Moderate physical activity is associated with lower depression, anxiety and stress in health-care workers during the COVID-19 pandemic

Health-care workers are in high risk for COVID-19 and may experience associated mental health disturbances. Although physical activity (PA) has positive effects on mental disturbances, it has not been fully investigated in health-team during COVID-19 pandemic. Therefore, we analyzed depression, anxi...

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Veröffentlicht in:Journal of psychosomatic research 2023-11, Vol.174, p.111488-111488, Article 111488
Hauptverfasser: Martín-del-Campo, Fabiola, Ramírez-Pineda, Jorge L., Ávila-Cornejo, Rosa M., Gutiérrez-Casillas, Sophia B., Sánchez-Soriano, Artemio, Cueto Manzano, Alfonso M.
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container_title Journal of psychosomatic research
container_volume 174
creator Martín-del-Campo, Fabiola
Ramírez-Pineda, Jorge L.
Ávila-Cornejo, Rosa M.
Gutiérrez-Casillas, Sophia B.
Sánchez-Soriano, Artemio
Cueto Manzano, Alfonso M.
description Health-care workers are in high risk for COVID-19 and may experience associated mental health disturbances. Although physical activity (PA) has positive effects on mental disturbances, it has not been fully investigated in health-team during COVID-19 pandemic. Therefore, we analyzed depression, anxiety and stress in health-care workers, and their relationship with PA before and during a COVID-19 peak. Retrospective cohort study. PA (IPAQ short-form) evaluated and associated with depression, anxiety and stress (DAAS-21) at the beginning of COVID-19 first wave in Mexico (April 2020) in 1146 workers of a tertiary-care hospital, and in a subsequent occasion at the first wave peak (July–August/2020) in 311 workers (from the first ones). Data collected from routine surveillance. Depression increased 9%, anxiety 15%, and stress 10% at the pandemic peak. Subjects with higher frequency of baseline moderate PA showed lower severity of depression, anxiety and stress at the peak (p 
doi_str_mv 10.1016/j.jpsychores.2023.111488
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Although physical activity (PA) has positive effects on mental disturbances, it has not been fully investigated in health-team during COVID-19 pandemic. Therefore, we analyzed depression, anxiety and stress in health-care workers, and their relationship with PA before and during a COVID-19 peak. Retrospective cohort study. PA (IPAQ short-form) evaluated and associated with depression, anxiety and stress (DAAS-21) at the beginning of COVID-19 first wave in Mexico (April 2020) in 1146 workers of a tertiary-care hospital, and in a subsequent occasion at the first wave peak (July–August/2020) in 311 workers (from the first ones). Data collected from routine surveillance. Depression increased 9%, anxiety 15%, and stress 10% at the pandemic peak. Subjects with higher frequency of baseline moderate PA showed lower severity of depression, anxiety and stress at the peak (p &lt; 0.05). At the pandemic peak, female sex (OR = 2.42, 95%CI 1.14–5.13), diabetes (OR = 21.9, 95%CI 2.09–221) and baseline depression (OR = 8.86, 95%CI 4.30–18.2) predicted depression; baseline anxiety (OR = 5.52, 95%CI 3.01–10.1), working in COVID-19 area (OR = 4.14, 95%CI 1.99–8.64), and baseline moderate PA (OR = 0.35, 95%CI 0.16–0.73) predicted anxiety; and baseline stress (OR = 8.64, 95%CI 4.11–18.2), and moderate PA (OR = 0.35, 95%CI 0.15–0.82) predicted stress. Depression, stress, and particularly anxiety, increased in health-care workers from the beginning to the COVID-19 pandemic peak, and were predicted by the presence of the corresponding baseline mental alterations, and in the case of anxiety and stress, by the lower frequency of moderate PA. •Mental health disorders increased at the COVID-19 pandemic in health-care workers•Anxiety was the most frequent and severe disorder in health-care workers•Moderate physical activity was associated with lower severity of depression, anxiety and stress•These findings would help to develop interventions to prevent mental health disorders</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2023.111488</identifier><language>eng</language><publisher>Elsevier Inc</publisher><subject>Anxiety ; COVID-19 pandemic ; Depression ; Healthcare workers ; Physical activity ; Psychological stress</subject><ispartof>Journal of psychosomatic research, 2023-11, Vol.174, p.111488-111488, Article 111488</ispartof><rights>2023 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c351t-332fe8888a0cd285fb01a8a6020d534c9bc0190f28ddaa1a223aa08c4893dc6e3</citedby><cites>FETCH-LOGICAL-c351t-332fe8888a0cd285fb01a8a6020d534c9bc0190f28ddaa1a223aa08c4893dc6e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpsychores.2023.111488$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids></links><search><creatorcontrib>Martín-del-Campo, Fabiola</creatorcontrib><creatorcontrib>Ramírez-Pineda, Jorge L.</creatorcontrib><creatorcontrib>Ávila-Cornejo, Rosa M.</creatorcontrib><creatorcontrib>Gutiérrez-Casillas, Sophia B.</creatorcontrib><creatorcontrib>Sánchez-Soriano, Artemio</creatorcontrib><creatorcontrib>Cueto Manzano, Alfonso M.</creatorcontrib><title>Moderate physical activity is associated with lower depression, anxiety and stress in health-care workers during the COVID-19 pandemic</title><title>Journal of psychosomatic research</title><description>Health-care workers are in high risk for COVID-19 and may experience associated mental health disturbances. Although physical activity (PA) has positive effects on mental disturbances, it has not been fully investigated in health-team during COVID-19 pandemic. Therefore, we analyzed depression, anxiety and stress in health-care workers, and their relationship with PA before and during a COVID-19 peak. Retrospective cohort study. PA (IPAQ short-form) evaluated and associated with depression, anxiety and stress (DAAS-21) at the beginning of COVID-19 first wave in Mexico (April 2020) in 1146 workers of a tertiary-care hospital, and in a subsequent occasion at the first wave peak (July–August/2020) in 311 workers (from the first ones). Data collected from routine surveillance. Depression increased 9%, anxiety 15%, and stress 10% at the pandemic peak. Subjects with higher frequency of baseline moderate PA showed lower severity of depression, anxiety and stress at the peak (p &lt; 0.05). At the pandemic peak, female sex (OR = 2.42, 95%CI 1.14–5.13), diabetes (OR = 21.9, 95%CI 2.09–221) and baseline depression (OR = 8.86, 95%CI 4.30–18.2) predicted depression; baseline anxiety (OR = 5.52, 95%CI 3.01–10.1), working in COVID-19 area (OR = 4.14, 95%CI 1.99–8.64), and baseline moderate PA (OR = 0.35, 95%CI 0.16–0.73) predicted anxiety; and baseline stress (OR = 8.64, 95%CI 4.11–18.2), and moderate PA (OR = 0.35, 95%CI 0.15–0.82) predicted stress. Depression, stress, and particularly anxiety, increased in health-care workers from the beginning to the COVID-19 pandemic peak, and were predicted by the presence of the corresponding baseline mental alterations, and in the case of anxiety and stress, by the lower frequency of moderate PA. •Mental health disorders increased at the COVID-19 pandemic in health-care workers•Anxiety was the most frequent and severe disorder in health-care workers•Moderate physical activity was associated with lower severity of depression, anxiety and stress•These findings would help to develop interventions to prevent mental health disorders</description><subject>Anxiety</subject><subject>COVID-19 pandemic</subject><subject>Depression</subject><subject>Healthcare workers</subject><subject>Physical activity</subject><subject>Psychological stress</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqFkM-OEzEMxiMEEmXhHXLkwBQn6cwmRyj_Vlq0F-AaeRMPkzKdDHG6pS_AczNVkTjiiyX7-z7LPyGkgrUC1b3erXczn8KQC_FagzZrpdTG2kdipey1a5Tp4LFYAWjdGOfcU_GMeQcAndPtSvz-nCMVrCTn4cQp4Cgx1PSQ6kkmlsicQ1rWUR5THeSYj1RkpHm5xilPryROvxItYpyi5HoeyzTJgXCsQxOwkDzm8oMKy3goafou60Bye_ft5l2jnJwXG-1TeC6e9Dgyvfjbr8TXD--_bD81t3cfb7ZvbptgWlUbY3RPdimEELVt-3tQaLEDDbE1m-DuAygHvbYxIirU2iCCDRvrTAwdmSvx8pI7l_zzQFz9PnGgccSJ8oG9tp257lpwepHaizSUzFyo93NJeywnr8Cf0fud_4fen9H7C_rF-vZipeWVh0TFc0g0BYqpUKg-5vT_kD8tJ5Sx</recordid><startdate>202311</startdate><enddate>202311</enddate><creator>Martín-del-Campo, Fabiola</creator><creator>Ramírez-Pineda, Jorge L.</creator><creator>Ávila-Cornejo, Rosa M.</creator><creator>Gutiérrez-Casillas, Sophia B.</creator><creator>Sánchez-Soriano, Artemio</creator><creator>Cueto Manzano, Alfonso M.