Healthy lifestyle and common mental disorders (CMD) in the context of COVID-19
Keywords:Healthy lifestyle; Mental health; COVID-19; Health promotion.
Objective: to analyze the mediating effect of a healthy lifestyle on the mental health of participants in a Virtual Health Fair, during the COVID-19 pandemic. Methodology: Cross-sectional of 1,029 people aged 18 years and over. The Virtual Health Fair was organized as a tridimensional, and data were collected through a link on Google Forms, containing the sociodemographic data form, the Eight Natural Remedies Questionnaire (Q8RN), and the Common Mental Disorders questionnaire (SRQ-20). A Structural Equation Modeling (SEM) was performed. Results: Most participants were female (69%; n= 729), married (53.5%; n= 565), of higher education (43.2%; n= 458), and Adventist in religious affiliation (56.7%; n=597). On average, lifestyle was categorized as good by the Q8RN score (mean 56.61; SD 11.59), with a deficiency in the practice of exercise (5.87; 4.02). The Body Mass Index (BMI) was overweight on average (mean 26.02; SD 5.24). A prevalence of common mental disorders was 30.2% based on the SRQ-20 questionnaire. Conclusion: Results indicated that BMI, age, education, and religion had a strong protective effect (62%, p<0.05) for common mental disorders, mediated by healthy lifestyle. A better lifestyle, through the eight natural remedies, within the context of the COVID-19 pandemic, mediated the protective effects of lower BMI, older age, and Adventist religion on common mental disorders. The practice of healthy habits should be encouraged in promoting mental health during the current and future pandemics.
Abdala, G. A., Meira, M. D. D., Isayama, R. N., Rodrigo, G. T. & Ninahuaman, F. M. L. et al. (2018). Validation of the “Eight Natural Remedies Questionnaire – Q8RN” - adult version. Lifestyle Journal, 5(2), 109-134. https://doi.org/10.19141/2237-3756.lifestyle.v5.n2.p135-159
Abdala, G. A., Meira, M. D. D., Rodrigo, G. T., Fróes, M. B. C., Ferreira, M. S., & Abdala, S. A. et al. (2021). Religion, Age, Education, Lifestyle, and Health: Structural Equation Modeling. Journal of Religion and Health, 60, 517–528. https://doi.org/10.1007/s10943-020-01034-3
Abouzid, M., El-Sherif, D. M., Eltewacy, N. K., Dahman, N. B. H., Okasha, S. A., & Ghozy, S. et al. (2021). Influence of COVID-19 on lifestyle behaviors in the Middle East and North Africa Region: a survey of 5896 individuals. Journal of Translational Medicine, 19(1), 129. https://dx.doi.org/10.1186/s12967-021-02767-9
Balanzá-Martínez, V., Atienza-Carbonell, B., Kapczinski, F., & De Boni, R. B. (2020). Lifestyle behaviours during the COVID-19 – time to connect. Editorial. Acta Psychiatrica Scandinavica, 141, 399-400. https://doi.org/10.1111/acps.13177
Barros, M. B. A., Lima, M. G., Malta, D. C., Szwarcwald, C. L., Azevedo, R. C. S., & Romero, D. et al. (2020). Relato de tristeza/depressão, nervosismo/ansiedade e problemas de sono na população adulta brasileira durante a pandemia de COVID-19. Epidemiologia e Serviços de Saúde, 29(4), e2020427. https://doi.org/10.1590/S1679-49742020000400018
Barber, S., &Thornicroft, G. (2018). Reducing the mortality gap in people with severe mental disorders: the role of lifestyle psychosocial interventions. Frontiers in Psychiatry, 9, 463. https://doi.org/10.3389/fpsyt.2018.00463
Becchetti, L., Becari, G., Conzo, G., Conzo, P., Santis, D., & Salustri, F. (2021). Air quality and COVID-19 adverse outcomes: divergent views and experimental findings. Environmental research, 193. https://doi.org/10.1016/j.envres.2020.110556
Bezerra, E. N. (2022). Common mental disorders in urban and rural men: prevalence and factors associated with mental health. Brazilian Journal of Development, 8(3), 17.861-17.871. https://doi.org/10.34117/bjdv8n3-156.
