Lifestyle Changes and Psychological Well-Being in Older Adults During COVID-19 Pandemic

Tosato, Matteo; Ciciarello, Francesca; Zazzara, Maria Beatrice; Pais, Cristina; Cacciatore, Stefano; Montenero, Rossella; Leone, Maria Sandrina; Chisci, Enea; Picca, Anna; Galluzzo, Vincenzo; Coelho-Júnior, Hélio José; Calvani, Riccardo; Marzetti, Emanuele; Landi, Francesco

doi:10.1016/j.cger.2022.05.002

Cited by 15 publications

(5 citation statements)

References 30 publications

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“…Several RCTs found that changing the PA regimen may reduce psychological distress and improve the quality of life among community-dwelling older adults [ 62 , 63 ]. Considering that government restrictions during the pandemic have drastically worsened the lifestyle habits and mobility of older people [ 64 ], practicing PA or recovering usual PA levels may represent a solution to ameliorate psychological well being.…”

Section: Discussionmentioning

confidence: 99%

Inadequate Physical Activity Is Associated with Worse Physical Function in a Sample of COVID-19 Survivors with Post-Acute Symptoms

Galluzzo

Zazzara

Ciciarello

et al. 2023

JCM

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Background—Patients affected by Long COVID often report shorter times spent doing physical activity (PA) after COVID-19. The aim of the present study was to evaluate potential associations between PA levels and parameters of physical function in a cohort of COVID-19 survivors with post-acute symptoms, with a particular focus on individuals aged 65 and older. Materials and methods—PA levels before and after COVID-19 were assessed in a sample of patients that had recovered from COVID-19 and were admitted to a post-acute outpatient service at the Fondazione Policlinico Universitario Agostino Gemelli IRCCS (Rome, Italy). Participation in PA was operationalized as the engagement in leisure-time PA for at least 150 min per week in the last 3 months. Self-rated health and measures of physical performance and muscle strength were assessed. Results—Mean age of 1846 participants was 55.2 ± 14.4 years and 47% were women. Before COVID-19, inactivity was detected in 47% of the whole study population; only 28% maintained pre-COVID-19 PA engagement. Inactivity was more frequent in women. The stopping of physical activity was associated with increased BMI and CRP levels, lower vitamin D levels and a higher prevalence of post-COVID-19 fatigue, dyspnea, arthralgia, and myalgia. Active participants had higher handgrip strength and performed better on both the six-minute walking test (6MWT) and at the one-minute sit-to-stand test (1MSTST). In particular, at the 6MWT, participants 65 and older that were still active after COVID-19 walked 32 m more than sedentary peers. Moreover, the distance covered was 28 m more than those who were active only before COVID-19 (p = 0.05). Formerly active subjects performed similarly at the 6MWT to inactive participants. PA was associated with better self-rated health. Conclusions—Our findings reveal that inactivity is frequent in the post-acute COVID-19 phase. Stopping physical activity after COVID-19 results in measures of performance that are comparable to those who were never active. Relevant differences in the distance covered at the 6MWT were found between older active subjects and their sedentary peers.

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Section: Discussionmentioning

confidence: 99%

Inadequate Physical Activity Is Associated with Worse Physical Function in a Sample of COVID-19 Survivors with Post-Acute Symptoms

Galluzzo

Zazzara

Ciciarello

et al. 2023

JCM

Self Cite

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“…The situation may be even worse after COVID-19 pandemic. In recent years, elderly population saw a dramatic deterioration in quality-of-life and well-being (19). The Pandemic showed also that longevity does not always come with "healthy aging" and "healthy frailty" (20).…”

Section: The Two Sides Of Acs Management In Geriatric Patientsmentioning

confidence: 99%

Acute Coronary Syndrome in Older Adults: an Update from the 2022 Scientific Statement by the American Heart Association

Cacciatore¹,

Martone²,

Landi³

et al. 2023

HVT

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“… 7 ) Physical activity restriction and lifestyle changes have led to reduction in psychological health and quality of life among older adults. 8 )…”

Section: Introductionmentioning

confidence: 99%

Effects of the COVID-19 Pandemic on Psychological Status and Quality of Life among Participants of the Malaysian Elders Longitudinal Research (MELoR) Study

Aravindhan¹,

Morgan²,

Mat³

et al. 2022

Ann Geriatr Med Res

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Background:This study aimed to identify differences in quality of life before and during the coronavirus disease 2019 (COVID-19) pandemic and determine the influence of psychological status on the observed changes in the quality of life among older adults. Methods:The Malaysian Elders Longitudinal Research study recruited Malaysians aged at least 55 years from 2013 to 2015. Follow-ups were conducted between September and December 2020. Quality of life was determined using the 12-item Control, Autonomy, Self-Realization, and Pleasure questionnaire. Psychological statuses were assessed using the 21-item Depression Anxiety and Stress Scale, 15-item Geriatric Depression Scale, and 4-item Perceived Stress Scale. Results:This study included data from 706 individuals (mean age 73.3 [6.8] years). We observed reduced quality of life and increased anxiety among 402 (43.1%) and 144 (20.9%) participants, respectively. Participants felt "out of control," "left out," "short of money," and "life was full of opportunities" less often and could "please themselves with what they did" more often. Multivariate analyses revealed increased depression, anxiety, and stress as independent risk factors for reduced quality of life. Conclusion:Individuals with increased depression, anxiety, and stress levels during the pandemic experienced a worsening quality of life. Thus, the development of effective strategies to address the mental health of older adults is needed to mitigate the effects of the pandemic on their quality of life.

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Lifestyle Changes and Psychological Well-Being in Older Adults During COVID-19 Pandemic

Cited by 15 publications

References 30 publications

Inadequate Physical Activity Is Associated with Worse Physical Function in a Sample of COVID-19 Survivors with Post-Acute Symptoms

Inadequate Physical Activity Is Associated with Worse Physical Function in a Sample of COVID-19 Survivors with Post-Acute Symptoms

Acute Coronary Syndrome in Older Adults: an Update from the 2022 Scientific Statement by the American Heart Association

Effects of the COVID-19 Pandemic on Psychological Status and Quality of Life among Participants of the Malaysian Elders Longitudinal Research (MELoR) Study

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