Changes in health behaviors, mental and physical health among older adults under severe lockdown restrictions during the covid-19 pandemic in spain

García-Esquinas E. ; Ortolá R. ; Gine-Vázquez I. ; Carnicero J.A. ; Mañas A. ; Lara E. ; Alvarez-Bustos A. ; Vicente-Rodriguez G. (Universidad de Zaragoza) ; Sotos-Prieto M. ; Olaya B. ; Garcia-Garcia F.J. ; Gusi N. ; Banegas J.R. ; Rodríguez-Gómez I. ; Struijk E.A. ; Martínez-Gómez D. ; Lana A. ; Haro J.M. ; Ayuso-Mateos J.L. ; Rodríguez-Mañas L. ; Ara I. ; Miret M. ; Rodríguez-Artalejo F.

Resumen: We used data from 3041 participants in four cohorts of community-dwelling individuals aged =65 years in Spain collected through a pre-pandemic face-to-face interview and a telephone interview conducted between weeks 7 to 15 after the beginning of the COVID-19 lockdown. On average, the confinement was not associated with a deterioration in lifestyle risk factors (smoking, alcohol intake, diet, or weight), except for a decreased physical activity and increased sedentary time, which reversed with the end of confinement. However, chronic pain worsened, and moderate declines in mental health, that did not seem to reverse after restrictions were lifted, were observed. Males, older adults with greater social isolation or greater feelings of loneliness, those with poorer housing conditions, as well as those with a higher prevalence of chronic morbidities were at increased risk of developing unhealthier lifestyles or mental health declines with confinement. On the other hand, previously having a greater adherence to the Mediterranean diet and doing more physical activity protected older adults from developing unhealthier lifestyles with confinement. If an-other lockdown were imposed during this or future pandemics, public health programs should spe-cially address the needs of older individuals with male sex, greater social isolation, sub-optimal housing conditions, and chronic morbidities because of their greater vulnerability to the enacted movement restrictions. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Idioma: Inglés

DOI: 10.3390/ijerph18137067

Año: 2021

Publicado en: International journal of environmental research and public health 18, 13 (2021), 18137067[25 pp]
ISSN: 1661-7827

Factor impacto JCR: 4.614 (2021)

Categ. JCR: PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH rank: 45 / 183 = 0.246 (2021) - Q1 - T1
Categ. JCR: PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH rank: 71 / 210 = 0.338 (2021) - Q2 - T2
Categ. JCR: ENVIRONMENTAL SCIENCES rank: 100 / 279 = 0.358 (2021) - Q2 - T2

Factor impacto CITESCORE: 4.5 - Medicine (Q2) - Environmental Science (Q2)

Factor impacto SCIMAGO: 0.814 - Pollution (Q1) - Health, Toxicology and Mutagenesis (Q1)

Financiación: info:eu-repo/grantAgreement/EC/FP7/223071/EU/COURAGE in Europe - COllaborative Research on AGEing in Europe/COURAGE IN EUROPE
Financiación: info:eu-repo/grantAgreement/EC/H2020/825546/EU/Scaling-up of and evidence-based intervention programme in older people with Diabetes and Frailty in LatinAmerica/DIABFRAIL-LATAM

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Educación Física y Depor. (Dpto. Fisiatría y Enfermería)