Changes in Health Behaviors, Mental and Physical Health among Older Adults under Severe Lockdown Restrictions during the COVID-19 Pandemic in Spain.
Por:
García-Esquinas E, Ortolá R, Giné I, Carnicero JA, Mañas A, Lara E, Alvarez-Bustos A, Vicente-Rodriguez G, Sotos-Prieto M, Olaya B, Garcia-Garcia FJ, Gusi N, Banegas JR, Rodríguez-Gómez I, Struijk EA, Martínez-Gómez D, Lana A, Haro JM, Ayuso-Mateos JL, Rodríguez-Mañas L, Ara I, Maria Miret and Rodríguez-Artalejo F
Publicada:
1 jul 2021
Ahead of Print:
1 jul 2021
Categoría:
Health, toxicology and mutagenesis
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 another lockdown were imposed during this or future pandemics, public health programs should specially 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.
Filiaciones:
García-Esquinas E:
Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain
IdiPaz (Instituto de Investigación Sanitaria Hospital Universitario La Paz), 28029 Madrid, Spain
CIBERESP (CIBER of Epidemiology and Public Health), 28029 Madrid, Spain
Ortolá R:
Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain
IdiPaz (Instituto de Investigación Sanitaria Hospital Universitario La Paz), 28029 Madrid, Spain
CIBERESP (CIBER of Epidemiology and Public Health), 28029 Madrid, Spain
Giné I:
Parc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, Spain
CIBERSAM (CIBER of Mental Health), 28029 Madrid, Spain
Carnicero JA:
Foundation for Biomedical Research, Getafe University Hospital, 28905 Getafe, Spain
CIBERFES (CIBER of Frailty and Healthy Aging), Instituto de Salud Carlos III, 28029 Madrid, Spain
Mañas A:
CIBERFES (CIBER of Frailty and Healthy Aging), Instituto de Salud Carlos III, 28029 Madrid, Spain
GENUD Toledo Research Group, Universidad de Castilla-La Mancha, 45004 Toledo, Spain
:
CIBERSAM (CIBER of Mental Health), 28029 Madrid, Spain
Department of Psychiatry, School of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain
Department of Psychiatry, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Hospital Universitario de La Princesa, 28006 Madrid, Spain
Alvarez-Bustos A:
Foundation for Biomedical Research, Getafe University Hospital, 28905 Getafe, Spain
CIBERFES (CIBER of Frailty and Healthy Aging), Instituto de Salud Carlos III, 28029 Madrid, Spain
Vicente-Rodriguez G:
GENUD (Growth, Exercise, Nutrition and Development) Research Group, Instituto Agroalimentario de Aragón IA2, Universidad de Zaragoza, 50013 Zaragoza, Spain
CIBEROBN (CIBER of Obesity and Nutrition), 28029 Madrid, Spain
Faculty of Health and Sport Science, University of Zaragoza, 22001 Huesca, Spain
Department of Physiatry and Nursing, University of Zaragoza, 22002 Aragón, Spain
Sotos-Prieto M:
Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain
IdiPaz (Instituto de Investigación Sanitaria Hospital Universitario La Paz), 28029 Madrid, Spain
CIBERESP (CIBER of Epidemiology and Public Health), 28029 Madrid, Spain
Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
IMDEA-Food Institute, CEI UAM+CSIC, 28049 Madrid, Spain
Olaya B:
Parc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, Spain
CIBERSAM (CIBER of Mental Health), 28029 Madrid, Spain
Garcia-Garcia FJ:
CIBERFES (CIBER of Frailty and Healthy Aging), Instituto de Salud Carlos III, 28029 Madrid, Spain
Hospital Virgen del Valle, Complejo Hospitalario de Toledo, 45071 Toledo, Spain
Gusi N:
CIBERFES (CIBER of Frailty and Healthy Aging), Instituto de Salud Carlos III, 28029 Madrid, Spain
AFYCAV (Physical Activity, Quality of Life and Health) Research Group, Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain
Banegas JR:
Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain
IdiPaz (Instituto de Investigación Sanitaria Hospital Universitario La Paz), 28029 Madrid, Spain
CIBERESP (CIBER of Epidemiology and Public Health), 28029 Madrid, Spain
Rodríguez-Gómez I:
CIBERFES (CIBER of Frailty and Healthy Aging), Instituto de Salud Carlos III, 28029 Madrid, Spain
GENUD Toledo Research Group, Universidad de Castilla-La Mancha, 45004 Toledo, Spain
Struijk EA:
Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain
IdiPaz (Instituto de Investigación Sanitaria Hospital Universitario La Paz), 28029 Madrid, Spain
CIBERESP (CIBER of Epidemiology and Public Health), 28029 Madrid, Spain
Martínez-Gómez D:
Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain
IdiPaz (Instituto de Investigación Sanitaria Hospital Universitario La Paz), 28029 Madrid, Spain
CIBERESP (CIBER of Epidemiology and Public Health), 28029 Madrid, Spain
Lana A:
Department of Medicine, School of Medicine and Health Sciences, Universidad de Oviedo/ISPA, 33003 Oviedo, Spain
Haro JM:
Parc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, Spain
CIBERSAM (CIBER of Mental Health), 28029 Madrid, Spain
Ayuso-Mateos JL:
CIBERSAM (CIBER of Mental Health), 28029 Madrid, Spain
Department of Psychiatry, School of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain
Department of Psychiatry, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Hospital Universitario de La Princesa, 28006 Madrid, Spain
Rodríguez-Mañas L:
Foundation for Biomedical Research, Getafe University Hospital, 28905 Getafe, Spain
CIBERFES (CIBER of Frailty and Healthy Aging), Instituto de Salud Carlos III, 28029 Madrid, Spain
Ara I:
CIBERFES (CIBER of Frailty and Healthy Aging), Instituto de Salud Carlos III, 28029 Madrid, Spain
GENUD Toledo Research Group, Universidad de Castilla-La Mancha, 45004 Toledo, Spain
Maria Miret:
CIBERSAM (CIBER of Mental Health), 28029 Madrid, Spain
Department of Psychiatry, School of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain
Department of Psychiatry, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Hospital Universitario de La Princesa, 28006 Madrid, Spain
Rodríguez-Artalejo F:
Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain
IdiPaz (Instituto de Investigación Sanitaria Hospital Universitario La Paz), 28029 Madrid, Spain
CIBERESP (CIBER of Epidemiology and Public Health), 28029 Madrid, Spain
IMDEA-Food Institute, CEI UAM+CSIC, 28049 Madrid, Spain
gold, Green Published, Green Submitted
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