Impact of the COVID-19 pandemic on objectively measured physical activity and sedentary behavior among overweight young adults: A year-long longitudinal analysis (Preprint)

2021 ◽  
Author(s):  
Victoria Costello ◽  
Guillaume Chevance ◽  
David Wing ◽  
Shadia J, Assi ◽  
Sydney Sharp ◽  
...  

BACKGROUND The COVID-19 pandemic impacted multiple aspects of daily living, including behaviors associated with occupation, transportation, and health. It is unclear how these changes to daily living impacted physical activity and sedentary behavior. OBJECTIVE To examine the impact of the COVID-19 mitigation strategies on physical activity and sedentary behavior among young adults enrolled in an ongoing weight loss trial using longitudinal data acquired from wrist-worn activity monitors over the course of 1 year in San Diego, CA. METHODS Date were collected in 315 participants between 11/01/2019 and 10/30/2020 using the Fitbit Charge 3. After strict filtering for valid consistent wear (more than 10 hours per day for 250+ days), data from 97 participants were analyzed to detect multiple structural changes in time series of physical activity and sedentary behavior. RESULTS After initiation of the shelter-in-place order in CA on 03/19/2021, there were significant decreases in step counts (-2872 steps per day, 95% CI [-2734; -3010]), light physical activity (-41·9 minutes, 95% CI [39·5, 44·3]), and moderate-to-vigorous physical activity (-12·2 minutes, 95% CI [10·6, 13·8]), as well as significant increases in sedentary behavior (+52·8 minutes, 95% CI [47.0, 58.5]). Decreases were greater than expected declines observed during winter holidays, and as of 10/30/2020, they had not returned to levels observed prior to shelter-in-place orders. CONCLUSIONS In young adults, physical activity decreased and sedentary behavior increased concurrent with COVID-19 mitigation strategies. Health conditions associated with sedentary lifestyle may be additional unintended costs of the COVID-19 pandemic. CLINICALTRIAL NIH 5R01HL136769-03)

2020 ◽  
Vol 12 (15) ◽  
pp. 5890 ◽  
Author(s):  
Borja Sañudo ◽  
Curtis Fennell ◽  
Antonio J. Sánchez-Oliver

This study assessed the effects of COVID-19 home confinement on physical activity, sedentary behavior, smartphone use, and sleep patterns. Data was collected in a sample of 20 young adults (mean age ± SD: 22.6 ± 3.4 years; 55% males) over seven days pre- and during the COVID-19 lockdown. Objective and subjective physical activity (Accelerometer and the International Physical Activity Questionnaire (IPAQ), respectively), the number of hours sitting (IPAQ), objectively-measured smartphone use (smartphone screen time applications), and objective and subjective sleep (accelerometer and the Pittsburgh Sleep Quality Index, respectively) were assessed. Results revealed significantly greater walking time and mean steps (p < 0.001, d = 1.223 to 1.605), and moderate and vigorous physical activity (p < 0.05, d = 0.568 to 0.616), in the pre- compared with the during-COVID-19 lockdown phase. Additionally, smartphone use (p = 0.009, d = 0.654), sitting time (p = 0.002, d = 1.120), and total sleep (p < 0.004, d = 0.666) were significantly greater in the during- compared with the pre-COVID-19 lockdown phase. Multiple regressions analyses showed associations between physical activity and sedentary behavior and sleep quality. The number of hours sitting per day and moderate-to-vigorous physical activity significantly predicted deep sleep (adj.R2 = 0.46). In conclusion, this study revealed that during the COVID-19 outbreak, behaviors changed, with participants spending less time engaging in physical activity, sitting more, spending more time using the smartphone, and sleeping more hours. These findings may be of importance to make recommendations, including lifestyle modifications during this time.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Costas I. Karageorghis ◽  
Jonathan M. Bird ◽  
Jasmin C. Hutchinson ◽  
Mark Hamer ◽  
Yvonne N. Delevoye-Turrell ◽  
...  

Abstract Background COVID-19 lockdowns have reduced opportunities for physical activity (PA) and encouraged more sedentary lifestyles. A concomitant of sedentariness is compromised mental health. We investigated the effects of COVID-19 lockdown on PA, sedentary behavior, and mental health across four Western nations (USA, UK, France, and Australia). Methods An online survey was administered in the second quarter of 2020 (N = 2541). We measured planned and unplanned dimensions of PA using the Brunel Lifestyle Physical Activity Questionnaire and mental health using the 12-item General Health Questionnaire. Steps per day were recorded only from participants who used an electronic device for this purpose, and sedentary behavior was reported in hours per day (sitting and screen time). Results In the USA and Australia samples, there was a significant decline in planned PA from pre- to during lockdown. Among young adults, Australians exhibited the lowest planned PA scores, while in middle-aged groups, the UK recorded the highest. Young adults exhibited the largest reduction in unplanned PA. Across nations, there was a reduction of ~ 2000 steps per day. Large increases in sedentary behavior emerged during lockdown, which were most acute in young adults. Lockdown was associated with a decline in mental health that was more pronounced in women. Conclusions The findings illustrate the deleterious effects of lockdown on PA, sedentary behavior, and mental health across four Western nations. Australian young and lower middle-aged adults appeared to fare particularly badly in terms of planned PA. The reduction in steps per day is equivalent to the non-expenditure of ~ 100 kcal. Declines in mental health show how harmful lockdowns can be for women in particular.


