were prohibited as well as all outdoor activities banned. However, at the first spur of the outbreak, for about a dozen of days, physical and sports activities were permitted, while maintaining social distancing. In this timeframe, by administering measures coming from self-determination theory and theory of planned behavior and anxiety state, in an integrated approach, we investigated the prevalence of these activities by testing, via a Structural Equation Model, the influence of such psychosocial variables on the intention to preserve physical fitness during the healthcare emergency. Through an adequate fit of the hypothesized model and a multi-group analysis, we compared the most COVID-19 hit Italian region - Lombardy - to the rest of Italy, finding that anxiety was significantly higher in the Lombardy region than the rest of the country. In addition, anxiety negatively influenced the intention to do physical activity. Giving the potential deleterious effects of physical inactivity due to personal restrictions, these data may increase preparedness of public health measures and attractiveness of recommendations, including on the beneficial effects of exercise, under circumstances of social distancing to control an outbreak of a novel infectious disease.