COVID-19, Psychological Well-being and Physical Activity Levels in Older Adults During the Nationwide Lockdown in Spain

Am J Geriatr Psychiatry. 2020 Nov;28(11):1146-1155. doi: 10.1016/j.jagp.2020.08.007. Epub 2020 Aug 22.

Abstract

Objective: The novel coronavirus disease (COVID-19) has forced nationwide lockdowns in many countries. As a result, most of the Spanish population had to self-isolate at home. The physical and psychological consequences of this unexpected scenario could be particularly worrisome for people older than 60 years. This study is aimed to examine the psychological well-being of older adults during the home isolation due to the COVID-19 pandemic and to investigate whether meeting the World Health Organization's global recommendations on physical activity (PA) for health is associated with their resilience, affect, and depressive symptoms.

Design, setting, and participants: In this cross-sectional study, a total of 483 citizens whose ages ranged from 60 to 92 years (overall sample: M = 65.49, SD = 5.14) were recruited via a snowball sampling strategy to answer to an online questionnaire.

Measurements: The four instruments used were The Connor-Davidson CD-RISC resilience scale, The Positive and Negative Affect Schedule, the six-item self-report scale of Depressive Symptoms, and The international Physical Activity Questionnaire.

Results: Results showed that older adults who regularly engaged in vigorous (VPA) and moderate-vigorous physical activity (MVPA) during the quarantine reported higher scores in resilience (Locus, Self-efficacy, and Optimism), positive affect, and lower in depressive symptoms.

Conclusion: These finding are the first quantitative evidence pointing toward a link between engagement in VPA and/or MVPA and resilience, positive affect, and depressive symptoms within the COVID-19 restrictions in Spain. Acknowledging these associations may be important in developing health promotion programs for older people during the remaining period of confinement or future ones.

Keywords: Home-isolation; mental health; mental well-being; quarantine; vigorous physical activity.

MeSH terms

  • Affect*
  • Aged
  • Aging* / physiology
  • Aging* / psychology
  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections* / epidemiology
  • Coronavirus Infections* / psychology
  • Cross-Sectional Studies
  • Depression* / diagnosis
  • Depression* / epidemiology
  • Exercise / psychology*
  • Female
  • Geriatric Assessment / methods
  • Humans
  • Male
  • Mental Health / trends
  • Pandemics*
  • Pneumonia, Viral* / epidemiology
  • Pneumonia, Viral* / psychology
  • Psychiatric Status Rating Scales
  • Resilience, Psychological*
  • SARS-CoV-2
  • Sedentary Behavior
  • Social Isolation / psychology*
  • Spain / epidemiology
  • Surveys and Questionnaires