BACKGROUND
Disease and mortality attributable to sedentariness disproportionately affects people with disabilities (PWD). It is unclear if this gap also exists online, and if the COVID-19 pandemic has affected it.
OBJECTIVE
To assess the impact of the COVID-19 pandemic on the amount of fitness content accessible to disabled persons, a cross-sectional text analysis of exercise-related keywords was searched on YouTube.
METHODS
Videos published between 01/01/2019 and 06/30/2019 (n=700) were compared to videos published between 01/01/2020 and 06/30/2020 (n=700).
RESULTS
The analysis reveals that terms applicable to PWD (‘Para,’ ‘Paralympic,’ ‘Adaptive,’ ‘Adapted,’ ‘Disabled,’ ‘Disability,’ ‘Differently-abled,’ ’Disability-friendly,’ ‘Wheelchair-accessible,’ and ‘Inclusive’) had minimal appearances in the 2019 and 2020 videos. Additionally, approximately 25% of videos in each year did not contain subtitles. Removing video duplicates that existed in two or more searches resulted in 1038 unique videos (508 in 2019, 530 in 2020). Video viewership significantly increased in 2020 with median view counts of 52,288 (IQR: 2,891-401,879) and 122,837 (IQR: 7,257-728,854) for 2019 and 2020, respectively (P = 0.0012).
CONCLUSIONS
While many YouTube exercise videos were published during the COVID-19 pandemic, the proportion of accessible videos remains diminutive. The need for disability-friendly fitness content remains urgent if health disparities associated with sedentariness are to improve.