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

Trabelsi K 1 , Ammar A 2 , Masmoudi L 1 , Boukhris O 1 , Chtourou H 1 , Bouaziz B 3 Show all authors , Brach M 4 , Bentlage E 4 , How D 4 , Ahmed M 4 , Mueller P 5 , Mueller N 5 , Hsouna H 1 , Romdhani M 6 , Hammouda O 1 , Paineiras-Domingos LL 7 , Braakman-Jansen A 8 , Wrede C 8 , Bastoni S 8 , Pernambuco CS 9 , Mataruna-Dos-Santos LJ 10 , Taheri M 11 , Irandoust K 11 , Khacharem A 12 , Bragazzi NL 13 , Strahler J 14 , Adrian Washif J 15 , Andreeva A 16 , Bailey SJ 17 , Acton J 17 , Mitchell E 17 , Bott NT 18 , Gargouri F 4 , Chaari L 19 , Batatia H 19 , Khoshnami SC 20 , Samara E 21 , Zisi V 22 , Sankar P 23 , Ahmed WN 24 , Ali GM 25 , Abdelkarim O 25 , Jarraya M 1 , El Abed K 1 , Moalla W 1 , Souissi N 1 , Aloui A 6 , Souissi N 6 , Gemert-Pijnen LV 8 , Riemann BL 26 , Riemann L 27 , Delhey J 28 , Gómez-Raja J 29 , Epstein M 30 , Sanderman R 31 , Schulz S 32 , Jerg A 32 , Al-Horani R 33 , Mansi T 34 , Dergaa I 35 , Jmail M 36 , Barbosa F 37 , Ferreira-Santos F 37 , Šimunič B 38 , Pišot R 38 , Pišot S 38 , Gaggioli A 39 , Steinacker J 32 , Zmijewski P 40 , Clark CCT 41 , Apfelbacher C 42 , Glenn JM 43 , Saad HB 44 , Chamari K 45 , Driss T 46 , Hoekelmann A 2

Affiliations 

  • 1 High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
  • 2 Institute of Sport Science, Otto-von-Guericke University, 39106, Magdeburg, Germany
  • 3 Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia
  • 4 Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
  • 5 Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
  • 6 Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
  • 7 Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
  • 8 Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherland
  • 9 Laboratório de Fisiologia do Exercício, Estácio de Sá University, Brasil
  • 10 Canadian University of Dubai, Faculty of Management, Department of Sport Management, United Arab Emirates, UAE
  • 11 Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran
  • 12 UVHC, DeVisu, Valenciennes ; LIRTES-EA 7313. Université Paris Est Créteil Val de Marne, France
  • 13 Department of Health Sciences, Postgraduate School of Public Health, University of Genoa, Genoa, Italy
  • 14 Department of Psychology and Sport Science, University of Gießen, Gießen, Germany
  • 15 Sports Performance Division, National Sports Institute of Malaysia, Kuala Lumpur, Malaysia
  • 16 Department of Sports Biomechanics, Moscow Center of Advanced Sport Technologies, 129272 Moscow, Russia
  • 17 School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK
  • 18 Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, USA
  • 19 Computer science department, University of Toulouse, IRIT-INP-ENSEEIHT, Toulouse, France
  • 20 UFR STAPS, UPL, Paris Nanterre University, Nanterre, France
  • 21 Onassis Cardiac Surgery Center, Athens, Greece
  • 22 Department of Physical Education and Sports Sciences, University of Thessaly, Greece
  • 23 Consultant in internal medicine and diabetes, MGM muthoot hospitals pathanamthitta, Kerala, India 689645
  • 24 Consultant family physician, CRAFT hospital and research centre, Kodungallur, Kerala, India
  • 25 Faculty of Physical Education, Assiut University, Assiut, Egypt
  • 26 Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, USA
  • 27 PharmD, BCBS; PharmIAD, Inc, Savannah, GA, USA
  • 28 Institute of Social Science, Otto-von-Guericke University, 39106, Magdeburg, Germany
  • 29 FundeSalud, Dept. of Health and Social Services, Government of Extremadura, Merida, Spain
  • 30 The E-Senior Association, Paris, France
  • 31 Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
  • 32 Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg, Germany
  • 33 Department of Exercise Science, Yarmouk University, Irbid, Jordan
  • 34 Faculty of Physical Education, The University of Jordan, Jordan
  • 35 PHCC, Primary Health Care Corporation, Doha, Qatar
  • 36 Digital Research Centre of Sfax, Sfax, Tunisia
  • 37 Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
  • 38 Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, Koper, Slovenia
  • 39 Catholic University of the Sacred Heart I UNICATT, Milano, Italy
  • 40 Institute of Sport - National Research Institute, Warsaw, Poland
  • 41 Centre for Intelligent Healthcare, Coventry University, Coventry CV1 5FB, UK
  • 42 Institute for Social Medicine and Health Economy, Otto-von-Guericke University, Magdeburg, Germany
  • 43 Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, USA
  • 44 Hôpital Farhat Hached de Sousse, Laboratoire de Recherche "Insuffisance Cardiaque", Université de Sousse, Sousse LR12SP09, Tunisie
  • 45 ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar and Laboratory ''Sport Performance Optimization'', (CNMSS); ISSEP Ksar-Said, Manouba University, Tunisia
  • 46 Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UFR STAPS, UPL, Paris Nanterre University, Nanterre, France
Biol Sport, 2021 Oct;38(4):495-506.
PMID: 34937958 DOI: 10.5114/biolsport.2021.101605

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 6th, 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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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