Omezení pohybové aktivity je spojeno s poklesem aktivní tělesné hmoty, kumulací tuku, poklesem vytrvalostní zdatnosti a zhoršením metabolického profilu. Podle dat z fitness monitorů došlo po dobu omezení volného pohybu osob při pandemii COVID-19 ke změně struktury pohybové aktivity, ne nutně ale k poklesu objemu pohybu. Není jasné, jak se na zdatnosti projevilo omezení volného pohybu začátkem roku 2020 v České republice. Metodika: identifikovali jsme 30 pacientů s maximálním zátěžovým testem včetně měření spotřeby kyslíku (VO2max), kteří byli vyšetřeni bezprostředně před vyhlášením omezení pohybu, 10 z nich (5 žen, věk 22,0 ± 9,3 roku) bylo vyšetřeno identickým protokolem po ukončení omezení pohybu a vyplnili dvojici dotazníků IPAQ (množství pohybu po dobu omezení pohybu a v běžném režimu). Výsledky: nedošlo ke změně VO2max (40,1 ± 9,9 resp. 40,3 ± 10,6 ml.min-1.kg-1, p = 0,856, před resp. po) ani Wmax (3,0 ± 0,6 resp. 3,0 ± 0,8 W.kg-1, p = 0,727), ale došlo k signifikantnímu nárůstu hmotnosti (62,8 ± 13,0 kg resp. 64,2 ± 13,3 kg, p = 0,004). Diskuse: možné vysvětlení stejnéhoVO2max při druhém testu je větší motivace pacientů k maximálnímu výkonu, pro kterou nesvědčí přítomnost VO2 plateau. Přikláníme se k tomu, že pacienti částečně kompensovali výpadek běžného pohybu a tím nedošlo k poklesu aktivní tělesné hmoty. Hlavní limitací je malá velikost souboru a nižší věk, pro který není možné extrapolovat na výsledky na cílovou skupinu nejvíce ohroženou při COVID-19. Závěr: byl zaznamenán váhový přírůstek, ale ne pokles VO2max. Snaha o cílené navyšování pohybové aktivity po dobu protiepidemických opatření může u rizikových skupin pacientů efektivně zabránit dekondici a měli bychom se snažit o screening hypoaktivity.

Restriction of physical activity (PA) causes reduction in lean body-mass, fat-mass accumulation and decrease in aerobic capacity. Fitness monitor data show change of PA profile but not necessarily decrease in PA. It is not clear what was the net effect of lockdown. Methods: 30 patients with maximal exercise test (CPET) before lockdown were identified, 10 patients (5 women, age 22,0 ± 9,3 years) agreed to participate on second CPET with identical protocol just after lockdown. Results: no significant change in VO2max (40,1 ± 9,9 resp. 40,3 ± 10,6 ml.min-1.kg-1, p = 0,856) andWmax (3,0 ± 0,6 resp. 3,0 ± 0,8 W.kg-1, p = 0,727), but there was increase in body weight (62,8 ± 13,0 kg resp. 64,2 ± 13,3 kg, p = 0,004). Discussion: no change inVO2max may be due to increased motivation to reach maximal test in second CPET which contradicts presence of VO2 plateau. It is possible that patients compensated decrease in regular PA so there was no change in lean body-mass. Main limitation of study is small sample size and younger age which make extrapolation to high-risk patient groups difficult. Conclusion: significant weight gain was not followed by decrease in VO2max andWmax. It is reasonable to actively increase PA level in high-risk patient groups and maybe even to organize inactivity screening during lockdown.

• Klíčová slova
• hypoaktivita,
• MeSH
• COVID-19 MeSH
• dospělí MeSH
• karanténa MeSH
• klinická studie jako téma MeSH
• lidé MeSH
• mladý dospělý MeSH
• pandemie * MeSH
• tělesná výkonnost * MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH

