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Bell BT, Norminton S, Dollimore K. ' I've learned a lot about myself this year': Young student women's perceptions of their cumulative use of digital fitness technologies across the Covid-19 pandemic. J Health Psychol 2024; 29:1046-1058. [PMID: 38279803 DOI: 10.1177/13591053231225598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2024] Open
Abstract
Many young women turned to digital fitness technologies (DFT) to support their health and wellbeing during the covid-19 pandemic. The present study explores young student women's retrospective perceptions of their cumulative engagement with DFT, across periods of restriction and easing (March 2020-2021). Seventeen UK-based women (Age M = 20.29, SD = 1.72); Ethnicity White = 94.12% participated in one-on-one interviews using an adapted scroll-back technique. Data was analysed using narrative-informed reflexive thematic analysis. Three themes were developed: My lockdown #fitnesstransformation: DFT as information and inspiration, My unrealistic expectations: DFT as a source of comparison and concern and My new body positive and resilient self: DFT as a catalyst to self-development. Themes highlight how perceptions of DFT changed over time as a consequence of repeat engagement, sociocultural context and psychological meaning-making. Crucially, findings underscore the importance of examining the collective and cumulative effects of DFT engagement on health and wellbeing, both positive and negative.
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Nyawornota VK, Adamba C, Tay DA, Nyanyofio OC, Muomah RC, Chukwuorji JC, Nwonyi SK, Malete L, Joachim D, Ocansey RT. Self-perception of health and physical activity levels among the youth and adults before and amidst the COVID-19 pandemic. Front Public Health 2024; 12:1298378. [PMID: 38873289 PMCID: PMC11169886 DOI: 10.3389/fpubh.2024.1298378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 04/22/2024] [Indexed: 06/15/2024] Open
Abstract
Background Emerging research indicates that the COVID-19 pandemic and associated restrictions led to decreased physical activity levels and poorer health globally. However, most studies on this topic have focused on advanced countries, leaving a gap in understanding the impact in countries like Ghana. This study aimed to fill this gap by assessing self-perceived health status and physical activity levels among youth and adults in Ghana before, during, and after the COVID-19 restrictions. Understanding these dynamics is crucial for informing public health interventions and policies to promote well-being during and beyond the pandemic. Methods A cross-sectional survey using online data collection methods was conducted, involving 937 participants. Data included demographic information, and International Physical Activity Questionnaire-Short Form (IPAQ-SF). Analysis was done using SPSS version 25, with descriptive statistics and multinomial regression. Results Most participants (89.6%) reported good health. Male participants were significantly more likely to engage in moderate (1.78 times) and high (3.17 times) physical activity during the COVID-19 period compared to females. Conclusion This study highlights gender disparities in physical activity levels during the pandemic in Ghana. Addressing these disparities and promoting healthier lifestyles, especially during crises, is crucial for general and mental health. Further research should explore socio-demographic factors' role in health behaviors during pandemics.
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Affiliation(s)
| | - Clement Adamba
- Department of Educational Studies and Leadership, University of Ghana, Accra, Ghana
| | - Doris Akosua Tay
- Regional Institute for Population Studies, University of Ghana, Accra, Ghana
| | - Oscar C. Nyanyofio
- Department of Physical Education and Sport Studies, University of Ghana, Accra, Ghana
| | - Rosemary C. Muomah
- Department of Psychological Medicine, University of Nigeria, Nsukka, Nigeria
| | - JohnBosco C. Chukwuorji
- Department of Educational Studies and Leadership, University of Ghana, Accra, Ghana
- Department of Psychology, University of Nigeria, Nsukka, Nigeria
| | - Sampson K. Nwonyi
- Department of Psychology, Ebonyi State University, Abakaliki, Nigeria
| | - Leapetswe Malete
- Department of Kinesiology, Michigan State University, East Lansing, MI, United States
| | | | - Reginald T. Ocansey
- Department of Physical Education and Sport Studies, University of Ghana, Accra, Ghana
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Cheung DST, Yu BYM, Lam SC, Leung DYP, Chung KF, Ho FYY, Chen SC, Yeung WF. A longitudinal study on the change in sleep across three waves of the COVID-19 outbreaks in Hong Kong. Sleep Biol Rhythms 2024; 22:93-102. [PMID: 38476851 PMCID: PMC10899949 DOI: 10.1007/s41105-023-00486-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Accepted: 08/19/2023] [Indexed: 03/14/2024]
Abstract
In the year 2020, Hong Kong experienced four COVID-19 epidemic waves. The present study aimed to examine the transition of sleep disturbances and explore its associated factors across the later three epidemic waves. Among the 1138 respondents who participated in an online survey at the second wave (T1, April 2020), 338 and 378 participants also completed a follow-up at the third (T2, August 2020) and fourth waves (T3, December 2020), respectively. Participants completed the Insomnia Severity Index and an investigator-designed questionnaire regarding potential factors associated with sleep change such as perceived risk of being infected, economic stress, and confidence in the government and health care professional. Sample of this study were mainly female (67.7%), married (50.3%), young adults (54.2%) with tertiary education (81.6%). Maintaining normal sleep was the most prevalent trajectory of sleep of all three waves (50.5%), followed by persistent insomnia (17.2%) and remitted insomnia (9.0%). Besides female, older-age and lower education level, the results showed that increment in worry about family being infected (adjusted risk ratio, RR = 1.28), perceived interference of daily lives (adjusted RR = 1.19), and economic distress (adjusted RR = 1.24) were significantly associated with the development of clinical insomnia during the three epidemic waves. These factors were also associated with worsening of other sleep parameters. Insomnia being persistent across the three waves of COVID-19 outbreaks was common. Increasing economic distress, daily interference, and worry about family members being infected were associated with an increasing risk of clinical insomnia across the three COVID-19 outbreaks. Supplementary Information The online version contains supplementary material available at 10.1007/s41105-023-00486-w.
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Affiliation(s)
- Denise Shuk Ting Cheung
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 11 Yuk Choi Road, Hung Hom, Kowloon, Hong Kong, China
| | - Branda Yee-Man Yu
- Department of Psychology, The University of Hong Kong, Hong Kong SAR, China
| | - Simon Ching Lam
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | | | - Ka-Fai Chung
- Department of Psychiatry, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China
| | - Fiona Yan-Yee Ho
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Shu-Cheng Chen
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Wing-Fai Yeung
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China
- Research Institute for Smart Ageing, The Hong Kong Polytechic University, Hong Kong, Hong Kong SAR
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Yoon KI, Jeong TS, Kim SC, Lim SC. Anonymizing at-home fitness: enhancing privacy and motivation with virtual reality and try-on. Front Public Health 2023; 11:1333776. [PMID: 38192556 PMCID: PMC10773911 DOI: 10.3389/fpubh.2023.1333776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 11/28/2023] [Indexed: 01/10/2024] Open
Abstract
Introduction This study aimed to address privacy concerns associated with video conferencing tools used in home-based exercise training. To that end, a method that could anonymize participants' appearances and exercise environments during at-home fitness sessions was proposed. Methods This method combines virtual reality for 3-D human-model rendering using key-points tracking with a virtual try-on system enhanced by UV mapping and instance segmentation. To validate the proposed method, we conducted a user study by recruiting participants to assess effectiveness of virtual reality and virtual try-on in terms of privacy protection, self-confidence, and coaching satisfaction. Results Experimental results demonstrated the effectiveness and improved user experience of using virtual reality or virtual try-on in remote fitness, particularly in enhancing privacy protection and self-confidence with statistical significance. However, no significant differences were noted in coaching satisfaction. Discussion These findings confirmed the efficacy of our proposed approach. We believe that the proposed approach can significantly contribute to the future of remote fitness training, offering a more secure and engaging environment for users, thereby potentially increasing adherence to fitness regimens and overall physical wellbeing.
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Affiliation(s)
- Kang-Il Yoon
- Department of Mechanical, Robotics, and Energy Engineering, Dongguk University, Seoul, Republic of Korea
| | - Tae-Soo Jeong
- Department of Mechanical, Robotics, and Energy Engineering, Dongguk University, Seoul, Republic of Korea
| | - Seung-Chan Kim
- Machine Learning Systems Lab, College of Sports Science, Sungkyunkwan University, Suwon, Republic of Korea
| | - Soo-Chul Lim
- Department of Mechanical, Robotics, and Energy Engineering, Dongguk University, Seoul, Republic of Korea
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Hoekman R, Grubben M, Kraaykamp G. Bouncing back or staying inactive? The social inequality in sport participation before, during and after the COVID-pandemic. LEISURE STUDIES 2023; 43:342-351. [PMID: 38562149 PMCID: PMC10984347 DOI: 10.1080/02614367.2023.2243652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 07/25/2023] [Indexed: 04/04/2024]
Abstract
This contribution addresses the development of educational and financial inequality in sport participation in the Netherlands over the course of the COVID-pandemic. More specifically, we deal with the issue whether increased educational and financial inequality during the COVID-pandemic is temporary or becomes permanent after relaxation of the COVID-measures. We expected lower educated and people with financial problems to have less resources to bounce back to sport participation or to continue sport participation in sport over the course of the COVID-pandemic. To test our expectations, we performed multinominal logistic regression analyses on longitudinal data from the Dutch LISS-panel (n = 1.157). Our results confirmed that higher educated more often bounced back in their sport participation after COVID. Lower educated and people with financial problems were more likely to completely dropout. Our main conclusion is that educational and financial inequality in sport participation further increased after relaxation of the COVID-measures. This study enhances the understanding of the long-term impact of the COVID-pandemic on inequality in sport participation, and that might lead to more intensified sport promotion policies. Ongoing attention of policymakers for vulnerable groups is required to tackle social inequality in sport participation enlarged by the COVID-pandemic.
