Atividade física nos sintomas de ansiedade durante a pandemia de COVID-19: uma revisão sistemática
DOI:
https://doi.org/10.1590/1980-0037.2023v25e91715Palavras-chave:
Isolamento Social, Saúde Mental, Atividade motoraResumo
Esta revisão sistemática teve como objetivo investigar o efeito da atividade física nos sintomas de ansiedade durante a pandemia de COVID-19. Foram pesquisadas três bases de dados (PubMed; Scopus e Web of Science) no período de 2020 a 2022 foram utilizados os seguintes termos base: “Physical Activity”, Exercise, Anxiety e COVID-19. Foram incluídos estudos primários, revisados por pares, publicados em inglês, português e espanhol usando medidas válidas e confiáveis. Dezoito estudos preencheram os critérios de elegibilidade, sendo 17 transversais, 2 estudos de coorte. O número de participantes variou de 43 a 2.301, com idade entre 18 e 65 anos ou mais. Uma diminuição na prática de AF ou um aumento no tempo sentado foram associados a níveis mais elevados de sintomas de ansiedade. Além disso, os participantes que não atendiam às recomendações de AF eram mais propensos a apresentar sintomas de ansiedade moderados a graves. Os resultados mostraram que a atividade física está associada ao alívio dos sintomas de ansiedade durante o confinamento na pandemia de COVID-19.
Referências
Sepúlveda-Loyola W, Rodríguez-Sánchez I, Pérez-Rodríguez P, Ganz F, Torralba R, Oliveira DV, et al. Impact of Social Isolation Due to COVID-19 on Health in Older People: Mental and Physical Effects and Recommendations. J Nutr Health Aging. 2020;24(9):938-947.
Vitorino LM, Yoshinari Júnior GH, Gonzaga G, Dias IF, Pereira JPL, Ribeiro IMG, et al. Factors associated with mental health and quality of life during the COVID-19 pandemic in Brazil. BJPsych Open. 2021;7(3):e70.
Askitas N, Tatsiramos K, Verheyden B. Estimating worldwide effects of non-pharmaceutical interventions on COVID-19 incidence and population mobility patterns using a multiple-event study. Sci Rep. 2021;11(1):1972.
Zhang SX, Wang Y, Rauch A, Wei F. Unprecedented disruption of lives and work: Health, distress and life satisfaction of working adults in China one month into the COVID-19 outbreak. Psychiatry Res. 2020 Jun;288:112958.
Stefan N, Birkenfeld AL, Schulze MB. Global pandemics interconnected — obesity, impaired metabolic health and COVID-19. Nat Rev Endocrinol. 2021;17(3):135–49.
Ahmed MZ, Ahmed O, Aibao Z, Hanbin S, Siyu L, Ahmad A. Epidemic of COVID-19 in China and associated Psychological Problems. Asian J Psychiatr. 2020 Jun;51:102092.
Hu S, Tucker L, Wu C, Yang L. Beneficial Effects of Exercise on Depression and Anxiety During the Covid-19 Pandemic: A Narrative Review. Front Psychiatry. 2020;11:580567.8.
Hossain MM, Tasnim S, Sultana A, Faizah F, Mazumder H, Zou L, et al. Epidemiology of mental health problems in COVID-19: A review. F1000Res. 2020;9:1–16.
Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M, et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: A systematic review and meta-analysis. Global Health. 2020;16(1):1–11.
Faisal RA, Jobe MC, Ahmed O, Sharker T. Mental Health Status, Anxiety, and Depression Levels of Bangladeshi University Students During the COVID-19 Pandemic. Int J Ment Health Addict. 2021; [in press].
Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet. 2020;395(10224):e37-8.
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20.
Rubin GJ, Wessely S. The psychological effects of quarantining a city. BMJ. 2020;368:m313.
Luo L, Li C, Deng Y, Wang Y, Meng P, Wang Q. High-Intensity Interval Training on Neuroplasticity, Balance between Brain-Derived Neurotrophic Factor and Precursor Brain-Derived Neurotrophic Factor in Poststroke Depression Rats. J Stroke Cerebrovasc Dis. 2019;28(3):672-82.
Taylor MR, Agho KE, Stevens GJ, Raphael B. Factors influencing psychological distress during a disease epidemic: Data from Australia’s first outbreak of equine influenza. BMC Public Health. 2008;8:347.