Úvod: V marci 2020 bola vyhlásená celosvetová pandémia infekčného ochorenia covid-19 a v rámci snahy obmedzenia šírenia tohto vírusu došlo k zatvoreniu škôl a k prechodu na online výučbu. Táto štúdia mala za cieľ zistiť vplyv ochorenia covid-19 a s ním spojených opatrení na duševné zdravie detí a adolescentov na Slovensku. Metodika: Na Klinike detskej psychiatrie LF UK a NÚDCH sme zostavili sebaposudzovací dotazník na hodnotenie online výučby, denného režimu a duševného zdravia detí a adolescentov v období lockdownu, zahŕňajúc otázky na porovnanie s obdobím pred lockdownom. Zber dát prebiehal od 1. 6. 2021 do 30. 6. 2021. Výsledky: V kategórii adolescentov (13–18 rokov) bolo v štúdii zahrnutých 1825 respondentov. V porovnaní s obdobím pred lockdownom sme v období lockdownu zaznamenali pokles nálady, pociťovanej energie, možnosti vykonávať aktivity a nárast pociťovanej tenzie (všetky p = < 0,001). Prítomnosť samotného ochorenia covid-19 nemala vplyv na skúmané parametre duševného zdravia adolescentov (p = > 0,05). Výrazná zmena v dennom režime – nutnosť online výučby – mala v závislosti od spokojnosti respondentov s touto zmenou významný vplyv na skúmané parametre duševného zdravia. Záver: Respondenti v tejto štúdii pociťovali v období lockdownu zhoršenú náladu, znížené množstvo energie, zníženú celkovú psychickú pohodu a zvýšenú tenziu. Samotné ochorenie covid-19 nemalo významný vplyv na skúmané parametre duševného zdravia respondentov, kým online výučba v závislosti od spokojnosti respondentov s touto formou výučby mala signifikantný vplyv na skúmané parametre duševného zdravia.

Introduction: A global pandemic of the infectious disease COVID-19 was declared in March 2020, and in an effort to curb the spread of the virus, schools have been closed and switched to online learning. The aim of this study was to determine the impact of COVID-19 and its lockdown and the impact of online learning on the mental health of children and adolescents in Slovakia. Methods: At the Department of Paediatric Psychiatry of the National Institute of Children’s Diseases, we developed a self-report questionnaire for the evaluation of online learning, daily routine and mental health of children and adolescents in the period of lockdown, including questions for the comparison with the period before. Data collection took place from 01. 06. 2021 to 30. 06. 2021. Results: In the category of adolescents (13-18 years), 1825 respondents were included in the study. Compared to the period before the lockdown, we recorded a decrease in mood, perceived energy, possibilities to engage in activities and an increase in perceived tension (all ps = < 0.001). The presence of COVID-19 alone did not affect the examined mental health parameters of adolescents (p = > 0.05). A significant change in the daily routine – the necessity of online learning – had a significant impact on the examined mental health parameters, depending on the level of respondents‘ satisfaction with this change. Conclusion: Respondents in this study experienced a worsened mood, decreased energy, decreased overall mental well-being, and increased tension during the lockdown period. COVID-19 alone did not have a significant impact on the examined mental health parameters of the respondents, while online learning, depending on respondents‘ satisfaction with this form of learning, had a significant impact on the examined mental health parameters.

• MeSH
• COVID-19 * MeSH
• distanční studium MeSH
• duševní zdraví * MeSH
• karanténa MeSH
• lidé MeSH
• mladiství MeSH
• pandemie MeSH
• průzkumy a dotazníky MeSH
• Check Tag
• lidé MeSH
• mladiství MeSH

OBJECTIVE: Long-term isolation, including lockdowns and quarantines, may have a distressing effect on anyone experiencing it. Adolescent brain architecture is very sensitive to environmental adversities, and the mental health development of adolescents may be particularly vulnerable during the pandemic era. In order to better understand the triggers for perceived adolescent stress (PSS) during the COVID-19 lockdown, the present study aimed to assess the effects of social well-being and changes in time use during the lockdown, as well as the family COVID experience of adolescents. METHODS: The sample for this study comprised n = 3,440 adolescents (54.2% girls; mean age = 13.5 ± 1.6 years). Bayesian correlations between PSS, health and well-being variables were assessed. PSS was then modeled as an outcome variable in a series of nested Bayesian multilevel regression models. RESULTS: The negative impact of the COVID-19 lockdown was more apparent in girls. PSS was moderately correlated with adolescent health and well-being. The strongest predictor of higher level of PSS was frequent feeling of loneliness. On the contrary, lower level of PSS was most associated with having someone to talk to. CONCLUSION: Long-term social isolation of adolescents could be harmful to their mental health. Psychological coping strategies to prevent the consequences of social isolation and development of mental health problems should be promoted on the individual, family, and even community level.