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Affiliation(s)
- Remco Hoekman
- Department of Sociology, Radboud University Nijmegen, The Netherlands
- Department of Sociology, Mulier Institute, Utrecht, The Netherlands
| | - Malou Grubben
- Department of Sociology, Radboud University Nijmegen, The Netherlands
| | - Gerbert Kraaykamp
- Department of Sociology, Radboud University Nijmegen, The Netherlands
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da Silva LGO, de Souza TS, Silva CR, Freua FF, da Silva LBM, Juliano Y, Nali LHS, Hespanhol LC, Ribeiro AP. Exercise behavior, practice, injury, and symptoms of respiratory tract infection of 502 Brazilian adults during lockdown oscillations in two years (2021-2022) of the COVID-19 pandemic. BMC Sports Sci Med Rehabil 2023; 15:94. [PMID: 37528434 PMCID: PMC10394914 DOI: 10.1186/s13102-023-00701-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 07/12/2023] [Indexed: 08/03/2023]
Abstract
BACKGROUND In the period between 2020 and 2023, during the COVID-19 (coronavirus disease 2019) pandemic, many countries released their restriction measures so that individuals were able to begin practicing physical exercises and outdoor sports again. The purpose of the current study was to evaluate the physical exercise behavior, symptoms of respiratory tract infection, and training practice, as well as aspects of pain and injuries in the lower limbs of adults during periods of lockdown oscillations in the two years of the COVID-19 pandemic in Brazil. METHODS Cross-sectional study. PARTICIPANTS A total of 502 adults were evaluated during two consecutive years of the COVID-19 pandemic, corresponding to the years 2021 and 2022. A virtual questionnaire was applied using the Google Forms platform through a link, or a Quick Response Code available in social media environments. The variables collected were: anthropometric characteristics, presence of comorbidities, clinical history for the diagnosis of COVID-19, and behavior related to physical exercise practices, divided into five topics: (1) physical exercise habits; (2) symptoms and health care utilization; (3) habit of practicing physical exercise in relation to the prevention of COVID-19; (4) preventive measures for COVID-19; and (5) feelings and reasons for practicing exercises. RESULTS A total 79.0% of the participants returned to the practice of physical exercise after a period of social isolation due to COVID-19, with running (30.0%) and muscle strength training (50.0%) being the most prevalent modalities, in which 62.0% of practitioners carried out the activity individually, without any professional or technical monitoring. With regard to physical preparation, 61.0% reported performing pre-training stretching, 64.0% associated with muscular resistance training. Of these, 89% did not report current injuries or pain symptoms when returning to exercise (69.0%). Total of 60.5% reported experiencing respiratory tract symptoms of COVID-19 and seeking a consultation with a doctor, and 61.0% performed diagnostic test, with RT-PCR (Real time-polymerase chain reaction) being the most common test. Of those tested, 55.0% were positive for COVID-19, without the need for hospitalization (95.0%). The most commonly used measures for the prevention of COVID-19 were the fabric or surgical mask. The predominant feeling in the pandemic was anxiety (50.5%) and the reasons for practicing sports were: physical conditioning (30.9%), a feeling of pleasure (21.3%), and weight loss (20.3%). CONCLUSION After two years of the COVID-19 pandemic (2021-2022), with periods of lockdown, there were low reports of injuries and pain symptoms after exercising on the return to physical exercise practices of running and strength training. However, the restrictions negatively affected the exercise behavior due to respiratory tract symptoms of COVID-19 and a reduction in training intensity, performed without any professional or technical supervision. The participants reported the use of a fabric or surgical mask for the prevention of COVID-19, and an increased feeling of anxiety. The reasons given for practicing physical exercise were physical conditioning, a feeling of pleasure, and weight loss.
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Affiliation(s)
- Lucas Guilherme Oliveira da Silva
- Biomechanics and Musculoskeletal Rehabilitation Laboratory, Health Science Post-Graduate Department, School of Medicine, University Santo Amaro, R. Professor Enéas de Siqueira Neto, 340, Campus I, São Paulo, SP, 04829-900, Brazil
| | - Tatiane Silva de Souza
- Biomechanics and Musculoskeletal Rehabilitation Laboratory, Health Science Post-Graduate Department, School of Medicine, University Santo Amaro, R. Professor Enéas de Siqueira Neto, 340, Campus I, São Paulo, SP, 04829-900, Brazil
| | - Camila Réquia Silva
- Biomechanics and Musculoskeletal Rehabilitation Laboratory, Health Science Post-Graduate Department, School of Medicine, University Santo Amaro, R. Professor Enéas de Siqueira Neto, 340, Campus I, São Paulo, SP, 04829-900, Brazil
| | - Flávia Figueiredo Freua
- Biomechanics and Musculoskeletal Rehabilitation Laboratory, Health Science Post-Graduate Department, School of Medicine, University Santo Amaro, R. Professor Enéas de Siqueira Neto, 340, Campus I, São Paulo, SP, 04829-900, Brazil
| | - Lucas Barqueiro Medeiro da Silva
- Biomechanics and Musculoskeletal Rehabilitation Laboratory, Health Science Post-Graduate Department, School of Medicine, University Santo Amaro, R. Professor Enéas de Siqueira Neto, 340, Campus I, São Paulo, SP, 04829-900, Brazil
| | - Yara Juliano
- Biomechanics and Musculoskeletal Rehabilitation Laboratory, Health Science Post-Graduate Department, School of Medicine, University Santo Amaro, R. Professor Enéas de Siqueira Neto, 340, Campus I, São Paulo, SP, 04829-900, Brazil
| | - Luiz Henrique Silva Nali
- Biomechanics and Musculoskeletal Rehabilitation Laboratory, Health Science Post-Graduate Department, School of Medicine, University Santo Amaro, R. Professor Enéas de Siqueira Neto, 340, Campus I, São Paulo, SP, 04829-900, Brazil
| | - Luiz Carlos Hespanhol
- Physical Therapy Post-Graduate Department, University City of Sao Paulo, São Paulo, Brazil
| | - Ana Paula Ribeiro
- Biomechanics and Musculoskeletal Rehabilitation Laboratory, Health Science Post-Graduate Department, School of Medicine, University Santo Amaro, R. Professor Enéas de Siqueira Neto, 340, Campus I, São Paulo, SP, 04829-900, Brazil.
- Physical Therapy, Speech and Occupational Therapy Department, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil.
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Cui D, Zhang X, Guo J. The impact of the COVID-19 pandemic on physical activity and sleep among healthy adults: a systematic review and meta-analysis. Front Psychol 2023; 14:1149215. [PMID: 37457076 PMCID: PMC10344672 DOI: 10.3389/fpsyg.2023.1149215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Accepted: 06/02/2023] [Indexed: 07/18/2023] Open
Abstract
Background The COVID-19 pandemic has had a significant impact on physical and mental health, while physical activity and sleep are two important indicators of the impact that have been explored in recent studies. However, the results of studies with different measurement methods and populations with different levels of physical activity have been diverse in that physical activity and sleep are affected by the COVID-19 pandemic in some studies but not in others. Our study aimed to investigate the impact of the COVID-19 pandemic on physical activity and sleep and the role of measurement methods and populations on results. Methods PubMed, Web of Science, and CNKI databases were used to search for related studies systematically. Study characteristics and data on physical activity and sleep were collected and analyzed from each included study. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were used to estimate pooled effect sizes. Results A total of 13 articles were included in the systematic review, 11 of which were included in the meta-analysis. We found that moderate-to-vigorous physical activity (MVPA) time was 0.33 (95% CI 0.07 to 0.59) and sleep quality was 0.37 (95% CI 0.21 to 0.53) decreased, while sleep duration was -0.24 (95% CI -0.28 to -0.20) increased during the lockdown; overall physical activity time had no significant difference (p = 0.07) during the lockdown. The "wearables" subgroup had no heterogeneity (p = 0.89, I2 = 0) in sleep duration, while MVPA time measured by subjective scales was not significantly changed. The "elite athletes" subgroup had lower heterogeneity (p = 0.69, I2 = 0) in sleep duration than general adults, while the results of sleep quality for population subgroups were significant and there was no heterogeneity within either. Conclusion The COVID-19 pandemic had a significant impact on MVPA time, sleep duration, and sleep quality, instead of overall physical activity time among healthy adults. The results of MVPA time and sleep duration were greatly influenced by the measurement methods, and sleep behavior differed among populations with varying physical activity levels. Thus, when researching physical activity, especially MVPA time, should consider measurement methods, and more attention should be given to differences in populations when researching sleep behavior.
