Effects of home confinement on mental health and lifestyle behaviours during the Covid-19 outbreak

Insight from the ECLB-Covid19 multicenter study

Bibliographic Data

ID23375166
AuthorsAchraf Ammar (0000-0003-0347-8053, University of Sfax, corresponding author), Kais Trabelsi (0000-0003-2623-9557, University of Sfax), Khaled Trabelsi (0000-0003-0207-9819), Michael Brach (0000-0001-6676-9742, University of Münster), Hamdi Chtourou (0000-0002-5482-9151, University of Sfax), Omar Boukhris (0000-0002-2861-0164, University of Sfax), Liwa Masmoudi (0000-0002-9628-1585, University of Sfax), Bassem Bouaziz (0000-0002-3692-9482, University of Sfax), Ellen Bentlage (0000-0002-4720-9181, University of Münster), Daniella How (0000-0001-6996-8931, University of Münster), Mona Ahmed (0000-0001-7190-8348, University of Münster), Patrick Mueller, Patrick J Mueller (0000-0002-7720-1519, German Center for Neurodegenerative Diseases), Notger G Müller (0000-0002-5483-6423, German Center for Neurodegenerative Diseases), Notger Mueller, Omar Hammouda (0000-0002-5002-687X, University of Sfax), Laisa Liane Paineiras-Domingos (0000-0003-3451-5056, Universidade do Estado do Rio de Janeiro), Laisa Paineiras-Domingos, Annemarie Braakman‐Jansen (0000-0002-6430-3946, University of Twente), Annemarie Braakman-Jansen, Christian Wrede (0000-0002-5748-7089, University of Twente), Sophia Bastoni (Università Cattolica del Sacro Cuore), Carlos Soares Pernambuco (0000-0003-2915-6669, Estácio (Brazil)), Carlos Pernambuco, Leonardo Jose Mataruna-Dos-Santos (0000-0001-9456-5974, Canadian University of Dubai), Leonardo Mataruna, Morteza Taheri (0000-0001-8031-3792, Imam Khomeini International University), Khadijeh Irandoust (0000-0001-5839-9753, Imam Khomeini International University), Aïmen Khacharem (0000-0001-9088-3967, Université Paris-Est Créteil), Nicola Luigi Bragazzi (0000-0001-8409-868X, York University), Nicola Bragazzi, Jana Strahler (0000-0002-0077-508X, Justus-Liebig-Universität Gießen), Jad Adrian (Kuala Lumpur Sports Medicine Centre), Albina Andreeva, Jordan M Glenn (0000-0002-2563-4291, University of Arkansas at Fayetteville), Jordan Glenn, Nicholas T Bott (Stanford University), Nicholas Bott, Faı̈ez Gargouri (0000-0003-2575-8654, University of Sfax), Faiez Gargouri, Lotfi Chaâri (0000-0002-3590-0370, Université Toulouse III - Paul Sabatier), Hadj Batatia (0000-0003-0433-2152, Université Toulouse III - Paul Sabatier), Samira khoshnami (Université Paris Nanterre), Evangelia Samara (0000-0001-9641-7342, Onassis Cardiac Surgery Center), Vasiliki Zisi (0000-0001-9013-9863, University of Thessaly), Parasanth Sankar (0000-0002-9186-8790), Waseem Ahmed (0000-0001-8386-5859, Lifeline Hospital), Gamal Mohamed Ali (Assiut University), Gamal Ali, Osama Abdelkarim (Karlsruhe Institute of Technology), Mohamed Jarraya (0000-0001-7453-4185, University of Sfax), Kaïs El Abed (University of Sfax), Kais Abed, Wassim Moalla (0000-0001-6358-2544, University of Sfax), Mohamed Romdhani (0000-0002-1715-1863), Asma Aloui (0000-0001-5054-1540), Nizar Souissi (0000-0003-1227-8221), Julia E W C van Gemert‐Pijnen (0000-0001-6511-7240, University of Sfax), Lisette GemertPijnen, Bryan L Riemann (0000-0003-1850-0372, Georgia Southern University), Bryan Riemann, Laurel Riemann, Jan Delhey (0000-0002-0475-8578, Otto-von-Guericke-Universität Magdeburg), Jonathan Gómez-Raja, Jonathan Gómez‐Raja (0000-0003-2926-8169, University of Jordan), Monique Epstein (Assiut University), R Sanderman (0000-0002-0823-1159, University Medical Center Groningen), Sebastián Schulz (0000-0002-8235-9986), Sebastian Viktor Waldemar Schulz (0000-0002-2137-3274, University Hospital Ulm), Achim Jerg (0000-0001-8128-7389, University Hospital Ulm), Ramzi Al-Horani (0000-0002-6915-816X, Yarmouk University), Taiysir Mansi (0000-0001-7560-9855, University of Jordan), Taysir Mansi, Mohamed Jmail (Digital Research Centre of Sfax), Fernando Barbosa (0000-0002-0028-5371, Universidade do Porto), Fernando Ferreira-Santos, Fernando Ferreira‐Santos (0000-0002-2656-5291, Iscte – Instituto Universitário de Lisboa), Bostjan Simunic (0000-0003-1565-7833, PUH Team (Slovenia)), Rado Pišot (0000-0002-2508-7830, PUH Team (Slovenia)), Saša Pišot (0000-0002-7597-8105, PUH Team (Slovenia)), Andrea Gaggioli (0000-0001-7818-7598, Università Cattolica del Sacro Cuore), Piotr Żmijewski (0000-0002-5570-9573, Instytut Sportu), Stephen Bailey (0000-0001-5601-3650), Stephen J Bailey (0000-0003-0923-6362, Loughborough University), Jürgen M Steinacker (0000-0001-8901-9450, University Hospital Ulm), Jürgen Steinacker, Karim Chamari (0000-0001-9178-7678, Qatar Orthopaedic and Sports Medicine Hospital), Tarak Driss (0000-0001-6109-7393, Université Paris Nanterre), Anita Höekelmann (Assiut University)
Year2021
Volume38
Issue1
Pages9-21
Publication date2021-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBiology of Sport (JOURNAL)
Journal identifiersISSN: 0860-021X • E-ISSN: 2083-1862
PublisherTermedia Sp. z.o.o. (PUBLISHER)
DOI10.5114/biolsport.2020.96857
PMID33795912
OpenAlexW3047939709
LanguageEN
Citations received91
References cited12

