Objective: To evaluate the impact of the COVID-19 pandemic and the following lockdown on physical exercise (PEx) practice, pain, and psychological well-being. Methods: A cross-sectional multicentric study was performed using a nonrandom convenience sampling from the general population (≥18 years-old) of 6 countries (Brazil, Italy, France, Portugal, Germany, and Spain) adopting social isolation (SI). The validated self-administered online survey (PEF-COVID19) was used. The tests T-test and Chi-square with Bonferroni correction were used for statistical analysis and a multivariate logistic regression model (p ˂ 0.05). Results: We included 3194 replies and ~80% of the respondents were in SI. Brazilian sample was highly influenced by the pandemic considering PEx practice and habits, pain, anxiety, and stress (p ˂ 0.05). Among the European countries, Italy presented the major changes. The model to predict the non-practice of PEx during SI showed that the variables countries, smoking, SI, and PEx level were significant predictors (p ˂ 0.001). Conclusion: The pandemic changed the PEx practice and habits, and the psychological well-being of populations in different manners. Countries, smoking, SI, and PEx level were predictors for the non-practice of PEx. Public health strategies are suggested to avoid sedentary lifestyles and quality of life decrease.

中文翻译：

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COVID-19锁定与体育锻炼，疼痛和心理健康的行为变化：一项国际多中心研究

目的：评估COVID-19大流行及其后的封锁对体育锻炼（PEx）的练习，疼痛和心理健康的影响。方法：采用社会隔离（SI），从6个国家（巴西，意大利，法国，葡萄牙，德国和西班牙）的总人口（≥18岁）中使用非随机便利性抽样进行横断面多中心研究。使用经过验证的自我管理在线调查（PEF-COVID19）。T-检验和卡方与Bonferroni校正被用于统计分析和多变量逻辑回归模型（测试p ˂0.05）。结果：我们收到3194份回复，约80％的受访者在SI中。考虑到PEx的做法和习惯，疼痛，焦虑和压力，巴西样本受到了大流行的强烈影响（p ˂0.05）。在欧洲国家中，意大利带来了重大变化。预测SI期间PEX的非实践的模型表明，变量的国家，吸烟，SI和PEX水平分别显著预测（p ˂0.001）。结论：大流行以不同的方式改变了PEx的习惯和习惯以及人群的心理健康。国家，吸烟，SI和PEx水平是不实施PEx的预测因素。建议采取公共卫生策略以避免久坐的生活方式和生活质量的下降。