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Hamilton JL, Hutchinson E, Evankovich MR, Ladouceur CD, Silk JS. Daily and average associations of physical activity, social media use, and sleep among adolescent girls during the COVID-19 pandemic. J Sleep Res 2023; 32:e13611. [PMID: 35535484 PMCID: PMC9347531 DOI: 10.1111/jsr.13611] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 03/31/2022] [Accepted: 04/01/2022] [Indexed: 02/03/2023]
Abstract
Adolescents' daily lives have been disrupted during the Coronavirus disease 2019 (COVID-19) pandemic. It remains unclear how changes in adolescents' daily physical and social behaviours affect their sleep. The present study examined the daily and average effects of physical activity and social media use (i.e., video chatting, texting, and social networking sites) on adolescent girls' sleep during the COVID-19 pandemic. Adolescent girls aged 12-17 years (N = 93; 69% White) from a larger longitudinal study completed a 10-day daily diary protocol during state-mandated stay-at-home orders. Girls reported on daily sleep (duration, timing, quality), physical activity, and social media use during COVID-19. Multilevel modelling was used to examine the within- and between-person effects of physical activity and social media on sleep duration, timing, and quality during the 10-day period. Between-person associations indicate that youth with greater social media use (texting, video chatting, and social networking) and less physical activity had later sleep timing across the 10-day study period. Only video chatting was associated with shorter sleep duration. There were no within-person effects of physical activity or social media activities on sleep outcomes. Findings indicate that physical activity and social media use may impact later adolescent sleep timing during the COVID-19 pandemic. It will be critical for research to examine the potential long-term costs of delayed sleep timing, and whether targeting specific youth behaviours associated with sleep and circadian disruption improve mental and physical health during the COVID-19 pandemic and beyond.
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Affiliation(s)
| | | | | | | | - Jennifer S. Silk
- Department of Psychology, University of Pittsburgh
- University of Pittsburgh School of Medicine
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Marcos-Pardo PJ, Abelleira-Lamela T, Vaquero-Cristobal R, González-Gálvez N. Changes in life satisfaction, depression, general health and sleep quality of Spanish older women during COVID-19 lockdown and their relationship with lifestyle: an observational follow-up study. BMJ Open 2022; 12:e061993. [PMID: 36002204 PMCID: PMC9412044 DOI: 10.1136/bmjopen-2022-061993] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJETIVES To analyse the effects of COVID-19 lockdown on mental well-being variables of older women, and to determine the influence of lifestyle and age on such effects. The hypothesis of the study was that all parameters related to mental well-being would worsen in older women during the COVID-19 lockdown. DESIGN Observational follow-up study. Pre lockdown measurements were taken before the lockdown. Post lockdown measurements were taken as soon as began the de-escalation. SETTING Senior centres in the Region of Murcia (Spain). PARTICIPANTS The sample was composed of 40 older women volunteers, over 54 years of age (mean age=62.35±8.15 years). PRIMARY AND SECONDARY OUTCOME MEASURES Pre lockdown and post lockdown evaluations were carried out face to face. The following questionnaires were completed: Satisfaction with Life Scale, The Center for Epidemiologic Studies Depression Scale, The Short Form 36 Health Survey, The Pittsburgh Sleep Quality Index, the Global Physical Activity Questionnaire and Prevention with Mediterranean Diet. RESULTS Post lockdown, a worsening was found in the variables of life satisfaction (p=0.001); depression (p<0.001), quality of life in physical role (p=0.006), pain (p=0.004), emotional role (p<0.001) and mental health (p<0.001); and sleep quality (p=0.018), sleep latency (p=0.004), sleep disturbances (p=0.002) and global sleep quality score (p=0.002). It was found how age influenced the variables of pain (p=0.003) and social role (p=0.047), as well as the influence of a healthy lifestyle on the variables analysed (F=6.214; p=0.017). Adherence to the Mediterranean diet was shown to be a protective factor against increased depression (p=0.03). Spending time sitting was shown to be a risk factor for physical role health (p=0.002), as was advanced age on health due to worsening pain (p=0.005), or an unhealthy lifestyle on increased consumption of sleeping aids (p=0.017). CONCLUSION The lockdown had a great negative impact on Spanish older women on mental well-being variables. TRIAL REGISTRATION NUMBER NCT04958499.
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Affiliation(s)
- Pablo Jorge Marcos-Pardo
- SPORT Research Group (CTS-1024), CERNEP Research Center, Universidad de Almeria, Almeria, Andalucía, Spain
- Department of Education, Faculty of Education Sciences, University of Almería, Almería, Spain
- Active Aging, Exercise and Health/HEALTHY-AGE Network, Consejo Superior de Deportes, Madrid, Spain
| | - Tomás Abelleira-Lamela
- Injury prevention in sport Research Group (PRELEDE), Faculty of Sport, Universidad Católica San Antonio de Murcia, Murcia, Spain
| | - Raquel Vaquero-Cristobal
- Active Aging, Exercise and Health/HEALTHY-AGE Network, Consejo Superior de Deportes, Madrid, Spain
- Injury prevention in sport Research Group (PRELEDE), Faculty of Sport, Universidad Católica San Antonio de Murcia, Murcia, Spain
| | - Noelia González-Gálvez
- Active Aging, Exercise and Health/HEALTHY-AGE Network, Consejo Superior de Deportes, Madrid, Spain
- Injury prevention in sport Research Group (PRELEDE), Faculty of Sport, Universidad Católica San Antonio de Murcia, Murcia, Spain
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Dziewior J, Carr LJ, Pierce GL, Whitaker K. College students report less physical activity and more sedentary behavior during the COVID-19 pandemic. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022:1-9. [PMID: 35881778 DOI: 10.1080/07448481.2022.2100708] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2021] [Revised: 06/20/2022] [Accepted: 07/06/2022] [Indexed: 06/15/2023]
Abstract
Objective: To understand the impact of the COVID-19 pandemic on college students' movement behaviors. Participants: College students attending a large Midwestern university during the pandemic. Methods: The Activity Questionnaire for Adults and Adolescents estimated physical activity and sedentary time before, early, and later in the pandemic. Barriers and facilitators to physical activity were assessed at early and later timepoints. Open-ended questions examined additional impacts. Results: Comparing before vs. early/later pandemic assessments, respondents (n = 230, 82% female, 21 ± 5 years) reported a significant decrease in physical activity metabolic equivalent (MET)-minutes/week (7891 ± 7340 vs. 5550 ± 6410/5953 ± 5180) and a significant increase in sedentary MET-minutes/week (1330 ± 1570 vs. 2415 ± 1770/1767 ± 1652). The top barrier was schoolwork (47.7%). The top facilitator was social support (21.5%). Responses to open-ended questions indicated that most individuals reported sitting more during the pandemic, with variation in physical activity patterns. Conclusions: Adverse changes in physical activity and sedentary behavior observed early in the pandemic were sustained.
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Affiliation(s)
- Jaclyn Dziewior
- Department of Health and Human Physiology, University of Iowa, Iowa City, Iowa, USA
| | - Lucas J Carr
- Department of Health and Human Physiology, University of Iowa, Iowa City, Iowa, USA
| | - Gary L Pierce
- Department of Health and Human Physiology, University of Iowa, Iowa City, Iowa, USA
- Department of Internal Medicine, University of Iowa, Iowa City, Iowa, USA
| | - Kara Whitaker
- Department of Health and Human Physiology, University of Iowa, Iowa City, Iowa, USA
- Department of Epidemiology, University of Iowa, Iowa City, Iowa, USA
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11
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Tomaz SA, Ryde GC, Swales B, Neely KC, Andreis F, Coffee P, Connelly J, Kirkland A, McCabe L, Watchman K, Martin JG, Pina I, Whittaker AC. "… Exercise opportunities became very important": Scottish older adults' changes in physical activity during Covid19'. Eur Rev Aging Phys Act 2022; 19:16. [PMID: 35780094 PMCID: PMC9250220 DOI: 10.1186/s11556-022-00295-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Accepted: 06/02/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The purpose of this study was to explore perceived changes in physical activity (PA) due to Covid19 stay-at-home and social distancing guidance among older adults. METHODS Participants (n = 1429, 77% female, 84% ≥60 years) living in Scotland completed an online survey in Summer 2020 measuring PA and wellbeing (indexed through loneliness, and health-related quality of life). The survey included open- and closed-ended questions about how these variables changed in response to Covid19 social distancing and 'shielding' guidelines. RESULTS From the International Physical Activity Questionnaire (IPAQ), the majority reported high volumes of PA, indicative of being 'moderately' or 'highly' active. When asked specifically about strength training, 12% reported engagement on ≥2d/wk. Most participants reported that PA had changed during this time, citing reduced use of exercise facilities, increased active travel, and online PA classes; although only 16% reported engaging in PA online. CONCLUSIONS Higher levels of PA were found to be associated with better health-related quality of life. Additional efforts should be made to support PA engagement in older adults, including strength training and other tailored approaches to support individual needs.
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Affiliation(s)
- Simone A Tomaz
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK
| | - Gemma C Ryde
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK
| | - Bridgitte Swales
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK
| | - Kacey C Neely
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK
| | | | - Pete Coffee
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK
| | - Jenni Connelly
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK
| | - Andrew Kirkland
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK
| | - Louise McCabe
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK
| | - Karen Watchman
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK
| | - Jack G Martin
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK
| | - Ilaria Pina
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK
| | - Anna C Whittaker
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK.
