PDF(Pubmed)
Abstract：
The disruption in daily activity performance during COVID-19 lockdowns is widely understood to have impacted health, but a better understanding of how restricted performance of specific activities are associated with health is needed. This cross-sectional study answers the following question: How were changes in the performance of 16 daily activities associated with health during COVID-19 lockdowns? A total of 116 participants completed an online survey rating their health before and during COVID-19 lockdowns and comparing their recollection of the performance of 16 activities before COVID-19 with their performance during lockdowns. Multiple stepwise linear regression analysis was used to estimate the relationship between self-reported changes in activities during lockdowns and concurrent (during-lockdown) health status, while controlling for pre-COVID-19 health status. Only changes in activities that were uniquely and significantly associated with lockdown health status were retained in the final model. Health before COVID-19 accounted for 3.7% (P = 0.039) of the variance in health during COVID-19 lockdowns. After controlling for health before COVID-19, five types of activity were significantly and uniquely predictive of health during lockdowns, together accounting for 48.3% of the variance. These activities and the variances they accounted for were rest and sleep (29.5%, P < 0.001), play and recreational activities (8%, P < 0.001), work (4.8%, P = 0.002), personal hygiene (3.2%, P = 0.01), and healthy eating (2.8%, P = 0.013). The study suggests that these five types of activity should be prioritized in policy or interventions when participation in activity is constrained by lockdowns or comparable factors.
摘要：
人们普遍认为，COVID-19封锁期间日常活动表现的中断影响了健康，但是需要更好地了解特定活动的受限表现如何与健康相关。这项横断面研究回答了以下问题：在COVID-19封锁期间，16项日常活动的表现与健康相关的变化如何？共有116名参与者完成了一项在线调查，对他们在COVID-19封锁之前和期间的健康状况进行了评估，并将他们对COVID-19之前16项活动的表现与封锁期间的表现进行了比较。使用多元逐步线性回归分析来估计封锁期间自我报告的活动变化与同时（封锁期间）健康状况之间的关系。同时控制前COVID-19的健康状况。最终模型中只保留了与锁定健康状况唯一且显著相关的活动变化。COVID-19之前的健康状况占COVID-19封锁期间健康状况差异的3.7%(P=0.039)。在控制COVID-19之前的健康状况后，五种类型的活动对封锁期间的健康状况有显著和独特的预测作用，合计占差异的48.3%。这些活动和它们所占的差异是休息和睡眠(29.5%，P<0.001)，游戏和娱乐活动(8%，P<0.001)，工作（4.8%，P=0.002),个人卫生（3.2%，P=0.01),和健康饮食(2.8%，P=0.013)。研究表明，当活动的参与受到封锁或类似因素的限制时，应在政策或干预措施中优先考虑这五种类型的活动。
