Knapik Andrzej, Szefler-Derela Justyna, Wasiuk-Zowada Dagmara, Siuda Joanna, Krzystanek Ewa, Brzęk Anna
Department of Adapted Physical Activity and Sport, School of Health Sciences in Katowice, Medical University of Silesia, 40-754 Katowice, Poland.
Department of Physiotherapy, School of Health Sciences in Katowice, Medical University of Silesia, 40-754 Katowice, Poland.
Healthcare (Basel). 2021 Nov 17;9(11):1562. doi: 10.3390/healthcare9111562.
Staying at home for long periods and limiting various types of activities and social contacts due to the COVID-19 pandemic may have negative consequences for health. This is especially true for people suffering from chronic diseases, in whom an appropriate level of activity and social contacts delay the progress of the disease. This group includes people diagnosed with Parkinson's disease-PD.
It was decided to investigate the effect of COVID-19 isolation related to self-assessment of physical fitness, physical activity, and the level of anxiety and depression in people with PD.
The study included 30 patients diagnosed with Parkinson's disease. We compared the results of the pre-pandemic questionnaire and the telephone interview with the same questions-after the period of isolation due to COVID-19. The questionnaire included questions about physical activity and fitness self-assessment. The level of affective disorders was tested using HADS.
There was a statistically significant decrease in the physical activity of the respondents after isolation related to COVID-19 ( < 0.05). Self-assessment of physical fitness also decreased, but the differences were not statistically significant. In the post-isolation study, only 50% of the respondents had normative values for anxiety and only 40% for depression. The analysis showed that the level of physical activity-the independent variable, explains anxiety in 30% and depression in 27%.
Pandemic isolation has significantly reduced physical activity in PD patients. There was a certain drop in the self-esteem of physical fitness in these people. Physical fitness is an important predictor of preventing the affective disorders of anxiety and depression. The effects of isolation due to COVID-19 require further research.
由于新冠疫情长期居家并限制各类活动和社交接触可能对健康产生负面影响。对于慢性病患者而言尤其如此，适当的活动水平和社交接触可延缓疾病进展。这一群体包括被诊断患有帕金森病（PD）的患者。
旨在调查与新冠疫情隔离相关的因素对帕金森病患者体能自我评估、身体活动以及焦虑和抑郁水平的影响。
该研究纳入了30名被诊断患有帕金森病的患者。我们将疫情前问卷的结果与在因新冠疫情隔离期过后就相同问题进行的电话访谈结果进行了比较。问卷包括有关身体活动和体能自我评估的问题。使用医院焦虑抑郁量表（HADS）测试情感障碍水平。
与新冠疫情隔离相关的隔离期过后，受访者的身体活动出现了具有统计学意义的下降（<0.05）。体能的自我评估也有所下降，但差异无统计学意义。在隔离期后的研究中，只有50%的受访者焦虑水平处于正常范围，抑郁水平处于正常范围的受访者仅为40%。分析表明，身体活动水平这一自变量对焦虑的解释率为30%，对抑郁的解释率为27%。
疫情隔离显著降低了帕金森病患者的身体活动。这些人的体能自信心出现了一定程度的下降。体能是预防焦虑和抑郁情感障碍的重要预测指标。新冠疫情隔离的影响需要进一步研究。
