Physical activity as a moderator in anxiety associated to COVID-19 in university students
DOI:
https://doi.org/10.47197/retos.v45i0.92974Keywords:
COVID-19, cognitive anxiety, physical exercise, mental health, factorial analysisAbstract
The COVID-19 pandemic had a great impact on the mental health of the university population, so managing alternatives to adapt is essential. Objective. The purpose of the study was to analyze the moderating effect of physical activity (PA) on the anxiety levels generated by the experiences during the COVID-19 pandemic in university students. Method. A cross-sectional, correlational-explanatory study was carried out in university students (n = 922; 36.66% men and 63.34% women; 19.97 ± 2.92 years). An ad hoc questionnaire was applied to measure fear to COVID-19, as well as the CUXOS-D for anxiety levels and the IPAQ-s to assess PA. Descriptive, inferential and moderation analyzes were performed, in addition to the exploratory and confirmatory factorial for the CUXOS-D. Results. The influence of fear to COVID-19 on anxiety levels is observed, which is moderated by high PA levels (F [3,918] = 21.58; p <.001). Likewise, it is observed that women perceive greater anxiety and perform less PA than men. The factor analysis of the CUXOS-D was satisfactory. Conclusion. Physical activity can have positive effects that moderate the impact generated by COVID-19 over anxiety in the university community.
References
Alarcon, M. E., & Hall-López, J.A. (2021). Physical activity in university student athletes, prior and in confinement due to pandemic associated with COVID-19. Retos, 39, 572-577. https://doi.org/10.47197/retos.v0i39.81293
Alsalhe, T. A., Aljaloud, S. O., Chalghaf, N., Guelmami, N., Alhazza, D. W., Azaiez, F., & Bragazzi, N. L. (2020). Moderation effect of physical activity on the relationship between fear of COVID-19 and general distress: A pilot case study in Arabic countries. Frontiers in Psychology, 11, Artículo e570085. https://doi.org/10.3389/fpsyg.2020.570085
American Psychiatric Association (2014). Diagnostic and Statistical Manual of Mental Disorders: DSM-5. American Psychiatric Association.
Bandelow, B., Michaelis, S., & Wedwkind, D. (2017). Treatment of anxiety disorders. Dialogues in Clinical Neuroscience, 19(2), 93-107. https://doi.org/10.31887/DCNS.2017.19.2/bbandelow
Bell, S. L., Audrey, S., Gunnell, D., Cooper, A., & Campbell, R. (2019). The relationship between physical activity, mental wellbeing and symptoms of mental health disorder in adolescents: a cohort study. International Journal of Behavioral Nutrition and Physical Activity, 16, Artículo e138. https://doi.org/10.1186/s12966-019-0901-7
Bernate, J., Fonseca, I., & Betancourt, M. (2020). Impacto de la actividad física y la práctica deportiva en el contexto social de la educación superior. Retos, 37, 742-747. https://doi.org/10.47197/retos.v37i37.67875
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet, 395(10227), 912–920. https://doi.org/10.1016/S0140-6736(20)30460-8
Cardona Gómez, J., & Arango Paternina, C. (2022). Consumo de alcohol en estudiantes de educación superior: Análisis de redes sociales de amigos universitários. Retos, 44, 346-356. https://doi.org/10.47197/retos.v44i0.90679
Carek, P., Laibstain, S., & Carek, S. (2011). Exercise the treatment of depression and anxiety. The International Journal of Psychiatry in Medicine, 41(1), 1115-1128. https://doi.org/10.2190/PM.41.1.c
Cavali-Meza, N. Y., Bacardí-Gascón, M., Armendáriz-Angiano, A.L., & Jiménez-Cruz, A. (2016). Validación del cuestionario de actividad física del IPAQ en adultos mexicanos con diabetes tipo 2. Journal of Negative & No Positive Results, 1(3), 93-99. https://doi.org/10.19230/jonnpr.2016.1.3.1015
Chávez-Márquez, I. L. (2021). Ansiedad en universitarios durante la pandemia de COVID-19: Un estudio cuantitativo. Psicumex, 11, 1-26. https://doi.org/10.36793/psicumex.v11i1.420
Clark, L. A., Cuthbert, B., Lewis-Fernández, R., Narrow, W. E., & Reed, G. M. (2017). Three approaches to understanding and classifying mental disorders: ICD-11, DSM-5, and the National Institute of Mental Health’s Research Domain Criteria (RDoC). Psychological Science in the Public Interest, 18(2), 72–145. https://doi.org/10.1177/1529100617727266
Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J. F., & Oja, P. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise, 35(8), 1381–1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB
Diamond, R., & Waite, F. (2020). Physical activity in a pandemic: A new treatment target for psychological therapy. Psychology and Psychotherapy, 94(2), 357–364. https://doi.org/10.1111/papt.12294
Diario Oficial de la Federación (2014). Reglamento de la Ley General de Salud en materia de investigación para la salud. Diario Oficial de la Federación. Disponible en: http://www.dof.gob.mx/nota_detalle.php?codigo=5339162&fecha=02/04/2014
Dzierzewski, J. M., Dautovich, N. D., Ravyts, S. G., Perez, E., Soto, P., & Donovan, E. K. (2021). Insomnia symptoms during the COVID-19 pandemic: An examination of biopsychosocial moderators. Sleep Medicine, Publicación anticipada en línea. https://doi.org/10.1016/j.sleep.2021.02.018
Elosua, P., Mujika, J., Almeida, L., & Hermosilla, D. (2014). Procedimientos analítico-racionales en la adaptación de tests. Adaptación al español de la batería de pruebas de razonamiento. Revista Latinoamericana de Psicología, 46(2), 117-126. https://doi.org/10.1016/S0120-0534(14)70015-9
Galindo-Vázquez, O., Ramírez-Orozco, M., Costas-Muñiz, R., Mendoza-Contreras, L., Calderillo-Ruiz, G., & Meneses-García, A. (2020). Síntomas de ansiedad, depresión y conductas de autocuidado durante la pandemia de COVID-19 en población general. Gaceta Médica de México, 156(4), 298-305. https://doi.org/10.24875/GMM.20000266
González, M., Ibáñez, I., García, L., & Quintero, V. (2018). El “cuestionario de preocupación y ansiedad” como instrumento de cribado para el trastorno de ansiedad generalizada: Propiedades diagnósticas. Psicología Conductual, 26(1), 5-22.
Gouttebarge, V., Ahmad, I., Mountjoy, M., Rice, S., & Kerkhoffs, G. (2022). Anxiety and depressive symptoms during the COVID-19 emergency period: A comparative cross-sectional study in professional football. Clinical Journal of Sport Medicine, 32(1), 21–27. https://doi.org/10.1097/JSM.0000000000000886
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2009). Multivariate Data Analysis (7th ed.). Pearson Prentice Hall.
Hanlon, H., & Swords, L. (2019). Overthinkers, attention-seekers and wallflowers: Peer perceptions of clinical anxiety disorders in adolescence. Journal of Public Mental Health, 18(1), 4-13. https://doi.org/10.1108/JPMH-07-2018-0049
Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis. A regression-based approach (2nd ed.). The Guilford Press.
Intelangelo, L., Molina Gutiérrez, N., Bevacqua, N., Mendoza, C., Guzmán-Guzmán, I. P., & Jerez-Mayorga, D. (2022). Effect of confinement by COVID-19 on the lifestyle of the university population of Argentina: Evaluation of physical activity, food and sleep. Retos, 43, 274-282. https://doi.org/10.47197/retos.v43i0.88461
IPAQ (2005). Traducción de las Guías para el Procesamiento de Datos y Análisis del Cuestionario Internacional de Actividad Física (IPAQ). Disponible en: https://www.juntadeandalucia.es/export/drupaljda/IPAQ_Procesamiento_Datos_UGR_2005.pdf
Jamaludin, S., Azmir, N. A., Mohamad Ayob, A. F., & Zainal, N. (2020). COVID-19 exit strategy: Transitioning towards a new normal. Annals of Medicine and Surgery, 59, 165–170. https://doi.org/10.1016/j.amsu.2020.09.046
Jayakody, K., Gunadasa, S., & Hosker, C. (2014). Exercise for anxiety disorders: systematic review. British Journal of Sports Medicine, 48(3), 187–196. https://doi.org/10.1136/bjsports-2012-091287
Jeon, S. W., Han, C., Ko, Y. H., Yoon, S., Pae, C. U., Choi, J., Kim, J. M., Yoon, H. K., Lee, H., Patkar, A. A., & Zimmerman, M. (2017). A Korean validation study of the Clinically Useful Anxiety Outcome Scale: Comorbidity and differentiation of anxiety and depressive disorders. PloS One, 12(6), Artículo e0179247. https://doi.org/10.1371/journal.pone.0179247
Lévy, J. P., & Varela, J. (2006). Modelización con estructuras de covarianzas en ciencias sociales. Temas esenciales, avanzados y aportaciones especiales. Netbiblo.
