Sistema de Salut de Catalunya
Institut Català de la Salut
[Pérez LM, Soto-Bagaria L, Ars J] Parc Sanitari Pere Virgili, Area of Intermediate Care, Barcelona, Spain. RE-FiT Barcelona Research Group, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Parc Sanitari Pere Virgili, Barcelona, Spain. [Castellano-Tejedor C] Parc Sanitari Pere Virgili, Area of Intermediate Care, Barcelona, Spain. RE-FiT Barcelona Research Group, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Parc Sanitari Pere Virgili, Barcelona, Spain. Grup de Recerca GIES, Departament de Psicologia Bàsica, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Cesari M] Geriatric Unit, IRCCS Istituti Clinici Scientifici Maugeri, Milano, Italy. Department of Clinical Sciences and Community Health, Università di Milano, Milano, Italy. [Zambom-Ferraresi F] Navarrabiomed, Complejo Hospitalario de Navarra (CHN), Universidad Pública de Navarra (UPNA), IdiSNA, Pamplona, Navarra, Spain. [Baró S] RE-FiT Barcelona Research Group, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Parc Sanitari Pere Virgili, Barcelona, Spain. Primary Healthcare Center Larrard, Atenció Primària Parc Sanitari Pere Virgili, Barcelona, Spain. [Espí-Valbé P] RE-FiT Barcelona Research Group, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Parc Sanitari Pere Virgili, Barcelona, Spain. [Inzitari M] Parc Sanitari Pere Virgili, Area of Intermediate Care, Barcelona, Spain. RE-FiT Barcelona Research Group, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Parc Sanitari Pere Virgili, Barcelona, Spain. Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
Vall d'Hebron Barcelona Hospital Campus
2021-07-21T11:18:42Z
2021-07-21T11:18:42Z
2021-01-19
Coronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Salut mental; Activitat física
Coronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Salud mental; Actividad física
Coronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Mental health; Physical activity
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.
This research project was partially supported by Subvencions de L’institut de Cultura de Barcelona per a Projectes de Recerca i Innovació del Pla Barcelona Ciència 2019 (ID 19S01576-006).
Article
Published version
English
Persones grans; Exercici; Pandèmia de COVID-19, 2020-; NAMED GROUPS::Persons::Age Groups::Adult::Aged::Aged, 80 and over; PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise; HEALTH CARE::Environment and Public Health::Public Health::Disease Outbreaks::Epidemics::Pandemics; DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano::ancianos de 80 o más años; FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico; ATENCIÓN DE SALUD::ambiente y salud pública::salud pública::brotes de enfermedades::epidemias::pandemias
MDPI
International Journal of Environmental Research and Public Health;18(2)
https://www.mdpi.com/1660-4601/18/2/808
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
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