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12
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Urtaran-Laresgoiti M, González-Rábago Y, Martín U, Rivadeneyra-Sicilia A, Morteruel M. Health and health inequalities impact assessment for non-clinical measures to control COVID-19 in the Basque Country and Navarre (Spain). J Public Health Res 2022; 11:22799036221110020. [PMID: 35911433 PMCID: PMC9335482 DOI: 10.1177/22799036221110020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 06/11/2022] [Indexed: 11/17/2022] Open
Abstract
This article describes the results of a health and health inequalities impact assessment of the COVID-19 pandemic control measures in the regions of the Basque Country and Navarre in Spain. A literature review was conducted on Pubmed and Web of Science (WoS) databases, in addition to individual semi-structured interviews and focus groups with experts, key informants and different profiles of citizens. A wide variety of social determinants of health have been affected by the measures, which included individual health-related behaviors, service disruption in formal care, educational settings, and health care provision. These changes have particularly affected certain population groups including children and adolescents, older people, those with health conditions and disabilities together with caregivers, women, as well as people with low levels of education, income, and resources. In future scenarios it will be necessary to pay attention to the potential impacts of policy responses on health inequalities to avoid an increase in existing health gaps.
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Affiliation(s)
- M Urtaran-Laresgoiti
- Department of Sociology and Social Work, University of Basque Country (UPV/EHU), Leioa, Spain.,Research Group Social Determinants of Health and Demographic Change-OPIK, Leioa, Spain
| | - Y González-Rábago
- Department of Sociology and Social Work, University of Basque Country (UPV/EHU), Leioa, Spain.,Research Group Social Determinants of Health and Demographic Change-OPIK, Leioa, Spain
| | - U Martín
- Department of Sociology and Social Work, University of Basque Country (UPV/EHU), Leioa, Spain.,Research Group Social Determinants of Health and Demographic Change-OPIK, Leioa, Spain
| | - A Rivadeneyra-Sicilia
- ISPED, University of Bordeaux, Bordeaux Population Health Research Centre U1219-, Bordeaux, France
| | - M Morteruel
- Research Group Social Determinants of Health and Demographic Change-OPIK, Leioa, Spain.,Department of Nursing I, University of the Basque Country (UPV/EHU), Leioa, Spain
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13
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Woolley CSC, Handel IG, Bronsvoort BM, Schoenebeck JJ, Clements DN. The impact of the COVID-19 pandemic on a cohort of Labrador retrievers in England. BMC Vet Res 2022; 18:246. [PMID: 35751072 PMCID: PMC9233325 DOI: 10.1186/s12917-022-03319-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Accepted: 05/06/2022] [Indexed: 11/22/2022] Open
Abstract
Background The COVID-19 pandemic is likely to have affected the welfare and health of dogs due to surges in adoptions and purchases, changes in the physical and mental health and financial status of dog owners, changes in dogs’ lifestyle and routines and limited access to veterinary care. The aims of this study were to investigate whether COVID-19 restrictions were associated with differences in Labrador retrievers’ lifestyle, routine care, insurance status, illness incidence or veterinary attendance with an illness, who were living in England and enrolled in Dogslife, an owner-based cohort study. Longitudinal questionnaire data from Dogslife that was relevant to the dates between the 23rd of March and the 4th of July 2020, during COVID-19 restrictions in England, were compared to data between the same dates in previous years from 2011 to 2019 using mixed regression models and adjusted chi-squared tests. Results Compared with previous years (March 23rd to July 4th, 2010 to 2019), the COVID-19 restrictions study period (March 23rd to July 4th 2020) was associated with owners reporting increases in their dogs’ exercise and worming and decreases in insurance, titbit-feeding and vaccination. Odds of owners reporting that their dogs had an episode of coughing (0.20, 95% CI: 0.04–0.92) and that they took their dogs to a veterinarian with an episode of any illness (0.58, 95% CI: 0.45–0.76) were lower during the COVID-19 restrictions compared to before. During the restrictions period, owners were less likely to report that they took their dogs to a veterinarian with certain other illnesses, compared to before this period. Conclusions Dogslife provided a unique opportunity to study prospective questionnaire data from owners already enrolled on a longitudinal cohort study. This approach minimised bias associated with recalling events prior to the pandemic and allowed a wider population of dogs to be studied than is available from primary care data. Distinctive insights into owners’ decision making about their dogs’ healthcare were offered. There are clear implications of the COVID-19 pandemic and associated restrictions for the lifestyle, care and health of dogs. Supplementary Information The online version contains supplementary material available at 10.1186/s12917-022-03319-z.
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Affiliation(s)
- Charlotte S C Woolley
- The Roslin Institute and Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Campus, Midlothian, EH25 9RG, United States.
| | - Ian G Handel
- The Roslin Institute and Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Campus, Midlothian, EH25 9RG, United States
| | - B Mark Bronsvoort
- The Roslin Institute and Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Campus, Midlothian, EH25 9RG, United States
| | - Jeffrey J Schoenebeck
- The Roslin Institute and Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Campus, Midlothian, EH25 9RG, United States
| | - Dylan N Clements
- The Roslin Institute and Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Campus, Midlothian, EH25 9RG, United States
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14
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Schöttl SE, Schnitzer M, Savoia L, Kopp M. Physical Activity Behavior During and After COVID-19 Stay-at-Home Orders-A Longitudinal Study in the Austrian, German, and Italian Alps. Front Public Health 2022; 10:901763. [PMID: 35712287 PMCID: PMC9194442 DOI: 10.3389/fpubh.2022.901763] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 05/09/2022] [Indexed: 12/20/2022] Open
Abstract
Background In Alpine regions, which are very similar due to their topographical location and their wide-ranging sports offerings, the restrictions on sports activities during the COVID-19 pandemic differed in type and level: while in some regions (Tyrol, South Tyrol, Trentino), all sports activities were forbidden except for walking near the home, in other regions (Upper Bavaria, Vorarlberg), people were allowed to go hiking and running during the first lockdown. Objective The aim of this study was to investigate the change in physical activity (PA) behavior in different Alpine regions (Upper Bavaria, Vorarlberg, Tyrol, South Tyrol, Trentino) over four periods in 2020, to examine the effects of COVID-19 measures of varying severity on PA behavior and to identify factors associated with a change in PA over time. Methods A retrospective online survey was conducted (N = 2975) from December 2020, to January 2021. Using the questionnaire of the Eurobarometer 472 study, PA behavior was measured over four periods: before COVID-19 (March), during the first lockdown (March and April), during the relaxed period (May-October) and during the second lockdown (November and December) in 2020. Results During the first (M = 5.0h, SD = 4.5) and the second lockdowns (M = 4.9h, SD = 4.3), the participants (age: 42 years, overly active in sports) engaged less in sports than before (M = 5.9h, SD = 4.8) and during the relaxed period in summer (M = 6.4h, SD = 5.0) (average number of hours per week being physically active). A larger percentage of participants from Alpine regions with severe restrictions (Tyrol, South Tyrol, Trentino) decreased their PA during the first lockdown as compared to participants from Upper Bavaria and Vorarlberg with a less strict first lockdown. Those with psychological distress, male participants, and individuals with decreased physical health and less free time during COVID-19 were more likely to reduce their PA. Conclusions Despite a short-term negative effect of COVID-19 restrictions on exercise participation during lockdowns, the majority of respondents returned to their original levels of PA during the relaxed COVID-19 phases. As a comparison of Alpine regions shows, particularly severe COVID-19 measures seem to have reduced PA with potential negative health effects. For the future, policy makers and sports organizations should collaborate to support the population in their PA behavior during pandemics to outweigh restrictions.
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Affiliation(s)
- Stefanie E Schöttl
- Department of Sport Science, University of Innsbruck, Innsbruck, Austria
| | - Martin Schnitzer
- Department of Sport Science, University of Innsbruck, Innsbruck, Austria
| | - Laura Savoia
- Sports Observatory of the Autonomous Province of Bozen/Bolzano-South Tyrol, Bozen, Italy
| | - Martin Kopp
- Department of Sport Science, University of Innsbruck, Innsbruck, Austria
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15
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Kotzur M, O'Connor RC, Robb KA. How has physical distancing impacted on health and well-being during the COVID-19 pandemic? A Scottish longitudinal qualitative study. BMJ Open 2022; 12:e054506. [PMID: 35534078 PMCID: PMC9086282 DOI: 10.1136/bmjopen-2021-054506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Accepted: 03/07/2022] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVES This study provides an in-depth understanding of the impact of physical distancing restrictions and other quarantining measures during the first 6 months of the COVID-19 pandemic on physical and mental health and well-being. DESIGN Longitudinal qualitative research using semistructured interviews at two time points (21 May to 10 June 2020 when the first restrictions were eased, and 2 to 26 August 2020 when many restrictions had been eased, but physical distancing measures remained) and framework analysis. SETTING Interviews by telephone or video call in Scotland. PARTICIPANTS Thirty participants: 16 women, 93% reporting white ethnicity, 18+ years, 47% from deprived areas, 47% reported mental and/or physical health conditions. RESULTS Four main themes described the impact of physical distancing restrictions on (1) health behaviours; (2) healthcare access; (3) physical health; and (4) mental health. Changes in impact over the two time points were compared. For example, health behaviours in May/June, such as reduced physical activity and increased calorie intake, appeared to improve by August. From May/June to August, an increasing number of participants expressed dissatisfaction with healthcare they received. Participants with existing physical health conditions reported continued negative impact of restrictions on their physical health. All participants reported some negative mental health impact, mostly anxiety. An increasing number reported mental health improvements in August, with those with mental health conditions or under 30 years reporting improvement most frequently. CONCLUSIONS In line with previous research, our participants felt able to return to prepandemic health habits. Our findings corroborate evidence of reduced preventive healthcare use and help-seeking behaviours. People with existing health conditions appear to be most vulnerable to negative mental and physical health impacts of physical distancing. These negative impacts and periods of unhealthy behaviours have potential long-term consequences, especially among already underserved groups. We recommend public health and policy strategies to mitigate long-term impacts of physical distancing.
