de Brito Junia N, Friedman Jessica K, Emery Rebecca L, Neumark-Sztainer Dianne, Berge Jerica M, Mason Susan M
Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA.
Department of Family Medicine and Biobehavioral Health, University of Minnesota, Duluth, MN, USA.
Int J Womens Health. 2021 Nov 16;13:1115-1122. doi: 10.2147/IJWH.S333719. eCollection 2021.
The coronavirus disease 2019 (COVID-19) pandemic increased mothers' caregiving demands, potentially placing them at increased risk for reduced engagement in healthful behaviors and high psychological distress.
The purpose of this study was to describe perceived changes in moderate-vigorous physical activity (MVPA) and sedentary behaviors and the prevalence of different measures of psychological distress (depressive and anxiety symptoms, perceived stress, and positive and negative affect) among mothers. We also evaluated the associations of perceived change in MVPA and sedentary behaviors with measures of psychological distress.
We conducted a cross-sectional survey with 317 mothers living with children (0-20 years old) at home. Mothers self-reported perceived changes in MVPA and sedentary behaviors from before the pandemic to during COVID-19 stay-at-home orders and early reopening, and levels of depression and anxiety symptomatology, perceived stress, and positive and negative affect during the pandemic.
Compared to pre-pandemic levels, 39% of mothers reported engaging less in MVPA, and 63% reported engaging in more sedentary activities. One-quarter and 31% of mothers reported moderate/severe depressive and anxiety symptoms, respectively, and 78% medium/high levels of perceived stress. Adjusted linear regression analyses revealed that reduced MVPA and increased sedentary behaviors were associated with high average scores of depressive and anxiety symptoms, perceived stress, negative affect, and low scores of positive affect.
A large proportion of mothers reported being less physically active and more engaged in sedentary behaviors, which were associated with increases in psychological distress. Clinical and public health intervention efforts should consider how to improve mothers' physical and mental health as the country emerges from this crisis.
2019年冠状病毒病（COVID-19）大流行增加了母亲的照料需求，这可能使她们更易减少健康行为的参与度，并面临高度心理困扰。
本研究旨在描述母亲们感知到的中等强度至剧烈身体活动（MVPA）和久坐行为的变化，以及不同心理困扰指标（抑郁和焦虑症状、感知压力以及积极和消极情绪）的患病率。我们还评估了MVPA和久坐行为的感知变化与心理困扰指标之间的关联。
我们对317名在家中与孩子（0至20岁）同住的母亲进行了横断面调查。母亲们自我报告了从疫情大流行前到COVID-19居家令期间以及早期重新开放期间MVPA和久坐行为的感知变化，以及疫情期间的抑郁和焦虑症状水平、感知压力以及积极和消极情绪。
与疫情大流行前的水平相比，39%的母亲报告MVPA参与度降低，63%的母亲报告久坐活动增加。分别有四分之一和31%的母亲报告有中度/重度抑郁和焦虑症状，78%的母亲报告有中度/高度感知压力。经调整的线性回归分析显示，MVPA减少和久坐行为增加与抑郁和焦虑症状、感知压力、消极情绪的高分以及积极情绪的低分相关。
很大一部分母亲报告身体活动减少且更多地参与久坐行为，这与心理困扰增加有关。随着国家从这场危机中走出，临床和公共卫生干预措施应考虑如何改善母亲的身心健康。
