Title

Impact of Social Isolation Due to COVID-19 on Health in Older People: Mental and Physical Effects and Recommendations

Authors

1. 2. Sepulveda-Loyola, W (Sepulveda-Loyola, W.)

3. Rodriguez-Sanchez, I (Rodriguez-Sanchez, I.)

4. Perez-Rodriguez, P (Perez-Rodriguez, P.)

5. Ganz, F (Ganz, F.)

6. Torralba, R (Torralba, R.)

7. Oliveira, DV (Oliveira, D. V.)

8. 9. Rodriguez-Manas, L (Rodriguez-Manas, Leocadio)

Author Affiliations

1.      Londrina State Univ UEL, Program Masters & Doctoral Degree Rehabil Sci, Londrina, Parana, Brazil

2.      Univ North Parana UNOPAR, Londrina, Parana, Brazil

3.      Complejo Hosp Navarra, Dept Geriatr Med, Pamplona, Spain

4.      Hosp Univ La Paz, Dept Geriatr Med, Madrid, Spain

5.      Univ Alberta, Fac Rehabil Med, Edmonton, AB, Canada

6.      Hosp Univ Ciudad Real, Dept Psychiat, Ciudad Real, Spain

7.      Maringa Univ Ctr, Hlth Promot Dept, Maringa, Parana, Brazil

8.      Hosp Univ Getafe, Dept Geriatr Med, Getafe, Spain

9.      CIBERFES CIBER Frailty & Hlth Ageing, Getafe, Spain

Publication Information

SPRINGER FRANCE

Date of Publication

SEP 2020

Series/Report no.

JOURNAL OF NUTRITION HEALTH & AGING, Volume. 24, Issue. 9, Page. 938-947

Key words

Social isolation, COVID-19, physical function, mental health, aging,

Abstract

Objectives

To review the impact of social isolation during COVID-19 pandemic on mental and physical health of older people and the recommendations for patients, caregivers and health professionals.

Design

Narrative review.

Setting

Non-institutionalized community-living people.

Participants

20.069 individuals from ten descriptive cross-sectional papers.

Measurements

Articles since 2019 to 2020 published on Pubmed, Scielo and Google Scholar databases with the following MeSh terms (‘COVID-19’, ‘coronavirus’, ‘aging’, ‘older people’, ‘elderly’, ‘social isolation’ and ‘quarantine’) in English, Spanish or Portuguese were included. The studies not including people over 60 were excluded. Guidelines, recommendations, and update documents from different international organizations related to mental and physical activity were also analysed.

Results

41 documents have been included in this narrative review, involving a total of 20.069 individuals (58% women), from Asia, Europe and America. 31 articles included recommendations and 10 addressed the impact of social distancing on mental or physical health. The main outcomes reported were anxiety, depression, poor sleep quality and physical inactivity during the isolation period. Cognitive strategies and increasing physical activity levels using apps, online videos, telehealth, are the main international recommendations.

Conclusion

Mental and physical health in older people are negatively affected during the social distancing for COVID-19. Therefore, a multicomponent program with exercise and psychological strategies are highly recommended for this population during the confinement. Future investigations are necessary in this field.

주요 내용

 본 연구는 COVID-19 pandemic 기간 동안 사회적 고립이 노인들의 정신 및 신체적 건강에 미치는 영향 그리고 환자와 보호자, 의료 전문가들에 대한 권장사항들을 리뷰한다. 총 20.069명의(아시아, 유럽 및 미국 등)의 노인(58% 여성)이 포함된 41개의 문서가 이 리뷰 연구에 포함되었다. 사회적 고립이 노인들의 건강에 미치는 영향에 관련한 보고된 주요 결과는 격리 기간 동안 불안, 우울증, 수면의 질 저하 및 신체 활동 부족이었다. 권장사항에 대한 결과들은 앱, 온라인 비디오, 원격 의료를 사용하여 인지 전략과 신체 활동 수준을 높이는 것 등이 주요 국제 권장 사항으로 나타났다.

결론적으로, COVID-19 사회적 거리두기 기간 동안 노인의 정신 및 신체 건강은 부정적인 영향을 받는다는 것을 알 수 있다. 운동과 심리적 전략이 포함된 다중 구성 요소 프로그램은 격리 기간 동안 노인 집단에게 적극 권장된다.

ISSN

1279-7707

DOI

10.1007/s12603-020-1500-7