Ma, Z., Zhao, J., Li, Y., Chen, D., Wang, T., Zhang, Z., Chen, Z., Yu, Q., Jiang, J., Fan, F., & Liu, X. (2020). Mental health problems and correlates among 746 217 college students during the coronavirus disease 2019 outbreak in China. Epidemiology and Psychiatric Sciences, 29, Artículo e181. https://doi.org/10.1017/S2045796020000931
Maddison, R., Ni Mhurchu, C., Jiang, Y., Vander Hoorn, S., Rodgers, A., Lawes, C.M., & Rush, E. (2007). International Physical Activity Questionnaire (IPAQ) and New Zealand Physical Activity Questionnaire (NZPAQ): A doubly labelled water validation. International Journal of Behavioral Nutrition and Physical Activity, 4(1), 62. https://doi.org/10.1186/1479-5868-4-62
Maia, B. R., & Dias, P. C. (2020). Ansiedade, depressão e estresse em estudantes universitários: O impacto da COVID-19. Estudios de Psicologia (Campinas), 37, Artículo e200067. https://doi.org/10.1590/1982-0275202037e200067
Maugeri, G., Castrogiovanni, P., Battaglia, G., Pippi, R., D'Agata, V., Palma, A., Di Rosa, M., & Musumeci, G. (2020). The impact of physical activity on psychological health during Covid-19 pandemic in Italy. Heliyon, 6(6), Artículo e04315. https://doi.org/10.1016/j.heliyon.2020.e04315
McArdle, W.D., Katch, F.I., & Katch, V.L. (2010). Exercise physiology: energy, nutrition and human performance. William & Wilking.
McMahon, E. M., Corcoran, P., O'Regan, G., Keeley, H., Cannon, M., Carli, V., Wasserman, C., Hadlaczky, G., Sarchiapone, M., Apter, A., Balazs, J., Balint, M., Bobes, J., Brunner, R., Cozman, D., Haring, C., Iosue, M., Kaess, M., Kahn, J. P., Nemes, B., … Wasserman, D. (2017). Physical activity in European adolescents and associations with anxiety, depression and well-being. European Child & Adolescent Psychiatry, 26(1), 111–122. https://doi.org/10.1007/s00787-016-0875-9
Medina-Mora, G., Borges, C., Benjet, C., Lara, P., & Berglund, P. (2007). Psychiatric disorders in Mexico: lifetime prevalence in a representative sample of Nacional level. Journal of Psychiatry, 190: 521-528. https://doi.org/10.1192/bjp.bp.106.025841
Moore, K. L., Dalley, A. F., & Agur, A. M. (2017). Anatomía con orientación clínica (8th ed.). Wolters Kluwer.
Newby, J. M., O'Moore, K., Tang, S., Christensen, H., & Faasse, K. 2020. Acute mental health responses during the COVID-19 pandemic in Australia. PloS One. 15(7), Artículo e0236562. https://doi.org/10.1371/journal.pone.0236562
Onerup, A., Arvidsson, D., Blomqvist, Å., Daxberg, E. L., Jivegård, L., Jonsdottir, I. H., Lundqvist, S., Mellén, A., Persson, J., Sjögren, P., Svanberg, T., & Borjesson, M. (2019). Physical activity on prescription in accordance with the Swedish model increases physical activity: A systematic review. British Journal of Sports Medicine, 53(6), 383–388. https://doi.org/10.1136/bjsports-2018-099598
Phongsavan, P., Merom, D., Wagner, R., Chey, T., von Hofe, B., Silove, D., & Bauman, A. (2008). Process evaluation in an intervention designed to promote physical activity among adults with anxiety disorders: Evidence of acceptability and adherence. Health Promotion Journal of Australia, 19(2), 137–143. https://doi.org/10.1071/he08137
Ruíz, M. A., Pardo, A., & San Martín, R. (2010). Modelos de ecuaciones estructurales. Papeles del Psicólogo, 3(1), 34-45.
