THE RELATIONSHIP BETWEEN PHYSICAL ACTIVITY, DEPRESSION, NUTRITION AND PAIN DURING THE COVID-19 PANDEMIC PERIOD

Yıl 2022, Cilt: 31 Sayı: 2, 126 - 132, 11.08.2022

İlyas Uçar , Caner Karartı , Anıl Özüdoğru , Satuk Buğrahan Yinanç , Hatice Güler , Emel Aktaş

Öz

The Coronavirus Disease 2019 (COVID-19) is an infectious disease that affects the respiratory tract. After the disease was recognized as a global pandemic by the World Health Organization (WHO), precautions such as social isolation and curfews were implemented to prevent the spread of the disease. These precautions have affected individuals' physical activity levels, anxiety levels, and eating habits. Reduced physical activity level, emotional changes, and bad eating habits are among the factors that may affect perceived pain. The purpose of our study is to determine the changing basic lifestyles during the Covid-19 disease period and to examine their relationship with the perceived pain level. The study was a quick and large cross-sectional online survey using the Google Forms web survey platform. 1174 volunteers between the ages of 18-65 participated in our study. The survey contained demographic information, International Physical Activity Questionnaire (IPAQ) to determine physical activity levels, Attitude Scale for Healthy Nutrition (ASHN) to evaluate nutritional attitudes, Hospital Anxiety-Depression Scale (HADS) for anxiety and depression levels, and The Nordic Musculoskeletal Questionnaire (NMQ) to determine perceived pain levels. A moderate correlation was found between insufficient physical activity and neck pain (r=-0.262, p=0.040), back pain (r=-0.254, p=0.048) and low back pain (r=-0.275, p=0.034). On the other hand, a weak correlation was found between depression levels and low back pain (r=0.213, p=0.049). A negative correlation was found between anxiety and depression levels and physical activity level (r=-0.433, p=0.033; r=-0.549, p=0.004) and healthy eating attitude (r=-0.258, p=0.041; r=-0.317, p=0.039). During the Covid-19 pandemic, it is necessary to increase the physical activity levels of the public and to make them aware of the short and long-term negative effects that may occur as a result of changes in basic lifestyles.

Anahtar Kelimeler

Anxiety, nutritional status, COVID-19, exercise, musculoskeletal pain

Destekleyen Kurum

Bu çalışma için finansal destek almadığımızı beyan ederiz.

Teşekkür

We would like to express our sincere thanks to Aida Habibzadeh for her evaluating the article in English.

