Associations of Anxiety, Insomnia, and Physical Activity during the COVID-19 Pandemic.
Int J Environ Res Public Health
; 21(4)2024 Apr 01.
Article
en En
| MEDLINE
| ID: mdl-38673339
ABSTRACT
PURPOSE:
Anxiety, insomnia, and physical activity (PA) are interrelated, but the bi-directional relationships between these three variables are not well understood. Less is known of these relationships in settings of disrupted daily activities and acute stress. This study aimed to characterize and examine relationships between insomnia, anxiety, and PA throughout the first year of the COVID-19 pandemic, when many lifestyle behaviors were disrupted.METHODS:
Participants comprised a convenience sample of 204 adults (55.4% female; 43.85 ± 15.85 years old) who completed the Generalized Anxiety Disorder Questionnaire (GAD-7), Insomnia Severity Index (ISI), and the International Physical Activity Questionnaire (IPAQ) at three time points through the first year of the COVID-19 pandemic. A cross-lagged panel model was used to evaluate these variables' concurrent, autoregressive, and cross-lagged relationships across time. Follow-up dynamic panel modeling using maximum likelihood and structural equation modeling was employed.RESULTS:
Approximately 64% of participants reported their work/occupation as affected by the pandemic. At baseline, associations between anxiety and insomnia were observed (ß-coefficient 15.87; p < 0.001). Insomnia was a positive future predictor of anxiety (ISI time point 2 7.9 ± 5.6 points; GAD-7 at time point 3 4.1 ± 4.2 points; ß-coefficient 0.16; p < 0.01). No associations were observed between PA and anxiety or insomnia (all p > 0.05).CONCLUSIONS:
Insomnia and anxiety were interrelated, and effects were cross-lagged. These data can inform future work focused on improving anxiety in settings of acute stress and disruptions to daily life, such as changes in occupational structure and stability. Specifically, targeting sleep parameters may be of interest to elicit downstream positive health behaviors.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Ansiedad
/
Ejercicio Físico
/
COVID-19
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Trastornos del Inicio y del Mantenimiento del Sueño
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Int J Environ Res Public Health
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Suiza