Indirect Health Effects of COVID-19: Unhealthy Lifestyle Behaviors during the Lockdown in the United Arab Emirates

Background: Lockdown measures were implemented in many countries to limit the spread of the COVID-19 pandemic. However, such restrictions could precipitate unintended negative consequences on lifestyle behaviors. The main objective of this study was to investigate the prevalence and determinants of unhealthy behavior changes during the COVID-19 lockdown among residents of the United Arab Emirates (UAE). Methods: A cross-sectional web-based survey of adults residing in the UAE was carried out during lockdown (n = 2060). Using a multi-component questionnaire, the collected data included questions regarding the following lifestyle changes: Increased dietary intake, increased weight, decreased physical activity, decreased sleep, and increased smoking. An unhealthy lifestyle change score was calculated based on the number of unhealthy lifestyle changes each participant reported. In addition, sociodemographic and living conditions information was collected. Descriptive statistics as well as simple and multiple linear regression analyses were used to examine the prevalence and determinants of the unhealthy lifestyle changes considered in this study. Results: Among the unhealthy lifestyle changes examined, increased food intake was the most common (31.8%), followed by decreased physical activity (30%), increased weight (29.4%), decreased sleep (20.8%), and increased smoking (21%). In addition to identifying the correlates of each of the aforementioned lifestyle changes, the results of the multiple regression linear analyses revealed the following correlates for the overall unhealthy lifestyle change score: females (β = 0.32, CI: 0.22; 0.42), living in an apartment (β = 0.12, CI: 0.003; 0.23) and being overweight/obese (β = 0.24, CI: 0.15; 0.32) had higher scores, while older adults (>40 years) had lower scores (β = −0.23, CI: −0.34; −0.12). Conclusions: The COVID-19 lockdown has resulted in a high prevalence of unhealthy lifestyle behaviors and practices among UAE residents. The findings of this study provided the evidence base for officials to design interventions targeting high-risk groups and aiming to improve healthy lifestyle factors among residents during the pandemic.

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Diet and Lifestyle Changes During COVID-19 Lockdown in the United Arab Emirates: Results of a Cross-Sectional Study

10.21203/rs.3.rs-76807/v1 ◽

2020 ◽

Author(s):

Hadia Radwan ◽

Mahra Al Kitbi ◽

Hayder Hasan ◽

Marwa Al Hilali ◽

Nada Abbas ◽

...

Keyword(s):

Physical Activity ◽

United Arab Emirates ◽

Healthy Lifestyle ◽

Lifestyle Change ◽

Change Score ◽

Lifestyle Changes ◽

Lifestyle Behaviors ◽

Negative Consequences ◽

Unhealthy Lifestyle ◽

Cross Sectional

Abstract Background: Lockdown measures were implemented in many countries to limit the spread of the COVID-19 pandemic. However, such restrictions could precipitate unintended negative consequences on lifestyle behaviors. The main objective of this study was to investigate the prevalence and determinants of unhealthy behavior changes during the COVID-19 lockdown among residents of the United Arab Emirates (UAE).Methods: A cross-sectional web-based survey of adults residing in the UAE was carried out during lockdown (n=2060). Using a multi-component questionnaire, the collected data included questions regarding the following lifestyle changes: Increased dietary intake, increased weight, decreased physical activity, decreased sleep, and increased smoking. An unhealthy lifestyle change score was calculated based on the number of unhealthy lifestyle changes each participant reported. In addition, sociodemographic and living conditions information was collected. Descriptive statistics as well as simple and multiple linear regression analyses were used to examine the prevalence and determinants of the unhealthy lifestyle changes considered in this study.Results: Among the unhealthy lifestyle changes examined, increased food intake was the most common (31.8%), followed by decreased physical activity (30%), increased weight (29.4%), decreased sleep (20.8%), and increased smoking (21%). In addition to identifying the correlates of each of the aforementioned lifestyle changes, the results of the multiple regression linear analyses revealed the following correlates for the overall unhealthy lifestyle change score: females (β=0.32, CI: 0.22;0.42), living in an apartment (β=0.12, CI: 0.003;0.23) and being overweight/obese (β=0.24, CI: 0.15;0.32) had higher scores, while older adults (>40 years) had lower scores (β=-0.23, CI: -0.34;-0.12).Conclusion: The COVID-19 lockdown has resulted in a high prevalence of unhealthy lifestyle behaviors and practices among UAE residents. The findings of this study provided the evidence base for officials to design interventions targeting high-risk groups and aiming to improve healthy lifestyle factors among residents during the pandemic.