COVİD-19 PANDEMİSİ DÖNEMİNDE FİZİKSEL AKTİVİTE, DEPRESYON, BESLENME VE AĞRI ARASINDAKİ İLİŞKİ

Öz

Koronavirüs Hastalığı 2019 (Covid-19) solunum yollarını etkileyen bulaşıcı bir hastalıktır. Hastalık Dünya Sağlık Örgütü (WHO) tarafından dünya genelinde salgın olarak tanımlandıktan sonar hastalığın yayılımını önlemek için sosyalizolasyonlar ve sokağa çıkma yasakları gibi tedbirler uygulanmaya başlandı. Bu tedbirler insanların fiziksel aktivite ve anksiyete düzeylerini ve beslenme alışkanlıklarını etkilemiştir. Azalan fiziksel aktivite düzeyleri, duygusal değişiklikler ve kötü beslenme alışkanlıkları algılanan ağrı düzeylerini etkileyebilecek faktörler olabilir. Çalışmamızın amacı, Covid-19 hastalığı döneminde temel yaşam tarzlarındaki değişimleri belirlemek ve algılanan ağrı düzeyi ile olan ilişkisini incelemektir. Çalışma, Google Formlar web anketini kullanan, hızlı ve geniş kesitli çevrimiçi bir anket çalışmasıdır. Çalışmamıza 18-65 yaş arası 1174 gönüllü katıldı. Ankette demografik bilgiler, fiziksel aktivite seviyelerini belirlemek için Uluslararası Fiziksel Aktivite Anketi (IPAQ), beslenme tutumlarını değerlendirmek için Sağlıklı Beslenmeye İlişkin Tutum Ölçeği, anksiyete ve depresyon seviyeleri için Hastane Anksiyete-Depresyon Ölçeği (HADS) ve algılanan ağrı seviyelerini belirlemek için Nordic Kas-İskelet Anketi (NMQ) kullanılmıştır. Yetersiz fiziksel aktivite ile boyun ağrısı (r=-0.262, p=0.040), sırt ağrısı (r=-0.254, p=0.048) ve bel ağrısı (r=-0.275, p=0.034) arasında orta düzeyde bir korelasyon bulundu. Öte yandan depresyon düzeyleri ile bel ağrısı arasında zayıf bir korelasyon bulundu (r=0.213, p=0.049). Anksiyete ve depresyon düzeyleri ile fiziksel aktivite düzeyi (r=-0.433, p=0.033; r=-0.549, p=0.004) ve sağlıklı beslenme tutumu (r=-0.258, p=0.041; r=-0.317, p=0.039) arasında negative korelasyon bulundu. Covid-19 salgını sırasında halkın fiziksel aktivite düzeylerinin arttırılması ve temel yaşam tarzlarındaki değişiklikler sonucu ortaya çıkabilecek kısa ve uzun vadeli olumsuz etkilerin farkında olmalarının sağlanması gerekmektedir.

