COVID-19 lockdown consequences on body mass index and perceived fragility related to physical activity: A worldwide cohort study.

BACKGROUND: This paper is a follow-up study continuing the COVISTRESS network previous research regarding health-related determinants. OBJECTIVE: The aim was to identify the main consequences of COVID-19 lockdown on Body Mass Index and Perceived Fragility, related to Physical Activity (PA), for different categories of populations, worldwide. DESIGN: The study design included an online survey, during the first wave of COVID-19 lockdown, across different world regions. SETTING AND PARTICIPANTS: The research was carried out on 10 121 participants from 67 countries. The recruitment of participants was achieved using snowball sampling techniques via social networks, with no exclusion criteria other than social media access. MAIN OUTCOME MEASURES: Body Mass Index, Physical Activity, Perceived Fragility and risk of getting infected items were analysed. SPSS software, v20, was used. Significance was set at P < .05. RESULTS: Body Mass Index significantly increased during lockdown. For youth and young adults (18-35 years), PA decreased by 31.25%, for adults (36-65 years) by 26.05% and for the elderly (over 65 years) by 30.27%. There was a high level of Perceived Fragility and risk of getting infected for female participants and the elderly. Correlations between BMI, Perceived Fragility and PA were identified. DISCUSSION AND CONCLUSIONS: The research results extend and confirm evidence that the elderly are more likely to be at risk, by experiencing weight gain, physical inactivity and enhanced Perceived Fragility. As a consequence, populations need to counteract the constraints imposed by the lockdown by being physically active.

An Assessment of the Novel COVISTRESS Questionnaire: COVID-19 Impact on Physical Activity, Sedentary Action and Psychological Emotion.

Globally the COVID-19 pandemic outbreak has triggered an economic downturn and a rise in unemployment. As a result, global communities have had to face physical, health, psychological and socio-economical related stressors. The purpose of this study was to assess and report the impact of isolation and effect of coronavirus on selected psychological correlates associated with emotions. Following ethical approval, a mixed methods observational study was conducted using the validated COVISTRESS questionnaire. Two observational study scenarios were evaluated namely "Prior" to the COVID-19 outbreak and "Currently", i.e., during the COVID-19 pandemic. 10,121 participants from 67 countries completed the COVISTRESS questionnaire. From the questionnaire responses only questions that covered the participant's occupation; sociodemographic details, isolation and impact of coronavirus were selected. Further analyses were performed on output measures that included leisure time, physical activity, sedentary time and emotions. All output measures were evaluated using the Visual Analogue Scale (VAS) with an intensity ranging from 0-100. Descriptive statistics, Wilcoxon signed-rank test and Spearman correlational analysis were applied to the leisure time, physical activity, sedentary time and emotional feeling datasets; p = 0.05 was set as the significance level. Both males and females displayed similar output measures. The Wilcoxon signed rank test showed significant differences with respect to "Prior" COVID-19 and "Currently" for sedentary activity (Z = -40.462, p < 0.001), physical activity (Z = -30.751, p < 0.001) and all other emotional feeling output measures. A moderate correlation between "Prior" COVID-19 and "Currently" was observed among the Males (r = 0.720) in comparison to the Females (r = 0.639) for sedentary activity while weaker correlations (r < 0.253) were observed for physical activity and emotional feeling measurements, respectively. Our study reported incremental differences in the physical and psychological output measures reported, i.e., "Prior" COVID-19 and "Currently". "Prior" COVID-19 and "Currently" participants increased their sedentary habits by 2.98%, and the level of physical activity reduced by 2.42%, depression levels increased by 21.62%, anxiety levels increased by 16.71%, and stress levels increased by 21.8%. There were no correlations (r) between leisure, physical activity and sedentary action (i.e., "Prior" = -0.071; "Currently" = -0.097); no correlations (r) between leisure physical activity and emotion (i.e., -0.071 > r > 0.081) for "Prior"; and poor correlations (r) between leisure, physical activity and sedentary action (i.e., -0.078 > r > 0.167) for "Current". The correlations (r) between sedentary action and emotion for "Prior" and "Currently" were (-0.100 > r > 0.075) and (-0.040 > r > 0.041) respectively. The findings presented here indicate that the COVISTRESS project has created awareness in relation to the physical and psychological impact resulting from the COVID-19 pandemic. The findings have also highlighted individual distress caused by COVID-19 and associated health consequences for the global community.

Bullying Victimization in Schools: Why the Whole School, Whole Community, Whole Child Model Is Essential.

BACKGROUND: Bullying is more likely to happen in schools than in any other location. The purpose of this study is to use decision tree analyses to predict specific risk factors for bullying to identify areas of interest for school-based bullying prevention. METHODS: We obtained data from the 2013 National Crime Victimization Study (NCVS) School Crime Supplement. We used case-wise deletion to create a sample with completed data based on the measure of bullying (N = 4967). The dependent variable for this study was bullying. We used chi-square automatic interaction detection (CHAID) to uncover predictors of bullying victimization in schools. RESULTS: Results suggest that 21.7% of the participants were bullied during the 6 months prior to the survey. Being distracted in class and being involved in a fight were the top statistically significant variables for bullying victimization in schools. Fear of being attacked and seeing hate-related words or symbols in school were also strong predictors of bullying. CONCLUSIONS: Bullying victimization can often be predicted. Therefore, school personnel can implement programs and policies consistent with the Whole School, Whole Community, Whole Child (WSCC) model to improve the social and emotional climate in schools and proactively reduce opportunities for bullying victimization.

Teenagers' use of tobacco and their perceptions of tobacco control initiatives.

BACKGROUND: Tobacco use leads to more deaths each year than any other single factor. This research examined teenagers' perceptions of anti-tobacco messages to determine which campaigns and educational approaches were most effective in preventing tobacco use among youth. METHODS: Students from five rural high schools in western Pennsylvania were included in this survey-based study (N = 204). RESULTS: A total of 30% of the study population reported current tobacco use. Tobacco users held more negative perceptions of anti-tobacco messages than non-users. A majority of students held supportive views about anti-tobacco education programs that were facilitated by peer leaders. CONCLUSIONS: Existing anti-tobacco campaigns and education are essential components of tobacco control initiatives. Students' perspectives provide novel insights that educators and campaign designers should consider as they develop anti-tobacco programs.