Sleep Quality and Physical Activity as Predictors of Mental Wellbeing Variance in Older Adults during COVID-19 Lockdown: ECLB COVID-19 International Online Survey

Khaled Trabelsi; Achraf Ammar; Liwa Masmoudi; Omar Boukhris; Hamdi Chtourou; Bassem Bouaziz; Michael Brach; Ellen Bentlage; Daniella How; Mona Ahmed; Patrick Mueller; Notger Mueller; Hsen Hsouna; Yousri El Ghoul; Mohamed Romdhani; Omar Hammouda; Laisa Liane Paineiras-Domingos; Annemarie Braakman-Jansen; Christian Wrede; Sophia Bastoni; Carlos Soares Pernambuco; Leonardo Jose Mataruna-Dos-Santos; Morteza Taheri; Khadijeh Irandoust; Nicola L. Bragazzi; Jana Strahler; Jad Adrian Washif; Albina Andreeva; Stephen J. Bailey; Jarred Acton; Emma Mitchell; Nicholas T. Bott; Faiez Gargouri; Lotfi Chaari; Hadj Batatia; Samira C. Khoshnami; Evangelia Samara; Vasiliki Zisi; Parasanth Sankar; Waseem N. Ahmed; Gamal Mohamed Ali; Osama Abdelkarim; Mohamed Jarraya; Kais El Abed; Wassim Moalla; Nafaa Souissi; Asma Aloui; Nizar Souissi; Lisette J. E. W. C. van Gemert-Pijnen; Bryan L. Riemann; Laurel Riemann; Jan Delhey; Jonathan Gómez-Raja; Monique Epstein; Robbert Sanderman; Sebastian Schulz; Achim Jerg; Ramzi Al-Horani; Taysir Mansi; Ismail Dergaa; Mohamed Jmail; Fernando Barbosa; Fernando Ferreira-Santos; Boštjan Šimunič; Rado Pišot; Saša Pišot; Andrea Gaggioli; Jürgen M. Steinacker; Piotr Zmijewski; Christian Apfelbacher; Jordan M. Glenn; Aïmen Khacharem; Cain C. T. Clark; Helmi Ben Saad; Karim Chamari; Tarak Driss; Anita Hoekelmann; ECLB-COVID19 Consortium

doi:10.3390/ijerph18084329

Sleep Quality and Physical Activity as Predictors of Mental Wellbeing Variance in Older Adults during COVID-19 Lockdown: ECLB COVID-19 International Online Survey

Khaled Trabelsi, Achraf Ammar^*, Liwa Masmoudi, Omar Boukhris, Hamdi Chtourou, Bassem Bouaziz, Michael Brach, Ellen Bentlage, Daniella How, Mona Ahmed, Patrick Mueller, Notger Mueller, Hsen Hsouna, Yousri El Ghoul, Mohamed Romdhani, Omar Hammouda, Laisa Liane Paineiras-Domingos, Annemarie Braakman-Jansen, Christian Wrede, Sophia BastoniCarlos Soares Pernambuco, Leonardo Jose Mataruna-Dos-Santos, Morteza Taheri, Khadijeh Irandoust, Nicola L. Bragazzi, Jana Strahler, Jad Adrian Washif, Albina Andreeva, Stephen J. Bailey, Jarred Acton, Emma Mitchell, Nicholas T. Bott, Faiez Gargouri, Lotfi Chaari, Hadj Batatia, Samira C. Khoshnami, Evangelia Samara, Vasiliki Zisi, Parasanth Sankar, Waseem N. Ahmed, Gamal Mohamed Ali, Osama Abdelkarim, Mohamed Jarraya, Kais El Abed, Wassim Moalla, Nafaa Souissi, Asma Aloui, Nizar Souissi, Lisette J. E. W. C. van Gemert-Pijnen, Bryan L. Riemann, Laurel Riemann, Jan Delhey, Jonathan Gómez-Raja, Monique Epstein, Robbert Sanderman, Sebastian Schulz, Achim Jerg, Ramzi Al-Horani, Taysir Mansi, Ismail Dergaa, Mohamed Jmail, Fernando Barbosa, Fernando Ferreira-Santos, Boštjan Šimunič, Rado Pišot, Saša Pišot, Andrea Gaggioli, Jürgen M. Steinacker, Piotr Zmijewski, Christian Apfelbacher, Jordan M. Glenn, Aïmen Khacharem, Cain C. T. Clark, Helmi Ben Saad, Karim Chamari, Tarak Driss, Anita Hoekelmann, ECLB-COVID19 Consortium

