Population level physical activity before and during the first national COVID-19 lockdown: A nationally representative repeat cross-sectional study of 5 years of Active Lives data in England

Strain, Tessa; Sharp, Stephen J.; Spiers, Andrew; Price, Helen; Williams, Ciara; Fraser, Caroline; Brage, Sören; Wijndaele, Katrien; Kelly, Paul

doi:10.1016/j.lanepe.2021.100265

Cited by 56 publications

(79 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Findings from nationally representative samples may be considered more informative than those from highly selective or biased samples and provide a good point of reference for our results. In January 2022, Strain et al [ 7 ] looked at international evidence from studies that attempted to recruit nationally representative samples using a semi-systematic approach to reviewing the literature (searches conducted in June 2021). They identified seven peer-reviewed articles that reported how physical activity levels had changed before, during and after the introduction of COVID-19 restrictions.…”

Section: Discussionmentioning

confidence: 99%

“…These studies came from Belgium, France, Germany, Saudi Arabia, the United Kingdom, and the United States. While the findings varied across different population groups, the overall trend was for decreasing physical activity levels [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Strategies such as lockdowns, social restrictions, and masking mandates impacted the nature of people’s work, the delivery of education, travel methods and freedom, as well as the frequency, intensity, duration, and type of leisure activities people could participate in [ 1 , 2 , 3 , 4 , 5 ]. Although there are variable findings in the international literature, overall results indicate that physical activity levels have been impacted considerably, with decreases observed among children and adults [ 6 , 7 , 8 , 9 , 10 ]. Any deterioration in physical activity is cause for concern, especially considering the association between physical activity and physical and mental well-being [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Declines in Physical Activity among New Zealand Adults during the COVID-19 Pandemic: Longitudinal Analyses of Five Data Waves from Pre-Pandemic through April 2021

Wilson

McEwen²,

Kelly

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

Insights specific to the impact of the COVID-19 pandemic on physical activity participation in New Zealand (NZ) is limited. The purpose of this study was to examine longitudinal changes in leisure-time physical activity from pre-pandemic through April 2021. Demographic characteristics (age, gender, ethnicity, deprivation, disability status) and numerous indicators of leisure-time physical activity participation were assessed in a cohort of NZ adults (n = 1854, 54.6% women) over five waves (pre-pandemic, April 2020, June 2020, September 2020, and April 2021). Repeat measures were completed for: proportion participating in any physical activity; proportion meeting aerobic physical activity recommendations; physical activity duration; number of physical activities. There was a significant (p < 0.05) decline in mean physical activity duration and number of activities during the initial lockdown period in April 2020, but the proportion participating in any physical activity and the proportion meeting physical activity recommendations remained stable. However, all four physical activity participation indicators were significantly (p < 0.05) below pre-pandemic levels in all subsequent waves. Considerable and sustained declines in NZ adult leisure-time physical activity participation were evident over the first year of the pandemic. As of April 2021, physical activity participation showed limited signs of recovering to pre-pandemic levels.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Declines in Physical Activity among New Zealand Adults during the COVID-19 Pandemic: Longitudinal Analyses of Five Data Waves from Pre-Pandemic through April 2021

Wilson

McEwen²,

Kelly

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…A potential advantage of consumer wearable devices is that measurement periods could be vastly extended, something that has been shown to improve estimates of habitual activity (Aadland & Ylvisåker, 2015;Bergman, 2018;Wareham et al, 2000). Seasonality is another determinant of activity levels (Brage et al, 2020;Strain et al, 2022) which surveillance studies tend to control for either by sampling throughout the year, or at the same period for each consecutive survey. Timing of measures would need to be considered when summarizing individuals' consumer wearable device data.…”

Section: Representative Wear Timementioning

confidence: 99%

Considerations for the Use of Consumer-Grade Wearables and Smartphones in Population Surveillance of Physical Activity

