Changes in Health Behaviors, Mental and Physical Health among Older Adults under Severe Lockdown Restrictions during the COVID-19 Pandemic in Spain

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 wa...

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Detalhes bibliográficos
Autores: García-Esquinas , Esther, Ortola , Rosario, Gine-Vázquez , Iago, Carnicero , José A, Lara , Elvira, Alvarez-Bustos , Alejandro, Vicente-Rodriguez , German, Sotos-Prieto , Mercedes, Olaya , Beatriz, Garcia-Garcia , Francisco José, Gusi , Narcis, Banegas , Jose R, Rodríguez Gómez, Irene, Struijk , Ellen A, Martínez-Gómez , David, Lana , Alberto, Haro , Josep María, Ayuso-Mateos , José Luis, Rodríguez-Mañas , Leocadio, Miret , Marta, Rodríguez-Artalejo , Fernando, Mañas Bote, Asier, Ara Royo, Ignacio
Formato: artículo
Fecha de publicación:2021
País:España
Recursos:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/39879
Acesso em linha:https://hdl.handle.net/10578/39879
Access Level:acceso abierto
Palavra-chave:Chronic pain
Confinement
COVID-19
Elderly
Lifestyle behaviors
Lockdown
Mental health
Descrição
Resumo: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.

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