Anahtar Kelimeler

Anksiyete, beslenme durumu, COVID-19, egzersiz, kas-iskelet ağrısı

Kaynakça

• 1. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet 2020;395(10223):497-506.
• 2. Ammar A, Brach M, Trabelsi K, et al. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients 2020;12(6):1583.
• 3. Jiménez-Pavón D, Carbonell-Baeza A, Lavie CJ. Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people. Prog Cardiovasc Dis 2020;63(3):386-8.
• 4. Lee IM, Shiroma EJ, Lobelo F, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. The Lancet 2012;380(9838):219-29.
• 5. Mcbeth J, Nicholl BI, Cordingley L, et al. Chronic widespread pain predicts physical inactivity: Results from the prospective EPIFUND study. European Journal of Pain 2010;14(9):972-9.
• 6. Berg-Emons RJ, Schasfoort FC, Vos LA, et al. Impact of chronic pain on everyday physical activity. European Journal of Pain 2007;11(5):587-93.
• 7. Google. COVID-19 Community Mobility Report 2020 [updated 05/2020. Available from: https://www.gstatic.com/covid19/mobility/2020-05-16_TR_Mobility_Report_en.pdf.
• 8. Woods JA, Hutchinson NT, Powers SK, et al. The COVID-19 pandemic and physical activity. Sports Medicine and Health Science 2020;2(2):55-64.
• 9. Aktürk S, Büyükavcı R, Aktürk Ü. Relationship between musculoskeletal disorders and physical inactivity in adolescents. Journal of Public Health 2019;27(1):49-56.
• 10. Li X, Geng M, Peng Y, et al. Molecular immune pathogenesis and diagnosis of COVID-19. Journal of Pharmaceutical Analysis 2020;10(2):102-8.
• 11. David L, Will M, Johan S, et al. COVID-19 risks to global food security. Science 2020;369(6503):500-2.
• 12. Erpeng W, Ning A, Zhifeng G, et al. Consumer food stockpiling behavior and willingness to pay for food reserves in COVID-19. Food Security 2020;12(4):739-47.
• 13. Ramón-Arbués E, Martínez Abadía B, Granada López JM, et al. Eating behavior and relationships with stress, anxiety, depression and insomnia in university students. Nutr Hosp 2019;36(6):1339-45.
• 14. Shevlin M, McBride O, Murphy J, et al. Anxiety, Depression, Traumatic Stress, and COVID-19 Related Anxiety in the UK General Population During the COVID-19 Pandemic. BJ Psych Open 2020;6(6):1-9.
• 15. Bair MJ, Robinson RL, Katon W, et al. Depression and Pain Comorbidity. Arch Intern Med 2003;163(20):2433.
• 16. Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills 2010;111(1):278-84.
• 17. Demir GT, Cicioğlu Hİ. Sağlıklı Beslenmeye İlişkin Tutum Ölçeği (SBİTÖ): Geçerlik ve Güvenirlik Çalışması. Gaziantep Üniversitesi Spor Bilimleri Dergisi. 2019;4(2):256-74.
• 18. Aydemir O. Hastane anksiyete ve depresyon olcegi Turkce formunun gecerlilik ve guvenilirligi. Turk Psikiyatri Derg1997;8:187-280.
• 19. Kahraman T, Genç A, Göz E. The Nordic Musculoskeletal Questionnaire: cross-cultural adaptation into Turkish assessing its psychometric properties. Disabil Rehabil 2016;38(21):2153-60.
• 20. Zengi̇n Alpözgen A, Razak Özdi̇nçler A. Fiziksel Aktivite ve Koruyucu Etkileri: Derleme. Sağlık Bilimleri ve Meslekleri Dergisi 2020;3(1):66.
• 21. Teichtahl AJ, Urquhart DM, Wang Y, et al. Physical inactivity is associated with narrower lumbar intervertebral discs, high fat content of paraspinal muscles and low back pain and disability. Arthritis Res Ther 2015;17(1):114.
• 22. Martin SA, Pence BD, Woods JA. Exercise and Respiratory Tract Viral Infections. Exerc Sport Sci Rev 2009;37(4):157-64.
• 23. Wu Z, Mcgoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China. JAMA 2020;323(13):1239.
• 24. Maugeri G, Castrogiovanni P, Battaglia G, et al. The impact of physical activity on psychological health during Covid-19 pandemic in Italy. Heliyon 2020; 6(6):e04315.
• 25. Özdin S, Bayrak Özdin Ş. Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. Int J Soc Psychiatry 020;66(5):504-11.
• 26. Sheng J, Liu S, Wang Y, et al. The Link between Depression and Chronic Pain: Neural Mechanisms in the Brain. Neural Plasticity 2017.
• 27. Cotman C. Exercise: A behavioral intervention to enhance brain health and plasticity. Trends Neurosciences 2002;25(6):295-301.
• 28. Droste SK, Gesing A, Ulbricht S, et al. Effects of Long-Term Voluntary Exercise on the Mouse Hypothalamic-Pituitary-Adrenocortical Axis. Endocrinology 2003;144(7):3012-23.
• 29. Ronsen O, Haug E, Pedersen BK, et al. Increased neuroendocrine response to a repeated bout of endurance exercise. Med Sci Sports Exerc 2001;33(4):568-75.
• 30. Ströhle A. Physical activity, exercise, depression and anxiety disorders. Journal of Neural Transmission 2009;116(6):777-84.
• 31. Garipoğlu G, Bozar N. Covid-19 salgininda sosyal izolasyonda olan bireylerin beslenme alişkanliklarindaki değişiklikler. Pearson Journal of Social Sciences & Humanities 2020;6(6):100-13.
• 32. Ball K, Jeffery RW, Abbott G, et al. Is healthy behavior contagious: associations of social norms with physical activity and healthy eating. International Journal of Behavioral Nutrition and Physical Activity 2010;7(1):86.
• 33. Schultchen D, Reichenberger J, Mittl T, et al. Bidirectional relationship of stress and affect with physical activity and healthy eating. Br J Health Psychol 2019;24(2):315-33.
• 34. Callaghan P. Exercise: A neglected intervention in mental health care? J Psychiatr Ment Health Nurs 2004; 11(4):476-83.