Physical activity behavior in people with multiple sclerosis during the COVID-19 pandemic in Israel: Results of an online survey

Kalron, Alon; Dolev, Mark; Greenberg-Abrahami, Michal; Menascu, Shay; Frid, Lior; Avrech-Shezifi, Sharon; Harari, Gil; Magalashvili, David; Achiron, Anat

doi:10.1016/j.msard.2020.102603

Cited by 30 publications

(32 citation statements)

References 13 publications

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“…Studies show that patients with pre-existing NCDs have found it difficult to maintain a healthy lifestyle during the COVID-19 pandemic and associated lockdown measures introduced by countries 227 . Patients with coronary heart disease [228][229][230][231][232] , neurological disorders 233,234 , diabetes 235,236 and cancer 237,238 have had to compromise on their physical activity routine, dietary patterns, and social connectedness in particular 227,236,239,240 as did families with children who had chronic respiratory diseases 193,241 . Poor glycemic control in diabetics due to altered lifestyle was reported in many studies [242][243][244][245][246][247][248] , while one study in India reported an improvement in the glycemic status of patients with type II diabetes mellitus 249 .…”

Section: Lifestyle Factors In Patients With Pre-existing Ncdsmentioning

confidence: 99%

COVID-19 lockdown and lifestyles: A narrative review

et al. 2021

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Background: The primary objective worldwide during the coronavirus disease 2019 (COVID-19) pandemic has been controlling disease transmission. However, lockdown measures used to mitigate transmission have affected human behavior and altered lifestyles, with a likely impact on chronic non-communicable diseases. More than a year into the pandemic, substantial peer-reviewed literature has emerged on altered lifestyles following the varying lockdown measures imposed globally to control the virus spread. We explored the impact of lockdown measures on six lifestyle factors, namely diet, physical activity, sleep, stress, social connectedness, and the use of tobacco, alcohol, or other harmful substances. Methods: We comprehensively searched PubMed and the World Health Organization’s global literature database on COVID-19 and retrieved 649 relevant articles for the narrative review. A critical interpretative synthesis of the articles was performed. Results: Most of the articles included in the review identified the negative effect of lockdown measures on each of the lifestyle factors in many parts of the world. Encouraging lifestyle trends were also highlighted in a few articles. Such trends can positively influence the outcome of lifestyle-related chronic diseases, such as obesity and diabetes. Conclusions: The COVID-19 pandemic provides an opportunity to better understand the negative impact of strict lockdown measures on lifestyles. At the same time, it helps us identify and initiate positive behavioral changes, which, if consolidated, could improve chronic disease outcomes. It is up to governments, communities, and healthcare/academic entities to derive benefit from lessons learned from the pandemic, with the ultimate objective of better educating and promoting healthy lifestyles among communities.

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Section: Lifestyle Factors In Patients With Pre-existing Ncdsmentioning

confidence: 99%

COVID-19 lockdown and lifestyles: A narrative review

et al. 2021

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“…Some of these adverse consequences may also increase risk factors for more severe COVID-19 disease, such as vascular comorbidities and obesity ( Salter et al., 2021 , Louapre et al., 2020 ). Impact of reduced physical activity was also reported in the aforementioned Israeli study, with 32% reporting a notable reduction in fitness ( Kalron et al., 2021 ). Several guidelines for managing MS recommend the promotion of health behaviours such as exercise, diet, smoking cessation and stress or mood management including referral to allied health professionals to optimise health outcomes for people with MS.…”

Section: Discussionmentioning

confidence: 61%

“…However, most participants reported reduced physical activity because of the bushfires and COVID-19 pandemic (55% and 54% respectively). An Israeli study reported similar changes in physical activity behaviour due to the COVID-19 pandemic, with 51% of participants with MS reporting a decrease in leisure time physical activity, and 38% reporting an increase ( Kalron et al., 2021 ). Reduced physical activity is particularly problematic given a previous report that the majority of people with MS were not meeting physical activity recommendations ( Marck et al., 2020 ).…”

Section: Discussionmentioning

confidence: 86%

The effect of the Australian bushfires and the COVID-19 pandemic on health behaviours in people with multiple sclerosis