^*Corresponding author for this work

School of Mathematical & Computer Sciences

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Abstract

Background. The COVID-19 lockdown could engender disruption to lifestyle behaviors, thus impairing mental wellbeing in the general population. This study investigated whether socio-demographic variables, changes in physical activity, and sleep quality from pre-to during lockdown were predictors of change in mental wellbeing in quarantined older adults. Methods. A 12-week international online survey was launched in 14 languages on 6 April 2020. Forty-one research insti-tutions from Europe, Western-Asia, North-Africa, and the Americas, promoted the survey. The survey was presented in a differential format with questions related to responses “pre” and “during” the lockdown period. Participants responded to the Short Warwick–Edinburgh Mental Wellbeing Scale, the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and the short form of the International Physical Activity Questionnaire. Results. Replies from older adults (aged >55 years, n = 517), mainly from Europe (50.1%), Western-Asia (6.8%), America (30%), and North-Africa (9.3%) were analyzed. The COVID-19 lockdown led to significantly decreased mental wellbeing, sleep quality, and total physical activity energy expenditure levels (all p < 0.001). Regression analysis showed that the change in total PSQI score and total physical activity energy expenditure (F(2, 514) = 66.41 p < 0.001) were significant predictors of the decrease in mental wellbeing from pre-to during lockdown (p < 0.001, R2: 0.20). Conclusion. COVID-19 lockdown deleteriously affected physical activity and sleep patterns. Furthermore, change in the total PSQI score and total physical activity energy expenditure were significant predictors for the decrease in mental wellbeing.

Original language	English
Article number	4329
Journal	International Journal of Environmental Research and Public Health
Volume	18
Issue number	8
Early online date	19 Apr 2021
DOIs	https://doi.org/10.3390/ijerph18084329
Publication status	Published - Apr 2021

Keywords

Aging
Home confinement
Lifestyle behaviors
Pandemic
Wellbeing

ASJC Scopus subject areas

Pollution
Public Health, Environmental and Occupational Health
Health, Toxicology and Mutagenesis

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Trabelsi, K., Ammar, A., Masmoudi, L., Boukhris, O., Chtourou, H., Bouaziz, B., Brach, M., Bentlage, E., How, D., Ahmed, M., Mueller, P., Mueller, N., Hsouna, H., El Ghoul, Y., Romdhani, M., Hammouda, O., Paineiras-Domingos, L. L., Braakman-Jansen, A., Wrede, C., ... ECLB-COVID19 Consortium (2021). Sleep Quality and Physical Activity as Predictors of Mental Wellbeing Variance in Older Adults during COVID-19 Lockdown: ECLB COVID-19 International Online Survey. International Journal of Environmental Research and Public Health, 18(8), Article 4329. https://doi.org/10.3390/ijerph18084329

@article{1f303990cc0746e08e3dfa16674dfc01,

title = "Sleep Quality and Physical Activity as Predictors of Mental Wellbeing Variance in Older Adults during COVID-19 Lockdown: ECLB COVID-19 International Online Survey",

abstract = "Background. The COVID-19 lockdown could engender disruption to lifestyle behaviors, thus impairing mental wellbeing in the general population. This study investigated whether socio-demographic variables, changes in physical activity, and sleep quality from pre-to during lockdown were predictors of change in mental wellbeing in quarantined older adults. Methods. A 12-week international online survey was launched in 14 languages on 6 April 2020. Forty-one research insti-tutions from Europe, Western-Asia, North-Africa, and the Americas, promoted the survey. The survey was presented in a differential format with questions related to responses “pre” and “during” the lockdown period. Participants responded to the Short Warwick–Edinburgh Mental Wellbeing Scale, the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and the short form of the International Physical Activity Questionnaire. Results. Replies from older adults (aged >55 years, n = 517), mainly from Europe (50.1%), Western-Asia (6.8%), America (30%), and North-Africa (9.3%) were analyzed. The COVID-19 lockdown led to significantly decreased mental wellbeing, sleep quality, and total physical activity energy expenditure levels (all p < 0.001). Regression analysis showed that the change in total PSQI score and total physical activity energy expenditure (F(2, 514) = 66.41 p < 0.001) were significant predictors of the decrease in mental wellbeing from pre-to during lockdown (p < 0.001, R2: 0.20). Conclusion. COVID-19 lockdown deleteriously affected physical activity and sleep patterns. Furthermore, change in the total PSQI score and total physical activity energy expenditure were significant predictors for the decrease in mental wellbeing.",

