Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK COVID-19 Lockdown
Objectives: We assessed whether lockdown had a disproportionate impact on physical activity behavior in groups who were, or who perceived themselves to be, at heightened risk from COVID-19.Methods: Physical activity intensity (none, mild, moderate, or vigorous) before and during the UK COVID-19 lock...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-09-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fpubh.2020.575091/full |
| _version_ | 1818872829832069120 |
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| author | Nina Trivedy Rogers Naomi R. Waterlow Hannah Brindle Luisa Enria Rosalind M. Eggo Shelley Lees Chrissy h. Roberts |
| author_facet | Nina Trivedy Rogers Naomi R. Waterlow Hannah Brindle Luisa Enria Rosalind M. Eggo Shelley Lees Chrissy h. Roberts |
| author_sort | Nina Trivedy Rogers |
| collection | DOAJ |
| description | Objectives: We assessed whether lockdown had a disproportionate impact on physical activity behavior in groups who were, or who perceived themselves to be, at heightened risk from COVID-19.Methods: Physical activity intensity (none, mild, moderate, or vigorous) before and during the UK COVID-19 lockdown was self-reported by 9,190 adults between 2020-04-06 and 2020-04-22. Physician-diagnosed health conditions and topic composition of open-ended text on participants' coping strategies were tested for associations with changes in physical activity.Results: Most (63.9%) participants maintained their normal physical activity intensity during lockdown, 25.0% changed toward less intensive activity and 11.1% were doing more. Doing less intensive physical activity was associated with obesity (OR 1.25, 95% CI 1.08–1.42), hypertension (OR 1.25, 1.10–1.40), lung disease (OR 1.23, 1.08–1.38), depression (OR 2.05, 1.89–2.21), and disability (OR 2.13, 1.87–2.39). Being female (OR 1.25, 1.12–1.38), living alone (OR 1.20, 1.05–1.34), or without access to a garden (OR 1.74, 1.56–1.91) were also associated with doing less intensive physical activity, but being in the highest income group (OR 1.73, 1.37–2.09) or having school-age children (OR 1.29, 1.10–1.49) were associated with doing more. Younger adults were more likely to change their PA behavior compared to older adults. Structural topic modeling of narratives on coping strategies revealed associations between changes in physical activity and perceptions of personal or familial risks at work or at home.Conclusions: Policies on maintaining or improving physical activity intensity during lockdowns should consider (1) vulnerable groups of adults including those with chronic diseases or self-perceptions of being at risk and (2) the importance of access to green or open spaces in which to exercise. |
| first_indexed | 2024-12-19T12:45:02Z |
| format | Article |
| id | doaj.art-c9ccc27670eb40789924fdde2dd2743b |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-19T12:45:02Z |
| publishDate | 2020-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-c9ccc27670eb40789924fdde2dd2743b2022-12-21T20:20:48ZengFrontiers Media S.A.Frontiers in Public Health2296-25652020-09-01810.3389/fpubh.2020.575091575091Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK COVID-19 LockdownNina Trivedy Rogers0Naomi R. Waterlow1Hannah Brindle2Luisa Enria3Rosalind M. Eggo4Shelley Lees5Chrissy h. Roberts6University College London (UCL) Research Department of Epidemiology & Public Health, London, United KingdomLondon School of Hygiene and Tropical Medicine, London, United KingdomLondon School of Hygiene and Tropical Medicine, London, United KingdomDepartment of Social & Policy Sciences, University of Bath, Bath, United KingdomLondon School of Hygiene and Tropical Medicine, London, United KingdomLondon School of Hygiene and Tropical Medicine, London, United KingdomLondon School of Hygiene and Tropical Medicine, London, United KingdomObjectives: We assessed whether lockdown had a disproportionate impact on physical activity behavior in groups who were, or who perceived themselves to be, at heightened risk from COVID-19.Methods: Physical activity intensity (none, mild, moderate, or vigorous) before and during the UK COVID-19 lockdown was self-reported by 9,190 adults between 2020-04-06 and 2020-04-22. Physician-diagnosed health conditions and topic composition of open-ended text on participants' coping strategies were tested for associations with changes in physical activity.Results: Most (63.9%) participants maintained their normal physical activity intensity during lockdown, 25.0% changed toward less intensive activity and 11.1% were doing more. Doing less intensive physical activity was associated with obesity (OR 1.25, 95% CI 1.08–1.42), hypertension (OR 1.25, 1.10–1.40), lung disease (OR 1.23, 1.08–1.38), depression (OR 2.05, 1.89–2.21), and disability (OR 2.13, 1.87–2.39). Being female (OR 1.25, 1.12–1.38), living alone (OR 1.20, 1.05–1.34), or without access to a garden (OR 1.74, 1.56–1.91) were also associated with doing less intensive physical activity, but being in the highest income group (OR 1.73, 1.37–2.09) or having school-age children (OR 1.29, 1.10–1.49) were associated with doing more. Younger adults were more likely to change their PA behavior compared to older adults. Structural topic modeling of narratives on coping strategies revealed associations between changes in physical activity and perceptions of personal or familial risks at work or at home.Conclusions: Policies on maintaining or improving physical activity intensity during lockdowns should consider (1) vulnerable groups of adults including those with chronic diseases or self-perceptions of being at risk and (2) the importance of access to green or open spaces in which to exercise.https://www.frontiersin.org/article/10.3389/fpubh.2020.575091/fullphysical activity (exercise)COVID-19SARS-CoV2lockdownchronic conditionmixed method approach |
| spellingShingle | Nina Trivedy Rogers Naomi R. Waterlow Hannah Brindle Luisa Enria Rosalind M. Eggo Shelley Lees Chrissy h. Roberts Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK COVID-19 Lockdown Frontiers in Public Health physical activity (exercise) COVID-19 SARS-CoV2 lockdown chronic condition mixed method approach |
| title | Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK COVID-19 Lockdown |
| title_full | Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK COVID-19 Lockdown |
| title_fullStr | Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK COVID-19 Lockdown |
| title_full_unstemmed | Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK COVID-19 Lockdown |
| title_short | Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK COVID-19 Lockdown |
| title_sort | behavioral change towards reduced intensity physical activity is disproportionately prevalent among adults with serious health issues or self perception of high risk during the uk covid 19 lockdown |
| topic | physical activity (exercise) COVID-19 SARS-CoV2 lockdown chronic condition mixed method approach |
| url | https://www.frontiersin.org/article/10.3389/fpubh.2020.575091/full |
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