Exercise Behavior and Mood during the COVID-19 Pandemic in Taiwan: Lessons for the Future

Int J Environ Res Public Health. 2020 Sep 28;17(19):7092. doi: 10.3390/ijerph17197092.

Abstract

The Coronavirus disease 2019 (COVID-19) pandemic and its associated governmental recommendations and restrictions have influenced many aspects of human life, including exercise and mental health. This study aims to explore the influence of COVID-19 on exercise behavior and its impact on mood states, as well as predict changes in exercise behavior during a similar future pandemic in Taiwan. A cross-sectional online survey was conducted between 7 April and 13 May 2020 (n = 1114). Data on exercise behavior pre and during the pandemic and mood states were collected. A cumulative link model was used to predict changes in exercise frequency during a similar future pandemic by exercise frequency during the pandemic. A linear model was used to predict the influence of exercise frequency before and during the pandemic on mood states during the pandemic. A total of 71.2%, 67.3%, and 58.3% of respondents maintained their exercise intensity, frequency, and duration, respectively, during the pandemic. Frequent exercisers are more likely to maintain their exercise frequency during a similar pandemic (p < 0.001). Higher exercise frequencies during the pandemic were associated with better mood states (p < 0.05). Moreover, the effects of prepandemic exercise frequency on mood states are moderated by changes in exercise frequency during the pandemic (p < 0.05). Additionally, maintenance of exercise frequency during a pandemic specifically for frequent exercisers are recommended to preserve mood states. These results may provide evidence for health policies on exercise promotion and mental health before and during a future pandemic.

Keywords: POMS; cumulative link model; exercise frequency; physical activity; social restriction; stress.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Affect*
  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / psychology*
  • Cross-Sectional Studies
  • Exercise*
  • Humans
  • Linear Models
  • Mental Health
  • Pandemics
  • Pneumonia, Viral / epidemiology
  • Pneumonia, Viral / psychology*
  • SARS-CoV-2
  • Taiwan / epidemiology