Abstract
Purpose: Twenty-four hours movement behaviors, including physical activity (PA), sedentary behavior (SB), and sleep, are associated with anxiety and depressive symptoms. The spreading of COVID-19 and the lockdown might increase those symptoms disorders. This study aimed to investigate the association between movement behavior before COVID-19 infection and anxiety and depressive symptoms in COVID-19 patients.
Methods: In this retrospective study, adults who were infected with COVID-19 in Hong Kong were invited to respond to an online survey from June to August 2022. Participants reported their PA, SB, and sleep before the infection using by International Physical Activity Questionnaire short form, sedentary behavior questionnaire, and Pittsburgh sleep quality index, respectively. The anxiety and depressive symptoms after the COVID-19 infection were assessed by the hospital anxiety and depression scale. The anxiety and depression score higher than 7 was treated as borderline abnormal. Generalized linear models were constructed to examine the relationships between movement behaviors and anxiety and depressive symptoms while controlling for sex, age, body mass index, education level, employment status, and vaccine dosage.
Results: The final analytic sample included 1542 adults (36.8% male) aged from 18 to 88 years old. One third and 29.2% of participants had the anxiety and depressive score higher than 7, respectively. Poor sleep quality was correlated with a higher anxiety score (B = 0.414, 95% confidence interval [CI]: 0.353 to 0.474). Daily SB was positively associated with anxiety score (B = 0.044, 95% CI: 0.005 to 0.084). Longer sleep duration (B = 0.129, 95% CI: 0.002 to 0.257) and poor sleep quality before COVID-19 infection were associated with worse depressive symptoms (B = 0.388, 95% CI: 0.324 to 0.452). More moderate to vigorous PA (B = －0.005, 95% CI: -0.009 to -0.000) and walking (B = －0.008, 95% CI: -0.012 to -0.003) were associated with a lower depression score.
Conclusions: Better sleep quality, less SB, and more PA were related to less anxiety and depressive symptoms among COVID-19 patients. The results provide a valuable reference for promoting healthy movement behaviors as protective factors for anxiety and depressive disorder. Copyright © 2023 ISBNPA.
Methods: In this retrospective study, adults who were infected with COVID-19 in Hong Kong were invited to respond to an online survey from June to August 2022. Participants reported their PA, SB, and sleep before the infection using by International Physical Activity Questionnaire short form, sedentary behavior questionnaire, and Pittsburgh sleep quality index, respectively. The anxiety and depressive symptoms after the COVID-19 infection were assessed by the hospital anxiety and depression scale. The anxiety and depression score higher than 7 was treated as borderline abnormal. Generalized linear models were constructed to examine the relationships between movement behaviors and anxiety and depressive symptoms while controlling for sex, age, body mass index, education level, employment status, and vaccine dosage.
Results: The final analytic sample included 1542 adults (36.8% male) aged from 18 to 88 years old. One third and 29.2% of participants had the anxiety and depressive score higher than 7, respectively. Poor sleep quality was correlated with a higher anxiety score (B = 0.414, 95% confidence interval [CI]: 0.353 to 0.474). Daily SB was positively associated with anxiety score (B = 0.044, 95% CI: 0.005 to 0.084). Longer sleep duration (B = 0.129, 95% CI: 0.002 to 0.257) and poor sleep quality before COVID-19 infection were associated with worse depressive symptoms (B = 0.388, 95% CI: 0.324 to 0.452). More moderate to vigorous PA (B = －0.005, 95% CI: -0.009 to -0.000) and walking (B = －0.008, 95% CI: -0.012 to -0.003) were associated with a lower depression score.
Conclusions: Better sleep quality, less SB, and more PA were related to less anxiety and depressive symptoms among COVID-19 patients. The results provide a valuable reference for promoting healthy movement behaviors as protective factors for anxiety and depressive disorder. Copyright © 2023 ISBNPA.
| Original language | English |
|---|---|
| Publication status | Published - Jun 2023 |
| Event | The 22nd Annual Meeting of The International Society of Behavioral Nutrition and Physical Activity - Uppsala, Sweden Duration: 14 Jun 2023 → 17 Jun 2023 https://2023.isbnpa.org/ |
Conference
| Conference | The 22nd Annual Meeting of The International Society of Behavioral Nutrition and Physical Activity |
|---|---|
| Abbreviated title | ISBNPA 2023 |
| Country/Territory | Sweden |
| City | Uppsala |
| Period | 14/06/23 → 17/06/23 |
| Internet address |