Department of Physical Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; Sagol School of Neurosciences, Tel-Aviv University, Tel-Aviv, Israel; Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.
Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.
Mult Scler Relat Disord. 2021 Jan;47:102603. doi: 10.1016/j.msard.2020.102603. Epub 2020 Oct 27.
Multiple sclerosis (MS) itself and first-line disease modifying therapies do not increase the risk of contracting COVID-19. However, home isolation is likely to result in a significant decrease in participation in leisure time physical activities and an increase in sedentary behavior. Therefore, using an online cross-sectional survey we examined the impact of the COVID-19 epidemic on physical activity (PA) behavior and fitness level in an Israeli cohort of people with multiple sclerosis (PwMS). The survey PA questionnaire included 10 questions. Specifically, participants reported on whether, and to what extent, the pandemic conditions had altered their PA behavior. One hundred and twenty PwMS filled out the online survey, 78 were females with a mean age of 43.0 (S.D.=12.9) years. PA behavior during the pandemic demonstrated that 17.5% who were engaged in PA before the COVID-19 pandemic, ceased PA, 33.3% reduced their PA, 20.0% continued their PA as before, 18.3% increased their PA during the pandemic, and 10.8% did not perform any PA in the past and did not so during the pandemic. As for the patient's self-reported fitness level, 31.7% reported that their fitness level had decreased during the pandemic, 60.0% felt no change, and 8.3% reported an improvement. Our findings serve as a call of action for all professionals involved in MS management to address physical activity behavior in PwMS during the COVID-19 epidemic.
多发性硬化症 (MS) 本身和一线疾病修正疗法不会增加感染 COVID-19 的风险。然而，居家隔离可能会导致休闲时间体育活动参与度显著下降，久坐行为增加。因此，我们使用在线横断面调查，研究了 COVID-19 疫情对以色列多发性硬化症患者（PwMS）的体力活动 (PA) 行为和健康水平的影响。调查 PA 问卷包括 10 个问题。具体来说，参与者报告了大流行条件是否以及在多大程度上改变了他们的 PA 行为。120 名 PwMS 填写了在线调查，其中 78 名为女性，平均年龄为 43.0（S.D.=12.9）岁。大流行期间的 PA 行为表明，17.5%在 COVID-19 大流行之前从事 PA 的人停止了 PA，33.3%减少了 PA，20.0%像以前一样继续 PA，18.3%在大流行期间增加了 PA，10.8%过去没有进行任何 PA，大流行期间也没有进行。至于患者自我报告的健康水平，31.7%报告说他们的健康水平在大流行期间下降了，60.0%感觉没有变化，8.3%报告有所改善。我们的发现呼吁所有参与 MS 管理的专业人员在 COVID-19 疫情期间关注 PwMS 的体力活动行为。