2020 ◽  
pp. 1-12
Author(s):  
Brad R. Julius ◽  
Amy M.J. O’Shea ◽  
Shelby L. Francis ◽  
Kathleen F. Janz ◽  
Helena Laroche

Purpose: The authors examined the relationship between mother and child activity. Methods: The authors compared moderate–vigorous physical activity (MVPA) and sedentary time of low-income mothers with obesity and their 6- to 12-year-old children on week (WD) and weekend (WE) days. A total of 196 mother–child pairs wore accelerometers simultaneously for a week. Mothers completed questionnaires. Spearman correlation and multivariate regression were used. Results: WE MVPA (accelerometry) was significantly correlated between mothers with children aged 6–7 (rs = .35) and daughters (rs = .27). Self-reported maternal PA time spent with one of their children was significantly correlated with the WE MVPA of all children (rs = .21) and children aged 8–10 (rs = .22) and with the WD MVPA of all children (rs = .15), children aged 8–10 (rs = .23), aged 11–12 (rs = .52), and daughters (rs = .37), and inversely correlated to the WD sedentary time of all children (rs = −.21), children aged 8–10 (rs = −.30), aged 11–12 (rs = −.34), daughters (rs = −.26), and sons (rs = −.22). In multivariate regression, significant associations were identified between reported child–mother PA time together and child MVPA and sedentary time (accelerometry). Conclusions: Mothers may influence the PA levels of their children with the strongest associations found in children aged 6–7 and daughters. Mother–child coparticipation in PA may lead to increased child MVPA and decreased sedentary behavior.


Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Thomas W Buford ◽  
Don G Hire ◽  
Walter T Ambrosius ◽  
Stephen D Anton ◽  
Timothy S Church ◽  
...  

Introduction: In middle-aged adults, time spent being sedentary is associated with cardiovascular (CV) health risks independent of structured physical activity (PA). However, data are sparse regarding the impact of sedentary behavior on CV risk in older adults. The extent to which the absolute duration or intensity of daily PA reduces CV risk in older adults is also unknown. Objectives: Our objective was to examine the cross-sectional association between objectively-measured sedentary behavior and predicted CV risk among older adults in the Lifestyle Interventions and Independence for Elders (LIFE) study. The secondary objective was to evaluate associations between the duration/intensity of daily PA and predicted CV risk. Methods: LIFE is a randomized clinical trial to determine if regular PA prevents mobility disability among mobility-limited older adults. Activity data were collected by hip-worn accelerometer at baseline prior to participation in study interventions. Only participants with at least three days of accelerometry data (≥ 10 hrs wear time) were included. Unadjusted and adjusted linear regression was used to model the relationship between accelerometry measures and predicted 10-year Framingham risk of Hard Coronary Heart Disease (HCHD; i.e. myocardial infarction or coronary death). Adjusted models included demographic confounders (e.g. education, race, income) and health parameters (e.g. depression, cognition, arthritis) not in the risk score. Accelerometry cut-points were (in counts/min): sedentary behavior: < 100; low-intensity activity: 100-499; higher intensity activity: > 500. Results: Participants (n = 1170; 78.7 ± [SD] 5.3 years; 66.1% female) had a median HCHD risk of 10.3% (25 th -75 th %: 5.7-18.6). Over a mean accelerometer wear time of 8.1 ± 3.2 days, participants spent 77.0 ± 8.2% of their time sedentary. They also spent 16.6 ± 5.0% of their time in low-intensity PA and 6.4 ± 4.4% in higher-intensity PA. For all PA performed (> 100 counts/min), participants achieved a median of 393.4 (337.8-473.5) counts/min. In the unadjusted model, time spent sedentary (β = 2.41; 95% CI : 1.94, 2.89), in low-intensity PA (-2.56; -3.03, -2.08), and in higher-intensity PA (-1.60; -2.09, -1.11) were all associated with HCHD risk (all p’s < 0.001). These associations remained significant after adjustment. The mean intensity of daily PA was not significantly associated with HCHD risk in any model (p > 0.05). Conclusions: Daily time spent being sedentary is positively associated with predicted 10-year HCHD risk among mobility-limited older adults. Duration, but not mean intensity, of daily PA is inversely associated with HCHD risk score in this population.


Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Iva Miljkovic ◽  
Allison Kuipers ◽  
Ryan Cvejkus ◽  
Victor Wheeler ◽  
Joseph Zmuda

Increased skeletal muscle fat infiltration (i.e. myosteatosis) is now recognized as a major risk factor for cardio-metabolic diseases. Therefore, a lifestyle modification that reduces myosteatosis would be of great public health importance. However, studies examining the association of relevant lifestyle factors with this ectopic fat depot are lacking, particularly in African ancestry populations who have a very high burden of cardio-metabolic diseases. The aim of this study was to examine the relation between objectively measured physical activity and sedentary behavior with computed tomography measured calf muscle attenuation among middle-aged and elderly African-Caribbeans from the population-based Tobago Health Study. Preliminary analyses were conducted among 134 women (mean age 59 yrs, mean BMI 31.6 kg/m 2 ) and 355 men (mean age 62 yrs, mean BMI 28 kg/m 2 ). Physical activity was measured using the SenseWear Pro armband worn for 4-7 days. We calculated the mean duration of waking time engaged in light physical activity (LPA), moderate to vigorous activity (MVPA), and sedentary behavior (SB) per day. Skeletal muscle attenuation (mg/cm 3 ) reflects the fat content of the muscle such that greater skeletal muscle fat infiltration is reflected by lower attenuation. Women spent less time in LPA (146 vs. 270 min/day) and MVPA (15 vs. 41 min/day), but more time in SB (789 vs. 647 min/day) than men (all p<0.0001) after adjustments for gender differences in age. Muscle attenuation was lower among women compared with men (70.5 vs. 72.7 mg/cm3; age and BMI adjusted p<0.0001). In both women and men, muscle attenuation was positively correlated with the LPA and MVPA, and inversely with time spent in SB (spearman correlation coefficients (r) ranged from 0.21 to 0.39, all p<0.006 adjusted for age). Upon additional adjustment for BMI, in both women and men, the association of muscle attenuation with MVPA remained significant (r=0.21 and r=0.18, respectively, both p<0.03), but there was no association with LPA. Percent time spent in SB was associated with muscle attenuation only among women after additional adjustment for BMI (women: -0.16, p=0.052), and we also found a significant sex interaction effect of SB on muscle attenuation (p=0.035). Our preliminary findings suggest that there is significant association between MVPA and myosteatosis among middle-aged and elderly African Caribbeans. However, SB may only be relevant for myosteatosis among women. Future analyses will be conducted in a larger sample from this cohort to confirm our findings and to test for independence from other potential confounding factors, such as diet, sleep patterns, adiposity distribution, and diabetes.


Proceedings ◽  
2018 ◽  
Vol 6 (1) ◽  
pp. 2
Author(s):  
Antoni Colom ◽  
Maurici Ruiz ◽  
Josep Muncunill ◽  
Julia Wärnberg ◽  
Montserrat Compa ◽  
...  

Background: When promoting physical activity practice, it is important to consider the plausible environmental determinants that may affect this practice. We aimed to explore the impact of objectively measured Public Open Spaces (POS) on objectively measured and self-reported physical activity and the influence of weather on this association, in a Mediterranean sample of senior adults with overweight or obesity and the metabolic syndrome. Method: Cross-sectional analyses based on 218 PREDIMED-Plus trial participants aged 55 to 75 years, from Palma de Mallorca (Spain). Indicators of access to POS were assessed in a 1.0 km sausage network walkable buffer around each participant’s residence address using geographic information systems. Mean daily minutes of self-reported leisure-time brisk walking, and accelerometer objectively measured moderate-to-vigorous physical activity in bouts of at least 10 min (OM-MVPA) were measured. To investigate the association between access to POS and physical activity, generalized additive models with Gaussian link function were used. Results: Better access to POS was not statistically significantly associated with self-reported leisure-time brisk walking. A positive significant association was only observed between the distance of healthy routes contained or intersected by buffer and OM-MVPA. This association was only evident on non-rainy days. Conclusions: In this elderly population living in a Mediterranean city, only healthy routes contained or intersected by a 1 km sausage network walkable buffer influenced the accelerometer objectively measured moderate-to-vigorous physical activity in bouts of at least 10 min and rainy conditions during the accelerometer period appeared to be an important factor related to active ageing.


