tetano
Editor, Senior Moderator
J Med Internet Res
. 2020 Aug 2.
doi: 10.2196/21176. Online ahead of print.
The impact of coronavirus disease (COVID-19) epidemic on lifestyle behaviors and their association with subjective wellbeing among the general population in the Mainland China: a cross-sectional study
Zhao Hu[SUP] 1 [/SUP], Xuhui Lin[SUP] 1 [/SUP], Atipatsa Chiwanda Kaminga[SUP] 2 3 [/SUP], Huilan Xu[SUP] 4 [/SUP]
Affiliations
Abstract
Background: The world is experiencing an extraordinary, life-altering challenge due to the coronavirus disease (COVID-19) pandemic. However, it is unclear whether the lifestyle will change under the situations of COVID-19 epidemic.
Objective: To explore perceived lifestyle changes, after the outbreak of COVID-19, and their association with subjective wellbeing (SWB) among the general population in the Mainland China.
Methods: An online survey was conducted through a media platform in May 2020. Lifestyle behaviors including leisure-time physical exercise, leisure-time screen time and dietary intake were self-reported. SWB was measured using the General Wellbeing Schedule (GWS). Other covariates including socio-demographic factors, self-rate physical health, perceived social support and loneliness were also assessed by a structured questionnaire. Multivariate ordinal regression method was used to analyze the association between SWB and lifestyle behaviors as well as perceived lifestyle changes.
Results: A total of 1,033 participants aged between 18 and 60 years were included in this study. The mean GWS score was 71.7 points and more than half of participants reported no perceived lifestyle changes. About 70% of the respondents reported spending more time on screen, whereas about 30% reported an increased frequency of vegetable and fruits intake after the outbreak of COVID-19. Physical inactivity (odds ratio(OR) =1.16,95% confidence interval (CI):1.02-1.48), infrequent vegetable intake (OR=1.45,95%CI: 1.10-1.90), infrequent fruits intake (OR=1.31,95%CI: 1.01-1.70) and often skipping breakfast (OR=1.43, 95%CI: 1.08-1.91) were associated with lower SWB after adjusting for socio-demographic factors, self-rate physical health, perceived social support and loneliness. Moreover, participants who perceived a decrease in the frequency of vegetable, fruits and breakfast intake were more likely to report lower SWB.
Conclusions: The COVID-19 pandemic may have positive or negative impact on some aspects of lifestyle behaviors. Both unhealthy lifestyle behaviors and negative lifestyle changes were associated with lower SWB. Therefore, these findings provide scientific information for the lifestyle guidelines in the management of COVID-19 as well as for the public mental health interventions.
. 2020 Aug 2.
doi: 10.2196/21176. Online ahead of print.
The impact of coronavirus disease (COVID-19) epidemic on lifestyle behaviors and their association with subjective wellbeing among the general population in the Mainland China: a cross-sectional study
Zhao Hu[SUP] 1 [/SUP], Xuhui Lin[SUP] 1 [/SUP], Atipatsa Chiwanda Kaminga[SUP] 2 3 [/SUP], Huilan Xu[SUP] 4 [/SUP]
Affiliations
- PMID: 32759103
- DOI: 10.2196/21176
Abstract
Background: The world is experiencing an extraordinary, life-altering challenge due to the coronavirus disease (COVID-19) pandemic. However, it is unclear whether the lifestyle will change under the situations of COVID-19 epidemic.
Objective: To explore perceived lifestyle changes, after the outbreak of COVID-19, and their association with subjective wellbeing (SWB) among the general population in the Mainland China.
Methods: An online survey was conducted through a media platform in May 2020. Lifestyle behaviors including leisure-time physical exercise, leisure-time screen time and dietary intake were self-reported. SWB was measured using the General Wellbeing Schedule (GWS). Other covariates including socio-demographic factors, self-rate physical health, perceived social support and loneliness were also assessed by a structured questionnaire. Multivariate ordinal regression method was used to analyze the association between SWB and lifestyle behaviors as well as perceived lifestyle changes.
Results: A total of 1,033 participants aged between 18 and 60 years were included in this study. The mean GWS score was 71.7 points and more than half of participants reported no perceived lifestyle changes. About 70% of the respondents reported spending more time on screen, whereas about 30% reported an increased frequency of vegetable and fruits intake after the outbreak of COVID-19. Physical inactivity (odds ratio(OR) =1.16,95% confidence interval (CI):1.02-1.48), infrequent vegetable intake (OR=1.45,95%CI: 1.10-1.90), infrequent fruits intake (OR=1.31,95%CI: 1.01-1.70) and often skipping breakfast (OR=1.43, 95%CI: 1.08-1.91) were associated with lower SWB after adjusting for socio-demographic factors, self-rate physical health, perceived social support and loneliness. Moreover, participants who perceived a decrease in the frequency of vegetable, fruits and breakfast intake were more likely to report lower SWB.
Conclusions: The COVID-19 pandemic may have positive or negative impact on some aspects of lifestyle behaviors. Both unhealthy lifestyle behaviors and negative lifestyle changes were associated with lower SWB. Therefore, these findings provide scientific information for the lifestyle guidelines in the management of COVID-19 as well as for the public mental health interventions.