Changes in life satisfaction, depression, general health and sleep quality of Spanish older women during COVID-19 lockdown and their relationship with lifestyle: an observational follow-up study

Pablo Jorge Marcos-Pardo, Tomás Abelleira-Lamela, Raquel Vaquero-Cristobal, Noelia González-Gálvez, Pablo Jorge Marcos-Pardo, Tomás Abelleira-Lamela, Raquel Vaquero-Cristobal, Noelia González-Gálvez

Abstract

Objetives: To analyse the effects of COVID-19 lockdown on mental well-being variables of older women, and to determine the influence of lifestyle and age on such effects. The hypothesis of the study was that all parameters related to mental well-being would worsen in older women during the COVID-19 lockdown.

Design: Observational follow-up study. Pre lockdown measurements were taken before the lockdown. Post lockdown measurements were taken as soon as began the de-escalation.

Setting: Senior centres in the Region of Murcia (Spain).

Participants: The sample was composed of 40 older women volunteers, over 54 years of age (mean age=62.35±8.15 years).

Primary and secondary outcome measures: Pre lockdown and post lockdown evaluations were carried out face to face. The following questionnaires were completed: Satisfaction with Life Scale, The Center for Epidemiologic Studies Depression Scale, The Short Form 36 Health Survey, The Pittsburgh Sleep Quality Index, the Global Physical Activity Questionnaire and Prevention with Mediterranean Diet.

Results: Post lockdown, a worsening was found in the variables of life satisfaction (p=0.001); depression (p<0.001), quality of life in physical role (p=0.006), pain (p=0.004), emotional role (p<0.001) and mental health (p<0.001); and sleep quality (p=0.018), sleep latency (p=0.004), sleep disturbances (p=0.002) and global sleep quality score (p=0.002). It was found how age influenced the variables of pain (p=0.003) and social role (p=0.047), as well as the influence of a healthy lifestyle on the variables analysed (F=6.214; p=0.017). Adherence to the Mediterranean diet was shown to be a protective factor against increased depression (p=0.03). Spending time sitting was shown to be a risk factor for physical role health (p=0.002), as was advanced age on health due to worsening pain (p=0.005), or an unhealthy lifestyle on increased consumption of sleeping aids (p=0.017).

Conclusion: The lockdown had a great negative impact on Spanish older women on mental well-being variables.

Trial registration number: NCT04958499.

Keywords: COVID-19; geriatric medicine; mental health.

Conflict of interest statement

Competing interests: None declared.

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Figures

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Figure 1
Flow diagram.

