رابطه فعالیت بدنی و سلامت روان در طی موج اول کووید 19

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه تربیت بدنی، واحد شیروان، دانشگاه آزاد اسلامی، شیروان، ایران

2 گروه پرستاری، واحد شیروان، دانشگاه آزاد اسلامی، شیروان، ایران

3 دانشکدۀ تربیت بدنی و علوم ورزشی، دانشگاه الزهراء، تهران، ایران

چکیده

زمینه و هدف: اضطراب یک اختلال روانی شایع در طول کووید 19 است که می تواند کیفیت زندگی را کاهش دهد. ورزش یکی از مهمترین، ساده ترین و ارزان ترین رویکردهای درمانی است که می تواند اختلال های روانی را بهبود بخشد. هدف از این مطالعه بررسی رابطه بین فعالیت بدنی (PA) و سلامت روان در طی موج اول کووید 19 است. این مطالعه از 7 تا 21 اردیبهشت 1399 انجام شده است.
روش ها: برای نمونه گیری از روش گلوله برفی استفاده شد و افراد ساکن در استان خراسان شمالی از 7 تا 21 اردیبهشت 1399 در طول قرنطینه خانگی پرسشنامه ها را پر نمودند. تأثیر روانشناختی و وضعیت سلامت روان کووید 19 به ترتیب با استفاده از تأثیر مقیاس رویداد اصلاح شده (IES-R) و مقیاس افسردگی، اضطراب و استرس (DASS-21) اندازه گیری شد. در نهایت در این بازه ی دو هفته ای قرنطینه ی خانگی، نمونه های ما به 385 نفر رسید.
یافته ها: میانگین شاخص توده بدنی (BMI) مردان و زنان 91/24 و 5/24 بود. استرس، اضطراب و افسردگی در افراد کم وزن و چاق بیشتر از افراد دارای وزن نرمال و اضافه وزن بود. بین اضطراب (P=0.003 F=4.027,)، استرس (P=0.000 F=9.34,) و افسردگی (P=0.000 F=6.533,) گروهی که به هیچ وجه فعالیت بدنی ندارند و گروههایی که هر روز و سه روز در هفته فعالیت بدنی داشتند تفاوت معنی داری وجود داشت.
نتیجه گیری: فعالیت بدنی (PA) به طور بالقوه می تواند به بهبود سلامت روان و سلامتی کمک کند.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effect of physical activity on mental health in quarantine during COVID 19

نویسندگان [English]

  • asiye zoghi 1
  • masoumeh yasaei 2
  • masoumeh shojaei 3
1 Department of Physical Education, Shirvan Branch, Islamic Azad University, Shirvan, Iran
2 Department of Nursing, Shirvan Branch, Islamic Azad University, Shirvan, Iran
3 Department of Motor Behavior, Facullty of Sport Sciences, Alzahra University, Tehran, Iran
چکیده [English]

Background: Anxiety is a common mental disorder during the COVID-19 that can reduce quality of life. Exercise is one of the most important, simple, and inexpensive treatment approaches that can improve mental health. The aim of this study investigate the relationship between physical activity (PA) and mental health during the first wave of COVID-19. This longitudinal study conducted from April 26 to May 3, 2020.
Methods: Our snowball sampling strategy focused on recruiting the public living in IRAN (Khorasan) during the COVID-19 outbreak. The psychological impact and mental health status of COVID-19 was measured using the Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale (DASS-21), respectively. Eventually, during this two-week home quarantine period, our sample number reached 385.
Results: The mean of Body Mass Index (BMI) men and women were 24.91 and 24.5. People who are underweight and obese have more Stress, Anxiety and Depression than those who have acceptable weight and overweight. There is difference between the anxiety (P=0.003, F=4.027), stress (P=0.000, F=5.934) and depression (P=0.000, F=6.533) of the group that did not have physical activity at all and the groups that had physical activity every day and three days a week, during COVID-19.
Conclusion: Promotion of physical activity (PA) can potentially help improve mental health and wellness.

