IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i2p808-d482820.html
   My bibliography  Save this article

Depressive Symptoms, Fatigue and Social Relationships Influenced Physical Activity in Frail Older Community-Dwellers during the Spanish Lockdown due to the COVID-19 Pandemic

Author

Listed:
  • Laura M. Pérez

    (Parc Sanitari Pere Virgili, Area of Intermediate Care, 08023 Barcelona, Spain
    RE-FiT Barcelona Research Group, Vall d’Hebron Institute of Research & Parc Sanitari Pere Virgili, 08023 Barcelona, Spain)

  • Carmina Castellano-Tejedor

    (Parc Sanitari Pere Virgili, Area of Intermediate Care, 08023 Barcelona, Spain
    RE-FiT Barcelona Research Group, Vall d’Hebron Institute of Research & Parc Sanitari Pere Virgili, 08023 Barcelona, Spain
    GIES Research Group, Basic Psychology Department, Autonomous University of Barcelona, 08193 Bellaterra, Spain)

  • Matteo Cesari

    (Geriatric Unit, IRCCS Istituti Clinici Scientifici Maugeri, 20138 Milano, Italy
    Department of Clinical Sciences and Community Health, Università di Milano, 20138 Milano, Italy)

  • Luis Soto-Bagaria

    (Parc Sanitari Pere Virgili, Area of Intermediate Care, 08023 Barcelona, Spain
    RE-FiT Barcelona Research Group, Vall d’Hebron Institute of Research & Parc Sanitari Pere Virgili, 08023 Barcelona, Spain)

  • Joan Ars

    (Parc Sanitari Pere Virgili, Area of Intermediate Care, 08023 Barcelona, Spain
    RE-FiT Barcelona Research Group, Vall d’Hebron Institute of Research & Parc Sanitari Pere Virgili, 08023 Barcelona, Spain)

  • Fabricio Zambom-Ferraresi

    (Navarrabiomed, Complejo Hospitalario de Navarra (CHN), Universidad Pública de Navarra (UPNA), IdiSNA, 31008 Pamplona, Navarra, Spain)

  • Sonia Baró

    (RE-FiT Barcelona Research Group, Vall d’Hebron Institute of Research & Parc Sanitari Pere Virgili, 08023 Barcelona, Spain
    Primary Healthcare Center Larrard, Atenció Primària Parc Sanitari Pere Virgili, 08023 Barcelona, Spain)

  • Francisco Díaz-Gallego

    (Primary Healthcare Center Bordeta-Magòria, Institut Català de la Salut, 08014 Barcelona, Spain)

  • Jordi Vilaró

    (Department of Health Sciences, Blanquerna—Ramon Llull University, 08022 Barcelona, Spain)

  • María B. Enfedaque

    (Institut Català de la Salut, Gerència de Barcelona, 08007 Barcelona, Spain)

  • Paula Espí-Valbé

    (RE-FiT Barcelona Research Group, Vall d’Hebron Institute of Research & Parc Sanitari Pere Virgili, 08023 Barcelona, Spain)

  • Marco Inzitari

    (Parc Sanitari Pere Virgili, Area of Intermediate Care, 08023 Barcelona, Spain
    RE-FiT Barcelona Research Group, Vall d’Hebron Institute of Research & Parc Sanitari Pere Virgili, 08023 Barcelona, Spain
    Department of Medicine, Autonomous University of Barcelona, 08035 Barcelona, Spain)

Abstract

Due to the dramatic impact of the COVID-19 pandemic, Spain underwent a strict lockdown (March–May 2020). How the lockdown modified older adults’ physical activity (PA) has been poorly described. This research assesses the effect of the lockdown on PA levels and identifies predictors of sufficient/insufficient PA in frail older community-dwellers. Community-dwelling participants from the +ÀGIL Barcelona frailty intervention program, suspended during the pandemic, underwent a phone-assessment during the lockdown. PA was measured before and after the lockdown using the Brief Physical Activity Assessment Tool (BPAAT). We included 98 frail older adults free of COVID-19 (mean age = 82.7 years, 66.3% women, mean Short Physical Performance Battery = 8.1 points). About one third of participants (32.2%) were not meeting sufficient PA levels at the end of the lockdown. Depressive symptoms (OR = 0.12, CI95% = 0.02–0.55) and fatigue (OR = 0.11, CI95% = 0.03–0.44) decreased the odds of maintaining sufficient PA, whereas maintaining social networks (OR = 5.07, CI95% = 1.60–16.08) and reading (OR = 6.29, CI95% = 1.66–23.90) increased it. Living alone was associated with the reduction of PA levels (b = −1.30, CI95% = −2.14–−0.46). In our sample, pre-lockdown mental health, frailty-related symptoms and social relationships were consistently associated with both PA levels during-lockdown and pre-post change. These data suggest considering specific plans to maintain PA levels in frail older community-dwellers.

