Estado de ánimo y dependencia a la actividad física en estudiantes universitarios durante el confinamiento por COVID-19

El objetivo principal de este estudio fue analizar el estado de ánimo y el nivel de dependencia al ejercicio físico de alumnos universitarios en etapa de confinamiento, y su interrelación entre ellos, en función del sexo, de si practican deporte federado en la actualidad y el nivel de preocupación hacia la problemática creada por el COVID-19 a nivel mundial. En el estudio, participaron 177 alumnos universitarios (133 hombres y 44 mujeres) de Ciencias de la Actividad Física y del Deporte de la Universidad Pontificia de Salamanca con una media de edad de 20.85 (± 2.83) años y una disminución de práctica de actividad física del 73.5% en las dos primeras semanas de confinamiento. Los instrumentos utilizados para evaluar estos constructos fueron la Escala Revisada de Dependencia al Ejercicio (EDS-R) y el Profile Mood States (POMS) en versión reducida. Los resultados muestran que existe una correlación positiva significativa entre el nivel de dependencia al ejercicio físico y la Tensión, la Cólera, la Fatiga y el Estado Deprimido y una correlación negativa con el Vigor y la Amistad. En conclusión, se pone de manifiesto la importancia de la práctica de actividad física para la mejora de la salud anímica de los estudiantes universitarios.Alternate :The main purpose of the study was to analyze the mood and the level of dependence on physical exercise of college students during the lockdown, and its interrelation between them, according to gender, whether they currently practice federated sport and the level of concern towards the problem created by COVID-19 at a global level. In the study, 177 university students (133 males and 44 females) of the Degree in Physical Activity and Sport Sciences of the Pontifical University of Salamanca participated with an average age of 20.85 (± 2.83) years and a decrease in physical activity practice of 73.5% in the first two weeks of lockdown. The instruments used to evaluate these constructs were the Revised Scale of Exercise Dependence (EDS-R) and the Profile Mood States (POMS) in a reduced version. The results show that there is a significant positive correlation between the level of exercise dependence and Stress, Anger, Fatigue and Depressed state and a negative correlation with Vigor and Friendship. In conclusion, the importance of practicing physical activity is evident to improve the mental health of college students.Alternate :O principal objectivo desde estudo era analisar o estado de espírito e o nível de dependência do exercício físico dos estudantes universitários em confinamento, e a sua inter-relação entre si, de acordo com o género, se praticam actualmente desporto federado e o nível de preocupação com o problema criado pela COVID-19 a nível global. No estudo, participaram 177 estudantes universitários (133 homens e 44 mulheres) da Licenciatura em Atividade Física e Ciências do Esporte da Pontifícia Universidade de Salamanca com uma média de idade de 20,85 (±2,83) anos e uma diminuição na prática de atividade física de 73,5% nas primeiras duas semanas de confinamento. Os instrumentos utilizados para avaliar estas construções foram a Escala Revisada de Dependência do Exercício (EDSR) e o Perfil Mood States (POMS) numa versão reduzida. Os resultados mostram que existe uma correlação positiva significativa entre o nível de dependência do exercício e o estado de Stress, Raiva, Fadiga e Deprimido e uma correlação negativa com o Vigor e a Amizade. Em conclusão, a importância da actividade física para melhorar a saúde mental dos estudantes universitários é evidente.

Pregnancy Outcomes and SARS-CoV-2 Infection: The Spanish Obstetric Emergency Group Study.