• Publikační typ
• časopisecké články MeSH

OBJECTIVES: The current study examined the links and interactions among headaches, screen-based media use, physical activity, sleep, and the family environment in Lithuanian school-aged children during the second COVID-19 lockdown. METHODS: The study comprised data of 541 children aged 7-14 years from different Lithuania regions, and without chronic health conditions or developmental disorders. Information about the child was provided by their parents or caregivers who filled questionnaire on child's screen time, sleep duration and quality, physical activity, parental distress, parent-child relationship, history of child's headaches and infectious diseases. RESULTS: During the study period, 54% of the children had headaches, and the frequency was positively associated with child's age, screen time and parental distress, as well as negatively related to physical activity (PA), sleep quality, and the parent-child relationship. Parental education was related to child's PA, screen time and sleep quality. The results of binary logistic regression analysis and path analysis revealed that sleep quality and parental distress were significant predictors of headaches in children. CONCLUSIONS: Family and child or adolescent education and lifestyle modification aiming to improve sleep hygiene and PA, and to reduce screen-based sedentary behaviour should be provided. Family centred approach for more effective coping with distress and improvement of parent-child relationship is also important in treating child and adolescent headache.

• MeSH
• bolesti hlavy * epidemiologie   MeSH
• čas strávený před obrazovkou * MeSH
• COVID-19 * epidemiologie   MeSH
• cvičení * MeSH
• dítě MeSH
• karanténa psychologie   MeSH
• lidé MeSH
• mladiství MeSH
• pandemie MeSH
• průzkumy a dotazníky MeSH
• SARS-CoV-2 MeSH
• vztahy mezi rodiči a dětmi MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Litva MeSH

Schools around the world were closed during the spring 2020 lockdown to reduce the spread of COVID-19. As such, these rapid changes to adolescent daily routines may have had immediate as well as long-term effects on their physical, social, and mental health. Therefore, the aim of this study was to examine the experiences, health behaviors and perceived change in health behaviors among adolescents in Czechia during the spring 2020 lockdown. Adolescents (n = 3,440, 54% girls; Mage = 13.5 years, SD = 1.6) from all regions of Czechia were recruited to complete a self-report survey based on the Health Behaviour in School-aged Children study, with additional items on household disruptions and socialization during lockdown, as well as items on perceived changes in health behaviors during lockdown. First, we described the self-reported impacts of the spring lockdown by gender and grade. Second, log-linear analyses were used to examine the perceived behavioral changes based on standardized cut-off values reporting for health behaviors and gender. Less than a third, 19% and 32% of the respondents reported economic and psychosocial disruptions to their family life, 79% indicated they had positive opportunities for family interactions or learning new things. Girls and older adolescents reported the worst levels of social and mental well-being. Changes in respondents' perceived health behaviors varied by reported behavior frequencies and gender. These results may be useful to compare with future secular trends, and may serve as input in developing strategies to counter the impact of the spring 2020 or future similar lockdowns on the adolescents' well-being..

• Publikační typ
• časopisecké články MeSH

BACKGROUND: The COVID-19 lockdown has had a significant impact on mental health. Patients with eating disorders (ED) have been particularly vulnerable. AIMS: (1) To explore changes in eating-related symptoms and general psychopathology during lockdown in patients with an ED from various European and Asian countries; and (2) to assess differences related to diagnostic ED subtypes, age, and geography. METHODS: The sample comprised 829 participants, diagnosed with an ED according to DSM-5 criteria from specialized ED units in Europe and Asia. Participants were assessed using the COVID-19 Isolation Scale (CIES). RESULTS: Patients with binge eating disorder (BED) experienced the highest impact on weight and ED symptoms in comparison with other ED subtypes during lockdown, whereas individuals with other specified feeding and eating disorders (OFSED) had greater deterioration in general psychological functioning than subjects with other ED subtypes. Finally, Asian and younger individuals appeared to be more resilient. CONCLUSIONS: The psychopathological changes in ED patients during the COVID-19 lockdown varied by cultural context and individual variation in age and ED diagnosis. Clinical services may need to target preventive measures and adapt therapeutic approaches for the most vulnerable patients.

