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新冠疫情期间促进健康行为的变化:利用可穿戴技术检测睡眠、活动和心血管健康指标的趋势。

Changes in health promoting behavior during COVID-19 physical distancing: Utilizing wearable technology to examine trends in sleep, activity, and cardiovascular indicators of health.

机构信息

Department of Data Science and Research, Whoop, Inc., Boston, Massachusetts, United States of America.

Central Queensland University, Appleton Institute for Behavioral Science, Adelaide, South Australia.

出版信息

PLoS One. 2021 Aug 12;16(8):e0256063. doi: 10.1371/journal.pone.0256063. eCollection 2021.


DOI:10.1371/journal.pone.0256063
PMID:34383837
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8360583/
Abstract

The COVID-19 pandemic incited unprecedented restrictions on the behavior of society. The aims of this study were to quantify changes to sleep/wake behavior and exercise behavior, as well as changes in physiological markers of health during COVID-19 physical distancing. A retrospective analysis of 5,436 US-based subscribers to the WHOOP platform (mean age = 40.25 ± 11.33; 1,536 females, 3,900 males) was conducted covering the period from January 1st, 2020 through May 15th, 2020. This time period was separated into a 68-day baseline period and a 67-day physical distancing period. To provide context and allow for potential confounders (e.g., change of season), data were also extracted from the corresponding time periods in 2019. As compared to baseline, during physical distancing, all subjects fell asleep earlier (-0.15 hours), woke up later (0.29 hours), obtained more sleep (+0.21 hours) and reduced social jet lag (-0.13 hours). Contrasting sleep behavior was seen in 2019, with subjects falling asleep and waking up at a similar time (-0.01 hours; -0.03 hours), obtaining less sleep (-0.14 hours) and maintaining social jet lag (+0.06 hours) in corresponding periods. Individuals exercised more intensely during physical distancing by increasing the time spent in high heart rate zones. In 2020, resting heart rate decreased (-0.90 beats per minute) and heart rate variability increased (+0.98 milliseconds) during physical distancing when compared to baseline. However, similar changes were seen in 2019 for RHR (-0.51 beats per minute) and HRV (+2.97 milliseconds), suggesting the variation may not be related to the introduction of physical distancing mandates. The findings suggest that individuals improved health related behavior (i.e., increased exercise intensity and longer sleep duration) during physical distancing restrictions. While positive changes were seen to cardiovascular indicators of health, it is unclear whether these changes were a direct consequence of behavior change.

摘要

新冠疫情大流行导致社会行为受到前所未有的限制。本研究旨在量化新冠疫情期间物理隔离对睡眠/觉醒行为和运动行为的变化,以及对健康生理标志物的变化。对 2020 年 1 月 1 日至 2020 年 5 月 15 日期间参加世界卫生组织(WHOOP)平台的 5436 名美国用户(平均年龄=40.25±11.33;女性 1536 名,男性 3900 名)进行了回顾性分析。这段时间分为 68 天的基线期和 67 天的物理隔离期。为了提供背景并考虑潜在的混杂因素(例如季节变化),还从 2019 年同期提取了数据。与基线相比,在物理隔离期间,所有受试者入睡时间更早(提前 0.15 小时),醒来时间更晚(推迟 0.29 小时),睡眠时间更长(增加 0.21 小时),社会时差减少(减少 0.13 小时)。在 2019 年的同期,对比睡眠行为,受试者入睡和醒来的时间相似(提前 0.01 小时;推迟 0.03 小时),睡眠时间减少(减少 0.14 小时),社会时差保持不变(增加 0.06 小时)。在物理隔离期间,个体通过增加在高心率区的时间,增加了运动强度。与基线相比,2020 年物理隔离期间静息心率下降(每分钟下降 0.90 次),心率变异性增加(每分钟增加 0.98 毫秒)。然而,在 2019 年 RHR(每分钟下降 0.51 次)和 HRV(每分钟增加 2.97 毫秒)也出现了类似的变化,这表明这种变化可能与物理隔离的实施无关。研究结果表明,个人在物理隔离限制期间改善了与健康相关的行为(即增加运动强度和延长睡眠时间)。虽然心血管健康的指标出现了积极的变化,但尚不清楚这些变化是否是行为改变的直接结果。

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