Sleep Quality and Physical Activity as Predictors of Mental Wellbeing Variance in Older Adults during COVID-19 Lockdown- ECLB COVID-19 International Online Survey.pdf (797.87 kB)
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Sleep quality and physical activity as predictors of mental wellbeing variance in older adults during COVID-19 lockdown: ECLB COVID-19 international online survey

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posted on 10.05.2021, 12:46 authored by 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 Elghoul, Mohamed Romdhani, Omar Hammouda, Laisa Liane Paineiras-Domingos, Annemarie Braakman-Jansen, Christian Wrede, Sofia Bastoni, Carlos Soares Pernambuco, Leonardo Jose Mataruna-Dos-Santos, Morteza Taheri, Khadijeh Irandoust, Nicola L. Bragazzi, Jana Strahler, Jad Adrian Washif, Albina Andreeva, Stephen BaileyStephen 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 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 Steinacker, Piotr Zmijewski, Christian Apfelbacher, Jordan M. Glenn, Aïmen Khacharem, Cain C.T. Clark, Helmi Ben Saad, Karim Chamari, Tarak Driss, Anita Hoekelmann
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.



  • Sport, Exercise and Health Sciences

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International Journal of Environmental Research and Public Health








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This is an Open Access Article. It is published by MDPI under the Creative Commons Attribution 4.0 International Licence (CC BY 4.0). Full details of this licence are available at

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Dr Stephen Bailey. Deposit date: 8 May 2021

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