کلیدواژه‌ها [English]

  • Anxiety
  • Depression
  • Exercises
  • Stress
  • COVID-19
  1. Roy D, Tripathy S, Kar SK, Sharma N, Verma SK, Kaushal V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian Journal of Psychiatry. 2020:102083.
  2. Ho CS, Chee CY, Ho RC. Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic. Ann Acad Med Singapore. 2020;49(1):1-3.
  3. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet. 2020.
  4. Mendlowicz MV, Stein MB. Quality of life in individuals with anxiety disorders. American Journal of Psychiatry. 2000;157(5):669-82.
  5. Olatunji, Bunmi O, Cisler, Josh M, & Tolin, David F. (2007). Quality of life in the anxiety disorders: a meta-analytic review. Clinical psychology review, 27(5), 572-581.
  6. Banerjee D. The COVID-19 outbreak: Crucial role the psychiatrists can play. Asian journal of psychiatry. 2020;50:102014.
  7. Chen P, Mao L, Nassis GP, Harmer P, Ainsworth BE, Li F. Wuhan coronavirus (2019-nCoV): The need to maintain regular physical activity while taking precautions. Journal of sport and health science. 2020;9(2):103.
  8. Wright BJ, Eddy PJ, Kent S. Work Stress, Immune, and Inflammatory Markers. Handbook of Socioeconomic Determinants of Occupational Health: From Macro-level to Micro-level Evidence. 2020:1-9.
  9. Gleeson M, Bishop NC, Stensel DJ, Lindley MR, Mastana SS, Nimmo MA. The anti-inflammatory effects of exercise: mechanisms and implications for the prevention and treatment of disease. Nature reviews immunology. 2011;11(9):607-15.
  10. Shirvani H, Rostamkhani F. Exercise considerations during coronavirus disease 2019 (COVID-19) Outbreak: A narrative review. Journal of Military Medicine. 2020 Feb 1;22(2):161-8.
  11. Woods J, Hutchinson NT, Powers SK, Roberts WO, Gomez-Cabrera MC, Radak Z, Berkes I, Boros A, Boldogh I, Leeuwenburgh C, Coelho-Júnior HJ. The COVID-19 pandemic and physical activity.
  12. Monteiro CA, Conde WL, Matsudo SM, Matsudo VR, Bonseñor IM, Lotufo PA. A descriptive epidemiology of leisure-time physical activity in Brazil, 1996-1997. Revista Panamericana de Salud Publica. 2003;14:246-54.
  13. Okazaki K, Suzuki K, Sakamoto Y, Sasaki K. Physical activity and sedentary behavior among children and adolescents living in an area affected by the 2011 Great East Japan earthquake and tsunami for 3 years. Preventive medicine reports. 2015 Jan 1;2:720-4.
  14. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International journal of environmental research and public health. 2020;17(5):1729.
  15. Chen P, Mao L, Nassis GP, Harmer P, Ainsworth BE, Li F. Wuhan coronavirus (2019-nCoV): The need to maintain regular physical activity while taking precautions. Journal of sport and health science. 2020 Mar;9(2):103.
  16. Banks E, Jorm L, Rogers K, Clements M, Bauman A. Screen-time, obesity, ageing and disability: findings from 91 266 participants in the 45 and Up Study. Public health nutrition. 2011;14(1):34-43.
  17. Bird L. Exercise lowers leptin and leukocytosis. Nature Reviews Immunology. 2020 Jan;20(1):2-3.
  18. Ahmadihekmatikar A, Molanouri M. Prevalence of Coronavirus (Covid 19) In Iran and the Effects of Exercise on the Body‎ Along with Health Protocols: A Review Study. Journal of Arak University of Medical Sciences. 2020 Sep 10;23:0-.
  19. Szabo A, Griffiths MD, Demetrovics Z. Psychology and exercise. InNutrition and enhanced sports performance 2019 Jan 1 (pp. 63-72). Academic Press.
  20. Arent SM, Walker AJ, Arent MA. The effects of exercise on anxiety and depression. Handbook of Sport Psychology. 2020 Apr 14:872-90.