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Affiliation(s)
- Marie Kotzur
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Rory C O'Connor
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Kathryn A Robb
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
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16
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Ingram J, Hand CJ, Hijikata Y, Maciejewski G. Exploring the effects of COVID-19 restrictions on wellbeing across different styles of lockdown. Health Psychol Open 2022; 9:20551029221099800. [PMID: 35547558 PMCID: PMC9081023 DOI: 10.1177/20551029221099800] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
Countries have instigated different restrictions in response to the COVID-19 pandemic. For instance, nationwide, strict “lockdown” in Scotland was enacted with breaches punishable by law, whereas restrictions in Japan allowed for travel and interaction, with citizens requested rather than required to conform. We explored the impact of these differential strategies on health behaviours and wellbeing. In February 2021, 138 Scottish and 139 Japanese participants reported their demographic information, pandemic-induced health behaviour-change (alcohol consumption, diet, perceived sleep quality, physical activity), negative mood, and perceived social isolation. Scottish participants’ health behaviours were characterised by greater change (typically negative), most likely due to greater lifestyle disruption, whereas Japanese participants’ behaviours were more-stable. Negative changes to health behaviours were typically associated with poorer mental wellbeing and isolation. Interestingly though, Japanese participants reported greater negative mood but not isolation despite the less-restrictive lockdown. Taken together, different lockdown styles led to different changes in health behaviours.
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Affiliation(s)
- Joanne Ingram
- School of Education and Social Science, University of the West of Scotland, Paisley, UK
| | | | - Yuko Hijikata
- Faculty of Humanities and Social Sciences, University of Tsukuba, Tsukuba, Japan
| | - Greg Maciejewski
- School of Education and Social Science, University of the West of Scotland, Paisley, UK
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17
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Griggs S, Harper A, Pignatiello G, Hickman RL. "Feeling Anxious about Catching COVID": Facilitators and Barriers of Sleep Health among Young Adults with Type 1 Diabetes. Behav Sleep Med 2022; 20:357-367. [PMID: 35076346 PMCID: PMC9167230 DOI: 10.1080/15402002.2022.2032711] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
BACKGROUND The COVID-19 pandemic has imposed pervasive stress and significant disruptions in sleep health in young adults. The purpose of this study was to describe the perceived facilitators and barriers of sleep health among young adults with type 1 diabetes during the COVID-19 pandemic. PARTICIPANTS Thirty-two young adults with T1D (87.5% female; mean age = 21.5, SD = 2.0) participated in an online survey between January and July 2021. Young adults between the ages of 18-25 years with T1D for at least 6 months were eligible to participate, while those who had a previous OSA diagnosis, were currently pregnant, or worked the night shift were not eligible to participate. METHODS A qualitative descriptive approach was used to explore the perceived facilitators and barriers to sleep among a convenience sample. Qualitative content was analyzed and coded for themes using qualitative content analysis. Responses were coded using an in vivo approach. RESULTS Young adults with T1D identified changes in facilitators and barriers of sufficient sleep from before the COVID-19 pandemic to during the pandemic. Three overarching barriers and facilitators were identified: (1) general, (2) diabetes-specific, and (3) COVID-19 specific. CONCLUSIONS Our findings can inform future educational and cognitive-behavioral interventions to promote sleep health in young adults with T1D and other complex chronic conditions. When designing sleep-promoting interventions for young adults with T1D in the COVID-19 pandemic and post-pandemic, researchers should consider T1D as well as COVID-specific barriers and facilitators.
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Affiliation(s)
- Stephanie Griggs
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA
| | - Alison Harper
- Frances Payne Bolton School of Nursing, Department of Anthropology, Case Western Reserve University, Cleveland, Ohio, USA
| | - Grant Pignatiello
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA
| | - Ronald L Hickman
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA
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18
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Exercise Preferences and Benefits in Patients Hospitalized with COVID-19. J Pers Med 2022; 12:jpm12040645. [PMID: 35455761 PMCID: PMC9032495 DOI: 10.3390/jpm12040645] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Revised: 04/07/2022] [Accepted: 04/14/2022] [Indexed: 02/07/2023] Open
Abstract
Background: Obese people are at risk of becoming severely ill due to SARS-CoV-2. The exercise benefits on health have been emphasized. Aim: To investigate the correlation of obesity with the length of hospitalization, the pre- and post-hospitalization exercise preferences of COVID-19 patients, and the impact of pre-admission or post-hospitalization physical activity on dyspnea one month after hospitalization and recovery time. Methods: A telephone survey was conducted in patients hospitalized at the Respiratory Medicine Department, University of Thessaly, Greece, from November to December 2020. Results: Two-thirds of the patients were obese. Obesity was not associated with the hospitalization time. Two-thirds of the patients used to engage in physical activity before hospitalization. Males exercised in a higher percentage and more frequently than women before and after hospitalization. The methodical pre-hospitalization exercise was associated with lower levels of dyspnea one month after hospitalization. In-hospital weight loss, comorbidities, and dyspnea on admission independently predicted longer recovery time. Lockdown had boosted men’s desire to exercise than females who were negatively affected. Conclusions: Obesity is common in COVID-19 hospitalized patients. In-hospital weight loss, comorbidities, and dyspnea on admission predicted a longer post-hospitalization recovery time. The pre-hospitalization exercise was associated with less post-hospitalization dyspnea and recovery time.
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19
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The COVID-19 Conundrum: Keeping safe while becoming inactive. A rapid review of physical activity, sedentary behaviour, and exercise in adults by gender and age. PLoS One 2022; 17:e0263053. [PMID: 35085330 PMCID: PMC8794124 DOI: 10.1371/journal.pone.0263053] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2021] [Accepted: 01/11/2022] [Indexed: 12/20/2022] Open
Abstract
Background Coronavirus (COVID-19) has severely impacted lifestyles worldwide. Responses to COVID-19 have intentionally restricted the factors that encourage regular and frequent PA; opportunity, capability and motivation. However, the effects of these restrictions are likely to have differed by gender and age and different intensities of PA. This rapid review builds on previous evidence by synthesising the global impact of COVID-19 on adult PA through specific intensities and types of PA and evaluating this by gender and age. Methods A rapid systematic search of seven electronic databases (PubMed, MEDLINE, CINAHL, SPORTDiscus, Academic Search Complete, APA PsycInfo, and APA PsycArticles) was performed from December 2019 to January 2021. Studies investigating adult change in PA, exercise or sedentary behaviour due to COVID-19 were included. Results From an initial database search identifying 3,863 articles, 66 remained for synthesis after applying eligibility criteria. Results demonstrate decreases among all intensities and types of PA—walking (6 out of 7 papers), moderate-only (5 out of 6 papers), vigorous-only (5 out of 6 papers) and MVPA (4 out of 5 papers); as well as overall PA (14–72% participants reported a decrease). Reflecting that COVID-19 responses were designed to have universal effects, they also achieved whole-society decreases in PA behaviour, accented in older age groups. Conclusion There is a universal need to address the low levels of PA post-COVID-19. The consequences of decreased PA across all intensities has powerful, potentially recoverable, impacts. Universal declines have implications for public health officials and PA advocates for post-COVID-19 initiatives to promote PA.
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Al-Ajlouni YA, Park SH, Alawa J, Dodin B, Shamaileh G, Makarem N, Keyes KM, Duncan DT. Staying Physically Active Is Associated with Better Mental Health and Sleep Health Outcomes during the Initial Period of COVID-19 Induced Nation-Wide Lockdown in Jordan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19020776. [PMID: 35055598 PMCID: PMC8776168 DOI: 10.3390/ijerph19020776] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/21/2021] [Revised: 12/22/2021] [Accepted: 01/09/2022] [Indexed: 02/04/2023]
Abstract
Jordan, a Middle Eastern country, initially responded to an outbreak of COVID-19 cases within its own borders by imposing a 7-week strict lockdown and closure of international and domestic travel. Such measures drastically influenced lifestyle behaviors of the population. This study aimed to investigate the prevalence of physical activity, and its association with mental and sleep health outcomes among Jordanians during a period of COVID-19 induced lockdown. Validated questionnaires were administered using a web-based platform to evaluate moderate-to-vigorous physical activity (MVPA), anxiety and depressive symptoms, sleep health, and sociodemographic characteristics. A modified Poisson regression model with robust error variance was used to estimate adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs). Compared to participants who met the guidelines, those who did not had significantly higher prevalence of moderate or severe anxiety symptoms than that of minimal or mild anxiety symptoms and increased depressive symptoms. Insufficient MVPA was associated with higher prevalence of poor sleep quality, short sleep duration (<7 h) and sleep problems. Overall, sufficient MVPA was associated with better mental and sleep health during the COVID-19 induced nation-wide lockdown in Jordan. While further research is necessary, promoting physical activity during the lockdown could potentially improve mental and sleep health outcomes among the population.
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Affiliation(s)
- Yazan A. Al-Ajlouni
- Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY 10032, USA; (S.H.P.); (N.M.); (K.M.K.); (D.T.D.)
