Atividade física, ansiedade e depressão em trabalhadores durante a pandemia da covid-19: revisão sistemática e meta-análise
DOI:
https://doi.org/10.12820/rbafs.31e0461Palavras-chave:
SARS-CoV-2, Ansiedade, Depressão, Exercício físico, Saúde ocupacionalResumo
Introdução: A atividade física (AF) tem sido associada a menores sintomas de ansiedade e depressão, particularmente durante crises como a pandemia de covid-19. No entanto, as evidências sobre essa associação entre trabalhadores ainda são limitadas. Objetivo: Avaliamos a relação entre atividade física e sintomas de ansiedade e depressão durante a pandemia de covid-19 em populações trabalhadoras. Métodos: Realizamos buscas nas bases de dados PubMed e EMBASE em abril de 2024. Foram incluídos estudos observacionais que avaliaram atividade física e sintomas de ansiedade ou depressão utilizando instrumentos validados. O risco de viés foi avaliado pela Newcastle-Ottawa Scale, e as meta-análises foram conduzidas com modelos de efeitos aleatórios para calcular odds ratios (OR) com intervalos de confiança (IC) de 95%. Resultados: Nove estudos (8 transversais e 1 de coorte), envolvendo 7.380 trabalhadores, foram incluídos, sendo que profissionais da saúde representaram 82,7% dos participantes. A atividade física esteve significativamente associada à redução dos sintomas de ansiedade (OR = 0,69; IC 95%: 0,58 – 0,83; I² = 0%). Além disso, foi observada associação significativa entre atividade física e redução dos sintomas de depressão (OR = 0,56; IC 95%: 0,44 – 0,71; I² = 31,6%). Conclusão: A prática de atividade física durante a pandemia da covid-19 esteve associada a menores sintomas de ansiedade e depressão em trabalhadores de diferentes contextos.
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1. Wilder-Smith A, Chiew CJ, Lee VJ. Can we contain the COVID-19 outbreak with the same measures as for SARS? Lancet Infect Dis. 2020;20:e102–7. DOI: https://doi.org/10.1016/S1473-3099(20)30129-8
2. Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M, et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health. 2020;16:57. DOI: https://doi.org/10.1186/s12992-020-00589-w
3. Narici M, Vito G De, Franchi M, Paoli A, Moro T, Marcolin G, et al. Impact of sedentarism due to the COVID‐19 home confinement on neuromuscular, cardiovascular and metabolic health: Physiological and pathophysiological implications and recommendations for physical and nutritional countermeasures. Eur J Sport Sci. 2021;21:614–35. DOI: https://doi.org/10.1080/17461391.2020.1761076
4. Wu T, Jia X, Shi H, Niu J, Yin X, Xie J, et al. Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis. J Affect Disord. 2021;281:91–8. DOI: https://doi.org/10.1016/j.jad.2020.11.117
5. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun. 2020;88:901–7. DOI: https://doi.org/10.1016/j.bbi.2020.05.026
6. Hemmati F, Sarokhani M, Abdan Z, Sarokhani D, Dehkordi AH, Fakhri M. The prevalence of depression, anxiety and stress in nurses working in Iranian hospitals: A systematic review and meta-analysis. Przegl Epidemiol. 2021;75:254–62. DOI: https://doi.org/10.32394/pe.75.24
7. Lyzwinski LN. Organizational and occupational health issues with working remotely during the pandemic: a scoping review of remote work and health. J Occup Health. 2024;66. DOI: https://doi.org/10.1093/joccuh/uiae005
8. Wanjau MN, Möller H, Haigh F, Milat A, Hayek R, Lucas P, et al. Physical Activity and Depression and Anxiety Disorders: A Systematic Review of Reviews and Assessment of Causality. AJPM Focus. 2023;2:100074. DOI: https://doi.org/10.1016/j.focus.2023.100074
9. Brito AT de S, Pereira DSP, Cirilo-Sousa M do S, Esmeraldo APISR, Loiola ML, Victor NP. Associação entre atividade física e saúde mental durante a pandemia COVID-19: um estudo transversal. Rev Bras Ativ Fís Saúde. 2023;28:1–8. DOI: https://doi.org/10.12820/rbafs.28e0298
10. Wolf S, Seiffer B, Zeibig JM, Welkerling J, Brokmeier L, Atrott B, et al. Is Physical Activity Associated with Less Depression and Anxiety During the COVID-19 Pandemic? A Rapid Systematic Review. Sports Med. 2021;51:1771–83. DOI: https://doi.org/10.1007/s40279-021-01468-z
11. Efe Is E, Sahillioglu A, Demirel S, Kuran B, Mustafa Ozdemir H. Effect of COVID-19 Pandemic on Physical Activity Habits, Musculoskeletal Pain, and Mood of Healthcare Workers. Sisli Etfal Hastan Tip Bul. 2021;55(4):462-8.