BVS. (2021). Biblioteca Virtual em Saúde. Available in https://pesquisa.bvsalud.org/portal/decs-locator/?lang=ptandmode=andtree_id=F01.829.458
Brust, M., Gebhardt, W. A., Numans, M. E., & Kiefte-de Jong, J. C. (2021). The COVID-19 crisis as a teachable moment for lifestyle change in Dutch Cardiovascular Disease Patients. Frontiers in Psychology, 12, 678513. https://doi.org/10.3389/fpsyg.2021.678513
Castro, P. R. M., Souza, S. C., Damasceno, R. A., Nascimento, G. M., & Farias, R. R. S. (2021). Impactos psicológicos em adultos durante a pandemia de COVID-19: uma revisão integrativa. Research, Society and Development, 10(11), e195101118546. http://dx.doi.org/10.33448/rsd-v10i11.18546
Cipriani, G. E., Bartoli, M., & Amanzio, M. (2021). Are sleep problems related to psychological distress in healthy aging during the COVID-19 pandemic: a review. International Journal of Environmental Research and Public Health, 18. https://doi.org/10.3390/ijerph182010676
Costa, B. R. L. (2018). Bola de neve Virtual: o uso das redes sociais virtuais no processo de coleta de dados de uma pesquisa científica. Revista Interdisciplinar de Gestão Social (RIGS), 7(1), 15-37. https://periodicos.ufba.br/index.php/rigs/article/view/24649
Cueto, M. (2020). COVID-19 e a corrida pela vacina. História, Ciência e Saúde. 27(4), 715-717.
Faro, A., Bahiano, M. A., Nakano, T. C., Reis, C., Silva, B. F. P.,& Vitti, L. S. (2020). COVID-19 e saúde mental: a emergência do cuidado. Estudos de Psicologia (Campinas), 37, e-200074. https://doi.org/10.1590/1982-0275202037e200074
Foster, V. W. (1989). Novo começo. 1. ed. Tradução: Carlos Biagini. Idaho: Pacific Press Publishing Association, 1989, 22-23. https://issuu.com/herbert.vix/docs/novo_comeco
Garssen, B., Visser, A., & Pool, G. (2021). Does Spirituality or Religion Positively Affect Mental Health? Meta-analysis of Longitudinal Studies. International Journal for the Psychology of Religion, 31(1), 4-20. https://doi.org/10.1080/10508619.2020.1729570
Ghareghani, M., Reiter, R. J., Zibara, K., & Farhadi, N. (2018). Latitude, Vitamin D, Melatonin, and Gut Microbiota Act in Concert to Initiate Multiple Sclerosis: a new mechanistic pathway. Frontiers in Immunology, https://doi.org/10.3389/fimmu.2018.02484
Glencross, D., Ho, T.; Camiña, N., Hawrylowicz, C. M., & Pfeffer, P. E. (2020). Air pollution and its effects on the immune system. Free Radical Biology and Medicine, https://doi.org/10.1016/j.freeradbiomed.2020.01.179
Gonçalves, D. M., Stein, A. T., & Kapczinski, F. (2008). Avaliação de desempenho do Self-Reporting Questionnaire como instrumento de rastreamento psiquiátrico: um estudo comparativo com o Structured Clinical Interview for DSM-IV-TR. Cadernos de Saúde Pública, 24(2), 380-390.
Goodman, L. A. (1961). Snowball Sampling. Annal of Mathematical Statistics, 32(1), 148-170. https://doi.org/10.1214/aoms/1177705148
Goto, A. (2022). Espiritualidade e medicina: uma dupla surpreendente. Medscape.
