Stanford Prevention Research Center, Department of Medicine, Stanford University, Stanford, CA, USA.
Department of Psychology, Stanford University, Stanford, CA, USA.
Psychol Health. 2022 Jan;37(1):51-61. doi: 10.1080/08870446.2020.1869740. Epub 2021 Jan 6.
Physical activity (PA) during COVID-19 shelter-in-place (SIP) may offset stress. This study examined associations between PA, stress and stress management strategies during SIP.
Participants ( = 990) from a cohort of Northern California adults completed surveys during early SIP (3/23/20-4/2/20) and mid-SIP (4/24/20-5/8/20). Participants self-reported past-month PA (meeting vs. not meeting guidelines), changes in stress (decreased/unchanged vs. increased) and use (yes/no) of 10 stress management strategies. We tested differences in mid-SIP stress and stress management strategies by PA, and differences in mid-SIP stress by stress management strategies.
Compared to participants inactive at mid-SIP, active participants reported less stress (AOR = 0.60 [0.45, 0.81]). Active participants were more likely to manage stress using outdoor PA, indoor PA, yoga/meditation/prayer, gardening, and reading (AORs > 1.42), and less likely to sleep (AOR = 0.65 [0.48, 0.89]) or eat ([AOR = 0.48 [0.35, 0.66]) more. Managing stress using outdoor PA, indoor PA or reading was associated with lower stress; managing stress using TV/movies, sleeping or eating was associated with increased stress (s < 0.05).
Meeting PA guidelines during SIP was associated with less stress. Inactive participants reported greater sleeping and eating to cope; active participants used active stress management strategies. Engagement in physically active stress management was associated with lower stress.
COVID-19 居家隔离期间的身体活动（PA）可能会缓解压力。本研究调查了居家隔离期间 PA、压力和压力管理策略之间的关联。
来自加利福尼亚州北部成年人队列的参与者（n=990）在居家隔离早期（3 月 23 日至 4 月 2 日）和中期（4 月 24 日至 5 月 8 日）完成了调查。参与者自我报告过去一个月的 PA（是否符合指南）、压力变化（减少/不变与增加）以及 10 种压力管理策略的使用（是/否）。我们根据 PA 比较了中期压力和压力管理策略的差异，根据压力管理策略比较了中期压力的差异。
与中期不活跃的参与者相比，活跃的参与者报告的压力较小（AOR=0.60[0.45, 0.81]）。活跃的参与者更有可能通过户外 PA、室内 PA、瑜伽/冥想/祈祷、园艺和阅读来管理压力（AORs>1.42），而不太可能通过睡眠（AOR=0.65[0.48, 0.89]）或饮食（AOR=0.48[0.35, 0.66]）来管理压力。使用户外 PA、室内 PA 或阅读管理压力与压力降低相关；使用电视/电影、睡眠或饮食管理压力与压力增加相关（s<0.05）。
居家隔离期间符合 PA 指南与压力较小相关。不活跃的参与者报告更多的睡眠和饮食来应对；活跃的参与者使用积极的压力管理策略。参与身体活跃的压力管理与压力降低相关。