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Factors Affecting for Lifestyle Adoption in Patients with Myocardial Infarction

10.21203/rs.3.rs-20017/v1 ◽

2020 ◽

Author(s):

hossein mohsenipouya ◽

Yadollah Jannati ◽

Ali Ghaemian ◽

Jamshid Yazdani-Charati

Keyword(s):

Myocardial Infarction ◽

Linear Models ◽

Healthy Lifestyle ◽

Cross Sectional Study ◽

Lifestyle Changes ◽

Self Report ◽

Analysis Tool ◽

Lifestyle Behaviors ◽

Cross Sectional ◽

Study Results

Abstract Background Epidemiological transition of acute and infectious diseases to non-communicable ones, aging population, together with rapid lifestyle changes all have given rise to prevalence rate of cardiovascular diseases (CVDs). Thus, it is of utmost importance to reflect on lifestyles especially in this period. The main purpose of this study was to assess lifestyle in patients affected with myocardial infarction (MI). Methods This cross-sectional study was examining health-related lifestyle behaviors in patients with MI in 2019. To this end, a total number of 176 patients were selected using purposive and convenience sampling methods. The research instrument was also the Health-Promoting Lifestyle Profile II (HPLP-II) as a standardized self-report questionnaire. To analyze the data, the IBM SPSS Statistics software (version 22) software and the generalized linear models were used. Moreover, the level of significance was set at 0.05 in this study. Results The results of Wilks’ lambda distribution revealed that the effect of gender on the linear combination of the dependent variable (i.e. lifestyle) was significant and 11.4% of changes in this variable had resulted from variation in gender. Besides, the results demonstrated that health responsibility scores in men were on average 2.703 lower than those obtained by women. This relationship was also significant and its effect size was by 3.3% (p = 0.016). Conclusions and recommendations: It was concluded that the concept of lifestyle can be an analysis tool to better understand differences between genders, as an effective variable in adopting a healthy lifestyle, especially in patients suffering from MI.

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The First Step of Health Policy-Making for Lifestyle Modifications at Middle Age: Problem Identification in 40- to 60-Year-Old Population, Northern Iran

Journal of Obesity ◽

10.1155/2018/9895346 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8

Author(s):

Simin Mouodi ◽

Seyed Reza Hosseini ◽

Reza Ghadimi ◽

Ali Bijani ◽

Robert Graham Cumming ◽

...

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Current Situation ◽

Local Health ◽

Lifestyle Behaviors ◽

Lifestyle Modifications ◽

Unhealthy Lifestyle ◽

Northern Iran ◽

Health Lifestyle ◽

Study Results

Background. The purpose of this study was to determine the current situation of lifestyle behaviors and related outcomes, as the first step to make proper local health policies for improvement of health lifestyle behaviors.Materials and Methods. This analytic research has been conducted as a cross-sectional study on the middle-aged (40–60 years old) population of Amirkola, Northern Iran. The Persian translation of the Health-Promoting Lifestyle Profile II questionnaire and the International Physical Activity Questionnaire were used for data collection. Also, anthropometric variables, blood pressure, fasting blood sugar, and serum lipids profile were examined.Results. Three hundred one individuals have been enrolled in the study. Results showed that 10.6% of the participants had unhealthy lifestyle behaviors in the subdomain of spiritual growth; 46.8% in the subdomain of health responsibility; and 48.2% in the subdomains of stress management, physical activity, and nutrition; men had more physical activity than women (p<0.001). Totally, 189 persons (63.9%) had serum cholesterol greater than or equal to 200 mg/dL; seventy-five individuals (25%) had high blood pressure. One hundred twenty-six persons (81.8%) of women and 103 (70.1%) of men were overweight or obese.Conclusions. Health lifestyle behaviors in 40- to 60-year-old population need a proper intervention to improve the current situation.