Grapiglia, C. Z., Costa, J. S. D., Pattussi, M. P., Paniz, V. M. V., & Olinto, M. T. A. (2020). Factors associated with common mental disorders: a study based on clusters of women. Revista de Saúde Pública, 55, 77. https://doi.org/10.11606/s1518-8787.2021055003124
HAIR Jr., J.F.; BLACK, W.C.; BABIN, B.J.; ANDERSON, R.E., & TATHAM, R.L. (2009). Multivariate Data Analysis. 7th. ed. Porto Alegre: Bookman. 761p
Harding, T. W., Arango, M. V., Baltazar, J., Climent, C.E., Ibrahim, H. H. A., & Ladrigo-Ignacio, L. et al. (1980). Mental Disorders in primary health care: a study of their frequency and diagnosis in four development countries. Psychological Medicine, 10, 231-241. https://doi.org/10.1017/s0033291700043993
Jahrami, H. A.; Alhaj, O. A. Humood, A. M.; Alenezi, A. F.; Fekih-Romdhane, F. F., & Alrasheed, M. M. et al. (2022). Sleep disturbances during the COVID-19 pandemic: a systematic review, meta-analysis, and meta-regression. Sleep Medicine Reviews, 62. https://doi.org/10.1016/j.smrv.2022.101591
Kass, L., Desai, T., Sullivan, K., Muniz, D., & Well, A. (2021). Changes to physical activity, sitting time, eating behaviors and barriers to exercise during the first Covid-19 ‘Lockdown’ in an English Cohort. International Journal of Environmental Research and Public Health, 18. https://doi.org/10.3390/ijerph181910025
Knight, R. L., Mcnarry, M. A., Sherran, L., Runacres, A. W., Thatcher, R., & Shelley, J. et al. (2021). Moving forward: understanding correlates of physical activities and sedentary behaviour during COVID-19 – an integrative review and socioecological approach. International Journal of Environmental Research and Public Health, 18, 10910. https://doi.org/10.3390/ijerph182010910
Kobbaz, T. M., Bittencourt, L. A., Pedrosa, B. V., Fernandes, B. M., Marcelino, L. D., & Freitas, B. P. et al. (2021). The lifestyle of Brazilian medical students: what changed and how it protected their emotional wellbeing during the COVID-19 pandemic. AJGP, 50, n. 9. https://doi.org/10.31128/AJGP-03-21-5886
Lee, B., Kim, G., Jo, Y., Lee, B., Shin, Y., & Hong, C. (2019). Aquatic exercise at Thermoneutral Water Temperature Enhances Antitumor Immune Responses. Immune Network, 19(2), e.10. https://doi.org/10.4110/in.2019.19.e10
Lucchetti, G., Koenig, H. G., & Lucchetti, A. L. G. (2021). Spirituality, religiousness, and mental health: a review of the current scientific evidence. World Journal of Clinical Cases, 2021. Sept. 9(26):7620-7631. https://doi.org/10.12998/wjcc.v9.i26.7620
Mari, J., & Williams, P. A. (1986). A validity study of a psychiatric screening questionnaire (SRQ-20) in primary care in the city of São Paulo. The British Journal of Psychiatry, 148, 23-26. https://doi.org/10.1192/bjp.148.1.23
Meira, M. D. D., & Moraes, M. C. L. (2019). Temperança. In Alfieri, F. M.; Abdala, G. A. (org). A Ciência dos 8 Remédios Naturais. Engenheiro Coelho: Unaspress, 2019.
Nieman, D. C. (2020). Coronavirus disease-2019. A tocsin to our aging, unfit, corpulent, and immunodeficient society. Journal of Sport and Health Science, 9, 293-301. https://doi.org/10.1016/j.jshs.2020.05.001
OPAS. (2021). Organização Pan-Americana de Saúde. Folha informativa sobre Covid-19. Disponível em: https://www.paho.org/pt/covid19
Opie, R. S., Jacka, F. N., Marx, W., Rocks, T., Young, C., & O’neil, A. (2021). Desining lifestyle interventions for Common Mental Disorders: what can we learn from Diabetes Prevention Programs? Nutrients,13, 3766. https://doi.org/10.3390/nu13113766
O’regan, D., Jackson, M. L., Young, A. H., & Rosenzweig, I. (2021). Understanding the impact of the COVID-19 pandemic, lockdowns, and social isolation on sleep quality. Nature and Science of Sleep, 13, 2053-2064. https://doi.org/10.2147/NSS.S266240
Park, K., Kim, A-R., Yang, M., LIM, S-J., & Park, J-H. (2021). Impact of the COVID-19 pandemic on the lifestyle, mental health, and quality of life of adults in South Korea. PLOS ONE, 16(2), e0247970. https://doi.org/10.1371/journal.pone.0247970
Pinho, L., Correia, T., Sampaio, F., Sequeira, C., Teixeira, L., & Lopes, M. et al. (2021). The use of mental health promotion strategies by nurses to reduce stress, and depression during the COVID-19 outbreak: a prospective cohort study. Environmental Research, 195. https://doi.org/10.1016/j.envres.2021.110828
Pluut, H., & Wonders, J. (2020). Not able to lead a healthy life when you need it the most: dual role lifestyle behaviors in the association of blurred work-life boundaries with well-being. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.607294
Polit, D. F., & Beck, C. T. (2006). Essentials of Nursing Research: methods, appraisal, and utilization. 6th ed. Philadelphia: Lippincott Williams and Wilkins; 2006.