Suggested Citation

  • Laura M. Pérez & Carmina Castellano-Tejedor & Matteo Cesari & Luis Soto-Bagaria & Joan Ars & Fabricio Zambom-Ferraresi & Sonia Baró & Francisco Díaz-Gallego & Jordi Vilaró & María B. Enfedaque & Paula, 2021. "Depressive Symptoms, Fatigue and Social Relationships Influenced Physical Activity in Frail Older Community-Dwellers during the Spanish Lockdown due to the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(2), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:2:p:808-:d:482820
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/2/808/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/2/808/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Francesca Gallè & Elita Anna Sabella & Stefano Ferracuti & Osvalda De Giglio & Giuseppina Caggiano & Carmela Protano & Federica Valeriani & Eduardo Alfonso Parisi & Giuliana Valerio & Giorgio Liguori , 2020. "Sedentary Behaviors and Physical Activity of Italian Undergraduate Students during Lockdown at the Time of CoViD−19 Pandemic," IJERPH, MDPI, vol. 17(17), pages 1-11, August.
    2. Julianne Holt-Lunstad & Timothy B Smith & J Bradley Layton, 2010. "Social Relationships and Mortality Risk: A Meta-analytic Review," PLOS Medicine, Public Library of Science, vol. 7(7), pages 1-1, July.
    3. Yuta Suzuki & Noriaki Maeda & Daigo Hirado & Taizan Shirakawa & Yukio Urabe, 2020. "Physical Activity Changes and Its Risk Factors among Community-Dwelling Japanese Older Adults during the COVID-19 Epidemic: Associations with Subjective Well-Being and Health-Related Quality of Life," IJERPH, MDPI, vol. 17(18), pages 1-12, September.
    4. Glenn Ostir & Kenneth Ottenbacher & Linda Fried & Jack Guralnik, 2007. "The Effect of Depressive Symptoms on the Association between Functional Status and Social Participation," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 80(2), pages 379-392, January.
    5. Brenda W. J. H. Penninx & W. Jack Rejeski & Jasma Pandya & Michael E. Miller & Mauro Di Bari & William B. Applegate & Marco Pahor, 2002. "Exercise and Depressive Symptoms," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 57(2), pages 124-132.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kathrin Wunsch & Korbinian Kienberger & Claudia Niessner, 2022. "Changes in Physical Activity Patterns Due to the Covid-19 Pandemic: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(4), pages 1-48, February.
    2. Yumi Kimura & Hiroshi Akasaka & Toshihito Takahashi & Saori Yasumoto & Kei Kamide & Kazunori Ikebe & Mai Kabayama & Ayaka Kasuga & Hiromi Rakugi & Yasuyuki Gondo, 2022. "Factors Related to Preventive Behaviors against a Decline in Physical Fitness among Community-Dwelling Older Adults during the COVID-19 Pandemic: A Qualitative Study," IJERPH, MDPI, vol. 19(10), pages 1-12, May.
    3. Misa Nakamura & Masataka Ohki & Riku Mizukoshi & Itsuki Takeno & Taira Tsujita & Ryota Imai & Masakazu Imaoka & Masatoshi Takeda, 2022. "Effect of Home-Based Training with a Daily Calendar on Preventing Frailty in Community-Dwelling Older People during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(21), pages 1-9, October.
    4. Lidia Cobos-Palacios & Mónica Muñoz-Úbeda & Maria Isabel Ruiz-Moreno & Alberto Vilches-Perez & Antonio Vargas-Candela & Javier Benítez-Porres & Ana Navarro-Sanz & Maria Dolores Lopez-Carmona & Luis Mi, 2021. "Lifestyle Modification Program on a Metabolically Healthy Elderly Population with Overweight/Obesity, Young-Old vs. Old-Old. CONSEQUENCES of COVID-19 Lockdown in This Program," IJERPH, MDPI, vol. 18(22), pages 1-15, November.