2012 ◽  
Vol 24 (4) ◽  
pp. 507-518 ◽  
Author(s):  
Virginie Nicaise ◽  
David Kahan ◽  
Karen Reuben ◽  
James F. Sallis

This study investigated the impact of renovation and redesign of a university preschool’s outdoor space on children’s sedentary behavior, light activity, and moderate-to-vigorous-physical-activity (MVPA) during unstructured recess. Physical activity was measured by accelerometry and direct observation in two independent samples of 50 (baseline) and 57 (postintervention) children (Mage=4.4 yrs ± 0.5). Controlling for gender, age, BMI and recess length, observational data, but not accelerometry, revealed a significant decrease in intervals spent sedentary (-26.5%) and increases in light physical activity (+11.6%) and MVPA (+14.9%). Higher levels of MVPA were associated with specific environmental changes (new looping cycle path, OR = 2.18; increased playground open space, OR = 7.62; and new grass hill, OR = 3.27). Decreased sedentary behavior and increased light activity and MVPA may be realized with environmental changes that promote continuous and novel movement experiences in more expansive spaces.


2010 ◽  
Vol 7 (4) ◽  
pp. 475-483 ◽  
Author(s):  
Karla E. Foster ◽  
Timothy K. Behrens ◽  
Abigail L. Jager ◽  
David A. Dzewaltowski

Background:This study evaluated the effect of elimination and nonelimination games on objectively measured physical activity and psychosocial responses in children.Methods:A total of 29 children in grades 4 to 6 (65.5% male; 10.5 ± 1.0 years old) wore an accelerometer while participating in 2 elimination and 2 nonelimination games. Activity counts were collected using a 30-second epoch and converted to METs to determine minutes spent in sedentary behavior and light, moderate, vigorous, and moderate-to-vigorous physical activity. Self-efficacy, enjoyment, and peer-victimization were assessed on 4 occasions (before and after 2 elimination and 2 nonelimination games).Results:Overall, girls spent more time in sedentary behavior compared with boys. Children engaged in significantly more moderate-to-vigorous physical activity during nonelimination games compared with elimination games. Furthermore, children significantly increased self-efficacy after playing both game sessions. A significant interaction between type of game and time of measurement in the prediction of enjoyment showed that enjoyment modestly increased after elimination games and slightly decreased after nonelimination games. There were no differences in peer-victimization.Conclusion:This study provides preliminary evidence that nonelimination games provide more moderate-to-vigorous physical activity compared with elimination games, but elimination games may be more enjoyable.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 168-169
Author(s):  
Steve Nguyen ◽  
John Bellettiere ◽  
Michael LaMonte ◽  
Carolyn Crandall ◽  
Andrea LaCroix

Abstract Women aged 65 and older experience nearly three-fourths of the 2 million osteoporotic fractures annually in the US, yet whether accelerometer-measured volumes and intensities of physical activity and sedentary behavior (SB) are associated with reduced fracture risk is understudied. We investigated associations of accelerometer-measured light physical activity (LPA), moderate-to-vigorous physical activity (MVPA), sedentary time (ST), and mean sedentary bout duration (MBD) with incident clinical fractures (hip, vertebral, pelvis, lower leg, upper arm, forearm, and wrist) in the WHI OPACH cohort. Participants (N=6248; mean±SD age=78.6±6.7; 34% Black, 17% Hispanic) without prior hip fracture wore the ActiGraph GT3X+ for 7 days between May 2012-April 2014 and were followed through March 2020 for incident clinical fracture (N=711). Cox models estimated hazard ratios (HR) and 95% confidence intervals (CI), adjusting for age, race-ethnicity, education, alcohol, smoking, height, weight, falls history, RAND-36 physical function, diabetes, thiazide use, prescription osteoporotic therapy, and age at menopause. The HR(95% CI) across MVPA quartiles was 1.00(reference), 1.15(0.93-1.41), 0.90(0.72-1.13), and 0.79(0.61-1.02); p-trend=0.01. The HR(95% CI) for a one-interquartile range increment in MVPA (42 minutes/day) was 0.86(0.76-0.97). Associations were modified by prescription osteoporotic therapy [no: HR=0.77(0.66-0.89), yes: HR=1.03(0.85-1.25); p-interaction=0.01] and varied in magnitude by age[&lt;80: HR=0.78(0.64-0.96), ≥80: HR=0.92(0.79-1.07); p-interaction=0.09], BMI [&lt;30 kg/m2: HR=0.85(0.75-0.97), ≥30 kg/m2: HR=0.90(0.67-1.19); p-interaction=0.08], and race-ethnicity [Black: HR =0.63(0.44-0.89), Hispanic: HR =0.78(0.56-1.09), White: HR =0.92(0.80-1.06); p-interaction=0.16]. LPA, ST, or MBD were not associated with incident fractures. These data suggest that MVPA may reduce and not increase fracture risk and that LPA and SB do not increase fracture risk.


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