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Lifestyle Changes and Determinants of Children’s and Adolescents’ Body Weight Increase during the First COVID-19 Lockdown in Greece: The COV-EAT Study

Nutrients ◽

10.3390/nu13030930 ◽

2021 ◽

Vol 13 (3) ◽

pp. 930

Author(s):

Odysseas Androutsos ◽

Maria Perperidi ◽

Christos Georgiou ◽

Giorgos Chouliaras

Keyword(s):

Physical Activity ◽

Body Weight ◽

Fast Food ◽

Online Survey ◽

Lifestyle Changes ◽

The Body ◽

Weight Increase ◽

Lifestyle Behaviors ◽

Lifestyle Habits ◽

Body Weight Increase

Previous studies showed that the coronavirus disease 2019 (COVID-19) lockdown imposed changes in adults’ lifestyle behaviors; however, there is limited information regarding the effects on youth. The COV-EAT study aimed to report changes in children’s and adolescents’ lifestyle habits during the first COVID-19 lockdown and explore potential associations between changes of participants’ lifestyle behaviors and body weight. An online survey among 397 children/adolescents and their parents across 63 municipalities in Greece was conducted in April–May 2020. Parents self-reported changes of their children’s lifestyle habits and body weight, as well as sociodemographic data of their family. The present study shows that during the lockdown, children’s/adolescents’ sleep duration and screen time increased, while their physical activity decreased. Their consumption of fruits and fresh fruit juices, vegetables, dairy products, pasta, sweets, total snacks, and breakfast increased, while fast-food consumption decreased. Body weight increased in 35% of children/adolescents. A multiple regression analysis showed that the body weight increase was associated with increased consumption of breakfast, salty snacks, and total snacks and with decreased physical activity. The COV-EAT study revealed changes in children’s and adolescents’ lifestyle behaviors during the first COVID-19 lockdown in Greece. Effective strategies are needed to prevent excessive body weight gain in future COVID-19 lockdowns.

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Individual-Level Determinants of Lifestyle Behavioral Changes during COVID-19 Lockdown in the United States: Results of an Online Survey

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18084364 ◽

2021 ◽

Vol 18 (8) ◽

pp. 4364

Author(s):

Xiaotao Zhang ◽

Abiodun Oluyomi ◽

LeChauncy Woodard ◽

Syed Ahsan Raza ◽

Maral Adel Fahmideh ◽

...

Keyword(s):

Physical Activity ◽

Alcohol Use ◽

Online Survey ◽

Healthy Lifestyle ◽

The United States ◽

Lifestyle Changes ◽

Lifestyle Behaviors ◽

Individual Level ◽

Diet And Physical Activity ◽

Healthy Lifestyle Behaviors

This study examined individual-level determinants of self-reported changes in healthy (diet and physical activity) and addictive (alcohol use, smoking, and vaping) lifestyle behaviors during the initial COVID-19 lockdown period in the USA. A national online survey was administered between May and June 2020 that targeted a representative U.S. sample and yielded data from 1276 respondents, including 58% male and 50% racial/ethnic minorities. We used univariate and multivariable linear regression models to examine the associations of sociodemographic, mental health, and behavioral determinants with self-reported changes in lifestyle behaviors. Some study participants reported increases in healthy lifestyle behaviors since the pandemic (i.e., 36% increased healthy eating behaviors, and 33% increased physical activity). However, they also reported increases in addictive lifestyle behaviors including alcohol use (40%), tobacco use (41%), and vaping (46%). With regard to individual-level determinants, individuals who reported adhering to social distancing guidelines were also more likely to report increases in healthy lifestyle behaviors (β = 0.12, 95% CI 0.04 to 0.21). Conversely, women (β = −0.37, 95% CI −0.62 to −0.12), and unemployed individuals (β = −0.33, 95% CI −0.64 to −0.02) were less likely to report increases in healthy lifestyle behaviors. In addition, individuals reporting anxiety were more likely to report increases in addictive behaviors (β = 0.26, 95% CI 0.09 to 0.43). Taken together, these findings suggest that women and unemployed individuals may benefit from interventions targeting diet and physical activity, and that individuals reporting anxiety may benefit from interventions targeting smoking and alcohol cessation to address lifestyle changes during the pandemic.

