1cde731d8e313104a7089dcb8ba3ede8 pmc_33477879.pdf 46ea52c7c09e60b9641fa908d05fc845d840139f pmc_33477879.pdf 21d83fb5bc4628bac9a6c75f8c01ed02bee9e62b7c624e5ca651bf176da5f78c pmc_33477879.pdf Title: Depressive Symptoms, Fatigue and Social Relationships Influenced Physical Activity in Frail Older Community-Dwellers during the Spanish Lockdown due to the COVID-19 Pandemic Subject: Due to the dramatic impact of the COVID-19 pandemic, Spain underwent a strict lockdown (March–May 2020). How the lockdown modified older adults’ physical activity (PA) has been poorly described. This research assesses the effect of the lockdown on PA levels and identifies predictors of sufficient/insufficient PA in frail older community-dwellers. Community-dwelling participants from the +ÀGIL Barcelona frailty intervention program, suspended during the pandemic, underwent a phone-assessment during the lockdown. PA was measured before and after the lockdown using the Brief Physical Activity Assessment Tool (BPAAT). We included 98 frail older adults free of COVID-19 (mean age = 82.7 years, 66.3% women, mean Short Physical Performance Battery = 8.1 points). About one third of participants (32.2%) were not meeting sufficient PA levels at the end of the lockdown. Depressive symptoms (OR = 0.12, CI95% = 0.02–0.55) and fatigue (OR = 0.11, CI95% = 0.03–0.44) decreased the odds of maintaining sufficient PA, whereas maintaining social networks (OR = 5.07, CI95% = 1.60–16.08) and reading (OR = 6.29, CI95% = 1.66–23.90) increased it. Living alone was associated with the reduction of PA levels (b = -1.30, CI95% = -2.14—0.46). In our sample, pre-lockdown mental health, frailty-related symptoms and social relationships were consistently associated with both PA levels during-lockdown and pre-post change. These data suggest considering specific plans to maintain PA levels in frail older community-dwellers. Keywords: COVID-19; frailty; aging; physical activity; mental health; social relationships Author: Laura M. Pérez, Carmina Castellano-Tejedor, Matteo Cesari, Luis Soto-Bagaria, Joan Ars, Fabricio Zambom-Ferraresi, Sonia Baró, Francisco Díaz-Gallego, Jordi Vilaró, María B. Enfedaque, Paula Espí-Valbé and Marco Inzitari Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Tue Jan 19 10:26:29 2021 CET ModDate: Tue Jan 19 10:36:22 2021 CET Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 13 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 547213 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- SCYSYT+VnURWPalladioL Type 1 Custom yes yes no 10 0 BOXQWN+URWPalladioL-Ital Type 1 Custom yes yes no 15 0 LDBZVJ+URWPalladioL-Bold Type 1 Custom yes yes no 20 0 VBORLC+URWPalladioL-Roma Type 1 Custom yes yes no 24 0 EILUJF+CMSY10 Type 1 Builtin yes yes no 28 0 XWOCXD+VnURWPalladioL-Bold Type 1 Custom yes yes no 32 0 LWQXII+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 40 0 IRWHZX+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 43 0 MCBCCI+SourceSansRoman-Regular Type 1C Custom yes yes no 65 0 MCBCCM+SourceSansRoman.613wght Type 1C Custom yes yes no 69 0 MCBCCO+SourceSansRoman-Bold Type 1C Custom yes yes no 73 0 QLBIEB+URWPalladioL-BoldItal Type 1 Custom yes yes no 94 0 AMBKEB+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 109 0 AMBKFC+PalatinoLinotype CID TrueType Identity-H yes yes yes 112 0 AMBKFD+PalatinoLinotype TrueType WinAnsi yes yes no 118 0 AMBKGE+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 121 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-10-02 03:34:23 CEST RepresentationInformation: pmc_33477879.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2023-03-31 12:08:38 CEST Size: 547213 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 358 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Study Population Destination: subsection.2.1 Item: Title: Measure of Physical Activity Destination: subsection.2.2 Item: Title: Covariates Destination: subsection.2.3 Item: Title: Statistical Analysis Destination: subsection.2.4 Item: Title: Ethical Aspects Destination: subsection.2.5 Item: Title: Results Destination: section.3 Item: Title: Discussion Destination: section.4 Item: Title: Conclusions Destination: section.5 Item: Title: References Destination: section.5 Info: Title: Depressive Symptoms, Fatigue and Social Relationships Influenced Physical Activity in Frail Older Community-Dwellers during the Spanish Lockdown due to the COVID-19 Pandemic Author: Laura M. Pérez, Carmina Castellano-Tejedor, Matteo Cesari, Luis Soto-Bagaria, Joan Ars, Fabricio Zambom-Ferraresi, Sonia Baró, Francisco Díaz-Gallego, Jordi Vilaró, María B. Enfedaque, Paula Espí-Valbé and Marco Inzitari Subject: Due to the dramatic impact of the COVID-19 pandemic, Spain underwent a strict lockdown (March May 2020). How the lockdown modified older adults’ physical activity (PA) has been poorly described. This research assesses the effect of the lockdown on PA levels and identifies predictors of sufficient/insufficient PA in frail older community-dwellers. Community-dwelling participants from the +ÀGIL Barcelona frailty intervention program, suspended during the pandemic, underwent a phone-assessment during the lockdown. PA was measured before and after the lockdown using the Brief Physical Activity Assessment Tool (BPAAT). We included 98 frail older adults free of COVID-19 (mean age = 82.7 years, 66.3% women, mean Short Physical Performance Battery = 8.1 points). About one third of participants (32.2%) were not meeting sufficient PA levels at the end of the lockdown. Depressive symptoms (OR = 0.12, CI95% = 0.02 0.55) and fatigue (OR = 0.11, CI95% = 0.03 0.44) decreased the odds of maintaining sufficient PA, whereas maintaining social networks (OR = 5.07, CI95% = 1.60 16.08) and reading (OR = 6.29, CI95% = 1.66 23.90) increased it. Living alone was associated with the reduction of PA levels (b = -1.30, CI95% = -2.14 0.46). In our sample, pre-lockdown mental health, frailty-related symptoms and social relationships were consistently associated with both PA levels during-lockdown and pre-post change. These data suggest considering specific plans to maintain PA levels in frail older community-dwellers. 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