“…Layered on top of this, data from previous disease outbreaks show that the effects of lockdowns, in all their forms, can have a dramatic impact on health behaviors. In addition to reports of reductions in physical activity [12][13][14] and increases in sedentary time [12,13] (although we note some reports to the contrary [15]), the separation from loved ones, the loss of freedom, and the uncertainty and boredom have also been associated with declines in those mental health factors which, in turn, influence health behaviors. A recent, scoping review found that a substantial number of studies before the current pandemic associated lockdowns with generally high psychological distress, high depressive symptoms, emotional exhaustion, detachment from others, irritability, insomnia, poor concentration, indecisiveness, fear, nervousness, sadness, deteriorating work performance, and reluctance to work/consideration of resignation, with those symptoms related to low mood and/ or irritability "standing out" as having a particularly high prevalence [16].…”