Rico-Rosillo, M. G., & Veja-Robledo, G. B. (2018). Sleep and Immune System. Alergia, 65(2), 160-170. https://doi.org/10.29262/ram.v65i2.359
Santabárbara, J., Lasheras, I., Lipnicki, D. M., Bueno-notivol, J., PéreZ-Moreno, M., & López-Antón, R. et al. (2021). Prevalence of anxiety in the COVID-19 pandemic: an updated meta-analysis of community-based studies. Progress in Neuropsychopharmacology and Biological Psychiatry, 109. https://doi.org/10.1016/j.pnpbp.2020.110207
Santos, G. B. V., Alves, M. C. G. P., Godbaum, M., Cesar, C. L. G., & Gianini, R. J. (2019). Prevalência de transtornos mentais comuns e fatores associados em moradores da área urbana de São Paulo, Brasil. Cadernos de Saúde Pública, 35(11). https://doi.org/10.1590/0102-311X00236318
Shields, G. S., Spahr, C. M., & Slavich, G. M. (2020). Psychosocial interventions and Immune System Function. A systematic review and meta-analysis of randomized clinical trials. JAMA Psychiatry, 77(10),1031-1043. https://doi.org/10.1001/jamapsychiatry.2020.0431
Silva, G. M., Pesce, G. B., Martins, D. C., Carreira, L., Fernandes, C. A. M., & Jacques, A. E. (2021). Obesity as an aggravating fator of COVID-19 in hospitalized adults: an integrative review. Acta Paulista de Enfermagem, 34, eAPEO2321. https://doi.org/10.37689/acta-ape/2021AR02321
Silva, H. G. N., Santos, L. E. S., & Oliveira, A. K. S. (2020). Efeitos da pandemia do novo Coronavírus na saúde mental de indivíduos e coletividades. Journal of Nursing and Health, 10 (especial), e-20104007. https://docs.bvsalud.org/biblioref/2020/06/1097482/4-efeitos-da-pandemia-do-novo-coronavirus-na-saude-mental-de-i_fNxf8zd.pdf
Skrajnowska, D. S., Brumer, M., Kanlowska, S., Matysek, M., Miazio, N., & Bobrowska-Korczak, B. (2021). COVID-19: Diet Composition and Health. Nutrients, 13. https://doi.org/10.2290/nu13092980
Smirmaul, B. P. C., Chamon, R. F., Moraes, F. M., Rozin, G., Moreira, A. S. B., & Almeida, R. et al. (2020). Lifestyle Medicine during (and after) the COVID-19 pandemic. American Journal of Lifestyle Medicine. https://doi.org/10.1177/1559827620950276
Stein, D. J., Scott, K. M., de Jonge, P., & Kessler, R. C. (2017). Epidemiology of anxiety disorders: from surveys to nosology and back. Dialogues in Clinical Neuroscience, 19, 127–136. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573557/pdf/DialoguesClinNeurosci-19-127.pdf
Tuakli-Wosornu, Y. A., Wang, K., Fourtassi, M., Stratton, C., Muñoz-Velasco, L. P., & Hajjioui, A. et al. (2022). Impact of the COVID-19 Pandemic on the Perceived Physical and Mental Health and Healthy Lifestyle Behaviors of People with Disabilities: Quantitative Analysis of the International Community Survey, American Journal of Physical Medicine and Rehabilitation, 8. https://doi.org/10.1097/PHM.0000000000002056
Vieira, D. A., Meirinhos, V. COVID-19 (2021). Lockdown in Portugal: challenges, strategies, and effects on mental health. Trends in Psychology, 29, 354-374. https://doi.org/10.1007/s43076-021-00066-2
Venter, C., Eyerich, S., Sarini, T., & Klatt, K. C. (2020). Nutrition and the Immune System: a complicated tango. Nutrients, 12, 818. https://doi.org/10.3390/nu12030818
Vinuto, J. (2015). A amostragem em Bola de Neve na pesquisa qualitativa: um debate em aberto. Temáticas (UNICAMP), 44, 201-218.
Wang, J., Sato, T., and Sakuraba, A. (2021). Worldwide association of lifestyle-related factors and COVID-19 mortality. Annals of medicine, 53(1), 1528-1533. http://doi.org/10.1080/07853890.2021.1968029
White, E. G. (1905). The Ministry of Healing. 1905. Copyright 2012; Ellen G. White Estate, Inc. https://egwwritingsa.akamaihd.net/swf/en_MH/files/mobile/index.html#85.
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Copyright (c) 2023 Gina Andrade Abdala; Norton José Barbosa Caldeira; Mônica Fátima Freires da Silva; Maria Dyrce Dias Meira; Naielly Fortes de Menezes; Sammila Andrade Abdala; Harold George Koenig
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