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Bidirectional Influence of the COVID-19 Pandemic Lockdowns on Health Behaviors and Quality of Life among Chinese Adults

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  • Xiuqiang Wang

    (Exercise Translational Medicine Center, Shanghai Center for Systems Biomedicine, Shanghai Jiao Tong University, Shanghai 200240, China
    Key Laboratory of Systems Biomedicine (Ministry of Education), Shanghai Center for Systems Biomedicine, Shanghai Jiao Tong University, Shanghai 200240, China)

  • Si Man Lei

    (Exercise Translational Medicine Center, Shanghai Center for Systems Biomedicine, Shanghai Jiao Tong University, Shanghai 200240, China
    Faculty of Education, University of Macao, Macao, China)

  • Shenglong Le

    (Exercise Translational Medicine Center, Shanghai Center for Systems Biomedicine, Shanghai Jiao Tong University, Shanghai 200240, China
    Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland)

  • Yanxiang Yang

    (Exercise, Health and Technology Center, Department of Physical Education, Shanghai Jiao Tong University, Shanghai 200240, China)

  • Boyi Zhang

    (Exercise, Health and Technology Center, Department of Physical Education, Shanghai Jiao Tong University, Shanghai 200240, China)

  • Wu Yao

    (Exercise, Health and Technology Center, Department of Physical Education, Shanghai Jiao Tong University, Shanghai 200240, China)

  • Zan Gao

    (School of Kinesiology, University of Minnesota, Minneapolis, MN 55455, USA)

  • Sulin Cheng

    (Exercise Translational Medicine Center, Shanghai Center for Systems Biomedicine, Shanghai Jiao Tong University, Shanghai 200240, China
    Key Laboratory of Systems Biomedicine (Ministry of Education), Shanghai Center for Systems Biomedicine, Shanghai Jiao Tong University, Shanghai 200240, China
    Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland
    Exercise, Health and Technology Center, Department of Physical Education, Shanghai Jiao Tong University, Shanghai 200240, China)

Abstract

Background: The coronavirus disease 2019 (COVID-19) pandemic has created challenges that have caused profound changes in health behaviors. This study aimed to explore how COVID-19 is affecting the health-related quality of life (QoL) among Chinese adults. Methods: The data of health-related behaviors and QoL were collected via online surveys from 2289 adults (mean age = 27.8 ± 12 years) who had been isolated at home for an average of 77 days. Results: More than 50% of the respondents reported that their time engaged in daily physical activity (PA) decreased, while sedentary behavior (SB) time increased compared with that before the lockdown. Only 20% of the respondents reported engaging in moderate-to-vigorous PA, 23% of adults reported changed their diets to be healthier, and 30% reported consuming more vegetables, fruits, and milk products than before home-isolation. During home-isolation, 75.2% of the adults rated their sleep quality as very good, and 65% reported that they were satisfied with their QoL. Sleep quality mediated the relationship between PA and QoL. Conclusion: The two-to-three-month home-isolation has had mixed effects on adult health behaviors in China. The participants were found to have focused more on their eating quality and patterns, which had a positive influence on their QoL. However, people should be encouraged to exercise at home with limited space to maintain a generally healthy lifestyle during a prolonged quarantine.

Suggested Citation

  • Xiuqiang Wang & Si Man Lei & Shenglong Le & Yanxiang Yang & Boyi Zhang & Wu Yao & Zan Gao & Sulin Cheng, 2020. "Bidirectional Influence of the COVID-19 Pandemic Lockdowns on Health Behaviors and Quality of Life among Chinese Adults," IJERPH, MDPI, vol. 17(15), pages 1-17, August.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:15:p:5575-:d:393475
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    1. Yingfei Zhang & Zheng Feei Ma, 2020. "Impact of the COVID-19 Pandemic on Mental Health and Quality of Life among Local Residents in Liaoning Province, China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(7), pages 1-12, March.
    2. Kun Tao & Wenxi Liu & Shanying Xiong & Lodewyk Ken & Nan Zeng & Qingwen Peng & Xiaoni Yan & Junli Wang & Yizhong Wu & Mingzhi Lei & Xianxiong Li & Zan Gao, 2019. "Associations between Self-Determined Motivation, Accelerometer-Determined Physical Activity, and Quality of Life in Chinese College Students," IJERPH, MDPI, vol. 16(16), pages 1-15, August.
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