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1.
Alzheimers Dement (N Y) ; 6(1): e12091, 2020.
Article in English | MEDLINE | ID: mdl-33083514

ABSTRACT

Physical inactivity is one major modifiable risk factor for dementia (especially Alzheimer's disease). Due to contact restrictions and isolation measures in response to the current COVID-19 (coronavirus disease 2019) pandemic, physical inactivity levels have increased by up to 30%, which will likely have adverse consequences for primary and secondary dementia prevention. Therefore, new interdisciplinary prevention approaches (eg, outdoor exercise; app-based exercise with online partners) are urgently needed that account for the suspected long-term lifestyle changes that the current-and upcoming-pandemics are likely to entail (increased use of home office, social isolation, avoidance of fitness centers and club sports, and so on).

2.
Preprint in English | medRxiv | ID: ppmedrxiv-20138313

ABSTRACT

BackgroundDue to home-confinement and social isolation of during the Covid-19 pandemic, reductions in performing physical activities were observed. A main consequence of inactivity is a poorer general health and a higher mortality rate. Therefore, it is important to inform the public about practical recommendations for staying physically active, especially during the current Covid-19 pandemic. MethodsThrough a systematic review of literature in two databases (Pubmed/Medline; Web of Science), studies were analysed which include practical recommendations for staying active during Covid-19 (Q1), or if they did not explicitly deal with Covid-19, research with useful results regarding the adaption to the present situation (Q2). ResultsCurrently, there are 6 studies published which are related to the first research question. In total, 26 papers, were found to correlate to the second one. ConclusionResearchers need to be more specific in the exact recommendations for different age-groups and various health statuses. Key sources are the websites of the World Health Organization and the American Heart Association. In addition, exergames need to be adaptable to restrictions by product designers and to integrate social interaction-functions. Furthermore, it is essential that governmental actions need to be taken, with the help of researchers, to inform citizens about possible physical activities, with precise examples, clarification of benefits of the exercises, the exact exercise with duration, intensity and other substitute tasks for different age-groups and for people with diseases.

3.
Preprint in English | medRxiv | ID: ppmedrxiv-20091066

ABSTRACT

BackgroundPublic health recommendations and governmental measures during the COVID-19 pandemic have enforced numerous restrictions on daily living including social distancing, isolation and home confinement. While these measures are imperative to mitigate spreading of COVID-19, the impact of these restrictions on psychosocial health is undefined. Therefore, an international online survey was launched in April 2020 in seven languages to elucidate the behavioral and lifestyle consequences of COVID-19 restrictions. This report presents the preliminary results from the first thousand responders on social participation and life satisfaction. MethodsThirty-five research organisations from Europe, North-Africa, Western Asia and the Americas promoted the survey through their networks to the general society, in English, German, French, Arabic, Spanish, Portuguese, and Slovenian languages. Questions were presented in a differential format with questions related to responses "before" and "during" confinement conditions. Results1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%) were included in the analysis. Preliminary findings revealed psychosocial strain during the enforced COVID-19 home confinement. In particular, large decreases in the amount of social activity through family (58%), friends/neighbors (44.9%) or entertainment (46.7%) were triggered by the enforced confinement. These negative effects on social participation were also associated with lower satisfaction (-30.5%) during the confinement period. Conversely, social contact score through digital technologies has significantly increased (p<0.001) during the confinement period with more individuals (24.8%) being socially connected through digital technology. ConclusionThese preliminary findings elucidate the risk of psychosocial strain during the current home confinement period. Therefore, in order to mitigate the negative psychosocial effects of home confinement, implementation of national strategies focused on promoting social inclusion through technology-based solution is urgently needed.

