changes in physical activity; governmental policy responses; insufficiently active; Adolescent; Adult; Brazil; Bulgaria; China; Communicable Disease Control; Cross-Sectional Studies; Exercise; Female; Humans; India; Ireland; Malaysia; Republic of North Macedonia; SARS-CoV-2; Singapore; Spain; Turkey; Young Adult; COVID-19; Pandemics/prevention & control; Pandemics; Pollution; Public Health, Environmental and Occupational Health; Health, Toxicology and Mutagenesis
Abstract :
[en] During the novel coronavirus (COVID-19) pandemic, physical activity (PA) behaviors were altered worldwide due to public health measures such as "lockdown." This study described PA among adults residing in 11 countries during COVID-19 lockdown and examined factors associated with PA engagement. We conducted a cross-sectional anonymous survey among adults (≥18 years old) in 11 countries (Brazil, Bulgaria, China, India, Ireland, Malaysia, North Macedonia, Singapore, Spain, Turkey, United States). Of 11,775 participants, 63.7% were female and 52.8% were 18-34 years old. More than 40% of participants were insufficiently active (43.9%) and reported a decrease in their PA during lockdown (44.8%). Statistically significant differences were observed in (1) proportions of participants being insufficiently active, (2) level of PA, and (3) decrease in PA across the 11 countries. More stringent governmental policy responses were associated with greater likelihood of being insufficiently active during lockdown (adjusted odds ratio = 1.22, 95% confidence interval = 1.03, 1.45). Higher depression or anxiety scores were associated with greater likelihood of decreased level of PA during lockdown.We found substantial reductions in PA levels during COVID-19 lockdown across countries. Country-specific PA promotion interventions are needed during this and similar global emergencies.
Disciplines :
Public health, health care sciences & services
Author, co-author :
Ding, Kele ; School of Health Science, College of Education Health & Human Service, Kent State University, Kent, OH 44242, USA
Yang, Jingzhen ; Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA
Chin, Ming-Kai; Foundation for Global Community Health, Las Vegas, NV 89012, USA
Sullivan, Lindsay ; Discipline of Children's Studies, School of Education, National University of Ireland, H91 Galway, Ireland
Durstine, J Larry; Department of Exercise Science, Norman J. Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
Violant-Holz, Verónica ; Department of Didactics and Educative Organization, University of Barcelona, 08015 Barcelona, Spain
Demirhan, Giyasettin ; Department of Physical Education and Sport Teaching, Faculty of Sport Sciences, Hacettepe University, Ankara 06800, Turkey
Oliveira, Nara R C; Department of Human Movement Sciences, Federal University of Sao Paulo, Santos 11015, Brazil
POPESKA, Biljana ; University of Luxembourg > Faculty of Humanities, Education and Social Sciences (FHSE) > Department of Education and Social Work (DESW) > Teaching and Learning ; Faculty of Educational Sciences, Goce Delcev University, 2000 Stip, North Macedonia
Kuan, Garry ; Exercise and Sports Science, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia
Khan, Waheeda; Faculty of Behavioural Sciences, SGT University, Gurugram 122505, India
Dai, Jianhui ; School of Physical Education and Sports, Soochow University, Suzhou 215021, China
Xu, Xia; Hubei Key Laboratory of Sport Training and Monitoring, Wuhan Sports University, Wuhan 430079, China
Mladenova, Zornitza; Association of Touristic Animators, 1000 Sofia, Bulgaria
Balasekaran, Govindasamy ; National Institute of Education, Nanyang Technological University, Singapore 637616, Singapore
Smith, Gary A ; Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA
On Behalf Of Global Community Health-Covid-Collaborative Research Team
We would like to thank the Foundation for Global Community Health for providing the 11-country research network involved in this project. We want to thank the PROMIS® Health Organization for providing the seven non-English versions of the instruments free of charge. We also want to acknowledge the invaluable contributions of the study participants who completed the survey for this project. Global Community Health-COVID-19 Collaborative Research Team: Brazil (Carolin Lusby, Roberto V. Mossa, Larissa C. Pires, William F. Santana, Ricardo R. Uvinha), Bulgaria (Daniela S. Dasheva, Alixander J. Rocha), China (Yuwei Cai, Jiaai Huang, Rashid Menhas, Xuehui Sang, Yu Weng), India (Komal Chandiramani, Nudrat Jahan, Meena Osmany, Sonia), Ireland (Ursula Kenny), North Macedonia (Mishko Djidrov, Gordana Miteva, Katerina Mitevska Petrusheva, Snezana Jovanova-Mitkovska), Malaysia (Nur Syamsina Ahmad, Mohd Rahimi Che Jusoh, Yee Cheng Kueh, Ayu Suzailiana Muhamad, Marilyn Li Yin Ong), Singapore (Peggy Boey, Taufiq I. Jamaludin, Yew Cheo Ng, Edward J. Say, Chea Nuan Yow), Spain (Carina Soledad Gon-zález-González, Myriam Guerra-Balic, Sarah Muñoz-Violant, Manuel J Rodriguez-Allue, Oriol San-sano-Nadal), Turkey (Bijen Filiz, Bengu Guven, Ezel Nur Korur, Funda Coskun Ozyol, Yilmaz Yuksel), and United States (Laura M. Dattner, Amanda K. Hautmann).
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