  21. Zhao JL, Jiang WT, Wang X, Cai ZD, Liu ZH, Liu GR. Exercise, brain plasticity, and depression. CNS Neuroscience & Therapeutics. 2020 Sep;26(9):885-95.
  22. Martin SA, Pence BD, Woods JA. Exercise and respiratory tract viral infections. Exercise and sport sciences reviews. 2009;37(4):157.
  23. Conte F, Banting L, Teede HJ, Stepto NK. Mental health and physical activity in women with polycystic ovary syndrome: a brief review. Sports Medicine. 2015;45(4):497-504.
  24. Duggal NA, Niemiro G, Harridge SD, Simpson RJ, Lord JM. Can physical activity ameliorate immunosenescence and thereby reduce age-related multi-morbidity? Nature Reviews Immunology. 2019;19(9):563-72.
  25. Simpson RJ, Kunz H, Agha N, Graff R. Exercise and the regulation of immune functions. Progress in molecular biology and translational science. 135: Elsevier; 2015. p. 355-80.
  26. Asmundson GJ, Fetzner MG, DeBoer LB, Powers MB, Otto MW, Smits JA. Let's get physical: a contemporary review of the anxiolytic effects of exercise for anxiety and its disorders. Depression and anxiety. 2013;30(4):362-73.
  27. Stubbs B, Vancampfort D, Rosenbaum S, Firth J, Cosco T, Veronese N, et al. An examination of the anxiolytic effects of exercise for people with anxiety and stress-related disorders: A meta-analysis. Psychiatry Research. 2017;249:102-8.
  28. Hammami A, Harrabi B, Mohr M, Krustrup P. Physical activity and coronavirus disease 2019 (COVID-19): specific recommendations for home-based physical training. Managing Sport and Leisure. 2020 Apr 20:1-6.
  29. Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, et al. The physical activity guidelines for Americans. Jama. 2018;320(19):2020-8.
  30. Who, World Health Organization. 2020.
  31. Who W. Global recommendations on physical activity for health. Geneva: World Health Organization. 2010.
  32. Martin SA, Pence BD, Woods JA. Exercise and respiratory tract viral infections. Exercise and sport sciences reviews. 2009;37(4):157.
  33. Harris MD. Infectious disease in athletes. Current sports medicine reports. 2011;10(2):84-9.
  34. Norton PJ. Depression Anxiety and Stress Scales (DASS-21): Psychometric analysis across four racial groups. Anxiety, stress, and coping. 2007;20(3):253-65.
  35. Hao F, Jang L, Zhang L, Jiang X, McIntyre R, Zhang Z, et al. Psychological impact on people with and without psychiatric illnesses in Chongqing, China during the peak of 2019 coronavirus disease (COVID-19) outbreak with strict quarantine measures. publication; 2020.
  36. Tan BY, Chew NW, Lee GK, Jing M, Goh Y, Yeo LL, et al. Psychological impact of the COVID-19 pandemic on health care workers in Singapore. Annals of Internal Medicine. 2020.
  37. Ho CS, Tan EL, Ho R, Chiu MY. Relationship of anxiety and depression with respiratory symptoms: Comparison between depressed and non-depressed smokers in Singapore. International journal of environmental research and public health. 2019;16(1):163.
  38. Quek TC, Ho CS, Choo CC, Nguyen LH, Tran BX, Ho RC. Misophonia in Singaporean psychiatric patients: a cross-sectional study. International journal of environmental research and public health. 2018;15(7):1410.
  39. Zhang MW, Ho CS, Fang P, Lu Y, Ho RC. Usage of social media and smartphone application in assessment of physical and psychological well-being of individuals in times of a major air pollution crisis. JMIR mHealth and uHealth. 2014;2(1):e16.
  40. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet. 2020 Mar 14;395(10227):912-20.
