How physical activity behavior affected well-being, anxiety and sleep quality during COVID-19 restrictions in Iran
How physical activity behavior affected well-being, anxiety and sleep quality during COVID-19 restrictions in Iran
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DOI：
10.26355/eurrev_202112_27632
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发表时间：
2021-01-01
影响因子：
3.3
通讯作者：
Ghram, A.
中科院分区：
文献类型：
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作者：
Akbari, H. A.;Pourabbas, M.;Ghram, A.
目标：伊朗伊斯兰共和国是世界上新冠肺炎 (COVID-19) 感染率最高、中东地区死亡率最高的国家之一。伊朗采取了一系列严格的预防性卫生措施来减轻感染的传播，但这对个人的身心健康产生了负面影响。本研究旨在调查伊朗实施的与 COVID-19 相关的公共卫生限制是否导致体力活动 (PA) 行为、焦虑、幸福感和睡眠质量发生变化。 患者和方法：在伊朗最严格的公共卫生限制期间，从 2020 年 11 月 17 日至 2021 年 2 月 13 日（88 天）向居住在伊朗的成年人发放了在线调查问卷。主要结果指标包括 Godin-Shephard 休闲时间运动问卷、一般性焦虑症 7、心理健康简表和匹兹堡睡眠质量指数。 结果：共有 3,323 名成年人（平均年龄 30 +/- 11 岁，54.3% 女性）参与了调查。首先，这些限制通常会减少 PA 行为：(a) 在不活跃的参与者 (IP) 中，60.6% 的参与者变得不那么活跃，而 5.1% 的参与者变得更加活跃； (b) 在活跃参与者 (AP) 中，49.9% 的人变得不那么活跃，而 22.8% 的人变得更加活跃。其次，在限制期间，PA 行为与较高的幸福感和睡眠质量相关：(a) AP 报告的幸福感和睡眠质量（或焦虑）水平比 IP 更高（或更低）； (b) 在 IP 之间以及在 AP 之间，参与者越活跃，幸福感和睡眠质量（或焦虑）水平就越高（或越低）。 结论：这项研究表明，在 COVID-19 限制期间，PA 行为对幸福感、焦虑和睡眠质量具有有益作用，而此类限制似乎会降低 PA 参与度。在 COVID-19 爆发期间，应鼓励积极的生活方式，同时采取预防措施。
OBJECTIVE: The Islamic Republic of Iran has displayed one of the highest rates of COVID-19 infection in the world and the highest rate of mortality in the Middle East. Iran has used a stringent package of preventive health measures to mitigate the spread of infection, which however has negatively affected individuals' physical and psychological health. This study aimed at examining whether physical-activity (PA) behavior, anxiety, well-being, and sleep-quality changed in response to the COVID-19-related public health restrictions enforced in Iran.PATIENTS AND METHODS: An online questionnaire was disseminated to adults residing in Iran from November 17, 2020, to February 13, 2021 (88 days), during Iran's strictest public health restrictions. Main outcome measures included Godin-Shephard Leisure-Time Exercise Questionnaire, General Anxiety Disorder-7, Mental Health Continuum-Short Form, and Pittsburgh Sleep Quality Index.RESULTS: A total of 3,323 adults (mean age 30 +/- 11 years, 54.3% female) participated in the survey. Firstly, the restrictions generally reduced PA behavior: (a) among inactive participants (IPs), 60.6% became less active vs. 5.1% who became more active; and (b) among active participants (APs), 49.9% became less active vs. 22.8% who became more active. Secondly, PA behavior was associated with higher well-being and sleep quality during the restrictions: (a) APs reported higher (or lower) levels of well-being and sleep quality (or anxiety) than did IPs; and (b) among IPs as well Corresponding as among APs, the more active the participants, the greater (or lower) the levels of well-being and sleep quality (or anxiety).CONCLUSIONS: This study showed the beneficial role of PA behavior for well-being, anxiety, and sleep quality during the COVID-19 restrictions, whereas such restrictions appeared to decrease PA participation. Active lifestyle should be then encouraged during the COVID-19 outbreak while taking precautions.