Ruíz-Aguilar, C., Urdapilleta-Herrera, E. C., & Lara-Rivas, G. (2021). Ansiedad en familiares de pacientes con COVID-19 hospitalizados en el Instituto Nacional de Enfermedades Respiratorias. Neumología y Cirugía de Tórax, 80(2), 100-104. https://dx.doi.org/10.35366/100990
Schreiber, J. B. (2021). Issues and recommendations for exploratory factor analysis and principal component analysis. Research in Social and Administrative Pharmacy, 17(5), 1004-1011. https://doi.org/10.1016/j.sapharm.2020.07.027
Seale, H., Heywood, A. E., Leask, J., Sheel, M., Thomas, S., Durrheim, D. N., Bolsewicz, K., & Kaur, R. (2020). COVID-19 is rapidly changing: Examining public perceptions and behaviors in response to this evolving pandemic. PloS One, 15(6), Artículo e0235112. https://doi.org/10.1371/journal.pone.0235112
Seetan, K., Al-Zubi, M., Rubbai, Y., Athamneh, M., Khamees, A., & Radaideh, T. (2021). Impact of COVID-19 on medical students' mental wellbeing in Jordan. PloS One. 16(6): Artículo e0253295. https://doi.org/10.1371/journal.pone.0253295
Silsbury, Z., Goldsmith, R., & Rushton, A. (2015). Systematic review of the measurement properties of self-report physical activity questionnaires in healthy adult populations. BMJ Open, 5(9), e008430. https://doi.org/10.1136/bmjopen-2015-008430
Stapinski, L. A., Prior, K., Newton, N. C., Deady, M., Kelly, E., Lees, B., Teesson, M., & Baillie, A. J. (2019). Protocol for the inroads study: A randomized controlled trial of an internet-delivered, cognitive behavioral therapy-based early intervention to reduce anxiety and hazardous alcohol use among young people. JMIR Research Protocols, 8(4), Artículo e12370. https://doi.org/10.2196/12370
Stein, D. J., Scott, K. M., de Jonge, P., & Kessler, R. C. (2017). Epidemiology of anxiety disorders: From surveys to nosology and back. Dialogues in Clinical Neuroscience, 19(2): 127–136. https://doi.org/10.31887/DCNS.2017.19.2/dstein
Urzúa, A., Vera-Villarroel, P., Caqueo-Urizar, A., & Polanco-Carrazco, R. (2020). La Psicología en la prevención y manejo del COVID-19. Aportes desde la evidencia inicial. Terapia Psicológica, 38, 103-118. http://dx.doi.org/10.4067/S0718-48082020000100103
Vila Suarez, H., Ayán, C., Gutiérrez-Santiago, A., & Cancela, J. (2021). Evolución de hábitos saludables en estudiantes universitarios en ciencias del deporte. Retos, 41, 524-532. https://doi.org/10.47197/retos.v0i41.83313
Wathelet, M., Duhem, S., Vaiva, G., Baubet, T., Habran, E., Veerapa, E., Debien, C., Molenda, S., Horn, M., Grandgenèvre, P., Notredame, C. E., & D'Hondt, F. (2020). Factors associated with mental health disorders among university students in France confined during the COVID-19 pandemic. JAMA Network Open, 3(10), Artículo e2025591. https://doi.org/10.1001/jamanetworkopen.2020.25591
World Medical Association (2013). World Medical Association declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310, 2191–2194. https://doi.org/10.1001/jama.2013.281053
Zhang, Y., Zhang, H., Ma, X., & Di, Q. (2020). Mental health problems during COVID-19 pandemics and the mitigating effects of exercise: A longitudinal study of college students in China. International Journal of Environmental Research and Public Health, 17(10), Artículo e3722. https://doi.org/10.3390/ijerph17103722
Zimmerman, M., Chelminski, I., Young, D., & Dalrymple, K. (2010). A clinically useful anxiety outcome scale. The Journal of Clinical Psychiatry, 71(5), 534–542. https://doi.org/10.4088/JCP.09m05264blu
Zimmerman, M., Kiefer, R., Kerr, S., & Balling, C. (2019). Reliability and validity of a self-report scale for daily assessments of the severity of anxiety symptoms. Comprehensive Psychiatry, 90, 37-42 https://doi.org/10.1016/j.comppsych.2018.12.014
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Roxana Abril Morales-Beltrán, Germán Hernández-Cruz, Roberto Andrés González-Fimbres, Blanca Rocío Rangel-Colmenero, Diana Korinna Zazueta-Beltrán, Luis Felipe Reynoso-Sánchez

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and ensure the magazine the right to be the first publication of the work as licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of authorship of the work and the initial publication in this magazine.
- Authors can establish separate additional agreements for non-exclusive distribution of the version of the work published in the journal (eg, to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Is allowed and authors are encouraged to disseminate their work electronically (eg, in institutional repositories or on their own website) prior to and during the submission process, as it can lead to productive exchanges, as well as to a subpoena more Early and more of published work (See The Effect of Open Access) (in English).
This journal provides immediate open access to its content (BOAI, http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess) on the principle that making research freely available to the public supports a greater global exchange of knowledge. The authors may download the papers from the journal website, or will be provided with the PDF version of the article via e-mail.