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Combined Effects of Unhealthy Lifestyle Behaviors on Metabolic Syndrome among Postmenopausal Women

Healthcare ◽

10.3390/healthcare9070848 ◽

2021 ◽

Vol 9 (7) ◽

pp. 848

Author(s):

Jin-Suk Ra ◽

Hyesun Kim

Keyword(s):

Physical Activity ◽

Sedentary Behavior ◽

Postmenopausal Women ◽

Abdominal Obesity ◽

Impaired Fasting Glucose ◽

Fasting Glucose ◽

Dietary Behavior ◽

Lifestyle Behaviors ◽

Unhealthy Lifestyle ◽

Insufficient Physical Activity

This study aimed to identify the combined effects of unhealthy lifestyle behaviors, including diet, sedentary behavior, and physical activity on metabolic syndrome (MS) and components of MS among postmenopausal women. Secondary data analysis was conducted using the Korean National Health and Nutrition Examination Survey (2014–2018) with a cross-sectional study design. Logistic regression analysis was conducted with data from 6114 Korean postmenopausal women. While no significant effects of unhealthy lifestyle behaviors, either individually or as a combination, were found for MS, prolonged sedentary behavior without poor dietary behavior and insufficient physical activity was associated with increased likelihood of abdominal obesity (adjusted odds ratio [AOR]: 1.59, 95% confidence interval [CI]: 1.10–2.29) and impaired fasting glucose (AOR: 1.54, 95% CI: 1.13–2.10). The combination of poor dietary behavior and prolonged sedentary behaviors was also associated with increased likelihood of abdominal obesity (AOR: 1.48, 95% CI: 1.10–2.00) and impaired fasting glucose (AOR: 1.49, 95% CI: 1.14–1.96). In addition, prolonged sedentary behavior and insufficient physical activity together were associated with increased likelihood of abdominal obesity (AOR: 2.81, 95% CI: 1.90–4.20) and impaired fasting glucose (AOR: 1.59, 95% CI: 1.13–2.24). Finally, combining poor dietary behavior, prolonged sedentary behavior, and insufficient physical activity was also associated with increased likelihood of abdominal obesity (AOR: 2.05, 95% CI: 1.50–2.80) and impaired fasting glucose (AOR: 1.71, 95% CI: 1.32–2.23). Strategies for replacing sedentary behavior of postmenopausal women with activities are warranted for prevention of abdominal obesity and impaired fasting glucose.

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Effect of Confinement by COVID-19 on the Lifestyle of the University Population of Argentina: Evaluation of Physical Activity, Food and Sleep (Efecto del confinamiento por COVID-19 sobre el estilo de vida en población universitaria de Argentina: Evaluaci

Retos ◽

10.47197/retos.v43i0.88461 ◽

2021 ◽

Vol 43 ◽

pp. 274-282

Author(s):

Leonardo Intelangelo ◽

Nacim Molina Gutiérrez ◽

Nicolás Bevacqua ◽

Cristian Mendoza ◽

Iris Paola Guzmán-Guzmán ◽

...

Keyword(s):