12. Gonzales A, Lin JH, Cha JS. Physical activity changes among office workers during the COVID-19 pandemic lockdown and the agreement between objective and subjective physical activity metrics. Appl Ergon. 2022;105:103845. DOI: https://doi.org/10.1016/j.apergo.2022.103845
13. Wu J, Liu Z, Hu X, Lou H, Kueh YC, Kuan G. Anxiety, Depression and Stress Impact of the COVID-19 Pandemic and Physical Activities: Systematic Review and Future. Mal J Med Health Sci. 2024;20:286–97. DOI: https://doi.org/10.47836/mjmhs.20.3.39
14. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. DOI: https://doi.org/10.1136/bmj.n71
15. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009;6:e1000097. DOI: https://doi.org/10.1371/journal.pmed.1000097
16. Patra J, Bhatia M, Suraweera W, Morris SK, Patra C, Gupta PC, et al. Exposure to Second-Hand Smoke and the Risk of Tuberculosis in Children and Adults: A Systematic Review and Meta-Analysis of 18 Observational Studies. PLoS Med. 2015;12:e1001835. DOI: https://doi.org/10.1371/journal.pmed.1001835
17. Wells G, Shea B, O’Connell D, Peterson J, Welch V, Losos M, et al. Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses [Internet]. Ottawa; 2021 May. Available from: <https://www.ohri.ca//programs/clinical_epidemiology/oxford> [2024 October].
18. Zhu Z, Xu S, Wang H, Liu Z, Wu J, Li G, et al. COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers. EClinicalMedicine. 2020;24:100443. DOI: https://doi.org/10.1016/j.eclinm.2020.100443
19. Feter N, Caputo EL, Doring IR, Da Silva MC, Reichert FF, Rombaldi AJ. Determinants of increased frequency of depressive and anxiety symptoms in exercise professionals during the COVID-19 pandemic. Work. 2021;70:1057–67. DOI: https://doi.org/10.3233/WOR-210648
20. García-Garro PA, Aibar-Almazán A, Rivas-Campo Y, Vega-ávila GC, Afanador-Restrepo DF, Martínez-Amat A, et al. Factors Associated with the Level of Physical Activity in Middle-Aged Colombian People during Lockdown in Response to COVID-19: A Cross-Sectional Study. Healthcare (Switzerland). 2022;10 (6):1050. DOI: https://doi.org/10.3390/healthcare10061050
21. Juliana N, Mohd Azmi NAS, Effendy N, Mohd Fahmi Teng NI, Azmani S, Baharom N, et al. Exploring the Associated Factors of Depression, Anxiety, and Stress among Healthcare Shift Workers during the COVID-19 Pandemic. Int J Environ Res Public Health. 2022;19(15):9420. DOI: https://doi.org/10.3390/ijerph19159420
22. Žilinskas E, Puteikis K, Mameniškienė R. Quality of Sleep and Work Productivity among White-Collar Workers during the COVID-19 Pandemic. Medicina (Lithuania). 2022;58(7):883. DOI: https://doi.org/10.3390/medicina58070883
23. Okour A, Amarneh B. Physical Activity Reduces Depression among Healthcare Workers during the COVID-19 Pandemic in Jordan. Clin Pract Epidemiol Ment Health. 2023;19:e174501792306220. DOI: https://doi.org/10.2174/17450179-v19-230720-2023-8
