Evidence map›Paper›PMID 36782166›Full record

ArticleBMC public health2023

Anxiety prevalence and its association with physical activity in patients with non-communicable diseases during COVID-19 lockdown: a cross-sectional study in Shanghai, China.

Yanyun Li, Tianzhichao Hou, Minna Cheng, Ya Miao, Yeerzati Yeerjang, Chang-Sheng Sheng, Kun Xue, Cui Wu, Sheng Zhang, Qinghua Yan and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.9field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Yanyun Li *Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Tianzhichao Hou *Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Minna Cheng *Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Ya MiaoDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yeerzati YeerjangKey Lab of Health Technology Assessment (National Health Commission), School of Public Health, Fudan University, Shanghai, China.
Chang-Sheng ShengCenter for Epidemiological Studies and Clinical Trials and Center for Vascular Evaluation, Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Kun XueSchool of Public Health, Fudan University, Shanghai, China.
Cui WuCenter for Disease Control and Prevention of Baoshan District, Shanghai, China.
Sheng ZhangShanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Qinghua YanShanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Jianfeng PeiKey Lab of Health Technology Assessment (National Health Commission), School of Public Health, Fudan University, Shanghai, China.
Qinping YangShanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Jingyan Tian *Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. tianjypaper@163.com.
Wanghong Xu *Key Lab of Health Technology Assessment (National Health Commission), School of Public Health, Fudan University, Shanghai, China. wanghong.xu@fudan.edu.cn.
Yan Shi *Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China. shiyan@scdc.sh.cn.
Shanghai Municipal Center For Disease Control Prevention · CNShanghai Jiao Tong University · CNFudan University · CNNational Health and Family Planning Commission · CN

Funding

5th Three-year Action Program of Shanghai Municipality for Strengthening the Construction of Public Health System GWV-10.1-XK05
6 · The paper itself

Abstract

backgroundQuarantine due to the COVID-19 pandemic may have created great psychological stress among vulnerable populations. We aimed to investigate the prevalence of anxiety and explore the association between physical activities (PA) and anxiety risk in people with non-communicable diseases during the period of COVID-19 lockdown.

methodsWe conducted a cross-sectional telephone survey from February 25 to April 20, 2020, the period of COVID-19 lockdown in Shanghai. Up to 8000 patients with type 2 diabetes and/or hypertension were selected using multi-stage cluster random sampling. PA level was measured based on the International Physical Activity Questionnaire using Metabolic Equivalent for Task scores, while symptoms of anxiety were assessed by the 7-item Generalized Anxiety Disorder scale. Multiple logistic regression analyses were performed to evaluate the associations of type and level of PA with the risk of anxiety.

resultsOf a total 4877 eligible patients, 2602 (53.4%) reported with anxiety, and 2463 (50.5%), 123 (2.5%) and 16 (0.3%) reported with mild, moderate, and severe anxiety. The prevalence of anxiety was higher in the females, the elders, non-smokers, non-drinkers, and patients with diabetes, and the associations of anxiety with sex, age, smoking, drinking and diagnosis of diabetes were significant. A significant negative association was observed for housework activities (OR 0.53, 95%CI: [0.45, 0.63], p < 0.001) and trip activities (OR 0.55, 95%CI: [0.48, 0.63], p < 0.001) with anxiety, but no significant was found for exercise activities (OR 1.06, 95%CI: [0.94, 1.20], p = 0.321). Compared with patients with a low PA level, those with a moderate (OR 0.53, 95%CI: [0.44, 0.64], p < 0.001) or a high PA level (OR 0.51, 95%CI: [0.43, 0.51], p < 0.001) had a lower prevalence of anxiety.

conclusionThis study demonstrates a higher prevalence of anxiety in patients with hypertension, diabetes, or both during the COVID-19 lockdown. The negative associations of housework and trip activities with anxiety highlight the potential benefit of PA among patients with non-communicable diseases.

Indexed as

COVID-19Diabetes Mellitus, Type 2Noncommunicable DiseasesAgedAnxietyChinaCommunicable Disease ControlCross-Sectional StudiesDepressionExerciseFemaleHumansPandemicsPrevalenceSARS-CoV-2Anxiety disordersDiabetes mellitusHypertensionPhysical activityQuarantineSARS-CoV-2

Identifiers

PMID36782166
PMCPMC9924212
OpenAlexW4320486172

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.