Wang Y, Xu B, Zhao G, Cao R, He X, Fu S. Is quarantine related to immediate negative psychological consequences during the 2009 H1N1 epidemic? Gen Hosp Psychiatry. 2011;33(1):75-7.
Liu X, Zhu M, Zhang R, Zhang J, Zhang C, Liu P, et al. Public mental health problems during COVID-19 pandemic: a large-scale meta-analysis of the evidence. Transl Psychiatry. 2021;11(1):67.
Puccinelli PJ, da Costa TS, Seffrin A, de Lira CAB, Vancini RL, Nikolaidis PT, et al. Correction to: Reduced level of physical activity during COVID-19 pandemic is associated with depression and anxiety levels: an internet-based survey (BMC Public Health, (2021), 21, 1, (425), 10.1186/s12889-021-10470-z). BMC Public Health. 2021;21(1):425.
Bartley CA, Hay M, Bloch MH. Meta-analysis: Aerobic exercise for the treatment of anxiety disorders. Prog Neuropsychopharmacol Biol Psychiatry. 2013;45:34-9.
Ensari I, Greenlee TA, Motl RW, Petruzzello SJ. Meta-analysis of acute exercise effects on state anxiety: An update of randomized controlled trials over the past 25 years. Depress Anxiety. 2015;32(8):624-34.
Jayakody K, Gunadasa S, Hosker C. Exercise for anxiety disorders: Systematic review. Br J Sports Med. 2014;48(3):187-96.
de Sousa RAL, Rocha-Dias I, de Oliveira LRS, Improta-Caria AC, Monteiro-Junior RS, Cassilhas RC. Molecular mechanisms of physical exercise on depression in the elderly: A systematic review. Mol Biol Rep. 2021;48(4):3853-62.
Parry DA, Oeppen RS, Amin MSA, Brennan PA. Could exercise improve mental health and cognitive skills for surgeons and other healthcare professionals? Br J Oral Maxillofac Surg. 2018;56(5):367-70.
Ranasinghe C, Ozemek C, Arena R. Exercise and well-being during COVID-19 - Time to boost your immunity. Expert Rev Anti Infect Ther. 2020;18(12):1195-200.
de Sousa RAL, Improta-Caria AC, Aras-Júnior R, de Oliveira EM, Soci ÚPR, Cassilhas RC. Physical exercise effects on the brain during COVID-19 pandemic: Links between mental and cardiovascular health. Neurol Sci. 2021;42(4):1325-34.
Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-1462.
Meira CM, Meneguelli KS, Leopoldo MPG, Florindo AA. Anxiety and Leisure-Domain Physical Activity Frequency, Duration, and Intensity During Covid-19 Pandemic. Front Psychol. 2020;11:603770.
Twining PK. Resources for staying active during the COVID-19 pandemic. Family Medicine Clerkship Projects. 641; 2021.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. PLoS Med. 2021;18(3):e1003583.
Al-Ajlouni YA, Park SH, Alawa J, Dodin B, Shamaileh G, Makarem N, et al. Staying Physically Active Is Associated with Better Mental Health and Sleep Health Outcomes during the Initial Period of COVID-19 Induced Nation-Wide Lockdown in Jordan. Int J Environ Res Public Health. 2022;19(2):776.
To QG, Vandelanotte C, Cope K, Khalesi S, Williams SL, Alley SJ, et al. The association of resilience with depression, anxiety, stress and physical activity during the COVID-19 pandemic. BMC Public Health. 2022;22(1):491.
Faulkner J, O’Brien WJ, McGrane B, Wadsworth D, Batten J, Askew CD, et al. Physical activity, mental health and well-being of adults during initial COVID-19 containment strategies: A multi-country cross-sectional analysis. J Sci Med Sport. 2021;24(4):320–6.
Faulkner J, O’brien WJ, Stuart B, Stoner L, Batten J, Wadsworth D, et al. Physical Activity, Mental Health and Wellbeing of Adults within and during the Easing of COVID‐19 Restrictions, in the United Kingdom and New Zealand. Int J Environ Res Public Health. 2022;19(3):1792.
Galli F, Giancamilli F, Palombi T, Vitale JA, Borghi S, de Maria A, et al. Anxiety, Motives, and Intention for Physical Activity during the Italian COVID-19 Lockdown: An Observational Longitudinal Study. Int J Environ Res Public Health. 2022;19(8):4689.
