The Effect of COVID-19 Lockdown on Lifestyle and Mood in Croatian General Population: a Cross-sectional Study

Overview

Journal Croat Med J

Specialty General Medicine

Date 2020 Sep 4

PMID 32881428

Citations 70

Authors

Zoran Dogas

Linda Lusic Kalcina

Ivana Pavlinac Dodig

Sijana Demirovic

Katarina Madirazza

Maja Valic

Renata Pecotic

Affiliations

Soon will be listed here.

Abstract

Aim: To investigate the effect of the coronavirus 2019 (COVID-19) lockdown on lifestyle behaviors and mood changes in the Croatian general population.

Methods: During ten days of the COVID-19 lockdown in Croatia, 3027 respondents (70.3% female) from the general population completed an online, self-report questionnaire. Demographic data and data on lifestyle habits and mood changes before and during the COVID-19 lockdown were collected.

Results: A total of 95.64% of respondents reported to follow most or all restrictions, with female sex (P<0.001) and higher education level (P<0.001) being associated with higher restriction compliance. Women smoked an increased number of cigarettes (P<0.001). The proportion of respondents of both sexes who did not drink or drank 7 drinks per week or more increased (P<0.001). Women also reported lower frequency (P=0.001) and duration of physical exercise (P<0.001). In total, 30.7% of respondents gained weight, with female sex (OR, 2.726) and higher BMI (OR, 1.116; both P<0.001) being associated with an increased likelihood of gaining weight. Both men and women felt more frequently afraid (P<0.001), discouraged (P<0.001), and sad (P<0.001).

Conclusion: Public health authorities should promote the adoption of healthy lifestyles in order to reduce long-term negative effects of the lockdown.

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References

Koob G, Kreek M . Stress, dysregulation of drug reward pathways, and the transition to drug dependence. Am J Psychiatry. 2007; 164(8):1149-59. PMC: 2837343. DOI: 10.1176/appi.ajp.2007.05030503. View

Heerfordt C, Heerfordt I . Has there been an increased interest in smoking cessation during the first months of the COVID-19 pandemic? A Google Trends study. Public Health. 2020; 183:6-7. PMC: 7167577. DOI: 10.1016/j.puhe.2020.04.012. View

Goethals L, Barth N, Guyot J, Hupin D, Celarier T, Bongue B . Impact of Home Quarantine on Physical Activity Among Older Adults Living at Home During the COVID-19 Pandemic: Qualitative Interview Study. JMIR Aging. 2020; 3(1):e19007. PMC: 7207013. DOI: 10.2196/19007. View

Chen P, Mao L, Nassis G, Harmer P, Ainsworth B, Li F . Coronavirus disease (COVID-19): The need to maintain regular physical activity while taking precautions. J Sport Health Sci. 2020; 9(2):103-104. PMC: 7031771. DOI: 10.1016/j.jshs.2020.02.001. View

Patwardhan P . COVID-19: Risk of increase in smoking rates among England's 6 million smokers and relapse among England's 11 million ex-smokers. BJGP Open. 2020; 4(2). PMC: 7330228. DOI: 10.3399/bjgpopen20X101067. View

Balanza-Martinez V, Atienza-Carbonell B, Kapczinski F, De Boni R . Lifestyle behaviours during the COVID-19 - time to connect. Acta Psychiatr Scand. 2020; 141(5):399-400. PMC: 7264786. DOI: 10.1111/acps.13177. View

Bernstein M, Morabia A, Sloutskis D . Definition and prevalence of sedentarism in an urban population. Am J Public Health. 1999; 89(6):862-7. PMC: 1508634. DOI: 10.2105/ajph.89.6.862. View

Tate D, Lyons E, Valle C . High-tech tools for exercise motivation: use and role of technologies such as the internet, mobile applications, social media, and video games. Diabetes Spectr. 2015; 28(1):45-54. PMC: 4334081. DOI: 10.2337/diaspect.28.1.45. View

Halford J . Pharmacology of appetite suppression: implication for the treatment of obesity. Curr Drug Targets. 2001; 2(4):353-70. DOI: 10.2174/1389450013348209. View

10.

Sciomer S, Moscucci F, Maffei S, Gallina S, Mattioli A . Prevention of cardiovascular risk factors in women: The lifestyle paradox and stereotypes we need to defeat. Eur J Prev Cardiol. 2018; 26(6):609-610. DOI: 10.1177/2047487318810560. View

11.

Yang H, Ma J . How an Epidemic Outbreak Impacts Happiness: Factors that Worsen (vs. Protect) Emotional Well-being during the Coronavirus Pandemic. Psychiatry Res. 2020; 289:113045. PMC: 7190485. DOI: 10.1016/j.psychres.2020.113045. View

12.

Vetrani C, Costabile G, Di Marino L, Rivellese A . Nutrition and oxidative stress: a systematic review of human studies. Int J Food Sci Nutr. 2012; 64(3):312-26. DOI: 10.3109/09637486.2012.738651. View

13.

Owen N, Sparling P, Healy G, Dunstan D, Matthews C . Sedentary behavior: emerging evidence for a new health risk. Mayo Clin Proc. 2010; 85(12):1138-41. PMC: 2996155. DOI: 10.4065/mcp.2010.0444. View

14.

Liu N, Zhang F, Wei C, Jia Y, Shang Z, Sun L . Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry Res. 2020; 287:112921. PMC: 7102622. DOI: 10.1016/j.psychres.2020.112921. View

15.

Mikkelsen K, Stojanovska L, Polenakovic M, Bosevski M, Apostolopoulos V . Exercise and mental health. Maturitas. 2017; 106:48-56. DOI: 10.1016/j.maturitas.2017.09.003. View

16.

Clay J, Parker M . Alcohol use and misuse during the COVID-19 pandemic: a potential public health crisis?. Lancet Public Health. 2020; 5(5):e259. PMC: 7195126. DOI: 10.1016/S2468-2667(20)30088-8. View

17.

Mattioli A, Coppi F, Migaldi M, Scicchitano P, Ciccone M, Farinetti A . Relationship between Mediterranean diet and asymptomatic peripheral arterial disease in a population of pre-menopausal women. Nutr Metab Cardiovasc Dis. 2017; 27(11):985-990. DOI: 10.1016/j.numecd.2017.09.011. View

18.

Pan A, Wang Y, Talaei M, Hu F . Relation of Smoking With Total Mortality and Cardiovascular Events Among Patients With Diabetes Mellitus: A Meta-Analysis and Systematic Review. Circulation. 2015; 132(19):1795-804. PMC: 4643392. DOI: 10.1161/CIRCULATIONAHA.115.017926. View

19.

Narici M, De Vito G, Franchi M, Paoli A, Moro T, Marcolin G . Impact of sedentarism due to the COVID-19 home confinement on neuromuscular, cardiovascular and metabolic health: Physiological and pathophysiological implications and recommendations for physical and nutritional countermeasures. Eur J Sport Sci. 2020; 21(4):614-635. DOI: 10.1080/17461391.2020.1761076. View

20.

Underner M, Perriot J, Peiffer G, Meurice J . [Influence of tobacco smoking on the risk of developing asthma]. Rev Mal Respir. 2015; 32(2):110-37. DOI: 10.1016/j.rmr.2014.07.014. View