    5. Chisato Hayashi, 2022. "Relationship between Fatigue and Self-Perception of Constipation in Community-Dwelling Older Adults during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(14), pages 1-11, July.
    6. Christian R. Mejia & Bertha Farfán & Jorge A. Figueroa-Tarrillo & Kely Palomino & César Johan Pereira-Victorio & Virgilio E. Failoc-Rojas & Mario J. Valladares-Garrido, 2023. "Factors Associated with Perceived Change in Weight, Physical Activity, and Food Consumption during the COVID-19 Lockdown in Latin America," Sustainability, MDPI, vol. 15(3), pages 1-13, January.
    7. Christina Amo & Najla Almansour & Idethia S. Harvey, 2022. "Physical Activity and Mental Health Declined during the Time of the COVID-19 Pandemic: A Narrative Literature Review," IJERPH, MDPI, vol. 19(18), pages 1-17, September.
    8. Francisco José Tarazona-Santabalbina & Sebastià Josep Santaeugènia Gonzàlez & José Augusto García Navarro & Jose Viña, 2021. "Healthcare for Older Adults, Where Are We Moving towards?," IJERPH, MDPI, vol. 18(12), pages 1-3, June.
    9. Shinsuke Mizutani & Hideaki Matsuzaki & Kiyomi Iyota & Asuka Tani & Saori Oku & Hiroaki Tabuchi & Akiko Fujiwara & Shizuka Hase-Tamaru & Hiro Kishimoto & Kenji Narazaki, 2023. "Changes of Oral and Physical Functions in Older Japanese Who Participated in Keyboard Harmonica and Exercise Classes during COVID-19-Related Movement Restrictions," IJERPH, MDPI, vol. 20(4), pages 1-11, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rachel L. Knight & Melitta A. McNarry & Liba Sheeran & Adam W. Runacres & Rhys Thatcher & James Shelley & Kelly A. Mackintosh, 2021. "Moving Forward: Understanding Correlates of Physical Activity and Sedentary Behaviour during COVID-19—An Integrative Review and Socioecological Approach," IJERPH, MDPI, vol. 18(20), pages 1-19, October.
    2. Rebecca M. Meiring & Silmara Gusso & Eloise McCullough & Lynley Bradnam, 2021. "The Effect of the COVID-19 Pandemic Movement Restrictions on Self-Reported Physical Activity and Health in New Zealand: A Cross-Sectional Survey," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    3. Francesca Gallè & Elita Anna Sabella & Lavinia Bianco & Mario Maninchedda & Benedetta Barchielli & Fabrizio Liguori & Giovanna Da Molin & Giorgio Liguori & Giovanni Battista Orsi & Stefano Ferracuti &, 2022. "How the COVID-19 Pandemic Has Impacted Daily Life? Assessing the Use of Web Resources for Recreational Activities in the Italian Adult Population," IJERPH, MDPI, vol. 19(22), pages 1-13, November.
    4. Maria Alzira Pimenta Dinis & Helder Fernando Pedrosa Sousa & Andreia de Moura & Lilian M. F. Viterbo & Ricardo J. Pinto, 2019. "Health Behaviors as a Mediator of the Association Between Interpersonal Relationships and Physical Health in a Workplace Context," IJERPH, MDPI, vol. 16(13), pages 1-9, July.
    5. Evans-Polce, Rebecca J. & Staff, Jeremy & Maggs, Jennifer L., 2016. "Alcohol abstention in early adulthood and premature mortality: Do early life factors, social support, and health explain this association?," Social Science & Medicine, Elsevier, vol. 163(C), pages 71-79.
    6. Santini, Ziggi Ivan & Jose, Paul E. & Koyanagi, Ai & Meilstrup, Charlotte & Nielsen, Line & Madsen, Katrine R. & Koushede, Vibeke, 2020. "Formal social participation protects physical health through enhanced mental health: A longitudinal mediation analysis using three consecutive waves of the Survey of Health, Ageing and Retirement in E," Social Science & Medicine, Elsevier, vol. 251(C).
    7. Chen Liao & Liying Nong & Yu-Feng Wu & Yu-Tai Wu & Jian-Hong Ye, 2023. "The Relationships between University Students’ Physical Activity Needs, Involvement, Flow Experience and Sustainable Well-Being in the Post-Pandemic Era," Sustainability, MDPI, vol. 15(11), pages 1-17, May.
