Well-Being, Physical Activity, and Social Support in Octogenarians with Heart Failure during COVID-19 Confinement: A Mixed-Methods Study

Elena Marques-Sule, Elena Muñoz-Gómez, Luis Almenar-Bonet, Noemi Moreno-Segura (), María-Cruz Sánchez-Gómez, Pallav Deka, Raquel López-Vilella, Leonie Klompstra and Juan Luis Cabanillas-García
Additional contact information
Elena Marques-Sule: Physiotherapy in Motion, Multispeciality Research Group (PTinMOTION), 46010 Valencia, Spain
Elena Muñoz-Gómez: Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
Luis Almenar-Bonet: Heart Failure and Transplantation Unit, Department of Cardiology, Hospital Universitario y Politécnico La Fe, 46026 Valencia, Spain
Noemi Moreno-Segura: Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
María-Cruz Sánchez-Gómez: Department of Didactics, Organization and Research Methods, University of Salamanca, Paseo de Canalejas 169, 37008 Salamanca, Spain
Pallav Deka: College of Nursing, Michigan State University, East Lansing, MI 3078, USA
Raquel López-Vilella: Heart Failure and Transplantation Unit, Department of Cardiology, Hospital Universitario y Politécnico La Fe, 46026 Valencia, Spain
Leonie Klompstra: Department of Health, Medicine and Caring Sciences, Linkoping University, 4566 Linkoping, Sweden
Juan Luis Cabanillas-García: Department of Didactics, Organization and Research Methods, University of Salamanca, Paseo de Canalejas 169, 37008 Salamanca, Spain

IJERPH, 2022, vol. 19, issue 22, 1-14

Abstract: Background: This study aimed to compare well-being and physical activity (PA) before and during COVID-19 confinement in older adults with heart failure (HF), to compare well-being and PA during COVID-19 confinement in octogenarians and non-octogenarians, and to explore well-being, social support, attention to symptoms, and assistance needs during confinement in this population. Methods: A mixed-methods design was performed. Well-being (Cantril Ladder of Life) and PA (International Physical Activity Questionnaire) were assessed. Semi-structured interviews were performed to assess the rest of the variables. Results: 120 participants were evaluated (74.16 ± 12.90 years; octogenarians = 44.16%, non-octogenarians = 55.83%). Both groups showed lower well-being and performed less PA during confinement than before ( p < 0.001). Octogenarians reported lower well-being ( p = 0.02), higher sedentary time ( p = 0.03), and lower levels of moderate PA ( p = 0.04) during confinement. Most individuals in the sample considered their well-being to have decreased during confinement, 30% reported decreased social support, 50% increased their attention to symptoms, and 60% were not satisfied with the assistance received. Octogenarians were more severely impacted during confinement than non-octogenarians in terms of well-being, attention to symptoms, and assistance needs. Conclusions: Well-being and PA decreased during confinement, although octogenarians were more affected than non-octogenarians. Remote monitoring strategies are needed in elders with HF to control health outcomes in critical periods, especially in octogenarians.

Keywords: heart failure; COVID-19; confinement; well-being; physical activity; mixed-methods study (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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