keywords = "Aging, Home confinement, Lifestyle behaviors, Pandemic, Wellbeing",

author = "Khaled Trabelsi and Achraf Ammar and Liwa Masmoudi and Omar Boukhris and Hamdi Chtourou and Bassem Bouaziz and Michael Brach and Ellen Bentlage and Daniella How and Mona Ahmed and Patrick Mueller and Notger Mueller and Hsen Hsouna and {El Ghoul}, Yousri and Mohamed Romdhani and Omar Hammouda and Paineiras-Domingos, {Laisa Liane} and Annemarie Braakman-Jansen and Christian Wrede and Sophia Bastoni and Pernambuco, {Carlos Soares} and Mataruna-Dos-Santos, {Leonardo Jose} and Morteza Taheri and Khadijeh Irandoust and Bragazzi, {Nicola L.} and Jana Strahler and Washif, {Jad Adrian} and Albina Andreeva and Bailey, {Stephen J.} and Jarred Acton and Emma Mitchell and Bott, {Nicholas T.} and Faiez Gargouri and Lotfi Chaari and Hadj Batatia and Khoshnami, {Samira C.} and Evangelia Samara and Vasiliki Zisi and Parasanth Sankar and Ahmed, {Waseem N.} and Ali, {Gamal Mohamed} and Osama Abdelkarim and Mohamed Jarraya and {El Abed}, Kais and Wassim Moalla and Nafaa Souissi and Asma Aloui and Nizar Souissi and {van Gemert-Pijnen}, {Lisette J. E. W. C.} and Riemann, {Bryan L.} and Laurel Riemann and Jan Delhey and Jonathan G{\'o}mez-Raja and Monique Epstein and Robbert Sanderman and Sebastian Schulz and Achim Jerg and Ramzi Al-Horani and Taysir Mansi and Ismail Dergaa and Mohamed Jmail and Fernando Barbosa and Fernando Ferreira-Santos and Bo{\v s}tjan {\v S}imuni{\v c} and Rado Pi{\v s}ot and Sa{\v s}a Pi{\v s}ot and Andrea Gaggioli and Steinacker, {J{\"u}rgen M.} and Piotr Zmijewski and Christian Apfelbacher and Glenn, {Jordan M.} and A{\"i}men Khacharem and Clark, {Cain C. T.} and Saad, {Helmi Ben} and Karim Chamari and Tarak Driss and Anita Hoekelmann and {ECLB-COVID19 Consortium}",

note = "Publisher Copyright: {\textcopyright} 2021 by the author. Licensee MDPI, Basel, Switzerland.",