Physical Activity ◽

Sleep Quality ◽

Physical Activity Behavior ◽

Cross Sectional Study ◽

Lifestyle Changes ◽

Poor Sleep ◽

Activity Levels ◽

Cross Sectional ◽

Good Nutrition ◽

University Population

Objective: to determine lifestyle changes, such as physical activity, nutrition, and sleep in an Argentinean university population, caused by confinement during the COVID-19 pandemic. Methods: Cross-sectional study via web survey. 1021 the Argentinean university population (women, n = 645 and men, n = 376) aged between 18–70 years old was participate. Survey was utilized to measure participant physical activity behavior, nutrition, and sleep April to May 2020. Results: the main findings revealed that 4.3% of the sample showed obesity; the highest proportion of the sample stayed more than 6 hours in a sedentary status; 21.74% reported bad sleep quality; a reduction in good feeding pattern; and an increase in subjects who do not perform physical activity. According to socio-demographic and anthropometric factors, being a student (OR 2.19, CI95% 1.18 - 4, p= .012), overweight (OR 1.71, CI95% 1.19 – 2.44, p= .003), obesity (OR 4.45, CI95% 2.27 – 8.7, p< .001), and have been confined more than 45 days was associated with bad feeding. Likewise, low physical activity levels were associated with obesity (OR 3.2 CI95% 1.66 – 6.18, p= .001), being female (OR 1.61, CI95% 1.14 –2.28, p= .006) and get married (OR 1.72, CI95% 1.14 – 2.61, p= .009). Moreover, being a student was associated with poor sleep quality (OR 43.6, CI95%5.4 – 350, p< .001). Conclusion: This study suggests that confinement decreased healthy living habits such as good nutrition and physical activity and affected the quality of sleep in young subjects. Resumen. Objetivo: determinar los cambios en el estilo de vida, como la actividad física, la nutrición y el sueño en una población universitaria argentina, causados por el confinamiento durante la pandemia de COVID-19. Métodos: Estudio transversal mediante encuesta por Internet. Participaron 1021 personas de la población universitaria argentina (mujeres, n = 645 y hombres, n = 376) de entre 18 y 70 años de edad. La encuesta fue utilizada para medir el comportamiento de la actividad física, la nutrición y el sueño de los participantes de abril a mayo de 2020.Resultados: los principales hallazgos mostraron que el 4,3% de la muestra presentaba obesidad; la mayor proporción de la muestra permaneció más de 6 horas en estado sedentario; el 21,74% informó sobre la mala calidad del sueño; una reducción de los hábitos correctos de alimentación; y un aumento de los participantes que no realizan actividad física. De acuerdo con factores socio-demográficos y antropométricos, ser estudiante (OR 2.19, CI95% 1.18 - 4, p= .012), el sobrepeso (OR 1.71, CI95% 1.19 - 2.44, p= .003), la obesidad (OR 4.45, CI95% 2.27 - 8.7, p< .001), y haber estado confinado más de 45 días se asoció con una mala alimentación. Asimismo, los bajos niveles de actividad física se asociaron con la obesidad (OR 3,2; IC95% 1,66 - 6,18, p= .001), ser mujer (OR 1,61; IC95% 1,14 -2,28, p= .006) y estar casado (OR 1,72; IC95% 1,14 - 2,61, p= .009). Además, ser estudiante se asoció con una mala calidad de sueño (OR 43,6, CI95% 5,4 - 350, p< .001). Conclusión: Este estudio sugiere que el confinamiento disminuyó los hábitos de vida saludables como la buena nutrición, la actividad física, y afectó la calidad del sueño en sujetos jóvenes.

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EFFECT OF PHYSICAL ACTIVITY ON CARDIOMETABOLIC MARKERS IN ADOLESCENTS: SYSTEMATIC REVIEW

Revista Brasileira de Medicina do Esporte ◽

10.1590/1517-869220162203149448 ◽

2016 ◽

Vol 22 (3) ◽

pp. 235-242 ◽

Cited By ~ 2

Author(s):

Valter Paulo Neves Miranda ◽

Paulo Roberto dos Santos Amorim ◽

Nathália Cristina Borges Oliveira ◽

Maria do Carmo Gouveia Peluzio ◽

Silvia Eloiza Priore

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Systematic Review ◽

Lifestyle Changes ◽

Cross Sectional ◽

Precise Control ◽

Cardiometabolic Diseases ◽

Systemic Inflammatory Disease ◽

Cardiometabolic Markers ◽

Intensity Of Exercise

ABSTRACT The accumulation of body fat is a major risk factor for cardiometabolic diseases. Obesity can be considered a chronic systemic inflammatory disease in adults and younger people. The control of subclinical inflammation process through the practice of physical activity (PA) can mitigate the effects of risk factors that trigger atherosclerosis that worsens with advancing age. The objective of this study was to conduct a systematic review of the influence of physical activity and/or exercise on cardiometabolic markers and othrer risk factors of cardiovascular disease in adolescents. A systematic review was conducted in electronic databases Scopus, Pubmed, Conchrane Collection and SciELO. The terms used in the search were "cardiovascular diseases AND inflammation AND adolescents AND physical activity OR exercise". A total of 24 original articles were evaluated, being 14 longitudinal and 10 cross-sectional studies. Overall, 16 articles (66.66%) showed that PA, exercise and/or sedentary behavior may have influenced or have been related to the concentration of cardiometabolic markers. All studies that examined lifestyle changes showed reduction of cardiometabolic markers. Some limitations were observed: reduced samples, lack of dietary prescription, evaluation and control of volume and intensity of exercise. Most of the studies analyzed showed that the physical activity could influence and decrease the concentrations of cardiometabolic markers in adolescents. However, studies with representative sample size and precise control in assessing the level of physical activity and/or exercise are required to determine accurately the changes that the more active lifestyle can bring on inflammatory process, as well as other risk factors for cardiometabolic diseases in adolescents.

