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Evolution of changes in physical activity over lockdown time: Physical activity datasets of four independent adult sample groups corresponding to each of the last four of the six COVID-19 lockdown weeks in Greece.

ABSTRACT: There is a worldwide interest in how lockdown affects physical activity (PA) during the COVID-19 pandemic. Although it has been shown that the mandated stay-at-home restrictions and self-isolation measures applied in different countries were accosiated with a reduction in physical exercise and activity, such results derive from studying only specific periods of lockdown. However, in order for this hypothesis to be tested, consecutive lockdown periods need to be examined separately. In this study we focus on PA change in Greek adults over time, during each of the last four weeks of lockdown in Greece. The web-based Active-Q questionnaire (see Supplementary file 1_Active-Q) was used to collect data prior to the COVID-19 crisis (PRE condition) and during lockdown measures (POST condition). The period of data collection (5 April to 3 May 2020) was divided into four phases (Ph-I, Ph-II, Ph-III, Ph-V), corresponding to the 3rd, 4th, 5th and 6th lockdown week respectively (out of a six-week total lockdown). There were four independent groups of respondents (G-I, G-II, G-III, G-V) who reported their age, weight, height and usual PA habits. Energy expenditure (EE) was calculated (MET-min/week; see Supplementary file 2_Data) in four main different domains (daily occupation activities, means of transportation to and from daily occupation, leisure time and regular sporting activities; see Supplementary file 3_Corresponding MET values). Each group's dataset corresponded to one of the aforementioned phases (G-I to Ph-I, G-II to Ph-II, and so on). Overall PA change (from PRE to POST condition) ranged from -21.50% in G-I (Ph-I) to -5.03 in G-V (Ph-V); PA change in male subgroups ranged from -26.10% in Ph-I to -13.64 in Ph-V; in female subgroups it ranged from -17.42% in Ph-I to -1.39 in Ph-V. Although the decline in overall PA is evident in all groups during each lockdown phase (p<0.05), the combination of our data demonstrates that towards the end of lockdown this decline showed a gradual decreasing tendency.

SUBMITTER: Bourdas DI

PROVIDER: S-EPMC7483084 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:PurposePhysical activity confers many physical and mental health benefits. Thus, it is of great concern that the COVID-19 lockdown has adversely impacted engagement in physical activity. There is a need to understand the factors linked to physical activity during COVID-19 as this will be fundamental to the development of innovative approaches to support engagement in physical activity during a pandemic. This study aimed to ascertain the psychological and mental health predictors of physical activity during the COVID-19 lockdown. We also examined the value of harnessing commercial physical activity apps to facilitate physical activity during a pandemic.MethodA nationwide online survey was completed by 408 Australian adults (Mage = 35.7 ± 13.9 years, 86.0% female) following the initial COVID-19 lockdown (April/May 2020). The survey incorporated measures that retrospectively assessed physical activity (and perceived changes in physical activity behaviour), psychological constructs (social support, self-efficacy, self-determined motivations), mental health, and engagement with commercial physical activity apps during the lockdown.ResultsOver half of participants (53.4%) reported a reduction in physical activity during the initial COVID-19 lockdown, with markedly fewer (23.8%) reporting an increase in physical activity. App use (β = .09, p = .027), social support (β = .10, p = .021), self-efficacy (β = .42, p < .001), and identified regulation (β = .25, p < .001) emerged as important predictors of physical activity engagement (min/week). Self-efficacy (OR = 4.2, p < .001) was also associated with a greater likelihood of perceived positive changes (increases) in physical activity. The relationship between app use and physical activity was mediated by self-efficacy (β = 0.10 [0.06, 0.15]) and identified regulation (β = 0.09 [0.04, 0.15]); self-efficacy (β = 0.15, [0.09, 0.21]) also mediated the relationship between app use and positive changes in physical activity.ConclusionsIt is imperative that interventions targeted at increasing social support, self-efficacy, and autonomous motivations are developed and utilised to support engagement in physical activity during a pandemic. Commercial physical activity apps demonstrate the potential to mitigate reductions in physical activity during a pandemic, and thus the use of these apps should be encouraged.

Project description:BackgroundPhysical activity patterns have been shown to change significantly across the transition to retirement. As most older adults approach retirement as part of a couple, a better understanding of how spousal pairs influence each other's physical activity behaviour in retirement may help inform more effective interventions to promote physical activity in older age. This qualitative study aimed to explore and describe how couples influence each other's physical activity behaviour in retirement.MethodsA qualitative descriptive study that used purposive sampling to recruit seven spousal pairs with at least one partner of each pair recruited from the existing EPIC-Norfolk study cohort in the east of England, aged between 63 and 70 years and recently retired (within 2-6 years). Semi-structured interviews with couples were performed, audio-recorded, transcribed verbatim and analysed using data-driven content analysis.ResultsThree themes emerged: spousal attitude towards physical activity, spouses' physical activity behaviour and spousal support. While spouses' attitudes towards an active retirement were concordant, attitudes towards regular exercise diverged, were acquired across the life course and were not altered in the transition to retirement. Shared participation in physical activity was rare and regular exercise was largely an individual and independent habit. Spousal support was perceived as important for initiation and maintenance of regular exercise.ConclusionsInterventions should aim to create supportive spousal environments for physical activity in which spouses encourage each other to pursue their preferred forms of physical activity; should address gender-specific needs and preferences, such as chances for socialising and relaxation for women and opportunities for personal challenges for men; and rather than solely focusing on promoting structured exercise, should also encourage everyday physical activity such as walking for transport.

Project description:It is well known that physical inactivity increases the risk of global death; however, the impact of the coronavirus disease 2019 (COVID-19) lockdown strategy on physical activity (PA) remains unclear. This study compared PA-i.e., daily occupation, transportation to and from daily occupation, leisure time activities, and regular sporting activities-prior (PRE) and during (POST) the on-going COVID-19 outbreak in the Greece lockdown environment. A Greek version of the web-based Active-Q questionnaire was used to access PA. The questionnaire was filled out twice (once each for the PRE and POST conditions) by 8495 participants (age = 37.2 ± 0.2 years (95% confidence interval (CI), 36.9-37.5); males = 38.3% (95%CI, 36.7-40.0); females = 61.7% (95%CI, 60.4-63.0). The relative frequency of overall sporting activities, which, prior to lockdown, occurred at least once per month, and overall participation in competitive sports was significantly reduced (8.6% (95%CI, 7.9-9.3) and 84.7% (95%CI, 82.9-86.6) respectively). With the exception of overall leisure time activities, which were significantly increased in the POST condition, daily occupational, transportation, and sporting activities significant reduced (p < 0.05). Overall PA was reduced in all genders, age, body mass index (BMI) and PA level subgroups in the POST condition, and an interaction between the males and High PA subgroups was observed. The change in overall PA (from PRE to POST conditions) was -16.3% (95%CI, -17.3 to -15.4), while in daily occupational, transportation, and sporting activities, it was -52.9% (95%CI, -54.8-51.0), -41.1% (95%CI, -42.8-39.5) and -23.9% (95%CI, -25.1-22.8), respectively. Thus, the lockdown period is highly associated with a negative change in overall PA. During lockdown, inactivity increased dramatically, with males and the high PA population affected significantly more. The decline in PA is a great concern due to possible long-term consequences on public health and healthcare system.

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Evolution of changes in physical activity over lockdown time: Physical activity datasets of four independent adult sample groups corresponding to each of the last four of the six COVID-19 lockdown weeks in Greece.

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