Globally altered sleep patterns and physical activity levels by confinement in 5056 individuals: ECLB COVID-19 international online survey

Khaled Trabelsi(University of Sfax), Achraf Ammar(Otto-von-Guericke University Magdeburg), Liwa Masmoudi(University of Sfax), Omar Boukhris(University of Sfax), Hamdi Chtourou(University of Sfax), Bassem Bouaziz(University of Sfax), Michael Brach(University of Münster), 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(Hôpital Farhat Hached), Hsen Hsouna(German Center for Neurodegenerative Diseases), Mohamed Romdhani, Omar Hammouda(University of Sfax), Laisa Liane Paineiras-Domingos(Faculdade Brasil), Annemarie Braakman‐Jansen(University of Twente), Christian Wrede(University of Twente), Sophia Bastoni(Università Cattolica del Sacro Cuore), Carlos Soares Pernambuco(Estácio (Brazil)), Leonardo José Mataruna-Dos-Santos(Institut für Psychologische Psychotherapie), Morteza Taheri(Imam Khomeini International University), Khadijeh Irandoust(Imam Khomeini International University), Aïmen Khacharem(Université Paris-Est Créteil), Nicola Luigi Bragazzi(University of Genoa), Jana Strahler(Justus-Liebig-Universität Gießen), Jad Adrian Washif(Kuala Lumpur Sports Medicine Centre), Albina Andreeva, Stephen J. Bailey(Loughborough University), Jarred P. Acton(Loughborough University), Emma Mitchell(Loughborough University), Nicholas T. Bott(Stanford University), Faı̈ez Gargouri(University of Münster), Lotfi Chaâri(École Nationale Supérieure d'Électrotechnique, d'Électronique, d'Informatique, d'Hydraulique et des Télécommunications), Hadj Batatia(Institut National Polytechnique 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(Institut für Psychologische Psychotherapie), Osama Abdelkarim(Assiut University), Mohamed Jarraya(University of Sfax), Kaïs El Abed(Assiut University), Wassim Moalla(University of Sfax), Nafaa Souissi(University of Sfax), Asma Aloui(University of Sfax), Nizar Souissi(University of Sfax), Julia E.W.C. van Gemert‐Pijnen(University of Twente), Bryan L. Riemann(Georgia Southern University), Laurel Riemann, Jan Delhey(Otto-von-Guericke University Magdeburg), Jonathan Gómez‐Raja(Government of Extremadura), Monique Epstein, Robbert Sanderman(University Medical Center Groningen), Sebastian Viktor Waldemar Schulz(University Hospital Ulm), Achim Jerg(University Hospital Ulm), Ramzi Al-Horani(Yarmouk University), Taiysir Mansi(University of Jordan), Ismail Dergaa(Primary Health Care), Mohamed Jmail(Digital Research Centre of Sfax), Fernando Barbosa(Universidade do Porto), Fernando Ferreira‐Santos(Universidade do Porto), Boštjan Šimunič(PUH Team (Slovenia)), Rado Pišot(PUH Team (Slovenia)), Saša Pišot(PUH Team (Slovenia)), Andrea Gaggioli(Università Cattolica del Sacro Cuore), Jürgen M. Steinacker(University Hospital Ulm), Piotr Żmijewski(Instytut Sportu), Cain C. T. Clark(Intelligent Health (United Kingdom)), Christian Apfelbacher(Otto-von-Guericke University Magdeburg), Jordan M. Glenn(University of Arkansas at Fayetteville), Helmi Ben Saad(Hôpital Farhat Hached), Karim Chamari(Qatar Orthopaedic and Sports Medicine Hospital), Tarak Driss(Laboratoire interdisciplinaire en neurosciences, physiologie et psychologie), Anita Höekelmann(Otto-von-Guericke University Magdeburg)
Biology of Sport
January 1, 2021
10.5114/biolsport.2021.101605
Cited by 176Open Access
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Abstract

Symptoms of psychological distress and disorder have been widely reported in people under quarantine during the COVID-19 pandemic; in addition to severe disruption of peoples' daily activity and sleep patterns. This study investigates the association between physical-activity levels and sleep patterns in quarantined individuals. An international Google online survey was launched in April 6 th , 2020 for 12-weeks. Forty-one research organizations from Europe, North-Africa, Western-Asia, and the Americas promoted the survey through their networks to the general society, which was made available in 14 languages. The survey was presented in a differential format with questions related to responses "before" and "during" the confinement period. Participants responded to the Pittsburgh Sleep Quality Index (PSQI) questionnaire and the short form of the International Physical Activity Questionnaire. 5056 replies (59.4% female), from Europe (46.4%), Western-Asia (25.4%), America (14.8%) and North-Africa (13.3%) were analysed. The COVID-19 home confinement led to impaired sleep quality, as evidenced by the increase in the global PSQI score (4.37 2.71 before home confinement vs. 5.32 3.23 during home confinement) (p < 0.001). The frequency of individuals experiencing a good sleep decreased from 61% (n = 3063) before home confinement to 48% (n = 2405) during home confinement with highly active individuals experienced better sleep quality (p < 0.001) in both conditions. Time spent engaged in all physical-activity and the metabolic equivalent of task in each physical-activity category (i.e., vigorous, moderate, walking) decreased significantly during COVID-19 home confinement (p < 0.001). The number of hours of daily-sitting increased by ~2 hours/days during home confinement (p < 0.001). COVID-19 home confinement resulted in significantly negative alterations in sleep patterns and physical-activity levels. To maintain health during home confinement, physical-activity promotion and sleep hygiene education and support are strongly warranted.

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