112047 20230519145551.0 doi 10.3390/ijerph18137067 sideral 127127 ART-2021-127127 eng García-Esquinas E. Changes in health behaviors, mental and physical health among older adults under severe lockdown restrictions during the covid-19 pandemic in spain 2021 Access copy available to the general public Unrestricted 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. info:eu-repo/grantAgreement/EC/FP7/223071/EU/COURAGE in Europe - COllaborative Research on AGEing in Europe/COURAGE IN EUROPE 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 This project has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement No H2020 825546-DIABFRAIL-LATAM info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 4.614 2021 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 45 / 183 = 0.246 2021 Q1 T1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 71 / 210 = 0.338 2021 Q2 T2 ENVIRONMENTAL SCIENCES 100 / 279 = 0.358 2021 Q2 T2 0.814 2021 Pollution 2021 Q1 Health, Toxicology and Mutagenesis 2021 Q1 4.5 2021 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Ortolá R. Gine-Vázquez I. Carnicero J.A. Mañas A. Lara E. Alvarez-Bustos A. Vicente-Rodriguez G. Universidad de Zaragoza (orcid)0000-0002-4303-4097 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. 1006 245 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Educación Física y Depor. 18, 13 (2021), 18137067[25 pp] Int. j. environ. res. public health International journal of environmental research and public health 1661-7827 1728224 http://zaguan.unizar.es/record/112047/files/texto_completo.pdf Versión publicada 3022397 http://zaguan.unizar.es/record/112047/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:112047 articulos driver 2023-05-18-15:50:58 ARTICLE