The Impact of COVID-19 Pandemic on Physical Activity and Health Measures in Patients With Multiple Sclerosis
-
Mahan Shafie
,
Abdorreza Naser Moghadasi
,
Sina Kazemian
,
Mahsa Mayeli
,
Narges Shakerian
,
Mohaddeseh Azadvari
Abstract
The COVID-19 pandemic restrictions may have significant implications for patients with multiple sclerosis (MS). The objective of this study is to explore the impact of the pandemic on physical activity levels and health outcomes among MS patients, as well as to examine potential associations between these factors. In this cross-sectional study, 197 patients with confirmed MS diagnosis were included. Physical activity and health status were assessed using international physical activity questionnaire-long form (IPAQ-LF) and short form 36 health survey questionnaire (SF-36) during the period of restrictions. The relationship between clinical characteristics, physical activity levels and health status parameters were examined. A total of 45 participants (22.8%) scored low, 73 (37.1%) scored moderate, and 79 (49.1%) achieved a high level of physical activity during the COVID-19 pandemic. We observed no significant association between total physical activity and any domains of SF-36 health status, except for pain. However, correlations were found between IPAQ and SF-36 domains. Specifically, walking showed positive correlations with physical functioning, physical limitation, general health, and physical component summary score. Vigorous activity demonstrated a negative correlation with social functioning, while moderate activity displayed a positive correlation with energy levels. Despite the challenges of home isolation and quarantine, most of our participants managed to achieve a moderate to high level of physical activity, while their overall health status was found to be moderate. Additionally, significant correlations were identified between the domains of health status and different types of physical activity, particularly walking. Further studies are warranted to optimize the care and support provided to patients with MS.
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28. Flachenecker P, Bures AK, Gawlik A, Weiland AC, Kuld S, Gusowski K, et al. Efficacy of an Internet-Based Program to Promote Physical Activity and Exercise after Inpatient Rehabilitation in Persons with Multiple Sclerosis: A Randomized, Single-Blind, Controlled Study. Vol. 17, Int J Environ Res Public Health 2020;17:4544.
29. Riazi A, Hobart JC, Lamping DL, Fitzpatrick R, Freeman JA, Jenkinson C, et al. Using the SF-36 measure to compare the health impact of multiple sclerosis and Parkinson’s disease with normal population health profiles. J Neurol Neurosurg Psychiatry 2003;74:710-4.
30. Sobal J, Hanson K. Marital status and physical activity in US adults. Int J Sociol Fam 2010;36:181-98.
31. Hopman WM, Towheed T, Anastassiades T, Tenenhouse A, Poliquin S, Berger C, et al. Canadian normative data for the SF-36 health survey. CMAJ 2000;163:265-71.
32. Ford HL, Gerry E, Johnson MH, Tennant A. Health status and quality of life of people with multiple sclerosis. Disabil Rehabil 2001;23:516-21.
33. Inojosa H, Proschmann U, Akgün K, Ziemssen T. A focus on secondary progressive multiple sclerosis (SPMS): challenges in diagnosis and definition. J Neurol 2021;268:1210-21.
34. Krüger T, Behrens JR, Grobelny A, Otte K, Mansow-Model S, Kayser B, et al. Subjective and objective assessment of physical activity in multiple sclerosis and their relation to health-related quality of life. BMC Neurol. 2017;17:10.
2. Ciotti M, Ciccozzi M, Terrinoni A, Jiang WC, Wang CB, Bernardini S. The COVID-19 pandemic. Crit Rev Clin Lab Sci 2020;57:365-88.
3. Shafie M, Mayeli M, Hosseini H, Ashoorkhani M. Medical Sciences’ Students Responses During the Late Phase of the COVID-19 Pandemic in Iran: A Comprehensive Investigation of the Risk Perception and Information Exposure. Acta Med Iran 2021;59:704-12.
4. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395:912-20.
5. Kang C, Yang S, Yuan J, Xu L, Zhao X, Yang J. Patients with chronic illness urgently need integrated physical and psychological care during the COVID-19 outbreak. Asian J Psychiatr 2020;51:102081.
6. Reguera-García MM, Liébana-Presa C, Álvarez-Barrio L, Alves Gomes L, Fernández-Martínez E. Physical Activity, Resilience, Sense of Coherence and Coping in People with Multiple Sclerosis in the Situation Derived from COVID-19. Int J Environ Res Public Health 2020;17:8202.
7. Ghasemi H, Kazemian S, Nejadghaderi SA, Shafie M. Takotsubo syndrome and COVID‐19: A systematic review. Health Sci Rep 2023;6:e972.
8. Pérez-Gisbert L, Torres-Sánchez I, Ortiz-Rubio A, Calvache-Mateo A, López-López L, Cabrera-Martos I, et al. Effects of the COVID-19 Pandemic on Physical Activity in Chronic Diseases: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2021;18:12278.
9. Oh J, Vidal-Jordana A, Montalban X. Multiple sclerosis: clinical aspects. Curr Opin Neurol 2018;31:752-9.
10. Pedullà L, Santoyo-Medina C, Novotna K, Moumdjian L, Smedal T, Arntzen EC, et al. Physical Activity in Multiple Sclerosis: Meeting the Guidelines at the Time of the COVID-19 Pandemic. J Neurol Phys Ther 2023;47:112-21.
11. Halabchi F, Alizadeh Z, Sahraian MA, Abolhasani M. Exercise prescription for patients with multiple sclerosis; potential benefits and practical recommendations. BMC Neurol 2017;17:185.