</creator><general>Elsevier Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202311</creationdate><title>Moderate physical activity is associated with lower depression, anxiety and stress in health-care workers during the COVID-19 pandemic</title><author>Martín-del-Campo, Fabiola ; Ramírez-Pineda, Jorge L. ; Ávila-Cornejo, Rosa M. ; Gutiérrez-Casillas, Sophia B. ; Sánchez-Soriano, Artemio ; Cueto Manzano, Alfonso M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c351t-332fe8888a0cd285fb01a8a6020d534c9bc0190f28ddaa1a223aa08c4893dc6e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anxiety</topic><topic>COVID-19 pandemic</topic><topic>Depression</topic><topic>Healthcare workers</topic><topic>Physical activity</topic><topic>Psychological stress</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martín-del-Campo, Fabiola</creatorcontrib><creatorcontrib>Ramírez-Pineda, Jorge L.</creatorcontrib><creatorcontrib>Ávila-Cornejo, Rosa M.</creatorcontrib><creatorcontrib>Gutiérrez-Casillas, Sophia B.</creatorcontrib><creatorcontrib>Sánchez-Soriano, Artemio</creatorcontrib><creatorcontrib>Cueto Manzano, Alfonso M.</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martín-del-Campo, Fabiola</au><au>Ramírez-Pineda, Jorge L.</au><au>Ávila-Cornejo, Rosa M.</au><au>Gutiérrez-Casillas, Sophia B.</au><au>Sánchez-Soriano, Artemio</au><au>Cueto Manzano, Alfonso M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Moderate physical activity is associated with lower depression, anxiety and stress in health-care workers during the COVID-19 pandemic</atitle><jtitle>Journal of psychosomatic research</jtitle><date>2023-11</date><risdate>2023</risdate><volume>174</volume><spage>111488</spage><epage>111488</epage><pages>111488-111488</pages><artnum>111488</artnum><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>Health-care workers are in high risk for COVID-19 and may experience associated mental health disturbances. Although physical activity (PA) has positive effects on mental disturbances, it has not been fully investigated in health-team during COVID-19 pandemic. Therefore, we analyzed depression, anxiety and stress in health-care workers, and their relationship with PA before and during a COVID-19 peak. Retrospective cohort study. PA (IPAQ short-form) evaluated and associated with depression, anxiety and stress (DAAS-21) at the beginning of COVID-19 first wave in Mexico (April 2020) in 1146 workers of a tertiary-care hospital, and in a subsequent occasion at the first wave peak (July–August/2020) in 311 workers (from the first ones). Data collected from routine surveillance. Depression increased 9%, anxiety 15%, and stress 10% at the pandemic peak. Subjects with higher frequency of baseline moderate PA showed lower severity of depression, anxiety and stress at the peak (p &lt; 0.05). At the pandemic peak, female sex (OR = 2.42, 95%CI 1.14–5.13), diabetes (OR = 21.9, 95%CI 2.09–221) and baseline depression (OR = 8.86, 95%CI 4.30–18.2) predicted depression; baseline anxiety (OR = 5.52, 95%CI 3.01–10.1), working in COVID-19 area (OR = 4.14, 95%CI 1.99–8.64), and baseline moderate PA (OR = 0.35, 95%CI 0.16–0.73) predicted anxiety; and baseline stress (OR = 8.64, 95%CI 4.11–18.2), and moderate PA (OR = 0.35, 95%CI 0.15–0.82) predicted stress. Depression, stress, and particularly anxiety, increased in health-care workers from the beginning to the COVID-19 pandemic peak, and were predicted by the presence of the corresponding baseline mental alterations, and in the case of anxiety and stress, by the lower frequency of moderate PA. •Mental health disorders increased at the COVID-19 pandemic in health-care workers•Anxiety was the most frequent and severe disorder in health-care workers•Moderate physical activity was associated with lower severity of depression, anxiety and stress•These findings would help to develop interventions to prevent mental health disorders</abstract><pub>Elsevier Inc</pub><doi>10.1016/j.jpsychores.2023.111488</doi><tpages>1</tpages></addata></record>
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subjects Anxiety
COVID-19 pandemic
Depression
Healthcare workers
Physical activity
Psychological stress
title Moderate physical activity is associated with lower depression, anxiety and stress in health-care workers during the COVID-19 pandemic
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