Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Staying Physically and Psychologically Healthy in Social Isolation: Video-Based Exercise Program for Adults: A Randomized Controlled Trial
Sosyal İzolasyonda Fiziksel ve Psikolojik Olarak Sağlıklı Kalma: Erişkinler İçin Video Tabanlı Egzersiz Programı: Randomize Kontollü Çalışma
Yasemin BURAN ÇIRAKa, Kübra KARDEŞa, Yunus Emre TÜTÜNEKENa, Gül Deniz YILMAZ YELVARa, Nurgül DÜRÜSTKAN ELBAŞIa, Habibe Serap İNALa
aDepartment of Physiotherapy and Rehabilitation, İstinye University Faculty of Health Sciences, İstanbul, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(4):1049-59
doi: 10.5336/healthsci.2021-87773
Article Language: EN
Full Text
ABSTRACT
 Objective: The study was to determine the physical activity (PA) levels of adults socially isolated at home due to the coronavirus disease-2019 pandemic and to search the effects of the video-based exercise program (VBEP). Material and Methods: Healthy individuals (n=128; 90F, 38M) aged 40-60 years have participated through online questionnaire software in social media. Participants were randomly divided into as study (n=65) and control (n=63). Their PA level, quality of life (QoL), emotional state, sleep quality, and functional status were evaluated by International Physical Activity Questionnaire (IPAQ), Nottingham Health Profile (NHP), Beck Depression and Anxiety Inventory (BDI) (BAI), Pittsburgh Sleep Quality Index (PSQI) and timed up-go test, respectively. Specially prepared 30-minute exercise videos (breathing, warm-up, aerobics, strengthening-cooldown exercises) were to the study group according to their PA levels (low, medium, high) determined by IPAQ, they were asked to perform these exercises daily for 6 weeks. No exercise program was given for the control group. Results: Groups were similar in terms of sociodemographic measures except for education level (p>0.05). In the study group all parameters and the control group only in the BDI, BAI, and NHP emotional reactions subscale scores (p<0.05) were significant. In group comparison, a significant difference was found in favor of the study group in IPAQ, BAI, PSQI, and NHP scores (except social isolation subscale score) (p<0.05). Conclusion: During social isolation, we found that VBEP is effective in improving the level of PA, QoL, sleep quality, emotional and functional status of the individuals. Therefore, we consider it effective in terms of preventive health. Also, VBEP can be used as an alternative method in the adult population.

Keywords: COVID-19; exercise; social isolation
ÖZET
 Amaç: Bu çalışmanın amacı, koronavirüs hastalığı-2019 pandemisi nedeniyle evlerinde sosyal izolasyonda olan erişkin bireylerin fiziksel aktivite (FA) düzeylerini belirlemek ve video tabanlı egzersiz programının (VTEP) etkilerini araştırmaktır. Gereç ve Yöntemler: 40- 60 yaş arası sağlıklı bireyler (n=128; 90K, 38E) sosyal medya üzerinden çevrim içi anket yazılımı ile katılım sağladı. Katılımcılar rastgele olarak çalışma (n=65) ve kontrol (n=63) olarak ayrıldı. Katılımcıların; FA düzeyleri, yaşam kaliteleri, emosyonel durumları, uyku kaliteleri ve fonksiyonel durumları sırasıyla Uluslararası Fiziksel Aktivite Anketi (UFAA), Nottingham Sağlık Profili (NSP), Beck Depresyon ve Anksiyete Envanteri (BDE) (BAE), Pittsburgh Uyku Kalite İndeksi (PUKİ) ve zamanlı kalk-yürü testi ile değerlendirildi. Çalışma grubuna UFAA ile belirlenen FA düzeylerine (düşük, orta, yüksek) göre özel olarak hazırlanmış 30 dk'lık egzersiz videoları (solunum, ısınma, aerobik, kuvvetlendirme, soğuma egzersizleri) hazırlandı, 6 hafta her gün egzersizleri yapmaları istendi. Kontrol grubuna herhangi bir egzersiz programı verilmedi. Bulgular: Eğitim düzeyi dışında sosyodemografik ve sonuç ölçümleri özellikler açısından benzerdi (p>0,05). Uygulama öncesi ve sonrası çalışma grubunda ölçülen tüm parametrelerde, kontrol grubunda ise sadece BDE, BAE ve NSP duygusal reaksiyonlar alt ölçek puanında istatistiksel olarak anlamlı bir fark vardı (p<0,05). Gruplar arası karşılaştırmalarda ise UFAA, BAE ve PUKİ ve NSP puanlarında (sosyal izolasyon alt ölçek puanı dışında) çalışma grubu lehinde istatistiksel olarak anlamlı bir fark bulundu (p<0,05). Sonuç: Sosyal izolasyon sürecinde, VTEP'nin bireylerin FA, yaşam kalitesi, uyku kalitesi, duygusal ve fonksiyonel durumunu iyileştirmede etkili olduğunu, bu nedenle koruyucu sağlık açısından etkili olduğunu düşünüyoruz. Ayrıca VBEP erişkin popülasyonda alternatif bir yöntem olarak kullanılabilir.

Anahtar Kelimeler: COVID-19; egzersiz; sosyal izolasyon
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