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Parents Attending a Family Weight Management Program Perceive Similar Home Fruit and Vegetable Accessibility, but Greater Child Proxy Agency and Physical Activity Opportunity

Californian Journal of Health Promotion ◽

10.32398/cjhp.v5i2.1241 ◽

2007 ◽

Vol 5 (2) ◽

pp. 157-162 ◽

Cited By ~ 1

Author(s):

Richard R. Rosenkranz ◽

Karly S. Geller ◽

David. A. Dzewaltowski

Keyword(s):

Physical Activity ◽

Fruits And Vegetables ◽

Vegetable Consumption ◽

Cross Sectional Study ◽

Management Program ◽

Fruit And Vegetable ◽

Cross Sectional ◽

Parents And Children ◽

Study Results ◽

Physical Activity Opportunity

Many children do not meet current guidelines for physical activity and fruit and vegetable consumption, two areas of health-related behavior with links to obesity. Objective: To examine child and parent perceptions of child proxy agency, home physical activity opportunity, and home accessibility of fruits and vegetables. Methods: Dyads (N = 117) of parents and children completed questionnaires for this cross-sectional study. Results: For child proxy agency, fruits and vegetables accessibility, and physical activity opportunity, the parent and child perceptions were significantly related. Parent ratings of physical activity opportunity and child proxy agency were significantly greater than child ratings. Perceptions of both parents and children for proxy agency were associated with fruits and vegetables accessibility and physical activity opportunity. Conclusions: Parents and children hold similar, yet distinct perceptions of physical activity opportunity and child proxy agency. Perceptions of child proxy agency are associated with obesity-related home environmental characteristics.

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Disordered Eating Attitudes and Exercise Behavior among Female Emirati College Students in the United Arab Emirates: A Cross- Sectional Study

Arab Journal of Nutrition and Exercise (AJNE) ◽

10.18502/ajne.v1i2.1224 ◽

2017 ◽

Vol 1 (2) ◽

pp. 62 ◽

Cited By ~ 1

Author(s):

Haleama Al Sabbah ◽

Shatha Muhsineh

Keyword(s):

Physical Activity ◽

College Students ◽

Disordered Eating ◽

United Arab Emirates ◽

Cross Sectional Study ◽

Eating Attitudes ◽

Activity Level ◽

Sectional Study ◽

Cross Sectional ◽

Disordered Eating Attitudes

Background: Growing evidence is showing high levels of physical inactivity and disordered eating attitudes among young females in the United Arab Emirates. This is clearly concerning, but little is known about the activity level of those with disordered eating attitudes and their dieting behavior. This study examines the female Emirati college students’ disordered eating attitudes and its relation to exercise behavior.Method: A cross- sectional study using a validated and reliable questionnaire was conducted on 242 Emirati female students attending a public university in Dubai. Eating Attitudes Test- 26 (EAT26) was used to measure eating attitudes and the short International Physical Activity Questionnaire (IPAQ) was included to measure physical activity level. A systematic random sampling from a list of classes in the fall 2014 semester was used for recruitment. The university’s Research Ethics Committee approved the study and consents were obtained from participants. SPSS v.21 was used for data analysis. Chi-square test was used to compare frequencies. Significance level was set at 0.05.Results: The participants’ mean age and standard deviation (Mean± SD) was 19 ±1.3 years. 31.4% of the participants showed disordered eating attitudes. The percentage of participants engaged in at least one concerning behavior in the past six months was 43.8%. A membership in a health club was significantly related to disordered eating attitudes (p <0.01). A high level of physical activity was correlated with laxative use, over the counter supplements, and exercising for more than 60 minutes to control weight (p<0.05). Conclusion: There is a great need for intervention programs and policies to contain the level of abnormal eating attitudes and promote healthy level of physical activity among college students.

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