ASSOCIATIONS BETWEEN PHYSICAL ACTIVITY AND MENTAL HEALTH AMONG MALAYSIAN ADULTS DURING COVID 19 PANDEMIC IN MALAYSIA
Physical inactivity was recognized as the fourth risk factor of death and the current Covid-19 pandemic had increased the probability of society becoming less physically active. These contributed to adverse mental changes. Therefore, our main objective was to study the association of physical activity and mental health among adults in Malaysia during Covid-19. A cross-sectional study was conducted through an online survey and 1161 Malaysian adults were recruited in the study. DASS 21 and IPAQ 7 questionnaires were used to access their mental health and physical activity among adults in Malaysia. A total of 1161 participants (267 males and 894 female) were included in the study. Overall, there were participants having average depression score of 1.55 (SD=1.54) that comprises of normal (40.1%), mild (11.7%), moderate (19.7%), severe (9.8%) and extremely severe (18.6%). As for anxiety, the average is 1.96 (SD=1.65) that included normal (33.5%), mild (6.9%), moderate (20.4%), severe (8.3%) and extremely severe (30.9%). The average for stress-induced participants was 0.93 (SD=1.31) that consisted of normal (59.9%), mild (10.9%), moderate (11.7%), severe (10.9%) and extremely severe (6.5%). There was a significant association of depression, anxiety and stress levels (DASS-21) with age (p<0.001), marital status (p<0.001) and employment status (p<0.001). There was no significant association between low, moderate and high physical activity with levels of depression, anxiety and stress. Instead, there was significance association between level of depression, anxiety and stress towards sociodemographic characteristic such as age, marital status and employment status.
Füzéki E, Groneberg DA, Banzer W. Physical activity during COVID-19 induced lockdown: recommendations. Journal of Occupational Medicine and Toxicology. 2020;15(1):25.
Chaput J-P, Willumsen J, Bull F, Chou R, Ekelund U, Firth J, et al. 2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5–17 years: summary of the evidence. International Journal of Behavioral Nutrition and Physical Activity. 2020;17(1):141.
Ss S, Marathamuthu S. BEHAVIOUR AND THE PERCEPTION OF PHYSICAL ACTIVITY DURING THE PERIOD OF MOVEMENT CONTROL ORDER (MCO) IN MALAYSIA. Malaysian Journal of Movement, Health & Exercise. 2021;10.
Wong LP, Alias H, Md Fuzi AA, Omar IS, Mohamad Nor A, Tan MP, et al. Escalating progression of mental health disorders during the COVID-19 pandemic: Evidence from a nationwide survey. PLOS ONE. 2021;16(3):e0248916.
World Health Organization. (2018, August 27). Physical activity. Physical Activity in the Western Pacific Available at: https://www.who.int/westernpacific/health-topics/physical-activity.Raosoft. Sample size calculator. Raosoft, Inc.; 2004.
Hirschmann R. Number of adults in Malaysia 2010-2019 Statista: R. Hirschmann; 2019 [cited 2021 19 January]. This statistic displays the number of adults in Malaysia from 2010 to 9. Adults are classified as individuals above the age of 18 years. In 9, there were approximately 21.82 million adults in Malaysia.]. Available from: https://www.statista.com/statistics/667521/number-of-adults-in-malaysia/.
Horng, Wen-Bing & Lee, Cheng-Ping & Chen, Chun-Wen. (2001). Classification of Age Groups Based on Facial Features. Tamkang Journal of Science and Engineering. 4. 183-192.
Department of statistics Malaysia official portal [Internet]. Gov.my. [cited 2021 Jul 2]. Available from: https://www.dosm.gov.my/v1/index.php
Parkitny L, McAuley J. The depression anxiety stress scale (DASS). Physiother. 2010 Jan 1;56(3):204.
Vaughan RS, Edwards EJ, MacIntyre TE. Mental health measurement in a post Covid-19 world: psychometric properties and invariance of the DASS-21 in athletes and non-athletes. Frontiers in psychology. 2020;11.
