Changes in physical activity and sedentary behavior during the first COVID-19 pandemic- restrictions in Germany
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Changes in physical activity and sedentary behavior during the first COVID-19 pandemic- restrictions in Germany. / Herbolsheimer, Florian; Peters, Annette; Wagner, Sarah; Willich, Stefan N; Krist, Lilian; Pischon, Tobias; Nimptsch, Katharina; Gastell, Sylvia; Brandes, Mirko; Brandes, Berit; Schikowski, Tamara; Schmidt, Börge; Michels, Karin B; Mikolajczyk, Rafael; Harth, Volker; Obi, Nadia; Castell, Stefanie; Heise, Jana K.; Lieb, Wolfgang; Franzpötter, Katrin; Karch, André; Teismann, Henning; Völzke, Henry; Meinke-Franze, Claudia; Leitzmann, Michael; Stein, Michael J.; Brenner, Hermann; Holleczek, Bernd; Weber, Andrea; Bohn, Barbara; Kluttig, Alexander; Steindorf, Karen.
In: BMC PUBLIC HEALTH, Vol. 24, No. 1, 12.02.2024, p. 433.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Changes in physical activity and sedentary behavior during the first COVID-19 pandemic- restrictions in Germany
AU - Herbolsheimer, Florian
AU - Peters, Annette
AU - Wagner, Sarah
AU - Willich, Stefan N
AU - Krist, Lilian
AU - Pischon, Tobias
AU - Nimptsch, Katharina
AU - Gastell, Sylvia
AU - Brandes, Mirko
AU - Brandes, Berit
AU - Schikowski, Tamara
AU - Schmidt, Börge
AU - Michels, Karin B
AU - Mikolajczyk, Rafael
AU - Harth, Volker
AU - Obi, Nadia
AU - Castell, Stefanie
AU - Heise, Jana K.
AU - Lieb, Wolfgang
AU - Franzpötter, Katrin
AU - Karch, André
AU - Teismann, Henning
AU - Völzke, Henry
AU - Meinke-Franze, Claudia
AU - Leitzmann, Michael
AU - Stein, Michael J.
AU - Brenner, Hermann
AU - Holleczek, Bernd
AU - Weber, Andrea
AU - Bohn, Barbara
AU - Kluttig, Alexander
AU - Steindorf, Karen
PY - 2024/2/12
Y1 - 2024/2/12
N2 - BACKGROUND: The COVID-19 pandemic restrictions posed challenges to maintaining healthy lifestyles and physical well-being. During the first mobility restrictions from March to mid-July 2020, the German population was advised to stay home, except for work, exercise, and essential shopping. Our objective was to comprehensively assess the impact of these restrictions on changes in physical activity and sedentary behavior to identify the most affected groups.METHODS: Between April 30, 2020, and May 12, 2020, we distributed a COVID-19-specific questionnaire to participants of the German National Cohort (NAKO). This questionnaire gathered information about participants' physical activity and sedentary behavior currently compared to the time before the restrictions. We integrated this new data with existing information on anxiety, depressive symptoms, and physical activity. The analyses focused on sociodemographic factors, social relationships, physical health, and working conditions.RESULTS: Out of 152,421 respondents, a significant proportion reported altered physical activity and sedentary behavioral patterns due to COVID-19 restrictions. Over a third of the participants initially meeting the WHO's physical activity recommendation could no longer meet the guidelines during the restrictions. Participants reported substantial declines in sports activities (mean change (M) = -0.38; 95% CI: -.390; -.378; range from -2 to + 2) and reduced active transportation (M = -0.12; 95% CI: -.126; -.117). However, they also increased recreational physical activities (M = 0.12; 95% CI: .117; .126) while engaging in more sedentary behavior (M = 0.24; 95% CI: .240; .247) compared to pre-restriction levels. Multivariable linear and log-binomial regression models indicated that younger adults were more affected by the restrictions than older adults. The shift to remote work, self-rated health, and depressive symptoms were the factors most strongly associated with changes in all physical activity domains, including sedentary behavior, and the likelihood to continue following the physical activity guidelines.CONCLUSIONS: Mobility patterns shifted towards inactivity or low-intensity activities during the nationwide restrictions in the spring of 2020, potentially leading to considerable and lasting health risks.
AB - BACKGROUND: The COVID-19 pandemic restrictions posed challenges to maintaining healthy lifestyles and physical well-being. During the first mobility restrictions from March to mid-July 2020, the German population was advised to stay home, except for work, exercise, and essential shopping. Our objective was to comprehensively assess the impact of these restrictions on changes in physical activity and sedentary behavior to identify the most affected groups.METHODS: Between April 30, 2020, and May 12, 2020, we distributed a COVID-19-specific questionnaire to participants of the German National Cohort (NAKO). This questionnaire gathered information about participants' physical activity and sedentary behavior currently compared to the time before the restrictions. We integrated this new data with existing information on anxiety, depressive symptoms, and physical activity. The analyses focused on sociodemographic factors, social relationships, physical health, and working conditions.RESULTS: Out of 152,421 respondents, a significant proportion reported altered physical activity and sedentary behavioral patterns due to COVID-19 restrictions. Over a third of the participants initially meeting the WHO's physical activity recommendation could no longer meet the guidelines during the restrictions. Participants reported substantial declines in sports activities (mean change (M) = -0.38; 95% CI: -.390; -.378; range from -2 to + 2) and reduced active transportation (M = -0.12; 95% CI: -.126; -.117). However, they also increased recreational physical activities (M = 0.12; 95% CI: .117; .126) while engaging in more sedentary behavior (M = 0.24; 95% CI: .240; .247) compared to pre-restriction levels. Multivariable linear and log-binomial regression models indicated that younger adults were more affected by the restrictions than older adults. The shift to remote work, self-rated health, and depressive symptoms were the factors most strongly associated with changes in all physical activity domains, including sedentary behavior, and the likelihood to continue following the physical activity guidelines.CONCLUSIONS: Mobility patterns shifted towards inactivity or low-intensity activities during the nationwide restrictions in the spring of 2020, potentially leading to considerable and lasting health risks.
KW - Humans
KW - Aged
KW - Sedentary Behavior
KW - Pandemics
KW - COVID-19/epidemiology
KW - Running
KW - Exercise
KW - Germany/epidemiology
U2 - 10.1186/s12889-024-17675-y
DO - 10.1186/s12889-024-17675-y
M3 - SCORING: Journal article
C2 - 38347566
VL - 24
SP - 433
JO - BMC PUBLIC HEALTH
JF - BMC PUBLIC HEALTH
SN - 1471-2458
IS - 1
ER -