Associations of moderate to vigorous physical activity and sedentary behavior with depressive and anxiety symptoms in self-isolating people during the COVID-19 pandemic: A cross-sectional survey in Brazil

Schuch, Felipe Barreto; Bulzing, Rugero A.; Meyer, Jacob D.; Vancampfort, Davy; Firth, Joseph; Stubbs, Brendon; Grabovac, Igor; Willeit, Peter; Tavares, Vagner Deuel; Calegaro, Vítor Crestani; Deenik, Jeroen; Sánchez, Guillermo Felipe López; Veronese, Nicola; Caperchione, Cristina M.; Sadarangani, Kabir P.; Abufaraj, Mohammad; Tully, Mark A.; Smıth, Lee

doi:10.1016/j.psychres.2020.113339

Cited by 228 publications

(253 citation statements)

References 30 publications

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“…Four studies had a prospective longitudinal design [26,29,39,36], one was a cross-sectional study with a retrospective measure of the exposure factor (henceforth treated as retrospective) [5], and 16 were crosssectional studies [9, 23-25, 27, 29-35, 37, 6, 38, 40, 28, 41]. A total of 7 studies were conducted in Asia [24,25,27,30,33,39,40], 6 in Europe [9,26,31,32,35,36], 3 in South America [28,29,6], 3 in North America [23,34,5], one in Oceania [38] and one study included a multinational sample [37].…”

Section: Resultsmentioning

confidence: 99%

“…3 out of 5 studies reported higher frequencies of PA to be signi cantly associated with less depression [27,29,36] and 2 out of 4 studies to be signi cantly associated with less anxiety [27,29]. One study showed that vigorous but not moderate PA is signi cantly associated with less depression and anxiety symptoms [6] and another study indicated that light and vigorous PA is signi cantly correlated with less depression, but moderate intensity was not [23]. Out of 5 studies assessing an association between regular and guideline-consistent PA less depression and anxiety symptoms, two studies demonstrate that regular PA (compared to not regular) is signi cantly associated with less depression and anxiety symptoms [27,30] and 1 study demonstrated that guideline conforming moderate to vigorous PA is associated with lower odds of depression and anxiety [6].…”

Section: Resultsmentioning

confidence: 99%

“…One study showed that vigorous but not moderate PA is signi cantly associated with less depression and anxiety symptoms [6] and another study indicated that light and vigorous PA is signi cantly correlated with less depression, but moderate intensity was not [23]. Out of 5 studies assessing an association between regular and guideline-consistent PA less depression and anxiety symptoms, two studies demonstrate that regular PA (compared to not regular) is signi cantly associated with less depression and anxiety symptoms [27,30] and 1 study demonstrated that guideline conforming moderate to vigorous PA is associated with lower odds of depression and anxiety [6]. 5 out of 6 studies showed that a decreasing PA during the pandemic was signi cantly associated with more depression symptoms [9,27,5,38,40] and 3 out of 6 studies showed that a decrease in PA was signi cantly associated with more anxiety symptoms [9,27,38].…”

Section: Resultsmentioning

confidence: 99%

“…These ndings are being replicated during the Covid-19 pandemic with multiple studies reporting an increased prevalence of depression and anxiety [e.g. 5,[6][7][8][9].…”

Section: Introductionmentioning

confidence: 92%

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Can physical activity protect against depression and anxiety during the COVID-19 pandemic? A rapid systematic review

Wolf¹,

Zeibig²,

Seiffer³

et al. 2020

Preprint

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The Covid-19 pandemic is affecting the entire world population. During the first spread, most governments have implemented quarantine and strict social distancing procedures. Similar measures during recent pandemics resulted in an increase in post-traumatic stress, anxiety and depression symptoms. The development of novel interventions to mitigate the mental health burden are of outmost importance. In this rapid review, we aimed to provide a systematic overview of the literature with regard to associations between physical activity (PA) and depression and anxiety during the COVID-19 pandemic. We searched major databases (PubMed, EMBASE, Sportdiscus, Web of Science) and preprint servers (MedRxivs, SportRxiv, ResearchGate and Google scholar), for relevant papers up to 25/07/2020. We identified a total of 21 observational studies (4 longitudinal, one cross-sectional with retrospective analysis and 16 cross-sectional), including information of 42,293 (age range = 6-70 years, median female = 68%) participants from 5 continents. The early evidence suggests that people who performed PA on a regular basis with higher volume and frequency and kept the PA routines stable, showed less symptoms of depression and anxiety. For instance, those reporting a higher total time spent in moderate to vigorous PA had 12% to 32% lower chances of presenting depressive symptoms and 15% to 34% of presenting anxiety. In order to maintain PA routines during Covid-19, specific volitional and motivational skills might be paramount to overcome Covid-19 specific barriers. Particularly, web-based technologies could be an accessible way to increase motivation and volition for PA and maintain daily PA routines.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…These ndings are being replicated during the Covid-19 pandemic with multiple studies reporting an increased prevalence of depression and anxiety [e.g. 5,[6][7][8][9].…”