• MeSH
• COVID-19 prevence a kontrola   psychologie   MeSH
• dítě MeSH
• dospělí MeSH
• internacionalita MeSH
• karanténa psychologie   MeSH
• lidé MeSH
• longitudinální studie MeSH
• mladiství MeSH
• mladý dospělý MeSH
• poruchy příjmu potravy psychologie   MeSH
• SARS-CoV-2 MeSH
• sociální izolace psychologie   MeSH
• Check Tag
• dítě MeSH
• dospělí MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• multicentrická studie MeSH
• pozorovací studie MeSH
• Geografické názvy
• Asie MeSH
• Evropa MeSH

OBJECTIVES: Many studies draw attention to the negative consequences of the pandemic or lockdown on the well-being and lifestyle of different sections of the population. This study considers whether changes occurred in dietary regime and level of physical activity during three periods - before the pandemic, during the lockdown, and during the present in older Slovak adults. We also investigate whether individual weights changed during the pandemic. METHODS: The study has a cross-sectional design. We collected 436 questionnaires from older adults (60+) living in Slovakia; 277 come from the first phase of online data collection (04/2022-06/2022) in university students of the third age, and 159 from the second phase of offline collection (07/2022-11/2022) in social service facilities. We monitored if there were any changes within the observed periods in the variables of diet regime, physical activity, and BMI. The database has been processed in IBM SPSS Statistics. RESULTS: During the lockdown, the frequency of physical activity decreased (p < 0.001), the quality of movement worsened (p < 0.001), and the time respondents devoted to physical activity during the week decreased (p < 0.001). At present, the variables have increased. Within the dietary regimen, statistically significant changes occurred in appetite and non-alcoholic beverage intake (p = 0.002). However, there were no significant changes in the number of daily meals (p = 0.190), or the amount of alcohol consumed (p = 0.066). The BMI of older men and women did not change after the pandemic (p = 0.519), and it did not differ between men and women either before the pandemic (p = 0.281) or after it (p = 0.449). Also there is no difference between UTA students and social facility living seniors before the pandemic (0.933) and now (0.317). The results showed that even though physical activity significantly decreased during the lockdown, the older adults in our study did not eat more during the lockdown, nor did they gain weight. However, this probably had negative consequences for the quality of their movement. CONCLUSION: It is essential to simultaneously create compensatory measures while implementing future anti-epidemic (or other) measures. They would help maintain the desired amount of physical activity or other healthy habits on an optimal level.

• MeSH
• COVID-19 * epidemiologie   prevence a kontrola   MeSH
• cvičení * MeSH
• dieta * statistika a číselné údaje   MeSH
• index tělesné hmotnosti MeSH
• karanténa MeSH
• lidé středního věku MeSH
• lidé MeSH
• pandemie MeSH
• průřezové studie MeSH
• průzkumy a dotazníky MeSH
• SARS-CoV-2 MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• tělesná hmotnost MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Slovenská republika MeSH

The SARS-CoV-2 pandemic is not only a threat to physical health but is also having severe impacts on mental health. Although increases in stress-related symptomatology and other adverse psycho-social outcomes, as well as their most important risk factors have been described, hardly anything is known about potential protective factors. Resilience refers to the maintenance of mental health despite adversity. To gain mechanistic insights about the relationship between described psycho-social resilience factors and resilience specifically in the current crisis, we assessed resilience factors, exposure to Corona crisis-specific and general stressors, as well as internalizing symptoms in a cross-sectional online survey conducted in 24 languages during the most intense phase of the lockdown in Europe (22 March to 19 April) in a convenience sample of N = 15,970 adults. Resilience, as an outcome, was conceptualized as good mental health despite stressor exposure and measured as the inverse residual between actual and predicted symptom total score. Preregistered hypotheses (osf.io/r6btn) were tested with multiple regression models and mediation analyses. Results confirmed our primary hypothesis that positive appraisal style (PAS) is positively associated with resilience (p < 0.0001). The resilience factor PAS also partly mediated the positive association between perceived social support and resilience, and its association with resilience was in turn partly mediated by the ability to easily recover from stress (both p < 0.0001). In comparison with other resilience factors, good stress response recovery and positive appraisal specifically of the consequences of the Corona crisis were the strongest factors. Preregistered exploratory subgroup analyses (osf.io/thka9) showed that all tested resilience factors generalize across major socio-demographic categories. This research identifies modifiable protective factors that can be targeted by public mental health efforts in this and in future pandemics.

