Effects of home confinement on mental health and lifestyle behaviours during the COVID-19 outbreak: Insight from the ECLB-COVID19 multicenter study

Achraf Ammar(University of Sfax), Khaled Trabelsi(University of Sfax), Michael Brach(University of Münster), Hamdi Chtourou(University of Sfax), Omar Boukhris(University of Sfax), Liwa Masmoudi(University of Sfax), Bassem Bouaziz(University of Sfax), Ellen Bentlage(University of Münster), Daniella How(University of Münster), Mona Ahmed(University of Münster), Patrick J. Mueller(German Center for Neurodegenerative Diseases), Notger Mueller(Otto-von-Guericke University Magdeburg), Omar Hammouda(Otto-von-Guericke University Magdeburg), Laisa Liane Paineiras-Domingos(Universidade do Estado do Rio de Janeiro), Annemarie Braakman‐Jansen(University of Twente), Christian Wrede(University of Twente), Sophia Bastoni(University of Twente), Carlos Soares Pernambuco(Estácio (Brazil)), Leonardo José Mataruna-Dos-Santos(Canadian University of Dubai), Morteza Taheri(Imam Khomeini International University), Khadijeh Irandoust(Imam Khomeini International University), Aïmen Khacharem(Université Paris-Est Créteil), Nicola Luigi Bragazzi(York University), Jana Strahler(Giessen School of Theology), Jad Adrian(Kuala Lumpur Sports Medicine Centre), Albina Andreeva, Jordan M. Glenn(University of Arkansas at Fayetteville), Nicholas T. Bott(Stanford University), Faı̈ez Gargouri(University of Sfax), Lotfi Chaâri(University of Münster), Hadj Batatia(Institut de Recherche en Informatique de Toulouse), Samira khoshnami(Université Paris Nanterre), Evangelia Samara(Onassis Cardiac Surgery Center), Vasiliki Zisi(University of Thessaly), Parasanth Sankar, Waseem Ahmed, Gamal Mohamed Ali(Otto-von-Guericke University Magdeburg), Osama Abdelkarim(Karlsruhe Institute of Technology), Mohamed Jarraya(University of Sfax), Kaïs El Abed(University of Sfax), Wassim Moalla(University of Sfax), Mohamed Romdhani, Asma Aloui, Nizar Souissi, Julia E.W.C. van Gemert‐Pijnen(University of Sfax), Bryan L. Riemann(Georgia Southern University), Laurel Riemann, Jan Delhey(Otto-von-Guericke University Magdeburg), Jonathan Gómez‐Raja(University Medical Center Groningen), Monique Epstein(Assiut University), Robbert Sanderman(University of Groningen), Sebastian Viktor Waldemar Schulz(Assiut University), Achim Jerg(Assiut University), Ramzi Al-Horani(Yarmouk University), Taiysir Mansi(Assiut University), Mohamed Jmail(Otto-von-Guericke University Magdeburg), Fernando Barbosa(Otto-von-Guericke University Magdeburg), Fernando Ferreira‐Santos(Assiut University), Boštjan Šimunič(Otto-von-Guericke University Magdeburg), Rado Pišot(Assiut University), Saša Pišot(PUH Team (Slovenia)), Andrea Gaggioli(Assiut University), Piotr Żmijewski(Otto-von-Guericke University Magdeburg), Stephen J. Bailey(Assiut University), Jürgen M. Steinacker(Assiut University), Karim Chamari(Assiut University), Tarak Driss(Assiut University), Anita Höekelmann(Otto-von-Guericke University Magdeburg)
Biology of Sport
August 26, 2020
10.5114/biolsport.2020.96857
Cited by 379Open Access
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Abstract

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).

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