year = "2021",

month = apr,

doi = "10.3390/ijerph18084329",

language = "English",

volume = "18",

journal = "International Journal of Environmental Research and Public Health",

issn = "1661-7827",

publisher = "MDPI",

number = "8",

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Trabelsi, K, Ammar, A, Masmoudi, L, Boukhris, O, Chtourou, H, Bouaziz, B, Brach, M, Bentlage, E, How, D, Ahmed, M, Mueller, P, Mueller, N, Hsouna, H, El Ghoul, Y, Romdhani, M, Hammouda, O, Paineiras-Domingos, LL, Braakman-Jansen, A, Wrede, C, Bastoni, S, Pernambuco, CS, Mataruna-Dos-Santos, LJ, Taheri, M, Irandoust, K, Bragazzi, NL, Strahler, J, Washif, JA, Andreeva, A, Bailey, SJ, Acton, J, Mitchell, E, Bott, NT, Gargouri, F, Chaari, L, Batatia, H, Khoshnami, SC, Samara, E, Zisi, V, Sankar, P, Ahmed, WN, Ali, GM, Abdelkarim, O, Jarraya, M, El Abed, K, Moalla, W, Souissi, N, Aloui, A, Souissi, N, van Gemert-Pijnen, LJEWC, Riemann, BL, Riemann, L, Delhey, J, Gómez-Raja, J, Epstein, M, Sanderman, R, Schulz, S, Jerg, A, Al-Horani, R, Mansi, T, Dergaa, I, Jmail, M, Barbosa, F, Ferreira-Santos, F, Šimunič, B, Pišot, R, Pišot, S, Gaggioli, A, Steinacker, JM, Zmijewski, P, Apfelbacher, C, Glenn, JM, Khacharem, A, Clark, CCT, Saad, HB, Chamari, K, Driss, T, Hoekelmann, A & ECLB-COVID19 Consortium 2021, 'Sleep Quality and Physical Activity as Predictors of Mental Wellbeing Variance in Older Adults during COVID-19 Lockdown: ECLB COVID-19 International Online Survey', International Journal of Environmental Research and Public Health, vol. 18, no. 8, 4329. https://doi.org/10.3390/ijerph18084329

Sleep Quality and Physical Activity as Predictors of Mental Wellbeing Variance in Older Adults during COVID-19 Lockdown: ECLB COVID-19 International Online Survey. / Trabelsi, Khaled; Ammar, Achraf; Masmoudi, Liwa et al.
In: International Journal of Environmental Research and Public Health, Vol. 18, No. 8, 4329, 04.2021.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Sleep Quality and Physical Activity as Predictors of Mental Wellbeing Variance in Older Adults during COVID-19 Lockdown: ECLB COVID-19 International Online Survey

AU - Trabelsi, Khaled

AU - Ammar, Achraf

AU - Masmoudi, Liwa

AU - Boukhris, Omar

AU - Chtourou, Hamdi

AU - Bouaziz, Bassem

AU - Brach, Michael

AU - Bentlage, Ellen

AU - How, Daniella

AU - Ahmed, Mona

AU - Mueller, Patrick

AU - Mueller, Notger

AU - Hsouna, Hsen

AU - El Ghoul, Yousri

AU - Romdhani, Mohamed

AU - Hammouda, Omar

AU - Paineiras-Domingos, Laisa Liane

AU - Braakman-Jansen, Annemarie

AU - Wrede, Christian

AU - Bastoni, Sophia

AU - Pernambuco, Carlos Soares

AU - Mataruna-Dos-Santos, Leonardo Jose

AU - Taheri, Morteza

AU - Irandoust, Khadijeh

AU - Bragazzi, Nicola L.

AU - Strahler, Jana

AU - Washif, Jad Adrian

AU - Andreeva, Albina

AU - Bailey, Stephen J.

AU - Acton, Jarred

AU - Mitchell, Emma

AU - Bott, Nicholas T.

AU - Gargouri, Faiez

AU - Chaari, Lotfi

AU - Batatia, Hadj

AU - Khoshnami, Samira C.

AU - Samara, Evangelia

AU - Zisi, Vasiliki

AU - Sankar, Parasanth

AU - Ahmed, Waseem N.

AU - Ali, Gamal Mohamed

AU - Abdelkarim, Osama

AU - Jarraya, Mohamed

AU - El Abed, Kais

AU - Moalla, Wassim

AU - Souissi, Nafaa

AU - Aloui, Asma

AU - Souissi, Nizar

AU - van Gemert-Pijnen, Lisette J. E. W. C.

AU - Riemann, Bryan L.

AU - Riemann, Laurel

AU - Delhey, Jan

AU - Gómez-Raja, Jonathan

AU - Epstein, Monique

AU - Sanderman, Robbert

AU - Schulz, Sebastian

AU - Jerg, Achim

AU - Al-Horani, Ramzi

AU - Mansi, Taysir

AU - Dergaa, Ismail

AU - Jmail, Mohamed

AU - Barbosa, Fernando

AU - Ferreira-Santos, Fernando

AU - Šimunič, Boštjan

AU - Pišot, Rado

AU - Pišot, Saša

AU - Gaggioli, Andrea

AU - Steinacker, Jürgen M.

AU - Zmijewski, Piotr

AU - Apfelbacher, Christian

AU - Glenn, Jordan M.

AU - Khacharem, Aïmen

AU - Clark, Cain C. T.

