Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, 1090 Vienna, Austria.
Centre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge CB1 1PT, UK.
Int J Environ Res Public Health. 2021 Aug 31;18(17):9168. doi: 10.3390/ijerph18179168.
Measures implemented to reduce the spread of SARS-CoV-2 have resulted in a decrease in physical activity (PA) while sedentary behaviour increased. The aim of the present study was to explore associations between PA and mental health in Austria during COVID-19 social restrictions. In this web-based cross-sectional study (April-May 2020) moderate-to-vigorous physical activity (MVPA), sitting time, and time spent outdoors were self-reported before and during self-isolation. Mental well-being was assessed with the Warwick-Edinburgh Mental Well-being Scale, and the Beck depression and anxiety inventories. The majority of the participants ( = 652) were female (72.4%), with a mean age of 36.0 years and a standard deviation (SD) of 14.4. Moreover, 76.5% took part in ≥30 min/day of MVPA, 53.5% sat ≥10 h/day, and 66.1% spent ≥60 min/day outdoors during self-isolation. Thirty-eight point five percent reported high mental well-being, 40.5% reported depressive symptoms, and 33.9% anxiety symptoms. Participating in higher levels of MVPA was associated with higher mental well-being (odds ratio = OR: 3.92; 95% confidence interval = 95%CI: 1.51-10.15), less depressive symptoms (OR: 0.44; 95%CI: 0.29-0.66) and anxiety symptoms (OR = 0.62; 95%CI: 0.41-0.94), and less loneliness (OR: 0.46; 95%CI: 0.31-0.69). Participants sitting <10 h/day had higher odds of mental well-being (OR: 3.58; 95%CI: 1.13-11.35). Comparable results were found for spending ≥60 min/day outdoors. Maintaining one's MVPA levels was associated with higher mental well-being (OR = 8.61, 95%CI: 2.68-27.62). In conclusion, results show a positive association between PA, time spent outdoors and mental well-being during COVID-19 social restrictions. Interventions aiming to increase PA might mitigate negative effects of such restrictions.
为减少 SARS-CoV-2 的传播而实施的措施导致身体活动(PA)减少,而久坐行为增加。本研究的目的是探索 COVID-19 社交限制期间奥地利 PA 与心理健康之间的关联。在这项基于网络的横断面研究中(2020 年 4 月至 5 月),参与者在自我隔离前和期间自我报告了中到高强度体力活动(MVPA)、久坐时间和户外活动时间。心理健康状况采用华威-爱丁堡心理健康量表和贝克抑郁和焦虑量表进行评估。大多数参与者(n=652)为女性(72.4%),平均年龄为 36.0 岁,标准差(SD)为 14.4。此外,76.5%的参与者每天进行≥30 分钟的 MVPA,53.5%每天坐≥10 小时,66.1%每天在户外活动≥60 分钟。38.5%报告心理健康状况良好,40.5%报告有抑郁症状,33.9%报告有焦虑症状。较高水平的 MVPA 与较高的心理健康水平(比值比[OR]:3.92;95%置信区间[95%CI]:1.51-10.15)、较少的抑郁症状(OR:0.44;95%CI:0.29-0.66)和焦虑症状(OR=0.62;95%CI:0.41-0.94)以及较少的孤独感(OR:0.46;95%CI:0.31-0.69)有关。每天坐<10 小时的参与者心理健康状况较好的几率更高(OR:3.58;95%CI:1.13-11.35)。每天户外活动时间≥60 分钟也有类似的结果。保持较高的 MVPA 水平与较高的心理健康水平有关(OR=8.61,95%CI:2.68-27.62)。总之,研究结果表明,在 COVID-19 社交限制期间,PA、户外活动时间与心理健康之间存在正相关。旨在增加 PA 的干预措施可能会减轻此类限制的负面影响。