References

    1. Gutiérrez-Hernández ME, Fanjul LF, Díaz-Megolla A, et al. . COVID-19 Lockdown and mental health in a sample population in Spain: the role of Self-Compassion. Int J Environ Res Public Health 2021;18:2103–14. 10.3390/ijerph18042103
    1. Agencia Estatal Boletín Oficial del Estado . Real Decreto 463/2020, de 14 de marzo, POR El que se declara El estado de alarma para La gestión de la situación de crisis sanitaria ocasionada POR El COVID-19. Madrid: Ministerio de la Presidencia, Relaciones con las Cortes y Memoria Democrática, 2020.
    1. Agencia Estatal Boletín Oficial del Estado . Orden SND/388/2020, de 3 de Mayo, POR La que se establecen las condiciones para La apertura al público de determinados comercios Y servicios, Y La apertura de archivos, así como para La práctica del deporte profesional Y federado. Madrid: Ministerio de la Presidencia, Relaciones con las Cortes y Memoria Democrática, 2020.
    1. López-Bueno R, López-Sánchez GF, Casajús JA, et al. . Potential health-related behaviors for pre-school and school-aged children during COVID-19 lockdown: a narrative review. Prev Med 2021;143:106349. 10.1016/j.ypmed.2020.106349
    1. Scarmozzino F, Visioli F. Covid-19 and the subsequent Lockdown modified dietary habits of almost half the population in an Italian sample. Foods 2020;9:675. 10.3390/foods9050675
    1. Majumdar P, Biswas A, Sahu S. COVID-19 pandemic and lockdown: cause of sleep disruption, depression, somatic pain, and increased screen exposure of office workers and students of India. Chronobiol Int 2020;37:1191–200. 10.1080/07420528.2020.1786107
    1. Cárdaba-García RM, Pérez Pérez L, Niño Martín V, et al. . Evaluation of the risk of anxiety and/or depression during confinement due to COVID-19 in central Spain. Int J Environ Res Public Health 2021;18:5732. 10.3390/ijerph18115732
    1. Pieh C, Budimir S, Probst T. The effect of age, gender, income, work, and physical activity on mental health during coronavirus disease (COVID-19) lockdown in Austria. J Psychosom Res 2020;136:110186. 10.1016/j.jpsychores.2020.110186
    1. Reche-García C, Hernández Morante JJ, Trujillo Santana JT. Bienestar psicológico de deportistas adolescentes mexicanos confinados POR La pandemia del COVID-19. Cultura, Ciencia y Deporte 2022;17:7–13.
    1. Beck F, Léger D, Fressard L, et al. . Covid-19 health crisis and lockdown associated with high level of sleep complaints and hypnotic uptake at the population level. J Sleep Res 2021;30:e13119. 10.1111/jsr.13119
    1. Gualano MR, Lo Moro G, Voglino G, et al. . Effects of COVID-19 lockdown on mental health and sleep disturbances in Italy. Int J Environ Res Public Health 2020;17:1–13. 10.3390/ijerph17134779
    1. Mandelkorn U, Genzer S, Choshen-Hillel S, et al. . Escalation of sleep disturbances amid the COVID-19 pandemic: a cross-sectional International study. J Clin Sleep Med 2021;17:45–53. 10.5664/jcsm.8800
    1. Duong CD. The impact of fear and anxiety of Covid-19 on life satisfaction: psychological distress and sleep disturbance as mediators. Pers Individ Dif 2021;178:110869. 10.1016/j.paid.2021.110869
    1. Deniz ME. Self-compassion, intolerance of uncertainty, fear of COVID-19, and well-being: a serial mediation investigation. Pers Individ Dif 2021;177:110824. 10.1016/j.paid.2021.110824
    1. Gonzalez-Bernal JJ, Rodríguez-Fernández P, Santamaría-Peláez M, et al. . Life satisfaction during forced social distancing and home confinement derived from the COVID-19 pandemic in Spain. Int J Environ Res Public Health 2021;18:1474. 10.3390/ijerph18041474
    1. Duarte F, Jiménez-Molina Álvaro. Psychological distress during the COVID-19 epidemic in Chile: the role of economic uncertainty. PLoS One 2021;16:e0251683. 10.1371/journal.pone.0251683
    1. Kokkinos CM, Tsouloupas CN, Voulgaridou I. The effects of perceived psychological, educational, and financial impact of COVID-19 pandemic on Greek university students' satisfaction with life through mental health. J Affect Disord 2022;300:289–95. 10.1016/j.jad.2021.12.114
    1. Argus M, Pääsuke M. Effects of the COVID-19 lockdown on musculoskeletal pain, physical activity, and work environment in Estonian office workers transitioning to working from home. Work 2021;69:741–9. 10.3233/WOR-210033
    1. López J, Pérez-Rojo G, Noriega C, et al. . Longitudinal impact of the COVID-19 pandemic on older adults' wellbeing. Front Psychiatry 2022;13:837533. 10.3389/fpsyt.2022.837533