AU - Saad, Helmi Ben

AU - Chamari, Karim

AU - Driss, Tarak

AU - Hoekelmann, Anita

AU - ECLB-COVID19 Consortium

PY - 2021/4

Y1 - 2021/4

N2 - Background. The COVID-19 lockdown could engender disruption to lifestyle behaviors, thus impairing mental wellbeing in the general population. This study investigated whether socio-demographic variables, changes in physical activity, and sleep quality from pre-to during lockdown were predictors of change in mental wellbeing in quarantined older adults. Methods. A 12-week international online survey was launched in 14 languages on 6 April 2020. Forty-one research insti-tutions from Europe, Western-Asia, North-Africa, and the Americas, promoted the survey. The survey was presented in a differential format with questions related to responses “pre” and “during” the lockdown period. Participants responded to the Short Warwick–Edinburgh Mental Wellbeing Scale, the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and the short form of the International Physical Activity Questionnaire. Results. Replies from older adults (aged >55 years, n = 517), mainly from Europe (50.1%), Western-Asia (6.8%), America (30%), and North-Africa (9.3%) were analyzed. The COVID-19 lockdown led to significantly decreased mental wellbeing, sleep quality, and total physical activity energy expenditure levels (all p < 0.001). Regression analysis showed that the change in total PSQI score and total physical activity energy expenditure (F(2, 514) = 66.41 p < 0.001) were significant predictors of the decrease in mental wellbeing from pre-to during lockdown (p < 0.001, R2: 0.20). Conclusion. COVID-19 lockdown deleteriously affected physical activity and sleep patterns. Furthermore, change in the total PSQI score and total physical activity energy expenditure were significant predictors for the decrease in mental wellbeing.

AB - Background. The COVID-19 lockdown could engender disruption to lifestyle behaviors, thus impairing mental wellbeing in the general population. This study investigated whether socio-demographic variables, changes in physical activity, and sleep quality from pre-to during lockdown were predictors of change in mental wellbeing in quarantined older adults. Methods. A 12-week international online survey was launched in 14 languages on 6 April 2020. Forty-one research insti-tutions from Europe, Western-Asia, North-Africa, and the Americas, promoted the survey. The survey was presented in a differential format with questions related to responses “pre” and “during” the lockdown period. Participants responded to the Short Warwick–Edinburgh Mental Wellbeing Scale, the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and the short form of the International Physical Activity Questionnaire. Results. Replies from older adults (aged >55 years, n = 517), mainly from Europe (50.1%), Western-Asia (6.8%), America (30%), and North-Africa (9.3%) were analyzed. The COVID-19 lockdown led to significantly decreased mental wellbeing, sleep quality, and total physical activity energy expenditure levels (all p < 0.001). Regression analysis showed that the change in total PSQI score and total physical activity energy expenditure (F(2, 514) = 66.41 p < 0.001) were significant predictors of the decrease in mental wellbeing from pre-to during lockdown (p < 0.001, R2: 0.20). Conclusion. COVID-19 lockdown deleteriously affected physical activity and sleep patterns. Furthermore, change in the total PSQI score and total physical activity energy expenditure were significant predictors for the decrease in mental wellbeing.

KW - Aging

KW - Home confinement

KW - Lifestyle behaviors

KW - Pandemic

KW - Wellbeing

UR - http://www.scopus.com/inward/record.url?scp=85104405318&partnerID=8YFLogxK

U2 - 10.3390/ijerph18084329

DO - 10.3390/ijerph18084329

M3 - Article

C2 - 33921852

AN - SCOPUS:85104405318

SN - 1661-7827

VL - 18

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

IS - 8

M1 - 4329

ER -

Trabelsi K, Ammar A, Masmoudi L, Boukhris O, Chtourou H, Bouaziz B et al. Sleep Quality and Physical Activity as Predictors of Mental Wellbeing Variance in Older Adults during COVID-19 Lockdown: ECLB COVID-19 International Online Survey. International Journal of Environmental Research and Public Health. 2021 Apr;18(8):4329. Epub 2021 Apr 19. doi: 10.3390/ijerph18084329

Sleep Quality and Physical Activity as Predictors of Mental Wellbeing Variance in Older Adults during COVID-19 Lockdown: ECLB COVID-19 International Online Survey

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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