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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
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Abstract
Abstract Importance There are growing concerns that the UK COVID-19 lockdown has reduced opportunities to maintain health through physical activity, placing individuals at higher risk of chronic disease and leaving them more vulnerable to severe sequelae of COVID-19. Objective To examine whether the UK’s lockdown measures have had disproportionate impacts on intensity of physical activity in groups who are, or who perceive themselves to be, at heightened risk from COVID-19. Designs, Setting, Participants UK-wide survey of adults aged over 20, data collected between 2020-04-06 and 2020-04-22. Exposures Self-reported doctor-diagnosed obesity, hypertension, type I/II diabetes, lung disease, cancer, stroke, heart disease. Self-reported disabilities and depression. Sex, gender, educational qualifications, household income, caring for school-age children. Narrative data on coping strategies. Main Outcomes and Measures Change in physical activity intensity after implementation of UK COVID-19 lockdown (self-reported). Results Most (60%) participants achieved the same level of intensity of physical activity during the lockdown as before the epidemic. Doing less intensive physical activity during the lockdown was associated with obesity (OR 1.21, 95% CI 1.02-1.41), hypertension (OR 1.52, 1.33-1.71), lung disease (OR 1.31,1.13-1.49), depression (OR 2.02, 1.82-2.22) and disability (OR 2.34, 1.99-2.69). Participants who reduced their physical activity intensity also had higher odds of being female, living alone or having no garden, and more commonly expressed sentiments about personal or household risks in narratives on coping. Conclusions and relevance Groups who reduced physical activity intensity included disproportionate numbers of people with either heightened objective clinical risks or greater tendency to express subjective perceptions of risk. Policy on exercise for health during lockdowns should include strategies to facilitate health promoting levels of physical activity in vulnerable groups, including those with both objective and subjective risks.
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“Although data on PA during the COVID-19 pandemic are scarce, a study from the UK found adults with chronic conditions were most likely to report reducing their PA due to the COVID-19 lockdown. 20”
From Physical inactivity is associated with a higher risk for severe COVID-19 outcomes: a study in 48 440 adult patients (2021) · cites this paper as [20]
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Metadata
- Authors
- Rogers, N. T., Waterlow, N. R., Brindle, H., Enria, L., Eggo, R. M., Lees, S., & Roberts, C. H.
- Affiliations
- University College London (GB)
- London School of Hygiene & Tropical Medicine (GB)
- University of Bath (GB)
- Corresponding author
- Rogers, Nina Trivedy
- ORCID
- Venue
- Frontiers in Public Health
- Publisher
- Frontiers Media SA
- Published
- 2020-09-30
- Volume
- 8
- Pages
- 575091-575091
- ISSN
- 2296-2565 (ISSN-L)
- PMC
- PMC7554527
- OpenAlex
- W3091129928
- Cited by
- 140
- References
- 23
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 13 · 2023: 22 · 2022: 40 · 2021: 48 · 2020: 13
- FWCI
- 18.43
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Public Health (publishedVersion, cc-by)
- medRxiv (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Medical Research Council (MR/S003975/1)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Sociology and Political Science › COVID-19 Prevention and Impact
- Keywords
- physical activity intensity, COVID-19 lockdown, behavior change, self-perceived risk, chronic disease, obesity, hypertension, lung disease, depression, disability, coping strategies, green space access, vulnerable populations, income, living alone, gender differences, age differences, exercise during pandemic, physical activity policy, UK adults, structural topic modeling, social determinants of health
- MeSH terms
- COVID-19, SARS-CoV-2, Aged, Child, Communicable Disease Control, Female, United Kingdom, Humans, Self Concept, Exercise
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