Silva DTC, Prado WL, Cucato GG, Correia MA, Ritti-Dias RM, Lofrano-Prado MC, et al. Impact of COVID-19 pandemic on physical activity level and screen time is associated with decreased mental health in Brazillian adults: A cross-sectional epidemiological study. Psychiatry Res. 2022;314:114657.
Joanna Briggs Institute. Checklist for analytical cross sectional studies. Joanna Briggs Institute Reviewer’s Manual [Internet]. 2017;1–7. Available from: http://joannabriggs.org/research/critical-appraisal-tools.
Wood CJ, Barton J, Smyth N. A cross-sectional study of physical activity behaviour and associations with wellbeing during the UK coronavirus lockdown. J Health Psychol. 2022;27(6):1432-1444.
Marashi MY, Nicholson E, Ogrodnik M, Fenesi B, Heisz JJ. A mental health paradox: Mental health was both a motivator and barrier to physical activity during the COVID-19 pandemic. PLoS One. 2021;16:1–20.
Coakley KE, Lardier DT, Holladay KR, Amorim FT, Zuhl MN. Physical Activity Behavior and Mental Health Among University Students During COVID-19 Lockdown. Front Sports Act Living. 2021;3:1–8.
Kua Z, Hamzah F, Tan PT, Ong LJ, Tan B, Huang Z. Physical activity levels and mental health burden of healthcare workers during COVID-19 lockdown. Stress Health. 2021;[Epub ahead of print].
Pears M, Kola-Palmer S, de Azevedo LB. The impact of sitting time and physical activity on mental health during COVID-19 lockdown. Sport Sci Health. 2021;[Epub ahead of print].
Antunes R, Rebelo-Gonçalves R, Amaro N, Salvador R, Matos R, Morouço P, et al. Higher Physical Activity Levels May Help Buffer the Negative Psychological Consequences of Coronavirus Disease 2019 Pandemic. Front Psychol. 2021;12:621245.
Peterson JA, Chesbro G, Larson R, Larson D, Black CD. Short-Term Analysis (8 Weeks) of Social Distancing and Isolation on Mental Health and Physical Activity Behavior During COVID-19. Front Psychol. 2021;12:636409.
Lewis R, Roden LC, Scheuermaier K, Gomez-Olive FX, Rae DE, Iacovides S, et al. The impact of sleep, physical activity and sedentary behaviour on symptoms of depression and anxiety before and during the COVID-19 pandemic in a sample of South African participants. Sci Rep. 2021;11(1):10448.
Haider S, Smith L, Markovic L, Schuch FB, Sadarangani KP, Sanchez GFL, et al. Associations between physical activity, sitting time, and time spent outdoors with mental health during the first COVID-19 lockdown in Austria. Int J Environ Res Public Health. 2021;18(17):8790.46.
Schuch FB, Bulzing RA, Meyer J, Vancampfort D, Firth J, Stubbs B, et al. Associations of moderate to vigorous physical activity and sedentary behavior with depressive and anxiety symptoms in self-isolating people during the COVID-19 pandemic: A cross-sectional survey in Brazil. Psychiatry Res. 2020;292:113339.
Rogowska AM, Kuśnierz C, Ochnik D. Changes in Stress, Coping Styles, and Life Satisfaction between the First and Second Waves of the COVID-19 Pandemic: A Longitudinal Cross-Lagged Study in a Sample of University Students. J Clin Med. 2021;10(17):4025.
Xiang YT, Zhao YJ, Liu ZH, Li XH, Zhao N, Cheung T, et al. The COVID-19 outbreak and psychiatric hospitals in China: Managing challenges through mental health service reform. Int J Biol Sci. 2020;16(10):1741-4.
Lesser IA, Nienhuis CP. The impact of COVID-19 on physical activity behavior and well-being of Canadians. Int J Environ Res Public Health. 2020;17(11):3899.
Jacob L, Tully MA, Barnett Y, Lopez-Sanchez GF, Butler L, Schuch F, et al. The relationship between physical activity and mental health in a sample of the UK public: A cross-sectional study during the implementation of COVID-19 social distancing measures. Ment Health Phys Act. 2020;19:100345.
Ozdemir F, Cansel N, Kizilay F, Guldogan E, Ucuz I, Sinanoglu B, et al. The role of physical activity on mental health and quality of life during COVID-19 outbreak: A cross-sectional study. Eur J Integr Med. 2020;40:101248.
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