    1. von Elm E, Altman DG, Egger M, et al. . The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol 2008;61:344–9. 10.1016/j.jclinepi.2007.11.008
    1. Chang Y, Li Y, Zhang X. Benefits of Grandparental caregiving in Chinese older adults: reduced Lonely Dissatisfaction as a mediator. Front Psychol 2020;11:1719. 10.3389/fpsyg.2020.01719
    1. Pavot W, Diener E. Review of the satisfaction with life scale. Psychol Assess 1993;5:164–72. 10.1037/1040-3590.5.2.164
    1. Vázquez C, Duque A, Hervás G. Satisfaction with life scale in a representative sample of Spanish adults: validation and normative data. Span J Psychol 2013;16:E82. 10.1017/sjp.2013.82
    1. Park S-H, Yu HY,. How useful is the center for epidemiologic studies depression scale in screening for depression in adults? An updated systematic review and meta-analysis✰. Psychiatry Res 2021;302:114037. 10.1016/j.psychres.2021.114037
    1. Ruiz-Grosso P, Loret de Mola C, Vega-Dienstmaier JM, et al. . Validation of the Spanish center for epidemiological studies depression and Zung self-rating depression scales: a comparative validation study. PLoS One 2012;7:e45413. 10.1371/journal.pone.0045413
    1. González P, Nuñez A, Merz E, et al. . Measurement properties of the center for epidemiologic studies depression scale (CES-D 10): findings from HCHS/SOL. Psychol Assess 2017;29:372–81. 10.1037/pas0000330
    1. Carleton RN, Thibodeau MA, Teale MJN, et al. . The center for epidemiologic studies depression scale: a review with a theoretical and empirical examination of item content and factor structure. PLoS One 2013;8:e58067. 10.1371/journal.pone.0058067
    1. Ware JE. Sf-36 health survey update. Spine 2000;25:3130–9. 10.1097/00007632-200012150-00008
    1. Vilagut G, Ferrer M, Rajmil L, et al. . El Cuestionario de Salud SF-36 español: Una década de experiencia Y nuevos desarrollos. Gac Sanit 2005;19:135–50. 10.1157/13074369
    1. Ware JE, Sherbourne CD. The mos 36-item short-form health survey (SF-36). I. conceptual framework and item selection. Med Care 1992;30:473–83.
    1. Hita-Contreras F, Martínez-López E, Latorre-Román PA, et al. . Reliability and validity of the Spanish version of the Pittsburgh sleep quality index (PSQI) in patients with fibromyalgia. Rheumatol Int 2014;34:929–36. 10.1007/s00296-014-2960-z
    1. Zhang C, Zhang H, Zhao M, et al. . Reliability, validity, and factor structure of Pittsburgh sleep quality index in community-based centenarians. Front Psychiatry 2020;11:573530. 10.3389/fpsyt.2020.573530
    1. Lee S, Kim JH, Chung JH. The association between sleep quality and quality of life: a population-based study. Sleep Med 2021;84:121–6. 10.1016/j.sleep.2021.05.022
    1. Keating XD, Zhou K, Liu X, et al. . Reliability and concurrent validity of global physical activity questionnaire (GPAQ): a systematic review. Int J Environ Res Public Health 2019;16:4128. 10.3390/ijerph16214128
    1. Meh K, Sember V, Đurić S, et al. . Reliability and validity of Slovenian versions of IPAQ-SF, GPAQ, and EHIS-PAQ for assessing physical activity and Sedentarism of adults. Int J Environ Res Public Health 2021;19:430. 10.3390/ijerph19010430
    1. Ács P, Betlehem J, Oláh A, et al. . Cross-Cultural adaptation and validation of the global physical activity questionnaire among healthy Hungarian adults. BMC Public Health 2020;20:1056. 10.1186/s12889-020-08477-z
    1. Barrea L, Muscogiuri G, Di Somma C, et al. . Association between Mediterranean diet and hand grip strength in older adult women. Clin Nutr 2019;38:721–9. 10.1016/j.clnu.2018.03.012
    1. Martínez-González MA, García-Arellano A, Toledo E, et al. . A 14-item Mediterranean diet assessment tool and obesity indexes among high-risk subjects: the PREDIMED trial. PLoS One 2012;7:e43134. 10.1371/journal.pone.0043134
    1. Schröder H, Fitó M, Estruch R, et al. . A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women. J Nutr 2011;141:1140–5. 10.3945/jn.110.135566
    1. Papadaki A, Johnson L, Toumpakari Z, et al. . Validation of the English version of the 14-Item Mediterranean diet adherence screener of the PREDIMED study, in people at high cardiovascular risk in the UK. Nutrients 2018;10:138. 10.3390/nu10020138
    1. Kvamme J-M, Holmen J, Wilsgaard T, et al. . Body mass index and mortality in elderly men and women: the Tromso and Hunt studies. J Epidemiol Community Health 2012;66:611–7. 10.1136/jech.2010.123232
    1. Bull SB, Mak C, Greenwood CMT. A modified score function estimator for multinomial logistic regression in small samples. Comput Stat Data Anal 2002;39:57–74. 10.1016/S0167-9473(01)00048-2