Although recognised as effective measures to curb the spread of the COVID-19 outbreak, social distancing and self-isolation have been suggested to generate a burden throughout the population. To provide scientific data to help identify risk factors for the psychosocial strain during the COVID-19 outbreak, an international cross-disciplinary online survey was circulated in April 2020. This report outlines the mental, emotional and behavioural consequences of COVID-19 home confinement. The ECLB-COVID19 electronic survey was designed by a steering group of multidisciplinary scientists, following a structured review of the literature. The survey was uploaded and shared on the Google online survey platform and was promoted by thirty-five research organizations from Europe, North Africa, Western Asia and the Americas. Questions were presented in a differential format with questions related to responses "before" and "during" the confinement period. 1047 replies (54% women) from Western Asia (36%), North Africa (40%), Europe (21%) and other continents (3%) were analysed. The COVID-19 home confinement evoked a negative effect on mental wellbeing and emotional status (P < 0.001; 0.43 ≤ d ≤ 0.65) with a greater proportion of individuals experiencing psychosocial and emotional disorders (+10% to +16.5%). These psychosocial tolls were associated with unhealthy lifestyle behaviours with a greater proportion of individuals experiencing (i) physical (+15.2%) and social (+71.2%) inactivity, (ii) poor sleep quality (+12.8%), (iii) unhealthy diet behaviours (+10%), and (iv) unemployment (6%). Conversely, participants demonstrated a greater use (+15%) of technology during the confinement period. These findings elucidate the risk of psychosocial strain during the COVID-19 home confinement period and provide a clear remit for the urgent implementation of technology-based intervention to foster an Active and Healthy Confinement Lifestyle AHCL).

2019-20 coronavirus outbreak · Coronavirus disease 2019 (COVID-19) · Mental health · Outbreak · Psychiatry · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) · Climate Change and Health Impacts · COVID-19 and Mental Health · Internal Medicine · Medicine · Psychological Well-being and Life Satisfaction · Virology

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