Psychological distress caused by decreased physical activity (PA) is a growing concern among the elderly due to public health measures since the coronavirus disease (COVID-19). We aimed to (1) assess how public health restrictions impact PA, subjective well-being (SWB), and health-related quality of life (HRQoL) of community-dwelling elderly, and (2) investigate risk factors that lead to a decline in PA. Self-administered questionnaires assessed the changes in PA, SWB, HRQoL. Multivariate logistic regression analysis was performed to identify significant associated risk factors for decreased PA. Of 165 participants (valid response rate, 41.3%; mean age, 78.5 ± 8.0 years), 47.3% became less active, 23.0% became more active, and 29.7% maintained PA levels. There was a significant decrease in SWB at baseline and follow-up after COVID-19 restrictions in the less active group ( p < 0.01). Higher levels of moderate or strenuous exercise/sports activity at baseline (odds ratio [OR], 1.12; 95% confidence interval [CI], 1.01–1.24), and lower mental component HRQoL scores at baseline (OR, 0.96; 95% CI, 0.93–0.99) were associated with an increased risk of decreased PA. Public health restrictions impact the PA of the elderly, especially those who had higher levels of exercise/sports activity and lower HRQoL before COVID-19. Decreased PA was strongly associated with lower SWB.
【저자키워드】 physical activity, elderly, coronavirus disease (COVID-19), Well-being, health-related quality of life, Lifestyle restrictions, 【초록키워드】 COVID-19, coronavirus disease, public health, risk factor, Health, age, Quality of life, Follow-up, moderate, questionnaire, distress, Odds ratio, public health measure, Logistic regression analysis, 95% CI, 95% confidence interval, increased risk, multivariate, participant, significant decrease, Public, Mental, identify, caused, was performed, less, changes in, Decreased, baseline, 【제목키워드】 COVID-19, activity, Japanese, Quality, change, life, Factor, Subjective,