- School of Medicine, New York Medical College, Valhalla, NY 10595, USA
- Correspondence: ; Tel.: +1-(914)-484-1014
| | - Su Hyun Park
- Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY 10032, USA; (S.H.P.); (N.M.); (K.M.K.); (D.T.D.)
| | - Jude Alawa
- School of Medicine, Stanford University, Stanford, CA 94305, USA;
| | - Ban Dodin
- School of Medicine and Public Health, University of Wisconsin, Madison, WI 53705, USA;
| | - Ghaith Shamaileh
- Department of Cell and Molecular Biology, Tulane University School of Science and Engineering, New Orleans, LA 70118, USA;
| | - Nour Makarem
- Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY 10032, USA; (S.H.P.); (N.M.); (K.M.K.); (D.T.D.)
| | - Katherine M. Keyes
- Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY 10032, USA; (S.H.P.); (N.M.); (K.M.K.); (D.T.D.)
| | - Dustin T. Duncan
- Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY 10032, USA; (S.H.P.); (N.M.); (K.M.K.); (D.T.D.)
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21
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Rees-Punia E, Newton CC, Rittase MH, Hodge RA, Nielsen J, Cunningham S, Teras LR, Patel A. Prospective changes in physical activity, sedentary time and sleep during the COVID-19 pandemic in a US-based cohort study. BMJ Open 2021; 11:e053817. [PMID: 34857575 PMCID: PMC8640200 DOI: 10.1136/bmjopen-2021-053817] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
OBJECTIVES Assess differences in movement behaviours within the 24-hour cycle, including light intensity physical activity (LPA), moderate-to-vigorous physical activity (MVPA), sedentary time and sleep, before and during the COVID-19 pandemic and assess these differences stratified by several relevant factors in a subcohort of the Cancer Prevention Study-3. DESIGN AND SETTING US-based longitudinal cohort study (2018-August 2020). PARTICIPANTS N=1992 participants, of which 1304 (65.5%) are women, and 1512 (75.9%) are non-Latino white, with a mean age 57.0 (9.8) years. MEASURES Age, sex, race/ethnicity, education; self-reported LPA, MVPA, sedentary time and sleep duration collected before and during the pandemic; pandemic-related changes in work, childcare and living arrangement; COVID-19 health history. RESULTS Compared to 2018, participants spent an additional 104 min/day sedentary, 61 fewer min/day in LPA and 43 fewer min/day in MVPA during the pandemic. Time spent sleeping was similar at the two time points. Differences in movement behaviours were more pronounced among men, those with a higher level of education, and those who were more active before the pandemic. CONCLUSIONS From 2018 to Summer 2020, during the COVID-19 pandemic, US adults have made significant shifts in daily time spent in LPA, MVPA and sedentary. There is an urgent need to promote more physical activity and less sedentary time during this public health crisis to avoid sustaining these patterns long-term.
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Affiliation(s)
- Erika Rees-Punia
- Department of Population Science, American Cancer Society, Atlanta, Georgia, USA
| | - Christina C Newton
- Department of Population Science, American Cancer Society, Atlanta, Georgia, USA
| | - Melissa H Rittase
- Department of Population Science, American Cancer Society, Atlanta, Georgia, USA
| | - Rebecca A Hodge
- Department of Population Science, American Cancer Society, Atlanta, Georgia, USA
| | - Jannie Nielsen
- Hubert Department Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
- Global Health Section, Department of Public Health, University of Copenhagen, Kobenhavn, Denmark
| | - Solveig Cunningham
- Hubert Department Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
| | - Lauren R Teras
- Department of Population Science, American Cancer Society, Atlanta, Georgia, USA
| | - Alpa Patel
- Department of Population Science, American Cancer Society, Atlanta, Georgia, USA
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22
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Schneider V, Kale D, Herbec A, Beard E, Fisher A, Shahab L. UK Adults’ Exercise Locations, Use of Digital Programs and Associations with Physical Activity During the COVID-19 Pandemic: Longitudinal Analysis of Data from the Health Behaviours During the COVID-19 Pandemic Study (Preprint). JMIR Form Res 2021; 6:e35021. [PMID: 35584123 PMCID: PMC9217149 DOI: 10.2196/35021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Revised: 03/07/2022] [Accepted: 04/25/2022] [Indexed: 11/29/2022] Open
Abstract
Background Digital physical activity (PA) program use has been associated with higher PA guideline adherence during COVID-19 pandemic confinements. However, little is known longitudinally about exercise locations (inside vs outside the home environment), digital program use, and their associations with moderate-to-vigorous PA (MVPA) and muscle-strengthening activities (MSAs) during the pandemic. Objective The aims of this study were to assess the relationship between exercise location and use of digital programs with PA guideline adherence during the COVID-19 pandemic, describe how individuals exercised inside and outside of their home environments, and explore which sociodemographic and contextual factors were associated with exercise locations and digital PA program use. Methods Active UK adults (N=1938) who participated in the 1-month follow-up survey of the Health Behaviours During the COVID-19 Pandemic (HEBECO) study (FU1, June-July 2020) and at least one more follow-up survey (FU2, August-September; FU3, November-December 2020) reported exercise locations and types of exercises inside and outside their homes, including digital programs (online/app-based fitness classes/programs), MVPA, and MSA. Generalized linear mixed models were used to assess associations of exercise location and digital PA program use with PA guideline adherence (MVPA, MSA, full [combined] adherence), and predictors of exercise location and digital program use. Results As the pandemic progressed, active UK adults were less likely to exercise inside or to use digital PA programs compared with periods of initial confinement: 61% (95% CI 58%-63%; weighted n=1024), 50% (95% CI 48%-53%; weighted n=786), and 49% (95% CI 46%-51%; weighted n=723) performed any exercise inside their homes at FU1, FU2, and FU3, respectively. At FU1, FU2, and FU3, 22% (95% CI 21%-25%; weighted n=385), 17% (95% CI 15%-19%; weighted n=265), and 16% (95% CI 14%-18%; weighted n=241) used digital PA programs, respectively. Most participants who exercised inside already owned indoor equipment, used digital PA programs, or had their own workout routines, whereas MVPA and gentle walking were the most common exercise types performed outside the home. Being female, nonwhite, having a condition limiting PA, indoor exercising space, a lower BMI, and living in total isolation were associated with increased odds of exercising inside the home or garden compared with outside exercise only. Digital PA program users were more likely to be younger, female, highly educated, have indoor space to exercise, and a lower BMI. While exercising inside was positively associated with MSA and exercising outside was positively associated with MVPA guideline adherence, both inside (vs outside only) and outside (vs inside only) activities contributed to full PA guideline adherence (odds ratio [OR] 5.05, 95% CI 3.17-8.03 and OR 1.89, 95% CI 1.10-3.23, respectively). Digital PA program use was associated with a higher odds of MSA (OR 3.97-8.71) and full PA (OR 2.24-3.95), but not with MVPA guideline adherence. Conclusions During the COVID-19 pandemic, full PA guideline adherence was associated with exercising inside and outside of one’s home environment and using digital PA programs. More research is needed to understand the reach, long-term adherence, and differences between digital PA solutions.
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Affiliation(s)
- Verena Schneider
- Department of Behavioural Science and Health, University College London, London, United Kingdom
| | - Dimitra Kale
- Department of Behavioural Science and Health, University College London, London, United Kingdom
- SPECTRUM Research Consortium, Edinburgh, United Kingdom
| | - Aleksandra Herbec
- Department of Behavioural Science and Health, University College London, London, United Kingdom
- Clinical, Educational and Health Psychology, University College London, London, United Kingdom
| | - Emma Beard
- Department of Behavioural Science and Health, University College London, London, United Kingdom
- SPECTRUM Research Consortium, Edinburgh, United Kingdom
| | - Abigail Fisher
- Department of Behavioural Science and Health, University College London, London, United Kingdom
| | - Lion Shahab
- Department of Behavioural Science and Health, University College London, London, United Kingdom
- SPECTRUM Research Consortium, Edinburgh, United Kingdom
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Impact of the COVID-19 Pandemic on Sedentary Time and Behaviour in Children and Adults: A Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111286. [PMID: 34769800 PMCID: PMC8583678 DOI: 10.3390/ijerph182111286] [Citation(s) in RCA: 84] [Impact Index Per Article: 28.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Revised: 09/20/2021] [Accepted: 09/27/2021] [Indexed: 01/19/2023]
Abstract
The aim of this meta-analysis was to quantify the change in sedentary time during the COVID-19 pandemic and its effect on health outcomes in the general population. One thousand six hundred and one articles published after 2019 were retrieved from five databases, of which 64 and 40 were included in the systematic review and meta-analysis, respectively. Studies were grouped according to population: children (<18 years), adults (18–64 years) and older adults (>65 years). Average sedentary time was calculated, with sub-analyses performed by country, behaviour type and health outcomes. Children were most affected, increasing their sedentary time by 159.5 ± 142.6 min day−1, followed by adults (+126.9 ± 42.2 min day−1) and older adults (+46.9 ± 22.0 min day−1). There were no sex differences in any age group. Screen time was the only consistently measured behaviour and accounted for 46.8% and 57.2% of total sedentary time in children and adults, respectively. Increases in sedentary time were negatively correlated with global mental health, depression, anxiety and quality of life, irrespective of age. Whilst lockdown negatively affected all age groups, children were more negatively affected than adults or older adults, highlighting this population as a key intervention target. As lockdowns ease worldwide, strategies should be employed to reduce time spent sedentary. Trial registration: PROSPERO (CRD42020208909).
