Ozdemir Filiz, Cansel Neslihan, Kizilay Fatma, Guldogan Emek, Ucuz Ilknur, Sinanoglu Bercem, Colak Cemil, Cumurcu Hatice Birgul
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Inonu University, 44280 Malatya, Turkey.
Department of Psychiatry, Faculty of Medicine, Inonu University, 44280 Malatya, Turkey.
Eur J Integr Med. 2020 Dec;40:101248. doi: 10.1016/j.eujim.2020.101248. Epub 2020 Nov 11.
The COVID-19 pandemic has placed restrictions on people's physical activities. The aim of this study was to evaluate the physical activity levels of individuals and assess the effects of physical activity on quality of life, depression and anxiety levels during the COVID-19 outbreak.
This cross-sectional study were included 2301 participants aged 20-75 years. The data were collected through the Google Forms web survey platform by the virtual snowball sampling method. In the multivariate analysis, the independent predictors were analyzed using possible factors identified in previous analyses by multinomial logistic regression analysis. Hosmer-Lemeshow and Omnibus tests were used to evaluate the logistic regression model and coefficients.
The mean weekly energy consumption of the participants was 875±1588 MET-min, and only 6.9% were physically active enough to maintain their health. There was a weak positive relationship between physical activity levels and quality of life, while there was a weak negative relationship between physical activity levels, depression and anxiety (<0.05). In the multinomial logistic regression model established for comparison of physically active and inactive participants, general health status and physical health status variables were statistically significant (<0.05). However, relationships between psychological status, social relationships and environment scores, Beck Depression and Beck Anxiety Inventory scores were not statistically significant (>0.05).
Results showed that physical activity programs should be included in guidelines as an integrative approach to pandemic management. During COVID-19 outbreak, community-based rehabilitation programs are needed, and these programs should be carried out in cooperation with community stakeholders.
新冠疫情对人们的身体活动施加了限制。本研究的目的是评估个体的身体活动水平，并评估在新冠疫情爆发期间身体活动对生活质量、抑郁和焦虑水平的影响。
这项横断面研究纳入了2301名年龄在20至75岁之间的参与者。数据通过谷歌表单网络调查平台采用虚拟雪球抽样法收集。在多变量分析中，使用多项逻辑回归分析对先前分析中确定的可能因素进行独立预测因素分析。采用Hosmer-Lemeshow检验和综合检验来评估逻辑回归模型和系数。
参与者的平均每周能量消耗为875±1588代谢当量分钟，只有6.9%的人身体活动量足以维持健康。身体活动水平与生活质量之间存在微弱的正相关关系，而身体活动水平与抑郁和焦虑之间存在微弱的负相关关系（<0.05）。在为比较身体活动和不活动参与者而建立的多项逻辑回归模型中，总体健康状况和身体健康状况变量具有统计学意义（<0.05）。然而，心理状态、社会关系和环境得分、贝克抑郁量表和贝克焦虑量表得分之间的关系无统计学意义（>0.05）。
结果表明，身体活动计划应纳入指南，作为疫情管理的综合方法。在新冠疫情爆发期间，需要基于社区的康复计划，并且这些计划应与社区利益相关者合作开展。