    8. Ruta Clair & Maya Gordon & Matthew Kroon & Carolyn Reilly, 2021. "The effects of social isolation on well-being and life satisfaction during pandemic," Palgrave Communications, Palgrave Macmillan, vol. 8(1), pages 1-6, December.
    9. Lena Lämmle & Alexander Woll & Gert B. M. Mensink & Klaus Bös, 2013. "Distal and Proximal Factors of Health Behaviors and Their Associations with Health in Children and Adolescents," IJERPH, MDPI, vol. 10(7), pages 1-35, July.
    10. Fernando L Vázquez & Patricia Otero & J Antonio García-Casal & Vanessa Blanco & Ángela J Torres & Manuel Arrojo, 2018. "Efficacy of video game-based interventions for active aging. A systematic literature review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-24, December.
    11. Valéria Teresa Saraiva Lino & Nádia Cristina Pinheiro Rodrigues & Mônica Kramer de Noronha Andrade & Inês Nascimento de Carvalho Reis & Lucília Almeida Elias Lopes & Soraya Atie, 2019. "Association between visual problems, insufficient emotional support and urinary incontinence with disability in elderly people living in a poor district in Rio de Janeiro, Brazil: A six-year follow-up," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-12, May.
    12. Regina Kuppen & Mirjam de Leede & Jolanda Lindenberg & David van Bodegom, 2023. "Collective Prevention of Non-Communicable Diseases in an Ageing Population with Community Care," IJERPH, MDPI, vol. 20(4), pages 1-14, February.
    13. Joanne Brooke & Maria Clark, 2020. "Older people’s early experience of household isolation and social distancing during COVID‐19," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(21-22), pages 4387-4402, November.
    14. Qin Xiang Ng & Kuan Tsee Chee & Michelle Lee Zhi Qing De Deyn & Zenn Chua, 2020. "Staying connected during the COVID-19 pandemic," International Journal of Social Psychiatry, , vol. 66(5), pages 519-520, August.
    15. Fredrica Nyqvist & Bernd Pape & Tony Pellfolk & Anna Forsman & Kristian Wahlbeck, 2014. "Structural and Cognitive Aspects of Social Capital and All-Cause Mortality: A Meta-Analysis of Cohort Studies," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 116(2), pages 545-566, April.
    16. Clément Meier & Jürgen Maurer, 2022. "Buddy or burden? Patterns, perceptions, and experiences of pet ownership among older adults in Switzerland," European Journal of Ageing, Springer, vol. 19(4), pages 1201-1212, December.
    17. Jintao Li & Yan Dai & Cynthia Changxin Wang & Jun Sun, 2022. "Assessment of Environmental Demands of Age-Friendly Communities from Perspectives of Different Residential Groups: A Case of Wuhan, China," IJERPH, MDPI, vol. 19(15), pages 1-20, July.
    18. Nakagomi, Atsushi & Tsuji, Taishi & Saito, Masashige & Ide, Kazushige & Kondo, Katsunori & Shiba, Koichiro, 2023. "Social isolation and subsequent health and well-being in older adults: A longitudinal outcome-wide analysis," Social Science & Medicine, Elsevier, vol. 327(C).
    19. Haywantee Ramkissoon, 2021. "Social Bonding and Public Trust/Distrust in COVID-19 Vaccines," Sustainability, MDPI, vol. 13(18), pages 1-6, September.
    20. Di Novi, Cinzia & Martini, Gianmaria & Sturaro, Caterina, 2023. "The impact of informal and formal care disruption on older adults’ psychological distress during the COVID-19 pandemic in UK," Economics & Human Biology, Elsevier, vol. 49(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:2:p:808-:d:482820. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.