12. Sadeghi Bahmani D, Kesselring J, Papadimitriou M, Bansi J, Pühse U, Gerber M, et al. In Patients With Multiple Sclerosis, Both Objective and Subjective Sleep, Depression, Fatigue, and Paresthesia Improved After 3 Weeks of Regular Exercise. Front psychiatry 2019;10:265.
13. Özkeskin M, Özden F, Karaman B, Ekmekçi Ö, Yüceyar N. The comparison of fatigue, sleep quality, physical activity, quality of life, and psychological status in multiple sclerosis patients with or without COVID-19. Mult Scler Relat Disord 2021;55:103180.
14. Willis MD, Robertson NP. Multiple sclerosis and the risk of infection: considerations in the threat of the novel coronavirus, COVID-19/SARS-CoV-2. J Neurol 2020;267:1567-9.
15. Kalron A, Dolev M, Greenberg-Abrahami M, Menascu S, Frid L, Avrech-Shezifi S, et al. Physical activity behavior in people with multiple sclerosis during the COVID-19 pandemic in Israel: Results of an online survey. Mult Scler Relat Disord 2021;47:102603.
16. Thompson AJ, Banwell BL, Barkhof F, Carroll WM, Coetzee T, Comi G, et al. Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. Lancet Neurol 2018;17:162-73.
17. Vasheghani-Farahani A, Tahmasbi M, Asheri H, Ashraf H, Nedjat S, Kordi R. The Persian, last 7-day, long form of the International Physical Activity Questionnaire: translation and validation study. Asian J Sports Med 2011;2:106-16.
18. Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Qual Life Res 2005;14:875-82.
19. Di Blasio A, Di Donato F, Mazzocco C. Guidelines for the data processing and analysis of the International Physical Activity Questionnaire; 2016.
20. Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 health survey. Manual and interpretation guide. Boston: The Health Institute, New England Medical Center, 1993:10-6.
21. Louapre C, Collongues N, Stankoff B, Giannesini C, Papeix C, Bensa C, et al. Clinical Characteristics and Outcomes in Patients With Coronavirus Disease 2019 and Multiple Sclerosis. JAMA Neurol 2020;77:1079-88.
22. Motl RW, Sasaki JE, Cederberg KL, Jeng B. Validity of sitting time scores from the International Physical Activity Questionnaire-Short Form in multiple sclerosis. Rehabil Psychol 2019;64:463-8.
23. Hubbard EA, Motl RW, Manns PJ. The descriptive epidemiology of daily sitting time as a sedentary behavior in multiple sclerosis. Disabil Health J 2015;8:594-601.
24. Matysiak M, Siger M, Walczak A, Ciach A, Jonakowski M, Stasiołek M. The influence of COVID-19 pandemic lockdown on the physical activity of people with multiple sclerosis. The role of online training. Mult Scler Relat Disord 2022;63:103843.
25. Employment and Community Living Issues for People with Multiple Sclerosis. Work 2015;52:723-4.
26. Krause JS, Dismuke-Greer CE, Jarnecke M, Li C, Reed KS, Rumrill P. Employment and Gainful Earnings Among Those With Multiple Sclerosis. Arch Phys Med Rehabil 2019;100:931-937.e1.
27. Dennett R, Gunn H, Freeman JA. Effectiveness of and User Experience With Web-Based Interventions in Increasing Physical Activity Levels in People With Multiple Sclerosis: A Systematic Review. Phys Ther 2018;98:679-90.
28. Flachenecker P, Bures AK, Gawlik A, Weiland AC, Kuld S, Gusowski K, et al. Efficacy of an Internet-Based Program to Promote Physical Activity and Exercise after Inpatient Rehabilitation in Persons with Multiple Sclerosis: A Randomized, Single-Blind, Controlled Study. Vol. 17, Int J Environ Res Public Health 2020;17:4544.
29. Riazi A, Hobart JC, Lamping DL, Fitzpatrick R, Freeman JA, Jenkinson C, et al. Using the SF-36 measure to compare the health impact of multiple sclerosis and Parkinson’s disease with normal population health profiles. J Neurol Neurosurg Psychiatry 2003;74:710-4.
30. Sobal J, Hanson K. Marital status and physical activity in US adults. Int J Sociol Fam 2010;36:181-98.
31. Hopman WM, Towheed T, Anastassiades T, Tenenhouse A, Poliquin S, Berger C, et al. Canadian normative data for the SF-36 health survey. CMAJ 2000;163:265-71.
32. Ford HL, Gerry E, Johnson MH, Tennant A. Health status and quality of life of people with multiple sclerosis. Disabil Rehabil 2001;23:516-21.
33. Inojosa H, Proschmann U, Akgün K, Ziemssen T. A focus on secondary progressive multiple sclerosis (SPMS): challenges in diagnosis and definition. J Neurol 2021;268:1210-21.
34. Krüger T, Behrens JR, Grobelny A, Otte K, Mansow-Model S, Kayser B, et al. Subjective and objective assessment of physical activity in multiple sclerosis and their relation to health-related quality of life. BMC Neurol. 2017;17:10.
| Files | ||
| Issue | Vol 61 No 7 (2023) | |
| Section | Articles | |
| DOI | https://doi.org/10.18502/acta.v61i7.14495 | |
| Keywords | ||
| COVID-19 Health status International physical activity questionnaire Multiple sclerosis Physical activity Short form 36 health survey questionnaire | ||
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How to Cite
1.
Shafie M, Naser Moghadasi A, Kazemian S, Mayeli M, Shakerian N, Azadvari M. The Impact of COVID-19 Pandemic on Physical Activity and Health Measures in Patients With Multiple Sclerosis. Acta Med Iran. 2023;61(7):399-407.