Bauman A, Bull F, Chey T, Craig CL, Ainsworth BE, Sallis JF, et al. The international prevalence study on physical activity: results from 20 countries. Int J Behav Nutr Phys Act. 2009;31(6):21.
Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–95
Rowe VD. Assessing the Impact of the COVID-19 Pandemic in Jamaica: Physical Activity Participation, Weight Gain, and the Mental Health Perception. Journal of Physical Activity Research. 2021;6(1):65-71
Gloster AT, Rhoades HM, Novy D, Klotsche J, Senior A, Kunik M, et al. Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients. J Affect Disord. 2008;110(3):248-59
Maugeri, G., Castrogiovanni, P., Battaglia, G., Pippi, R., D’Agata, V., Palma, A., Di Rosa, M., & Musumeci, G. (2020). The impact of physical activity on psychological health during Covid-19 pandemic in Italy. Heliyon, 6(6).
K. Gonz´alez, J. Fuentes, and J. L. M´arquez, “Physical inactivity, sedentary behavior and chronic diseases,” Korean Journal of Family Medicine, vol. 38, no. 3, pp. 111–115, 2017.
Woods J, Hutchinson NT, Powers SK, Roberts WO, Gomez-Cabrera MC, Radak Z, et al. The COVID-19 pandemic and physical activity. Sports Medicine and Health Science. 2020;2(2):55–64.
Aktekin, M.; Karaman, T.; Senol, Y.Y.; Erdem, S.; Erengin, H.; Akaydin, M. Anxiety, depression and stressful life events among medical students: A prospective study in Antalya, Turkey. Med. Educ. 2001, 35, 12–17.
Cao, W.; Fang, Z.; Hou, G.; Han, M.; Xu, X.; Dong, J.; Zheng, J. The psychological impact of the COVID-19 epidemic on college students in China. J. Psychiatry Res. 2020, 287, 112934.
Wang, G.; Zhang, Y.; Zhao, J.; Zhang, J.; Jiang, F. Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet 2020, 395, 945–947.
Ayittey, F.K.; Ayittey, M.K.; Chiwero, N.B.; Kamasah, J.S.; Dzuvor, C. Economic impacts of Wuhan 2019-nCoV in China and the world. J. Med. Virol. 2020, 92, 473–475.
Reger, M.A.; Stanley, I.H.; Joiner, T.E. Suicide mortality and coronavirus disease 2019—A perfect storm? JAMA Psychiatry 2020.
Gardner, P.J.; Moallef, P. Psychological impact on SARS survivors: Critical review of the English language literature. Can. Psychol. 2015, 56, 123.
Hawryluck, L.; Gold, W.L.; Robinson, S.; Pogorski, S.; Galea, S.; Styra, R. SARS control and psychological effects of quarantine, Toronto, Canada. Emerg. Infect. Dis. 2004, 10, 1206–1212.
Wheaton, M.G.; Abramowitz, J.S.; Berman, N.C.; Fabricant, L.E.; Olatunji, B.O. Psychological predictors of anxiety in response to the H1N1 (swine flu) pandemic. J. Cogn. Psychother. 2012, 36, 210–218.
Sundarasen S, Chinna K, Kamaludin K, Nurunnabi M, Baloch GM, Khoshaim HB, Hossain SFA, Sukayt A. Psychological Impact of COVID-19 and Lockdown among University Students in Malaysia: Implications and Policy Recommendations. International Journal of Environmental Research and Public Health. 2020; 17(17):6206. https://doi.org/10.3390/ijerph17176206
Gao J, Zheng P, Jia Y, Chen H, Mao Y, Chen S, et al. Mental health problems and social media exposure during COVID-19 outbreak. PLoS One. 2020;15(4): e0231924.
Vindegaard N, Eriksen BM. COVID-19 pandemic and mental health consequences: systematic review of the current evidence. Brain, Behavior, and Immunity.2020;89:53142.