Changes in Physical Activity and Sedentary Behavior in Response to COVID-19 and Their Associations with Mental Health in 3052 US Adults.
Changes in Physical Activity and Sedentary Behavior in Response to COVID-19 and Their Associations with Mental Health in 3052 US Adults.
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DOI：
10.3390/ijerph17186469
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发表时间：
2020-09-05
影响因子：
--
通讯作者：
Herring M
中科院分区：
文献类型：
--
作者：
Meyer J;McDowell C;Lansing J;Brower C;Smith L;Tully M;Herring M
COVID-19疫情改变了生活的许多方面。我们旨在评估与COVID-19相关的公共卫生指南对身体活动（PA）、久坐行为、心理健康及其相互关系的影响。横断面数据收集自2020年4月3日至8日的3052名美国成年人（来自所有50个州）。参与者自我报告了COVID-19前后的中度和剧烈PA水平、坐姿和屏幕时间。目前遵循的公共卫生指南，压力，孤独，积极的心理健康（PMH），社会联系，抑郁和焦虑症状自我报告。受试者按照符合美国PA指南、报告COVID-19前后坐着≥ 8小时/天或屏幕时间≥8小时/天进行分组。总体而言，62%的参与者是女性，年龄范围从18-24岁（样本的16.6%）到75岁以上（9.3%）。在报告先前活跃的参与者中，自我报告的PA在COVID后较低（平均变化：-32.3%[95% CI：-36.3%，-28.1%]），但在先前不活跃的参与者中基本保持不变（+2.3% [-3.5%，+8.1%]）。不再符合PA指南和增加屏幕时间与更严重的抑郁，孤独，压力和PMH相关（p < 0.001）。与社交距离相比，自我隔离/隔离与更高的抑郁和焦虑症状相关（p < 0.001）。在社会剧变期间，保持和加强身体活动参与并限制屏幕时间的增加可能会减轻心理健康后果。
The COVID-19 pandemic altered many facets of life. We aimed to evaluate the impact of COVID-19-related public health guidelines on physical activity (PA), sedentary behavior, mental health, and their interrelations. Cross-sectional data were collected from 3052 US adults 3–8 April 2020 (from all 50 states). Participants self-reported pre- and post-COVID-19 levels of moderate and vigorous PA, sitting, and screen time. Currently-followed public health guidelines, stress, loneliness, positive mental health (PMH), social connectedness, and depressive and anxiety symptoms were self-reported. Participants were grouped by meeting US PA guidelines, reporting ≥8 h/day of sitting, or ≥8 h/day of screen time, pre- and post-COVID-19. Overall, 62% of participants were female, with age ranging from 18–24 (16.6% of sample) to 75+ (9.3%). Self-reported PA was lower post-COVID among participants reporting being previously active (mean change: −32.3% [95% CI: −36.3%, −28.1%]) but largely unchanged among previously inactive participants (+2.3% [−3.5%, +8.1%]). No longer meeting PA guidelines and increased screen time were associated with worse depression, loneliness, stress, and PMH (p < 0.001). Self-isolation/quarantine was associated with higher depressive and anxiety symptoms compared to social distancing (p < 0.001). Maintaining and enhancing physical activity participation and limiting screen time increases during abrupt societal changes may mitigate the mental health consequences.
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