Marck

Hunter

Gibbs

et al. 2021

Multiple Sclerosis and Related Disorders

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Background Crises and disasters disproportionally impact people with chronic health conditions such as multiple sclerosis (MS). Objective To assess the impact of the COVID-19 pandemic and the Australian Black Summer Bushfires on health behaviours in people with MS. Methods People with MS, carers, healthcare and advocacy professionals were recruited online between May-July 2020 for an online survey and telephone interviews. Results Survey items relating to health behaviours were completed by 113 people with MS, and 18 people with MS, 4 MS advocates, 5 healthcare professionals, and 2 carers were interviewed. The bushfires affected 34.5% and the pandemic affected 74.3% of survey participants with MS. The pandemic and bushfires caused a decrease in physical activity in 53.8% and 55.3% of participants respectively, as well as increases in unhealthy eating (43.6% and 24.3% respectively) and alcohol consumption (35.4% and 10.5% respectively), and a decrease in typical sleeping patterns (40.5% and 39.5% respectively). Conversely, 27.5% of participants reported an increase in physical activity during the pandemic. Interview data detailed the circumstances and motivations for changes in health behaviours, as well as consequences, including reduced mobility, fitness, mood disturbances, and weight gain. Conclusion There is a need to increase support and health promotion for people with MS to maintain or initiate positive health behaviours, especially in times of adversity.

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“…Noting that MS or disease-modifying therapies do not adversely affect the morbidity of COVID-19, the researchers focused on the possibility of sedentary behaviors. The authors stated that 33.3% of the patients had decreased physical activity ( Kalron et al., 2021 ). In our study, COVID-19 positive people with MS were compared with negative cases.…”

Section: Discussionmentioning

confidence: 99%

The comparison of fatigue, sleep quality, physical activity, quality of life, and psychological status in multiple sclerosis patients with or without COVID-19

Özkeskin

Özden

Karaman

et al. 2021

Multiple Sclerosis and Related Disorders

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Purpose The study was purposed to investigate the effect of COVID-19 disease on fatigue, sleep quality, physical activity, quality of life, and psychological status in people with MS. Methods A total of 104 people with MS, including 46 of them with COVID-19 disease history, were enrolled in the study. All patients were evaluated with the Expanded Disability Status Scale (EDSS), Fatigue Severity Scale (FSS), Pittsburgh Sleep Quality Index (PSQI), International Physical Activity Questionnaire Short Form (IPAQ-SF), the EuroQoL Instrument (EQ-5D-3L), the Fear of COVID-19 Scale (FCV-19S) and the Coronavirus Anxiety Scale (CAS). Results People with MS in the COVID-19 positive group had a significantly lower IPAQ-Total score ( p = 0.014). Besides, the FCV-19S scores of COVID-19 positive patients were significantly higher ( p = 0.006). EQ-5D-3L Index and EQ-5D-3L VAS scores were higher in the group with COVID-19 (p 1 = 0.021, p 2 = 0.014, respectively). FCV-19S had a moderate correlation with EDSS ( r = -0.362). IPAQ-Total was moderately associated with MS duration, EDSS and FSS (r 1 = -0.471, r 2 = -0.389, r 3 = -0.388, respectively). The EQ-5D-3L Index was moderately correlated with FSS (r 1 = -0.404). There was a weakly significant relationship between EQ-5D-3L Index and BMI, MS duration, PSQI and CAS (r 1 = -0.471, r 2 =-0.389, r 3 = -0.388, r 4 = -0.326, respectively). On the other hand, EQ-5D-3L was moderately associated with VAS and EDSS and PSQI (r 1 = -0.393, r 2 = -0.357, respectively). Conclusion COVID-19 negatively affected the people with MS's physical activity and coronavirus related fear parameters. However, the causality of this influence should be investigated in detail.

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Physical activity behavior in people with multiple sclerosis during the COVID-19 pandemic in Israel: Results of an online survey

Abstract: Physical activity behavior in people with multiple sclerosis during the COVID-19 pandemic in Israel: Results of an online survey, Multiple Sclerosis and Related Disorders (2020), doi:

Cited by 30 publications

References 13 publications

COVID-19 lockdown and lifestyles: A narrative review

COVID-19 lockdown and lifestyles: A narrative review

The effect of the Australian bushfires and the COVID-19 pandemic on health behaviours in people with multiple sclerosis

The comparison of fatigue, sleep quality, physical activity, quality of life, and psychological status in multiple sclerosis patients with or without COVID-19

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