Physical activity and COVID-19: an observational and Mendelian randomisation study

Zhang, Xiaomeng; Li, Xue; Sun, Ziwen; He, Yazhou; Xu, Wei; Campbell, Harry; Dunlop, Malcolm; Timofeeva, Maria; Τheodoratou, Evropi

doi:10.7189/jogh.10.020514

Cited by 37 publications

(61 citation statements)

References 20 publications

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“…Finally, physical activity was associated with an increased probability of COVID-19 preventive behaviors. Physical activity is a known protective factor against chronic diseases; recently, several studies identified its association with higher resilience, positive attitude, and decreased depressive symptoms during the COVID-19 pandemic [39,40]. Our study adds an additional benefit of physical activity given its association with a higher number of COVID-19 preventive actions.…”

Section: Plos Onementioning

confidence: 55%

Factors associated with COVID-19 preventive health behaviors among the general public in Mexico City and the State of Mexico

et al. 2021

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Objective To evaluate factors associated with COVID-19 preventive health behaviors among adults in Mexico City and the State of Mexico. Methods and findings We conducted a cross-sectional survey from June to October 2020 through a structured, internet-based questionnaire in a non-probabilistic sample of adults >18 years living in Mexico City and the State of Mexico. The independent variables included sociodemographic and clinical factors; health literacy; access to COVID-19 information; and perception of COVID-19 risk and of preventive measures’ effectiveness. The dependent variable was COVID-19 preventive health behaviors, defined as the number of preventive actions adopted by participants. The data were analyzed through multivariate negative binomial regression analysis. The survey was completed by 1,030 participants. Most participants were women (70.7%), had a high school or above level of education (98.8%), and had adequate health literacy and access to COVID-19 information. Only 18% perceived having a high susceptibility to COVID-19, though 83.8% recognized the disease’s severity and 87.1% the effectiveness of preventive measures. The median number of COVID-19 preventive actions was 13.5 (range 0–19). The factors associated with preventive health behavior were being female, of older age, a professional worker, a homemaker, or a retiree; engaging in regular physical exercise; having high health literacy and access to COVID-19 information sources; and perceiving COVID-19 as severe and preventive measures as effective. Conclusion People with high education and internet access in Mexico City and the State of Mexico reported significant engagement in COVID-19 preventive actions during the first wave of the COVID-19 pandemic.

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Section: Plos Onementioning

confidence: 55%

Factors associated with COVID-19 preventive health behaviors among the general public in Mexico City and the State of Mexico

et al. 2021

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“…Physical exercise provides mental health benefits and reduces the risk of cardiovascular disease, diabetes, cancer, cognitive decline, and all-cause mortality. [69][70][71][72][73] However, high temperatures can reduce the frequency of physical activity, duration of physical activity, and the desire to engage in exercise, [74][75][76] and even low amounts of physical activity in high temperatures can pose a risk to health. 77 This indicator estimates the loss of potential hours of safe physical activity per person due to ambient temperature, humidity, and radiant heat, by tracking the hours per day that the wet bulb globe temperature exceeds 28°C, a threshold above which the national sports medicine authorities of the USA, Australia, and Japan recommend outdoor physical activities are done with discretion.…”

Section: Section 1: Climate Change Impacts Exposures and Vulnerabilitymentioning

confidence: 99%

The 2021 report of the Lancet Countdown on health and climate change: code red for a healthy future

et al. 2021

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“…Only 40 papers included the number of events for both hospitalised patients and outpatients. The 40 papers 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 underwent the quality assessment and were included in our meta‐analysis (Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

Hospitalised versus outpatient COVID‐19 patients' background characteristics and comorbidities: A systematic review and meta‐analysis

Mattey-Mora

Begle

Owusu

et al. 2021

Reviews in Medical Virology

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This study aimed to systematically assess COVID‐19 patient background characteristics and pre‐existing comorbidities associated with hospitalisation status. The meta‐analysis included cross‐sectional, cohort, and case‐series studies with information on hospitalisation versus outpatient status for COVID‐19 patients, with background characteristics and pre‐existing comorbidities. A total of 1,002,006 patients from 40 studies were identified. Significantly higher odds of hospitalisation were observed in Black individuals (OR = 1.33, 95% CI: 1.04–1.70), males (OR = 1.59, 95% CI: 1.43–1.76), and persons with current/past smoking (OR = 1.59, 95% CI: 1.34–1.88). Additionally, individuals with pre‐existing comorbidities were more likely to be hospitalised [asthma (OR = 1.22, 95% CI: 1.02–1.45), COPD (OR = 3.68, 95% CI: 2.97–4.55), congestive heart failure (OR = 6.80, 95% CI: 4.97–9.31), coronary heart disease (OR = 4.40, 95% CI: 3.15–6.16), diabetes (OR = 3.90, 95% CI: 3.29–4.63), hypertension (OR = 3.89, 95% CI: 3.34–4.54), obesity (OR = 1.98, 95% CI: 1.59–2.46) and renal chronic disease (OR = 5.84, 95% CI: 4.51–7.56)]. High heterogeneity and low publication bias among all factors were found. Age was not included due to the large variability in the estimates reported. In this systematic review/meta‐analysis for patients with COVID‐19, Black patients, males, persons who smoke, and those with pre‐existing comorbidities were more likely to be hospitalised than their counterparts. Findings provide evidence of populations with higher odds of hospitalisation for COVID‐19.

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Physical activity and COVID-19: an observational and Mendelian randomisation study

Cited by 37 publications

References 20 publications

Factors associated with COVID-19 preventive health behaviors among the general public in Mexico City and the State of Mexico

Factors associated with COVID-19 preventive health behaviors among the general public in Mexico City and the State of Mexico

The 2021 report of the Lancet Countdown on health and climate change: code red for a healthy future

Hospitalised versus outpatient COVID‐19 patients' background characteristics and comorbidities: A systematic review and meta‐analysis

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