Abstract

Objectives: Herein, we explored the associations of pre-pandemic COVID-19 physical activity (PA), sedentary behavior (SB) and cardiorespiratory fitness (CRF) with mental health and quality of life in older adults with hypertension.

Method: Objectively measured PA and SB, perceived stress, depression symptoms, and quality of life were assessed before and during the pandemic in seventeen older adults with hypertension. CRF was assessed before the pandemic by cardiopulmonary exercise testing. Longitudinal and cross-sectional associations were analyzed using the mixed linear model.

Results: Pre-pandemic light PA (positive association) and SB (negative association) were associated with quality of life during the pandemic. Higher pre-pandemic CRF was associated with less negative changes in perceived stress, depression symptoms, and quality of life during the pandemic.

Conclusion: Our preliminary findings suggest that a healthier pre-pandemic movement behavior (more PA, less SB) and better CRF can mitigate the negative impact of the COVID-19 pandemic on mental health and quality of life in older adults with hypertension.

摘要

目的：在此，我们探讨了大流行前 COVID-19 身体活动 (PA)、久坐行为 (SB) 和心肺健康 (CRF) 与老年高血压患者心理健康和生活质量的关系。

方法：在大流行之前和期间对 17 名患有高血压的老年人进行客观测量的 PA 和 SB、感知压力、抑郁症状和生活质量。在大流行之前通过心肺运动测试评估了 CRF。使用混合线性模型分析纵向和横截面关联。

结果：大流行前轻度 PA（正相关）和 SB（负相关）与大流行期间的生活质量相关。大流行前较高的 CRF 与大流行期间感知压力、抑郁症状和生活质量的负面变化较小有关。

结论：我们的初步研究结果表明，更健康的大流行前运动行为（更多的 PA，更少的 SB）和更好的 CRF 可以减轻 COVID-19 大流行对患有高血压的老年人的心理健康和生活质量的负面影响。