Section: Introductionmentioning

confidence: 92%

See 2 more Smart Citations

Can physical activity protect against depression and anxiety during the COVID-19 pandemic? A rapid systematic review

Wolf¹,

Zeibig²,

Seiffer³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…22 Mental health was also shown to be negatively impacted by COVID-19-related confinement leading to increased stress anxiety and depression symptoms. [23][24][25][26] Studies have shown that lockdown is a great stress for citizens; thus, the characteristics of exercise selection may be affected by such a stress. A previous review has concluded a differential impact for stress on exercise adoption, maintenance, and relapse, where habitually active individuals exercise more in the face of stress, and those in beginning stages exercise less.…”

Section: Discussionmentioning

confidence: 99%

<p>Changes in Physical Activity and Sedentary Behavior Amid Confinement: The BKSQ-COVID-19 Project</p>

Alomari¹,

Khabour²,

Alzoubi³

2020

RMHP

100

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Background: Coronavirus disease 19 (COVID-19) has compelled implementing confinement measure across the globe. These measures can potentially lead to many changes in lifestyle. However, no studies examined the effect of COVID-19-induced confinement on physical activity (PA) and sedentary behavior (SB). Methods: During April and May of 2020, the current study surveyed changes in PA and SB induced by COVID-19 confinement. Results: The participants of the study were 1844. Among the participants who were regularly involved in PA, the majority (41.8-42.2%) of the participants reported a "decrease" (p<0.05) in walking, jogging, and sports while the majority (46.3-53.1%) reported a "no change" (p<0.05) in swimming, cycling, and weight lifting. With regard to the SB, most of the participants reported an "increase" in watching TV (72.3%), using electronics (82.7%), and logging to social media (81.9%). Additionally, gender, job type, obesity, and being worried to contract the disease were associated (p<0.05) with changes in PA. On the other hand, age, gender, obesity, job type and income were related (p<0.05) to changes in SB. Conclusion: Results of the current study might enhance knowledge about the impact of COVID-19 on lifestyle, particularly PA and SB. Subsequently, it can also be used to establish strategies to enhance engagement in activities during the current and future pandemics.

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Physical activity as a tool for preventing and treating depression: Lessons learned from the COVID‐19 pandemic

Raslescu,

Guru,

Delattre

et al. 2024

Mental Health Science

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Physical activity (PA) is understood to be important for the prevention and treatment of depression, however, less is known about the effects of withdrawal from PA on mood. Here we consider evidence published since the outbreak of the SARS‐CoV‐2 virus to assess the impact of the COVID‐19 pandemic on PA patterns and to evaluate whether engagement in PA in the context of the pandemic had an impact on depression vulnerability. During the initial stages of the pandemic and consequent lockdowns, there were global decreases in PA, with women, ethnic minorities, lower‐education, lower‐income, younger, and elderly people displaying more marked reductions in PA. Less PA was associated with a higher risk of experiencing moderate‐to‐severe depression symptoms, particularly for those who decreased their PA levels compared to pre‐pandemic. Both PA and sedentary behavior were independently associated with depression, such that low activity and high amounts of sitting both increased the likelihood of clinically significant symptoms. We also consider the role social connection during movement; while both in‐person and online PA can foster a sense of belonging, there is some evidence that socially distant, pandemic‐safe movement might disincentivise certain groups such as older adults and experienced exercisers from participating in PA. We conclude with several implications for prospective public health communications regarding PA, especially in the event of another global pandemic.

show abstract

Associations of moderate to vigorous physical activity and sedentary behavior with depressive and anxiety symptoms in self-isolating people during the COVID-19 pandemic: A cross-sectional survey in Brazil

Cited by 228 publications

References 30 publications

Can physical activity protect against depression and anxiety during the COVID-19 pandemic? A rapid systematic review

Can physical activity protect against depression and anxiety during the COVID-19 pandemic? A rapid systematic review

<p>Changes in Physical Activity and Sedentary Behavior Amid Confinement: The BKSQ-COVID-19 Project</p>

Physical activity as a tool for preventing and treating depression: Lessons learned from the COVID‐19 pandemic

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