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Rees-Punia E, Newton CC, Westmaas JL, Chantaprasopsuk S, Patel AV, Leach CR. Prospective COVID-19 related changes in physical activity and sedentary time and associations with symptoms of depression and anxiety. Ment Health Phys Act 2021; 21:100425. [PMID: 34611463 PMCID: PMC8483810 DOI: 10.1016/j.mhpa.2021.100425] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 08/25/2021] [Accepted: 09/23/2021] [Indexed: 11/25/2022]
Abstract
PROBLEM The COVID-19 pandemic is associated with psychological distress. Decreased moderate-vigorous physical activity (MVPA) and increased sedentary time may be exacerbating pandemic-related symptoms of anxiety and depression, but existing studies exploring these associations are almost entirely cross-sectional. METHODS Reported data from 2018 and Summer 2020 were used to create change categories based on compliance with MVPA guidelines and relative sedentary time. Participants completed the Patient Health Questionnaire-4 (PHQ-4) in Summer 2020. Associations among changes in MVPA and sedentary time (separately and jointly) with psychological distress (total PHQ-4 score) were examined with ordinal logistic regression and associations with depressive or anxiety symptoms were examined with logistic regression. RESULTS Among 2,240 participants (65% women, mean age 57.5 years), 67% increased sedentary time and 21% became inactive between the two time points. After multivariate adjustment, participants who became (OR = 1.71, 95% CI: 1.05-2.78) or remained inactive (OR = 2.07, 1.34-3.22) were more likely to experience depressive symptoms compared to those who remained active. Participants who increased sedentary time were also more likely to experience depressive symptoms compared to those who maintained sedentary time (OR = 1.78, 1.13-2.81). Jointly, those who increased sedentary time while remaining (OR = 3.67, 1.83-7.38) or becoming inactive (OR = 3.02, 1.44-6.34) were much more likely to have depressive symptoms compared to the joint referent (remained active/maintained sedentary time). Associations with anxiety symptoms were not statistically significant. CONCLUSIONS These findings support the value of promoting MVPA and limiting sedentary time during stressful events associated with psychological distress, like the COVID-19 pandemic.
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Affiliation(s)
- Erika Rees-Punia
- Dept. of Population Science, American Cancer Society 3380 Chastain Meadows Pkwy NW Kennesaw, GA 30144 USA
| | - Christina C Newton
- Dept. of Population Science, American Cancer Society 3380 Chastain Meadows Pkwy NW Kennesaw, GA 30144 USA
| | - J Lee Westmaas
- Dept. of Population Science, American Cancer Society 3380 Chastain Meadows Pkwy NW Kennesaw, GA 30144 USA
| | - Sicha Chantaprasopsuk
- Dept. of Population Science, American Cancer Society 3380 Chastain Meadows Pkwy NW Kennesaw, GA 30144 USA
| | - Alpa V Patel
- Dept. of Population Science, American Cancer Society 3380 Chastain Meadows Pkwy NW Kennesaw, GA 30144 USA
| | - Corinne R Leach
- Dept. of Population Science, American Cancer Society 3380 Chastain Meadows Pkwy NW Kennesaw, GA 30144 USA
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Bu F, Bone JK, Mitchell JJ, Steptoe A, Fancourt D. Longitudinal changes in physical activity during and after the first national lockdown due to the COVID-19 pandemic in England. Sci Rep 2021; 11:17723. [PMID: 34475465 PMCID: PMC8413348 DOI: 10.1038/s41598-021-97065-1] [Citation(s) in RCA: 60] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 08/19/2021] [Indexed: 02/07/2023] Open
Abstract
Recent studies have shown reduced physical activity at early stages of the COVID-19 pandemic. However, there is a lack of investigation on longitudinal changes in physical activity beyond lockdowns and stay-at-home orders. Moreover, it is unclear if there is heterogeneity in physical activity growth trajectories. This study aimed to explore longitudinal patterns of physical activity and factors associated with them. Data were from the UCL COVID-19 Social Study. The analytical sample consisted of 35,915 adults in England who were followed up for 22 weeks from 24th March to 23rd August 2020. Data were analysed using growth mixture models. Our analyses identified six classes of growth trajectories, including three stable classes showing little change over time (62.4% in total), two classes showing decreasing physical activity (28.6%), and one class showing increasing physical activity over time (9%). A range of factors were found to be associated the class membership of physical activity trajectories, such as age, gender, education, income, employment status, and health. There is substantial heterogeneity in longitudinal changes in physical activity during the COVID-19 pandemic. However, a substantial proportion of our sample showed persistent physical inactivity or decreasing physical activity. Given the well-established link between physical activity and health, persistent or increased physical inactivity is likely to have both immediate and long-term implications for people's physical and mental health, as well as general wellbeing. More efforts are needed to promote physical activity during the pandemic and beyond.
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Affiliation(s)
- Feifei Bu
- Department of Behavioral Science and Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
| | - Jessica K Bone
- Department of Behavioral Science and Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK
| | - John J Mitchell
- Institute of Epidemiology and Public Health, University College London, London, UK
| | - Andrew Steptoe
- Department of Behavioral Science and Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK
| | - Daisy Fancourt
- Department of Behavioral Science and Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK
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Greier K, Drenowatz C, Bischofer T, Petrasch G, Greier C, Cocca A, Ruedl G. Physical activity and sitting time prior to and during COVID-19 lockdown in Austrian high-school students. AIMS Public Health 2021; 8:531-540. [PMID: 34395703 PMCID: PMC8334643 DOI: 10.3934/publichealth.2021043] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Accepted: 07/22/2021] [Indexed: 11/24/2022] Open
Abstract
The COVID-19 pandemic has led in many countries to the implementation of policies that mandate social distancing and movement restrictions. While these measures are warranted in order to minimize the spread of the virus they may have detrimental effects on various behaviors, including physical activity (PA). The present study examined PA and sitting time in 14 to18-year-old Austrian high school students prior to and during the second COVID-19 lockdown in Austria. Data was collected via an online questionnaire during fall/winter 2020/21. Questions were based on the International Physical Activity Questionnaire, which examined frequency and duration of PA and sitting time. A total of 221 high school students provided valid data. Participants reported significantly lower moderate and vigorous PA during the lockdown while sitting time increased (p < 0.01). The frequency of walking (days/week) also decreased during COVID-19 lockdown, which also contributed to a significant decline in total walking time (p < 0.01). Further, the decline in PA was more pronounced in boys, while girls reported a greater decline in walking. These differences were due to higher PA and walking in boys and girls, respectively, prior to the lockdown. During the lockdown sex differences in PA and sitting time were limited. Taken together, these results highlight the impact of COVID-19 policies on PA in adolescents and emphasize the importance to promote an active lifestyle even in times of home confinement.
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Affiliation(s)
- Klaus Greier
- Division of Physical Education, Private Educational College (KPH-ES), Stams, Austria
- Department of Sports Science, University of Innsbruck, Innsbruck, Austria
| | - Clemens Drenowatz
- Division of Sport, Physical Activity and Health, University of Education Upper Austria, Linz, Austria
| | - Theresa Bischofer
- Department of Sports Science, University of Innsbruck, Innsbruck, Austria
| | - Gloria Petrasch
- Department of Sports Science, University of Innsbruck, Innsbruck, Austria
| | - Carla Greier
- Department of Sports Science, University of Innsbruck, Innsbruck, Austria
| | - Armando Cocca
- Department of Sports Science, University of Innsbruck, Innsbruck, Austria
| | - Gerhard Ruedl
- Department of Sports Science, University of Innsbruck, Innsbruck, Austria
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27
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Shanmugam H, Di Ciaula A, Di Palo DM, Molina‐Molina E, Garruti G, Faienza MF, vanErpecum K, Portincasa P. Multiplying effects of COVID-19 lockdown on metabolic risk and fatty liver. Eur J Clin Invest 2021; 51:e13597. [PMID: 34032283 PMCID: PMC8209861 DOI: 10.1111/eci.13597] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 04/28/2021] [Accepted: 05/06/2021] [Indexed: 02/05/2023]
Abstract
BACKGROUND Social containment measures imposed in Europe during the lockdown to face COVID-19 pandemic can generate long-term potential threats for metabolic health. METHODS A cohort of 494 non-COVID-19 subjects living in 21 EU countries were interviewed by an anonymous questionnaire exploring anthropometric and lifestyle changes during 1-month lockdown. A subgroup of 41 overweight/obese Italian subjects with previously diagnosed nonalcoholic fatty liver (NAFLD) joined the study following a 12-month follow-up period promoting weight loss by healthy lifestyle. RESULTS During the lockdown, body weight increased in 55% of subjects (average 2.4 ± 0.9 kg). Weight change increased with age, but not baseline body mass index. Subjects living in Italy had greater weight gain than those living in other European Countries. Weight gain during the lockdown was highest in subjects reporting no physical activity, and low adherence to Mediterranean diet. In the NAFLD group, weight gain occurred in 70% of cases. Subjects reporting weight loss during lockdown had decreased fatty liver score at 3 months before the lockdown, as compared with 1 year before. CONCLUSIONS Strict measures of social containment-even short-term-pave the way to the increased risk of metabolic abnormalities in the medium-long term. In this context, adherence to Mediterranean diet and regular physical activity play a protective role both in terms of weight gain and fatty liver development/progression, with implication for primary and secondary prevention. When adopting measures imposing social containment, intensive educational campaigns must increase public awareness about beneficial effects of healthy lifestyles.