4.
Preprint in English | medRxiv | ID: ppmedrxiv-20091058

ABSTRACT

BackgroundPublic health recommendations and government measures during the COVID-19 pandemic have enforced restrictions on daily living, which may include social distancing, remote work/school, and home confinement. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on mental health and emotional wellbeing is undefined. Therefore, an international online survey was launched on April 6, 2020 in seven languages to elucidate the impact of COVID-19 restrictions on mental health and emotional well-being. This report presents the preliminary results from the first thousand responders on mental wellbeing and mood and feelings questionnaires. MethodsThe ECLB-COVID19 electronic survey was designed by a steering group of multidisciplinary scientists and academics, following a structured review of the literature. The survey was uploaded and shared on the Google online survey platform. Thirty-five research organizations from Europe, North-Africa, Western Asia and the Americas promoted the multi-languages survey through their networks to general society. Of the 64 questions, 7 were from the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS), and 13 were from the Short Mood and Feelings Questionnaire (SMFQ), which are both validated instruments. ResultsAnalysis was conducted on the first 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%). The COVID-19 home confinement had a negative effect on both mental wellbeing and on mood and feelings. Specifically, a significant decrease (p<0.001 and{Delta} %= 9.4 %) in the total score of mental wellbeing was noted. More individuals (+12.89%) reported a low mental wellbeing "during" compared to "before" home confinement. Furthermore, results from the mood and feelings questionnaire (i.e., depressive symptoms) showed a significant increase by 44.9% (p<0.001) in total score with more people (+10%) developing depressive symptoms "during" compared to "before" home confinement. ConclusionThe ECLB-COVID19 survey revealed an increased psychosocial strain triggered by the enforced home confinement. To mitigate this high risk of mental disorders and to foster an Active and Healthy Confinement Lifestyle (AHCL), a crisis-oriented interdisciplinary intervention is urgently needed.

5.
Preprint in English | medRxiv | ID: ppmedrxiv-20091017

ABSTRACT

BackgroundAlthough recognised as effective measures to curb the spread of the COVID-19 outbreak, social distancing and self-isolation, have been suggested to generate burden throughout the population. To provide scientific data to help identify risk-factors for the psychosocial strain during the COVID-19 outbreak, an international cross-disciplinary online survey was circulated in April 2020. This report outlines the mental, emotional and behavioural consequences of COVID-19 home confinement. MethodThirty-five research organisations from four continents promoted the survey through their networks to the general society, in Ten different languages. Questions were presented in a differential format with questions related to responses "before" and "during" confinement period. Results1047 replies (54% women) from Western-Asia (36%), North-Africa (40%), Europe (21%) and other countries (3%) were analysed. The COVID-19 home confinement evoked a negative effect on mental wellbeing and emotional status (P < 0.001; 0.43 [≤] d [≤] 0.65) with a greater proportion of individuals experiencing psychosocial and emotional disorders (10% to 16.5%). These psychosocial tolls were associated with unhealthy lifestyle behaviours with a greater proportion of individuals experiencing (i) physical (+15.2%) and social (71.2%) inactivity, (ii) poor sleep quality (12.8%), (iii) unhealthy diet behaviours (10%), and (iv) unemployment (6%). Conversely, participants demonstrated a greater use (15%) of technology solutions during the confinement period. ConclusionThese findings elucidate the risk of psychosocial strain during the current home confinement period and provide a clear remit for the urgent implementation of technology-based intervention to foster an Active and Healthy Confinement Lifestyle (AHCL).

6.
Preprint in English | medRxiv | ID: ppmedrxiv-20072447

ABSTRACT

BackgroundPublic health recommendations and governmental measures during the COVID-19 pandemic have enforced numerous restrictions on daily living including social distancing, isolation and home confinement. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on health behaviours and lifestyle at home is undefined. Therefore, an international online survey was launched in April 2020 in seven languages to elucidate the behavioral and lifestyle consequences of COVID-19 restrictions. This report presents the preliminary results from the first thousand responders on physical activity (PA) and nutrition behaviours. MethodsThirty-five research organisations from Europe, North-Africa, Western Asia and the Americas promoted the survey through their networks to the general society, in English, German, French, Arabic, Spanish, Portugese, and Slovenian languages. Questions were presented in a differential format with questions related to responses "before" and "during" confinement conditions. Results1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%) were included into a general analysis. The COVID-19 home confinement had a negative effect on all intensities of PA (vigorous, moderate, walking and overall). Conversely, daily sitting time increased from 5 to 8 hours per day. Additionally, food consumption and meal patterns (the type of food, eating out of control, snacks between meals, number of meals) were more unhealthy during confinement with only alcohol binge drink decreasing significantly. ConclusionWhile isolation is a necessary measure to protect public health, our results indicate that it alters physical activity and eating behaviours in a direction that would compromise health. A more detailed analysis of survey data will allow for a segregation of these responses in different age groups, countries and other subgroups which will help develop bespoke interventions to mitigate the negative lifestyle behaviors manifest during the COVID-19 confinement.

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