High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia.
Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia.
Int J Environ Res Public Health. 2021 Apr 19;18(8):4329. doi: 10.3390/ijerph18084329.
The COVID-19 lockdown could engender disruption to lifestyle behaviors, thus impairing mental wellbeing in the general population. This study investigated whether sociodemographic variables, changes in physical activity, and sleep quality from pre- to during lockdown were predictors of change in mental wellbeing in quarantined older adults.
A 12-week international online survey was launched in 14 languages on 6 April 2020. Forty-one research institutions from Europe, Western-Asia, North-Africa, and the Americas, promoted the survey. The survey was presented in a differential format with questions related to responses "pre" and "during" the lockdown period. Participants responded to the Short Warwick-Edinburgh Mental Wellbeing Scale, the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and the short form of the International Physical Activity Questionnaire.
Replies from older adults (aged >55 years, = 517), mainly from Europe (50.1%), Western-Asia (6.8%), America (30%), and North-Africa (9.3%) were analyzed. The COVID-19 lockdown led to significantly decreased mental wellbeing, sleep quality, and total physical activity energy expenditure levels (all < 0.001). Regression analysis showed that the change in total PSQI score and total physical activity energy expenditure (F = 66.41 < 0.001) were significant predictors of the decrease in mental wellbeing from pre- to during lockdown ( < 0.001, R: 0.20).
COVID-19 lockdown deleteriously affected physical activity and sleep patterns. Furthermore, change in the total PSQI score and total physical activity energy expenditure were significant predictors for the decrease in mental wellbeing.
COVID-19 封锁可能破坏生活方式行为，从而损害普通人群的心理健康。本研究旨在调查从封锁前到封锁期间的社会人口变量、体力活动变化和睡眠质量是否是隔离老年人群心理健康变化的预测因素。
2020 年 4 月 6 日，以 14 种语言启动了一项为期 12 周的国际在线调查。来自欧洲、西亚、北非和美洲的 41 个研究机构推广了这项调查。该调查采用差异格式，提出了与封锁前和封锁期间的反应有关的问题。参与者回答了简短的华威-爱丁堡心理健康量表、匹兹堡睡眠质量指数（PSQI）问卷和国际体力活动问卷短表。
分析了来自老年人（年龄>55 岁，n=517）的回复，主要来自欧洲（50.1%）、西亚（6.8%）、美洲（30%）和北非（9.3%）。COVID-19 封锁导致心理健康、睡眠质量和总体力活动能量消耗水平显著下降（均<0.001）。回归分析显示，总 PSQI 评分和总体力活动能量消耗的变化（F=66.41<0.001）是封锁期间心理健康下降的显著预测因素（<0.001，R：0.20）。
COVID-19 封锁对体力活动和睡眠模式产生了不利影响。此外，总 PSQI 评分和总体力活动能量消耗的变化是心理健康下降的显著预测因素。