24. Valladares-Garrido MJ, Picón-Reátegui CK, Zila-Velasque JP, Grados-Espinoza P, Vera-Ponce VJ, Pereira-Victorio CJ, et al. Depression and anxiety in peruvian military personnel during the pandemic context: a cross-sectional study. BMC Public Health. 2023;23(1):691. DOI: https://doi.org/10.1186/s12889-023-15612-z
25. Bernhard JC, Tornquist L, Marques CT, Peroza LR. Association Between Physical Activity and Mental Health in Health Professionals in the Context of the Pandemic: A Study in Southern Brazil. J Occup Environ Med. 2024;66:e225–9. DOI: https://doi.org/10.1097/JOM.0000000000003094
26. Oliver TL, Shenkman R, Diewald LK, Bernhardt PW, Chen MH, Moore CH, et al. A Year in the Life of U.S. Frontline Health Care Workers: Impact of COVID-19 on Weight Change, Physical Activity, Lifestyle Habits, and Psychological Factors. Nutrients. 2022;14 (22):4865. DOI: https://doi.org/10.3390/nu14224865
27. Stanton R, To QG, Khalesi S, Williams SL, Alley SJ, Thwaite TL, et al. Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults. Int J Environ Res Public Health. 2020;17(11):4065. DOI: https://doi.org/10.3390/ijerph17114065
28. Søvold LE, Naslund JA, Kousoulis AA, Saxena S, Qoronfleh MW, Grobler C, et al. Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority. Front Public Health. 2021;9:679397. DOI: https://doi.org/10.3389/fpubh.2021.679397
29. Frio Marins M, Santos Jerônimo J, Völz Lopes S, Carlos Vinholes Siqueira F, Cozzensa da Silva M. Sindrome de burnout, atividade física e fatores ocupacionais que afetam os servidores púbicos de uma universidade federal do sul do Brasil. Pensar Prát. 2023;26:e.76766. DOI: https://doi.org/10.5216/rpp.v26.76766
30. Wood CJ, Barton J, Smyth N. A cross-sectional study of physical activity behaviour and associations with wellbeing during the UK coronavirus lockdown. J Health Psychol. 2022;27:1432–44. DOI: https://doi.org/10.1177/1359105321999710
31. Ioannou A, Lycett M, Marshan A. The Role of Mindfulness in Mitigating the Negative Consequences of Technostress. Inf Syst Front. 2024;26:523–49. d DOI: https://doi.org/10.1007/s10796-021-10239-0
32. Saragih S, Setiawan S, Markus T, Rhian P. Benefits and Challenges of Telework During The Covid-19 Pandemic. Int. Res. J. Bus. Stud. 2021;14:129–35. DOI: https://doi.org/10.21632/irjbs.14.2.129-135
33. Navarro-Flores LM, Vivas-Sánchez BJ, De La Roca-Chiapas JM, Rodrigues Matsudo VK, Macias MH, Vargas-Ortiz K. Physical Activity and Psychological Symptoms in University Teachers Improved Post-COVID-19 Lockdown, but Sedentary Behavior Persisted. Healthcare. 2025;13:1772. DOI: https://doi.org/10.3390/healthcare13151772
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Copyright (c) 2026 Marcelo Frio Marins, Eduardo Lucia Caputo, Sérgio Rosa Vieira Pasqualinoto, Fabricio Rubens Coimbra Vilarinho, Jeferson Santos Jerônimo, Eduardo Frio Marins, Marcelo Cozzensa da Silva
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