    1. Hernández Mendo A, Villaseñor A, Pastrana Brincones J. SAGT: new software for generalizability analysis. Revista Iberoamericana de Psicología del Ejercicio y el Deporte 2016;11:77–89.
    1. Anguera MT, Portell M, Chacón-Moscoso S, et al. . Indirect observation in everyday contexts: concepts and methodological guidelines within a mixed methods framework. Front Psychol 2018;9:13. 10.3389/fpsyg.2018.00013
    1. Zhang SX, Wang Y, Rauch A, et al. . 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;288:112958. 10.1016/j.psychres.2020.112958
    1. Benke C, Autenrieth LK, Asselmann E, et al. . Lockdown, quarantine measures, and social distancing: associations with depression, anxiety and distress at the beginning of the COVID-19 pandemic among adults from Germany. Psychiatry Res 2020;293:113462. 10.1016/j.psychres.2020.113462
    1. Karageorghis CI, Bird JM, Hutchinson JC, et al. . Physical activity and mental well-being under COVID-19 lockdown: a cross-sectional multination study. BMC Public Health 2021;21:1–13. 10.1186/s12889-021-10931-5
    1. Fountoulakis KN, Apostolidou MK, Atsiova MB, et al. . Self-Reported changes in anxiety, depression and suicidality during the COVID-19 lockdown in Greece. J Affect Disord 2021;279:624–9. 10.1016/j.jad.2020.10.061
    1. Müller F, Röhr S, Reininghaus U, et al. . Social isolation and loneliness during COVID-19 Lockdown: associations with depressive symptoms in the German old-age population. Int J Environ Res Public Health 2021;18:3615. 10.3390/ijerph18073615
    1. Di Santo SG, Franchini F, Filiputti B, et al. . The effects of COVID-19 and quarantine measures on the lifestyles and mental health of people over 60 at increased risk of dementia. Front Psychiatry 2020;11:578628. 10.3389/fpsyt.2020.578628
    1. Schwan J, Sclafani J, Tawfik VL. Chronic pain management in the elderly. Anesthesiol Clin 2019;37:547–60. 10.1016/j.anclin.2019.04.012
    1. Tsang A, Von Korff M, Lee S, et al. . Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders. J Pain 2008;9:883–91. 10.1016/j.jpain.2008.05.005
    1. Rolandi E, Vaccaro R, Abbondanza S, et al. . Loneliness and social engagement in older adults based in Lombardy during the COVID-19 Lockdown: the long-term effects of a course on social networking sites use. Int J Environ Res Public Health 2020;17:1–12. 10.3390/ijerph17217912
    1. Zhao Z-Y, Zhu Y-Z, Xu J-W, et al. . A five-compartment model of age-specific transmissibility of SARS-CoV-2. Infect Dis Poverty 2020;9:1–15. 10.1186/s40249-020-00735-x
    1. Salman D, Beaney T, E Robb C, et al. . Impact of social restrictions during the COVID-19 pandemic on the physical activity levels of adults aged 50-92 years: a baseline survey of the chariot COVID-19 rapid response prospective cohort study. BMJ Open 2021;11:e050680. 10.1136/bmjopen-2021-050680
    1. Janssen X, Fleming L, Kirk A, et al. . Changes in physical activity, sitting and sleep across the COVID-19 national Lockdown period in Scotland. Int J Environ Res Public Health 2020;17:9362. 10.3390/ijerph17249362
    1. Sadarangani KP, De Roia GF, Lobo P, et al. . Changes in sitting time, screen exposure and physical activity during COVID-19 Lockdown in South American adults: a cross-sectional study. Int J Environ Res Public Health 2021;18:5239. 10.3390/ijerph18105239
    1. Di Santo SG, Franchini F, Filiputti B, et al. . The effects of COVID-19 and quarantine measures on the lifestyles and mental health of people over 60 at increased risk of dementia. Front Psychiatry 2020;11:1052. 10.3389/fpsyt.2020.578628
    1. Psaltopoulou T, Sergentanis TN, Panagiotakos DB, et al. . Mediterranean diet, stroke, cognitive impairment, and depression: a meta-analysis. Ann Neurol 2013;74:580–91. 10.1002/ana.23944
    1. Kass L, Desai T, Sullivan K, et al. . Changes to Physical Activity, Sitting Time, Eating Behaviours and Barriers to Exercise during the First COVID-19 'Lockdown' in an English Cohort. Int J Environ Res Public Health 2021;18:10025. 10.3390/ijerph181910025
    1. Meyer J, Herring M, McDowell C, et al. . Joint prevalence of physical activity and sitting time during COVID-19 among US adults in April 2020. Prev Med Rep 2020;20:101256. 10.1016/j.pmedr.2020.101256
    1. Veronese N, Stubbs B, Noale M, et al. . Adherence to the Mediterranean diet is associated with better quality of life: data from the osteoarthritis initiative. Am J Clin Nutr 2016;104:1403–9. 10.3945/ajcn.116.136390

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