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Cited by 140Physical Activity and HealthCOVID-19 and Mental HealthCOVID-19 Prevention and Impact

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

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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Rogers, Nina Trivedy, Waterlow, Naomi R., Brindle, Hannah, Enria, Luisa, Eggo, Rosalind M., Lees, Shelley, Roberts, Chrissy h.·2020·Frontiers in Public Health
DOI 10.3389/fpubh.2020.575091PMC PMC7554527

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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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Figure 1 Odds ratios for having changed toward (a) less intense and (b) more intense physical activity since the UK COVID-19 lockdown began. The reference group is study participants who continued to do the same intensity of physical activity. All odds ratios are corrected for baseline physical activity intensity and all other variables.
Figure 1 Odds ratios for having changed toward (a) less intense and (b) more intense physical activity since the UK COVID-19 lockdown began. The reference group is study participants who continued to do the same intensity of physical activity. All odds ratios are corrected for baseline physical activity intensity and all other variables.CC BY · PubMed Central
Figure 2 Topic Correlations in the structural topic model for the corpus of text describing coping strategies. Nodes show topics and lines show positive correlations between the topics. There was a close correlation between topic T1 “Perceptions of risk, working or living in risk environments, already had COVID-19” and topics relating to mental health & anxiety (topic T7), strict adherence to social isolation practices (topic T5) and the balancing of ongoing work and family commitments (topic T8). Participants whose responses were focussed toward discussion of more intense PA (topic T9) or activities (including PA) around the house (topic T3) were less likely to also focus on T1, T7, T8, or T5. The topic correlation cut-off was 0.01.
Figure 2 Topic Correlations in the structural topic model for the corpus of text describing coping strategies. Nodes show topics and lines show positive correlations between the topics. There was a close correlation between topic T1 “Perceptions of risk, working or living in risk environments, already had COVID-19” and topics relating to mental health & anxiety (topic T7), strict adherence to social isolation practices (topic T5) and the balancing of ongoing work and family commitments (topic T8). Participants whose responses were focussed toward discussion of more intense PA (topic T9) or activities (including PA) around the house (topic T3) were less likely to also focus on T1, T7, T8, or T5. The topic correlation cut-off was 0.01.CC BY · PubMed Central
Figure 3 Expected text proportions in open-ended narratives on participants' coping behaviors. Participants were asked to describe their coping behaviors during the UK COVID-19 related lockdown. Perceptions of risk, working or living in risk environments, and already having had COVID-19 (topic T1) were mentioned in 9.7% (9.3–10.1%) of responses from participants who had not changed, in 8.1% (7.1–9.0%, p = 0.001) of responses from people doing more PA and in 11.2% (10.4–11.9%, p < 0.001) among participants doing less PA. Topic T3 (p = 0.01) and T10 (p = 0.006) had lower ETPs in the PA group doing “less”. Topics T7 and T8 had, respectively, lower (p < 0.001) and higher (p = 0.006) in the PA group doing “more”. Topic T9 “Exercise” was notably much higher in the group which reported doing more intense PA under lockdown (p < 0.001). All analysis used the group which had not changed PA intensity as the reference.
Figure 3 Expected text proportions in open-ended narratives on participants' coping behaviors. Participants were asked to describe their coping behaviors during the UK COVID-19 related lockdown. Perceptions of risk, working or living in risk environments, and already having had COVID-19 (topic T1) were mentioned in 9.7% (9.3–10.1%) of responses from participants who had not changed, in 8.1% (7.1–9.0%, p = 0.001) of responses from people doing more PA and in 11.2% (10.4–11.9%, p < 0.001) among participants doing less PA. Topic T3 (p = 0.01) and T10 (p = 0.006) had lower ETPs in the PA group doing “less”. Topics T7 and T8 had, respectively, lower (p < 0.001) and higher (p = 0.006) in the PA group doing “more”. Topic T9 “Exercise” was notably much higher in the group which reported doing more intense PA under lockdown (p < 0.001). All analysis used the group which had not changed PA intensity as the reference.CC BY · PubMed Central

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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)
DOI
10.3389/fpubh.2020.575091
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
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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