  41. Norouzi E, Hosseini F, Vaezmosavi M, Gerber M, Pühse U, Brand S. Zumba dancing and aerobic exercise can improve working memory, motor function, and depressive symptoms in female patients with fibromyalgia. European journal of sport science. 2020 Aug 8;20(7):981-91.
  42. Shirvani H, Rostamkhani F. Exercise considerations during coronavirus disease 2019 (COVID-19) Outbreak: A narrative review. Journal of Military Medicine. 2020 Feb 1;22(2):161-8.
  43. Josefsson T, Lindwall M, Archer T. Physical exercise intervention in depressive disorders: Meta‐analysis and systematic review. Scandinavian journal of medicine & science in sports. 2014;24(2):259-72.
  44. Mammen G, Faulkner G. Physical activity and the prevention of depression: a systematic review of prospective studies. American journal of preventive medicine. 2013;45(5):649-57.
  45. Mura G, Moro MF, Patten SB, Carta MG. Exercise as an add-on strategy for the treatment of major depressive disorder: a systematic review. CNS spectrums. 2014;19(6):496-508.
  46. Ribeiro PA, Boidin M, Juneau M, Nigam A, Gayda M. High-intensity interval training in patients with coronary heart disease: prescription models and perspectives. Annals of physical and rehabilitation medicine. 2017;60(1):50-7.
  47. Blocken B, Malizia F, van Druenen T, Marchal T. Towards aerodynamically equivalent COVID19 1.5 m social distancing for walking and running. Questions and Answers Website Bert Blocken, Eindhoven University of Technology (The Netherlands) and KU Leuven (Belgium) Disponibile su: http://www urbanphysics net/COVID19 html (ultimo accesso 21 aprile 2020). 2020.
  48. Nyenhuis SM, Greiwe J, Zeiger JS, Nanda A, Cooke A. Exercise and Fitness in the age of social distancing during the COVID-19 Pandemic. The Journal of Allergy and Clinical Immunology in Practice. 2020.
  49. Jiménez-Pavón D, Carbonell-Baeza A, Lavie CJ. Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people. Progress in cardiovascular diseases. 2020.
  50. Simpson RJ, Campbell JP, Gleeson M, Krüger K, Nieman DC, Pyne DB, et al. Can exercise affect immune function to increase susceptibility to infection? Exercise Immunology Review. 2020;26:8-22.
  51. Duggal NA, Niemiro G, Harridge SD, Simpson RJ, Lord JM. Can physical activity ameliorate immunosenescence and thereby reduce age-related multi-morbidity?. Nature Reviews Immunology. 2019 Sep;19(9):563-72.
  52. Fletcher GF, Landolfo C, Niebauer J, Ozemek C, Arena R, Lavie CJ. Promoting physical activity and exercise: JACC health promotion series. Journal of the American College of Cardiology. 2018;72(14):1622-39.
  53. Imboden MT, Harber MP, Whaley MH, Finch WH, Bishop DL, Fleenor BS, Kaminsky LA. The association between the change in directly measured cardiorespiratory fitness across time and mortality risk. Progress in cardiovascular diseases. 2019 Mar 1;62(2):157-62.
  54. Liu Y, Lee DC, Li Y, Zhu W, Zhang R, Sui X, Lavie CJ, Blair SN. Associations of resistance exercise with cardiovascular disease morbidity and mortality. Medicine and science in sports and exercise. 2019 Mar;51(3):499.
  55. Lavie CJ, Ozemek C, Carbone S, Katzmarzyk PT, Blair SN. Sedentary behavior, exercise, and cardiovascular health. Circulation research. 2019 Mar 1;124(5):799-815.
  56. Saint-Maurice PF, Troiano RP, Bassett DR, Graubard BI, Carlson SA, Shiroma EJ, et al. Association of daily step count and step intensity with mortality among US adults. Jama. 2020;323(12):1151-60.
  57. Nyenhuis SM, Greiwe J, Zeiger JS, Nanda A, Cooke A. Exercise and Fitness in the age of social distancing during the COVID-19 Pandemic. The Journal of Allergy and Clinical Immunology in Practice. 2020.