IMPACT OF LEISURE ACTIVITIES ON WELL-BEING IN COVID-19 PANDEMIC SITUATION, A CROSS SECTIONAL SURVEY

Aims Of Study: During COVID-19 people were forced to stay home and this increased the risk of limiting their PA and adaptation of sedentary behaviour hence our objective is to measure the impact of leisure activities on well-being during COVID-19. Methodology: 366 participants were selected, using Non-probability convenient sampling from UOL and PGC. PA and well-being were assessed using IPAQ-short form and WHO-5 well-being questionnaire. Results: IPAQ-short form with well-being Pearson Chi square was 638.012, Spearman correlation was 0.956 and p-value Asymptotic significance (2 sided) was .000 which means there is positive strong correlation between variables. Limitations and Future Implication: Adults having ages 18-40yrs volunteered due to short time period and since our study limited to only 2 settings so to generalize our outcomes for mass population was not feasible. During lockdown gaining past medical history in data collection was impacted, it is suggested to include the role of Physiotherapist in improving health status by PA, create awareness among common population about role of PA and their relation with well-being also including diversity in age groups, ethnicity and localities is suggested. Originality: Strong positive correlation between PA and well-being. Conclusion: This study shows that during Covid-19 pandemic, those individuals who remained physically active had good impact on their health. Being physically active not only improves an individual’s physical fitness level but also helps to cope with psychological problems degrading one’s mental health so our study found out direct relation between physical activity levels and health status.

Association Between Immediate Postnatal Anaemia and Risk of Developing Postpartum Depression at the Aga Khan University Hospital: A Cohort Study

Introduction: Postpartum depression has significant burden on obstetric psychopathology. While risk factors for the same have been extensively studied, most of this studies have focused on the role of psychosocial factors. Data on the role of physiological variables such as anaemia and role of obstetric complications in postpartum depression is now emerging. There are still gaps in literature regarding the same in developing countries and in Africa. Primary Objective: To determine the association between low postnatal hemoglobin andpostpartum depression Secondary Objective: To determine the association between obstetric complication specifically postpartum hemorrhage, operative delivery and NICU/NHDU admission and postpartum depression. Materials and methods: Study design: prospective cohort study Procedure: Using a cutoff of 11 grams/deciliter, 90 anemic and 90 non anemic women without a prior history of depression were recruited on the second postnatal day. The Edinburgh Postpartum Depression scale was administered at the six week postnatal visit and a score of 13 was used to determine those at risk of postpartum depression. Results: Using logistic regression analysis, we did not find a statistically significant association between postnatal anemia and postpartum depression. (Adjusted odds ratio 1.25, CI 0.51-3.05, p 0.6290). There was also no significant association between mode of delivery (OR 1.10 CI 0.46-2.60 p=0.8337) nor postpartum hemorrhage (OR 1.45 CI 0.60-3.54 p=0.4092) and postpartum depression. Admission to the neonatal unit (Adjusted OR 6.14 CI 1.09-34.42 p=0.039) and not taking antenatal iron supplements (Adjusted OR 2.83 CI 1.15-6.93 p=0.023) were significantly associated with postpartum depression. Conclusion: Postnatal anemia, postpartum hemorrhage and mode of delivery are not associated with postpartum depression. NICU/NHDU admission and not taking antenatal iron are associated with postpartum depression though this was not hypothesized a priori and may therefore be a chance finding. Recommendations: We recommend a prospective cohort study looking at the association of postnatal anemia, iron stores and postpartum depression. We also recommend a study looking at the association between adverse perinatal outcome (NICU/NHDU admission), operative delivery and postpartum depression.