Pregnant women who are infected with SARS-CoV-2 are at an increased risk of adverse perinatal outcomes. With this study, we aimed to better understand the relationship between maternal infection and perinatal outcomes, especially preterm births, and the underlying medical and interventionist factors. This was a prospective observational study carried out in 78 centers (Spanish Obstetric Emergency Group) with a cohort of 1347 SARS-CoV-2 PCR-positive pregnant women registered consecutively between 26 February and 5 November 2020, and a concurrent sample of PCR-negative mothers. The patients' information was collected from their medical records, and the association of SARS-CoV-2 and perinatal outcomes was evaluated by univariable and multivariate analyses. The data from 1347 SARS-CoV-2-positive pregnancies were compared with those from 1607 SARS-CoV-2-negative pregnancies. Differences were observed between both groups in premature rupture of membranes (15.5% vs. 11.1%, p < 0.001); venous thrombotic events (1.5% vs. 0.2%, p < 0.001); and severe pre-eclampsia incidence (40.6 vs. 15.6%, p = 0.001), which could have been overestimated in the infected cohort due to the shared analytical signs between this hypertensive disorder and COVID-19. In addition, more preterm deliveries were observed in infected patients (11.1% vs. 5.8%, p < 0.001) mainly due to an increase in iatrogenic preterm births. The prematurity in SARS-CoV-2-affected pregnancies results from a predisposition to end the pregnancy because of maternal disease (pneumonia and pre-eclampsia, with or without COVID-19 symptoms).

The association between SARS-CoV-2 infection and preterm delivery: a prospective study with a multivariable analysis.

BACKGROUND: To determine whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, the cause of COVID-19 disease) exposure in pregnancy, compared to non-exposure, is associated with infection-related obstetric morbidity. METHODS: We conducted a multicentre prospective study in pregnancy based on a universal antenatal screening program for SARS-CoV-2 infection. Throughout Spain 45 hospitals tested all women at admission on delivery ward using polymerase-chain-reaction (PCR) for COVID-19 since late March 2020. The cohort of positive mothers and the concurrent sample of negative mothers was followed up until 6-weeks post-partum. Multivariable logistic regression analysis, adjusting for known confounding variables, determined the adjusted odds ratio (aOR) with 95% confidence intervals (95% CI) of the association of SARS-CoV-2 infection and obstetric outcomes. MAIN OUTCOME MEASURES: Preterm delivery (primary), premature rupture of membranes and neonatal intensive care unit admissions. RESULTS: Among 1009 screened pregnancies, 246 were SARS-CoV-2 positive. Compared to negative mothers (763 cases), SARS-CoV-2 infection increased the odds of preterm birth (34 vs 51, 13.8% vs 6.7%, aOR 2.12, 95% CI 1.32-3.36, p = 0.002); iatrogenic preterm delivery was more frequent in infected women (4.9% vs 1.3%, p = 0.001), while the occurrence of spontaneous preterm deliveries was statistically similar (6.1% vs 4.7%). An increased risk of premature rupture of membranes at term (39 vs 75, 15.8% vs 9.8%, aOR 1.70, 95% CI 1.11-2.57, p = 0.013) and neonatal intensive care unit admissions (23 vs 18, 9.3% vs 2.4%, aOR 4.62, 95% CI 2.43-8.94, p <  0.001) was also observed in positive mothers. CONCLUSION: This prospective multicentre study demonstrated that pregnant women infected with SARS-CoV-2 have more infection-related obstetric morbidity. This hypothesis merits evaluation of a causal association in further research.

Obstetric Outcomes of SARS-CoV-2 Infection in Asymptomatic Pregnant Women.

Around two percent of asymptomatic women in labor test positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Spain. Families and care providers face childbirth with uncertainty. We determined if SARS-CoV-2 infection at delivery among asymptomatic mothers had different obstetric outcomes compared to negative patients. This was a multicenter prospective study based on universal antenatal screening for SARS-CoV-2 infection. A total of 42 hospitals tested women admitted for delivery using polymerase chain reaction, from March to May 2020. We included positive mothers and a sample of negative mothers asymptomatic throughout the antenatal period, with 6-week postpartum follow-up. Association between SARS-CoV-2 and obstetric outcomes was evaluated by multivariate logistic regression analyses. In total, 174 asymptomatic SARS-CoV-2 positive pregnancies were compared with 430 asymptomatic negative pregnancies. No differences were observed between both groups in key maternal and neonatal outcomes at delivery and follow-up, with the exception of prelabor rupture of membranes at term (adjusted odds ratio 1.88, 95% confidence interval 1.13-3.11; p = 0.015). Asymptomatic SARS-CoV-2 positive mothers have higher odds of prelabor rupture of membranes at term, without an increase in perinatal complications, compared to negative mothers. Pregnant women testing positive for SARS-CoV-2 at admission for delivery should be reassured by their healthcare workers in the absence of symptoms.