• MeSH
• COVID-19 prevence a kontrola   psychologie   MeSH
• dospělí MeSH
• duševní zdraví * MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladý dospělý MeSH
• multivariační analýza MeSH
• ochranné faktory MeSH
• přenos infekční nemoci prevence a kontrola   MeSH
• průřezové studie MeSH
• psychická odolnost * MeSH
• psychický stres prevence a kontrola   MeSH
• regresní analýza MeSH
• sociální faktory * MeSH
• sociální opora MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Evropa MeSH

BACKGROUND: Restricted outdoor activity during COVID-19 related lockdown may accelerate heart failure (HF) progression and thereby increase cardiac arrhythmias. We analyzed the impact of March/April 2020 lockdown on physical activity and arrhythmia burden in HF patients treated with cardiac resynchronization therapy (CRT) devices with daily, automatic remote monitoring (RM) function. METHODS: The study cohort included 405 HF patients enrolled in Observation of Clinical Routine Care for Heart Failure Patients Implanted with BIOTRONIK CRT Devices (BIO|STREAM.HF) registry in 16 countries, who had left ventricular ejection fraction (LVEF) ≤40% (mean 28.2 ± 6.6%) and NYHA class II/III/IV (47.9%/49.6%/2.5%) before CRT pacemaker/defibrillator implantation. The analyzed RM data comprised physical activity detected by accelerometer, mean heart rate and nocturnal rate, PP variability, percentage of biventricular pacing, atrial high rate episode (AHRE) burden, ventricular extrasystoles and tachyarrhythmias, defibrillator shocks, and number of implant interrogations (i.e., follow-ups). Intraindividual differences in RM parameters before (4-week period) versus during (4-week period) lockdown were tested for statistical significance and independent predictors were identified. RESULTS: There was a significant relative change in activity (mean -6.5%, p < .001), AHRE burden (+17%, p = .013), and follow-up rate (-75%, p < .001) during lockdown, with no significant changes in other RM parameters. Activity decreased by ≥8 min/day in 46.5% of patients; predictors were higher LVEF, lower NYHA class, no defibrillator indication, and more activity before lockdown. AHRE burden increased by ≥17 min/day in 4.7% of patients; predictors were history of atrial fibrillation, higher LVEF, higher body mass index, and activity decrease during lockdown. CONCLUSION: Unfavorable changes in physical activity, AHRE burden, and follow-up rate were observed during lockdown, but not in ventricular arrhythmia.

• MeSH
• COVID-19 * MeSH
• cvičení MeSH
• defibrilátory implantabilní * MeSH
• fibrilace síní * terapie   MeSH
• funkce levé komory srdeční MeSH
• kontrola infekčních nemocí MeSH
• lidé MeSH
• pandemie MeSH
• srdeční resynchronizační terapie * MeSH
• srdeční selhání * epidemiologie   terapie   MeSH
• tepový objem MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

We report a rapid increase in enterovirus D68 (EV-D68) infections, with 139 cases reported from eight European countries between 31 July and 14 October 2021. This upsurge is in line with the seasonality of EV-D68 and was presumably stimulated by the widespread reopening after COVID-19 lockdown. Most cases were identified in September, but more are to be expected in the coming months. Reinforcement of clinical awareness, diagnostic capacities and surveillance of EV-D68 is urgently needed in Europe.

• MeSH
• COVID-19 * MeSH
• enterovirové infekce * diagnóza   epidemiologie   MeSH
• Enterovirus * MeSH
• epidemický výskyt choroby MeSH
• infekce dýchací soustavy * MeSH
• kontrola infekčních nemocí MeSH
• lidé MeSH
• lidský enterovirus D * genetika   MeSH
• myelitida * epidemiologie   MeSH
• SARS-CoV-2 MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Evropa MeSH