Strain

Wijndaele

Pearce

et al. 2022

Journal for the Measurement of Physical Behaviour

Self Cite

View full text Add to dashboard Cite

As smartphone and wearable device ownership increase, interest in their utility to monitor physical activity has risen concurrently. Numerous examples of the application of wearables in clinical and epidemiological research settings already exist. However, whether these devices are all suitable for physical activity surveillance is open for debate. In this article, we discuss four key issues specifically relevant to surveillance that we believe need to be tackled before consumer wearables can be considered for this measurement purpose: representative sampling, representative wear time, validity and reliability, and compatibility between devices. A recurring theme is how to deal with systematic biases by demographic groups. We suggest some potential solutions to the issues of concern such as providing individuals with standardized devices, considering summary metrics of physical activity less prone to wear time biases, and the development of a framework to harmonize estimates between device types and their inbuilt algorithms. We encourage collaborative efforts from researchers and consumer wearable manufacturers in this area. In the meantime, we caution against the use of consumer wearable device data for inference of population-level activity without the consideration of these issues.

show abstract

“…A study from the United States reported that among study subjects, 30% responded that they engaged in less physical activity (PA) during the pandemic [ 3 ]. Likewise, among the population of England, the rate of physical activity declined by 30% in 2020 compared to that in the period from 2016 to 2019 [ 4 ]. In Korea, the time spent in high-intensity PA decreased in all age and gender groups in 2020 compared to that of 2019 according to the Korean Community Health Survey data [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Physical Activity Is Associated with a Lower Risk of Osteoporotic Fractures in Osteoporosis: A Longitudinal Study

Min

Lee

Kwon

et al. 2022

JPM

View full text Add to dashboard Cite

The purpose of our study was to examine the occurrence of osteoporotic fractures (fxs) according to the level of physical activity (PA) among osteoporosis using the Korean National Health Insurance Service (NHIS) customized database. From NHIS data from 2009 to 2017, osteoporosis was selected as requested. PA was classified into ‘high PA’ (n = 58,620), ‘moderate PA’ (n = 58,620), and ‘low PA’ (n = 58,620) and were matched in a 1:1:1 ratio by gender, age, income within the household unit, and region of residence. A stratified Cox proportional hazard model was used to calculate hazard ratios (HRs) for each type of fx comparing PA groups. The ‘low PA’ group was the reference group. For vertebral fx, the adjusted HR (95% confidence intervals (CIs)) was 0.27 (0.26–0.28) for the ‘high PA’ group and 0.43 (0.42–0.44) for the ‘moderate PA’ group. For hip fx, the adjusted HR (95% CIs) was 0.37 (0.34–0.40) for the ‘high PA’ group and 0.51 (0.47–0.55) for the ‘moderate PA’ group. For distal radius fx, the adjusted HR (95% CIs) was 0.32 (0.30–0.33) for the ‘high PA’ group and 0.46 (0.45–0.48) for the ‘moderate PA’ group. The results of this study suggest that a higher intensity of PA is associated with a lower risk of osteoporotic fxs, including vertebral fx, hip fx, and distal radius fx.

show abstract

Population level physical activity before and during the first national COVID-19 lockdown: A nationally representative repeat cross-sectional study of 5 years of Active Lives data in England

Cited by 56 publications

References 21 publications

Declines in Physical Activity among New Zealand Adults during the COVID-19 Pandemic: Longitudinal Analyses of Five Data Waves from Pre-Pandemic through April 2021

Declines in Physical Activity among New Zealand Adults during the COVID-19 Pandemic: Longitudinal Analyses of Five Data Waves from Pre-Pandemic through April 2021

Considerations for the Use of Consumer-Grade Wearables and Smartphones in Population Surveillance of Physical Activity

Physical Activity Is Associated with a Lower Risk of Osteoporotic Fractures in Osteoporosis: A Longitudinal Study

Contact Info

Product

Resources

About