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Affiliation(s)
- Harshitha Shanmugam
- Clinica Medica “A. Murri”Department of Biomedical Sciences and Human OncologyUniversity of Bari “Aldo Moro”BariItaly
| | - Agostino Di Ciaula
- Clinica Medica “A. Murri”Department of Biomedical Sciences and Human OncologyUniversity of Bari “Aldo Moro”BariItaly
| | - Domenica Maria Di Palo
- Clinica Medica “A. Murri”Department of Biomedical Sciences and Human OncologyUniversity of Bari “Aldo Moro”BariItaly
| | - Emilio Molina‐Molina
- Clinica Medica “A. Murri”Department of Biomedical Sciences and Human OncologyUniversity of Bari “Aldo Moro”BariItaly
| | - Gabriella Garruti
- Section of EndocrinologyDepartment of Emergency and Organ TransplantationsUniversity of Bari “Aldo Moro” Medical SchoolBariItaly
| | - Maria Felicia Faienza
- Paediatric SectionDepartment of Biomedical Sciences and Human OncologyUniversity of Bari “Aldo Moro”BariItaly
| | - Karel vanErpecum
- Department of Gastroenterology and HepatologyUniversity Medical CenterUtrechtthe Netherlands
| | - Piero Portincasa
- Clinica Medica “A. Murri”Department of Biomedical Sciences and Human OncologyUniversity of Bari “Aldo Moro”BariItaly
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Sadarangani KP, De Roia GF, Lobo P, Chavez R, Meyer J, Cristi-Montero C, Martinez-Gomez D, Ferrari G, Schuch FB, Gil-Salmerón A, Solmi M, Veronese N, Alzahrani H, Grabovac I, Caperchione CM, Tully MA, Smith L. Changes in Sitting Time, Screen Exposure and Physical Activity during COVID-19 Lockdown in South American Adults: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:5239. [PMID: 34069124 PMCID: PMC8156285 DOI: 10.3390/ijerph18105239] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 04/21/2021] [Accepted: 04/27/2021] [Indexed: 12/17/2022]
Abstract
The worldwide prevalence of insufficient physical activity (PA) and prolonged sedentary behavior (SB) were high before the coronavirus (COVID-19) pandemic. Measures that were taken by governments (such as home confinement) to control the spread of COVID-19 may have affected levels of PA and SB. This cross-sectional study among South American adults during the first months of COVID-19 aims to (i) compare sitting time (ST), screen exposure, moderate PA (MPA), vigorous PA (VPA), and moderate-to-vigorous PA (MVPA) before and during lockdown to sociodemographic correlates and (ii) to assess the impact of lockdown on combinations of groups reporting meeting/not-meeting PA recommendations and engaging/not-engaging excessive ST (≥7 h/day). Bivariate associations, effect sizes, and multivariable linear regressions were used. Adults from Argentina (n = 575) and Chile (n = 730) completed an online survey with questions regarding demographics, lifestyle factors, and chronic diseases. Mean reductions of 42.7 and 22.0 min./day were shown in MPA and VPA, respectively; while increases of 212.4 and 164.3 min./day were observed in screen and ST, respectively. Those who met PA recommendations and spent <7 h/day of ST experienced greatest changes, reporting greater than 3 h/day higher ST and more than 1.5 h/day lower MVPA. Findings from the present study suggest that efforts to promote PA to South American adults during and after COVID-19 restrictions are needed.
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Affiliation(s)
- Kabir P. Sadarangani
- Escuela de Kinesiología, Facultad de Salud y Odontología, Universidad Diego Portales, Santiago 8370179, Chile
- Department of Kinesiology, Universidad Autónoma de Chile, Santiago 7500912, Chile
| | - Gabriela F. De Roia
- Laboratorio de Estudios en Actividad Física (LEAF), Universidad de Flores (UFLO), Buenos Aires C1406, Argentina; (G.F.D.R.); (P.L.)
| | - Pablo Lobo
- Laboratorio de Estudios en Actividad Física (LEAF), Universidad de Flores (UFLO), Buenos Aires C1406, Argentina; (G.F.D.R.); (P.L.)
| | - Robinson Chavez
- Instituto de Salud Pública Andrés Bello, Universidad Andrés Bello, Santiago 8370149, Chile;
| | - Jacob Meyer
- Department of Kinesiology, Iowa State University, Ames, IA 50011, USA;
| | - Carlos Cristi-Montero
- IRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso 2530388, Chile;
| | - David Martinez-Gomez
- Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid and IdiPaz, 28049 Madrid, Spain;
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- IMDEA Food Institute, Campus de Excelencia Internacional UAM + CSIC, 28049 Madrid, Spain
| | - Gerson Ferrari
- Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile (USACH), Santiago 7500618, Chile;
| | - Felipe B. Schuch
- Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria 97105-900, RS, Brazil;
| | | | - Marco Solmi
- Department of Neurosciences, Padua Neurosciences Center, University of Padua, 35122 Padua, Italy;
| | - Nicola Veronese
- Geriatrics Section, Department of Medicine (DIMED), University of Padova, 35122 Padova, Italy;
- Institute of Clinical Research and Education in Medicine (IREM), 35122 Padova, Italy
| | - Hosam Alzahrani
- Department of Physical Therapy, College of Applied Medical Sciences, Taif University, Taif 21944, Saudi Arabia;
| | - Igor Grabovac
- Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, 1090 Wien, Austria;
| | - Cristina M. Caperchione
- Human Performance Research Centre, School of Sport, Exercise and Rehabilitation, University of Technology Sydney, Sydney, NSW 2007, Australia;
| | - Mark A. Tully
- Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK;
| | - Lee Smith
- The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UK;
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Abstract
Background: The primary objective worldwide during the coronavirus disease 2019 (COVID-19) pandemic has been controlling disease transmission. However, lockdown measures used to mitigate transmission have affected human behavior and altered lifestyles, with a likely impact on chronic non-communicable diseases. More than a year into the pandemic, substantial peer-reviewed literature has emerged on altered lifestyles following the varying lockdown measures imposed globally to control the virus spread. We explored the impact of lockdown measures on six lifestyle factors, namely diet, physical activity, sleep, stress, social connectedness, and the use of tobacco, alcohol, or other harmful substances. Methods: We comprehensively searched PubMed and the World Health Organization’s global literature database on COVID-19 and retrieved 649 relevant articles for the narrative review. A critical interpretative synthesis of the articles was performed. Results: Most of the articles included in the review identified the negative effect of lockdown measures on each of the lifestyle factors in many parts of the world. Encouraging lifestyle trends were also highlighted in a few articles. Such trends can positively influence the outcome of lifestyle-related chronic diseases, such as obesity and diabetes. Conclusions: The COVID-19 pandemic provides an opportunity to better understand the negative impact of strict lockdown measures on lifestyles. At the same time, it helps us identify and initiate positive behavioral changes, which, if consolidated, could improve chronic disease outcomes. It is up to governments, communities, and healthcare/academic entities to derive benefit from lessons learned from the pandemic, with the ultimate objective of better educating and promoting healthy lifestyles among communities.
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Williams L, Rollins L, Young D, Fleming L, Grealy M, Janssen X, Kirk A, MacDonald B, Flowers P. What have we learned about positive changes experienced during COVID-19 lockdown? Evidence of the social patterning of change. PLoS One 2021; 16:e0244873. [PMID: 33400700 PMCID: PMC7785245 DOI: 10.1371/journal.pone.0244873] [Citation(s) in RCA: 44] [Impact Index Per Article: 14.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Accepted: 12/17/2020] [Indexed: 12/22/2022] Open
Abstract
Background Multiple studies have highlighted the negative impact of COVID-19 and its particular effects on vulnerable sub-populations. Complementing this work, here, we report on the social patterning of self-reported positive changes experienced during COVID-19 national lockdown in Scotland. Methods The CATALYST study collected data from 3342 adults in Scotland during weeks 9–12 of a national lockdown. Using a cross-sectional design, participants completed an online questionnaire providing data on key sociodemographic and health variables, and completed a measure of positive change. The positive change measure spanned diverse domains (e.g., more quality time with family, developing new hobbies, more physical activity, and better quality of sleep). We used univariate analysis and stepwise regression to examine the contribution of a range of sociodemographic factors (e.g., age, gender, ethnicity, educational attainment, and employment status) in explaining positive change. Results There were clear sociodemographic differences across positive change scores. Those reporting higher levels of positive change were female, from younger age groups, married or living with their partner, employed, and in better health. Conclusion Overall our results highlight the social patterning of positive changes during lockdown in Scotland. These findings begin to illuminate the complexity of the unanticipated effects of national lockdown and will be used to support future intervention development work sharing lessons learned from lockdown to increase positive health change amongst those who may benefit.
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Affiliation(s)
- Lynn Williams
- University of Strathclyde, Scotland, United Kingdom
- * E-mail:
| | | | - David Young
- University of Strathclyde, Scotland, United Kingdom
| | | | | | | | - Alison Kirk
- University of Strathclyde, Scotland, United Kingdom
| | | | - Paul Flowers
- University of Strathclyde, Scotland, United Kingdom
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