Werneck André O, Silva Danilo R, Malta Deborah C, Souza-Júnior Paulo R B, Azevedo Luiz O, Barros Marilisa B A, Szwarcwald Célia L
Department of Nutrition, School of Public Health, Universidade de São Paulo (USP), São Paulo, Brazil.
Department of Physical Education, Federal University of Sergipe - UFS, São Cristóvão, Brazil.
J Psychosom Res. 2021 Jan;140:110292. doi: 10.1016/j.jpsychores.2020.110292. Epub 2020 Nov 10.
To analyze the associations of physical activity and TV-viewing reported changes during the COVID-19 pandemic quarantine with mental health among Brazilian adults with and without depression.
Data of 43,995 Brazilian adults from a cross-sectional, nationwide behavior research were used. Participants reported the frequency on loneliness, sadness (feel sad, crestfallen or depressed) and anxiety (feel worried, anxious or nervous) feelings during the pandemic period. Frequency and duration of physical activity as well as duration of TV-viewing before and during the pandemic period were also reported. We created four categories of reported changes in physical activity (1-consistently active, 2-become active, 3-become inactive or 4-consistently inactive) and TV-viewing (1-consistently high, 2-become low, 3-become high or 4-consistently high). Participants also reported previous diagnoses of depression [yes (PD) or no (nPD). Logistic regression models separating people with and without depression were created.
Compared to consistently active participants, to become inactive during the pandemic was associated with a higher odds for loneliness [nPD:OR:1.32 (95%CI,1.02-1.70); PD:2.22 (1.21-4.06)], sadness [nPD:1.34 (1.01-1.77); PD:2.88 (1.54-5.36)], and anxiety [nPD:1.71 (1.30-2.25); PD:2.55 (1.20-5.42)]. Also, people with depression and consistently physically inactive presented higher odds for loneliness and sadness. Compared to consistently low TV-viewing, participants that become with high TV-viewing showed higher odds for loneliness [nPD:1.59 (1.37-1.86)], sadness [nPD:1.68 (1.44-1.96); PD:1.61 (1.21 to 2.15)] and anxiety [nPD:1.73 (1.48-2.02); PD:1.58 (1.12-2.23)].
Reported increases in physical inactivity and TV-viewing during the COVID-19 pandemic were associated with poorer mental health indicators. People with depression and consistently physically inactivity were more likely to present loneliness and sadness.
分析在新冠疫情隔离期间，有抑郁和无抑郁的巴西成年人所报告的身体活动和看电视习惯的变化与心理健康之间的关联。
使用了来自一项全国性横断面行为研究的43995名巴西成年人的数据。参与者报告了疫情期间孤独、悲伤（感到悲伤、沮丧或抑郁）和焦虑（感到担忧、焦虑或紧张）情绪的出现频率。还报告了疫情前和疫情期间身体活动的频率和时长以及看电视的时长。我们将报告的身体活动变化分为四类（1 - 一直活跃，2 - 变得活跃，3 - 变得不活跃，4 - 一直不活跃），看电视变化也分为四类（1 - 一直多，2 - 变得少，3 - 变得多，4 - 一直多）。参与者还报告了之前的抑郁诊断情况[是（PD）或否（nPD）]。创建了区分有抑郁和无抑郁人群的逻辑回归模型。
与一直活跃的参与者相比，在疫情期间变得不活跃与孤独感的较高几率相关[nPD：比值比（OR）：1.32（95%置信区间，1.02 - 1.70）；PD：2.22（1.21 - 4.06）]、悲伤感[nPD：1.34（1.01 - 1.77）；PD：2.88（1.54 - 5.36）]和焦虑感[nPD：1.71（1.30 - 2.25）；PD：2.55（1.20 - 5.42）]。此外，患有抑郁症且一直缺乏身体活动的人出现孤独和悲伤的几率更高。与一直看电视少的参与者相比，看电视变多的参与者出现孤独感的几率更高[nPD：1.59（1.37 - 1.86）]、悲伤感[nPD：1.68（1.44 - 1.96）；PD：1.61（1.21至2.15）]和焦虑感[nPD：1.73（1.48 - 2.02）；PD：1.58（1.12 - 2.23）]。
在新冠疫情期间报告的身体活动减少和看电视增多与较差的心理健康指标相关。患有抑郁症且一直缺乏身体活动的人更有可能出现孤独和悲伤情绪。
