National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5·7 million participants

The Lancet Global Health, Journal Year: 2024, Volume and Issue: 12(8), P. e1232 - e1243

Published: June 25, 2024

BackgroundInsufficient physical activity increases the risk of non-communicable diseases, poor and cognitive function, weight gain, mental ill-health. Global prevalence adult insufficient was last published for 2016, with limited trend data. We aimed to estimate 197 countries territories, from 2000 2022.MethodsWe collated reported by adults (aged ≥18 years) in population-based surveys. Insufficient defined as not doing 150 minutes moderate-intensity activity, 75 vigorous-intensity or an equivalent combination per week. used a Bayesian hierarchical model compute estimates country territory, year, age, sex. assessed whether regions, world would meet global target 15% relative reduction 2030 if 2010–22 trends continue.FindingsWe included 507 surveys across 163 territories. The age-standardised 31·3% (95% uncertainty interval 28·6–34·0) 2022, increase 23·4% (21·1–26·0) 26·4% (24·8–27·9) 2010. Prevalence increasing 103 (52%) territories six (67%) nine declining remainder. 5 percentage points higher among female (33·8% [29·9–37·7]) than male (28·7% [25·0–32·6]) individuals. increased people aged 60 years older all regions both sexes, but age patterns differed those younger years. If continue, between 2010 will be met (posterior probability <0·01); however, two Oceania sub-Saharan Africa, were on track considerable probabilities 0·70–0·74).InterpretationConcerted multi-sectoral efforts reduce levels are needed target. Physical promotion should exacerbate sex, geographical inequalities.FundingMinistry Public Health, Qatar, World Health Organization.TranslationsFor Spanish Portuguese translations abstract see Supplementary Materials section.

Language: Английский

---

Long Covid: where we stand and challenges ahead

Cell Death and Differentiation, Journal Year: 2022, Volume and Issue: unknown

Published: Sept. 7, 2022

Abstract Post-acute sequelae of SARS-CoV-2 (PASC), also known as Post-Covid Syndrome, and colloquially Long Covid, has been defined a constellation signs symptoms which persist for weeks or months after the initial infection. PASC affects wide range diverse organs systems, with manifestations involving lungs, brain, cardiovascular system other such kidney neuromuscular system. The pathogenesis is complex multifactorial. Evidence suggests that seeding persistence in different organs, reactivation, response to unrelated viruses EBV, autoimmunity, uncontrolled inflammation are major drivers PASC. relative importance pathogenetic pathways may differ tissue organ contexts. vaccination, addition protecting against disease, reduces breakthrough infection although its actual impact remains be defined. represents formidable challenge health care systems dissecting mechanisms pave way targeted preventive therapeutic approaches.

Language: Английский

---

Accelerometer-measured physical activity and sedentary time among children and their parents in the UK before and after COVID-19 lockdowns: a natural experiment

International Journal of Behavioral Nutrition and Physical Activity, Journal Year: 2022, Volume and Issue: 19(1)

Published: May 16, 2022

Abstract Background Restrictions due to the coronavirus disease 2019 (COVID-19) pandemic reduced physical activity provision for both children and their parents. Recent studies have reported decreases in levels during lockdown restrictions, but these were largely reliant on self-report methods, with data collected via unrepresentative surveys. The post-pandemic impacts children’s remain unknown. A key question is how active become once restrictions are lifted. Methods Active-6 a repeated cross-sectional natural experiment. Accelerometer from 1296 aged 10–11 parents 50 schools Greater Bristol area, UK March 2017-May 2018 (pre-COVID-19 comparator group), compared 393 23 of same schools, May-December 2021. Mean minutes accelerometer-measured moderate-to-vigorous (MVPA) derived weekdays weekend pre- post-lockdown linear multilevel models. Results After adjusting seasonality, accelerometer wear time child/parent demographics, mean weekday MVPA 7.7 min (95% CI: 3.5 11.9) 6.9 0.9 12.9) lower 2021 than 2018, respectively, while sedentary was higher by 25.4 15.8 35.0) 14.0 1.5 26.5). There no evidence that differences varied child gender or household education. significant difference parents’ time, either weekends. Conclusions Children’s 7–8 min/day lifted before all groups, Previous research has shown there an undesirable age-related decline activity. 8-min here would be broadly comparable previously been expected occur over three-year period. Parents’ similar pre-pandemic levels. Our results suggest despite easing not returned urgent need understand why changes occurred long they maintained.

Language: Английский

---

The impact of COVID-19 lockdowns on physical activity amongst older adults: evidence from longitudinal data in the UK

BMC Public Health, Journal Year: 2022, Volume and Issue: 22(1)

Published: Sept. 22, 2022

Abstract Background A sedentary lifestyle increases the risk of adverse health outcomes and frailty,particularly for older adults. To reduce transmission during COVID-19 pandemic, people were instructed to stay at home, group sports suspended, gyms closed, thereby limiting opportunities physical activity. Whilst evidence suggests that activity levels reduced it is unclear whether proportion adults realising recommended minimum level changed throughout various stages lockdown. Methods We used a large sample 3,660 (aged ≥ 65) who took part in UK Household Longitudinal Study’s annual studies. examined changes Chief Medical Officers’ recommendations maintenance several time points before after lockdowns imposed. stratified these trends by presence conditions, age, neighbourhood deprivation, pre-pandemic levels. Results There was marked decline adults’ third national lockdown January 2021. The decreased from 43% September 2020 33% This decrease occurred regardless condition, or Those doing least pre-lockdown increased their those most Conclusions Reductions have put them becoming deconditioned developing outcomes. Resources should be allocated promote uptake reverse effects deconditioning.

Language: Английский

---

Psychological detachment from work predicts mental wellbeing of working-age adults: Findings from the ‘Wellbeing of the Workforce’ (WoW) prospective longitudinal cohort study

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(1), P. e0312673 - e0312673

Published: Jan. 14, 2025

Background There is an urgent need to better understand the factors that predict mental wellbeing in vocationally active adults during globally turbulent times. Aim To explore relationship between psychological detachment from work (postulated as a key recovery activity work) first national COVID-19 lockdown with health, wellbeing, and life satisfaction of working age-adults one year later, within context global pandemic. Methods Wellbeing Workforce (WoW) was prospective longitudinal cohort study, two waves data collection (Time 1, April-June 2020: T1 n = 337; Time 2, March-April 2021: T2 169) corresponding third lockdowns UK. Participants were >18 years, who employed or self-employed Descriptive parametric (t-tests linear regression) nonparametric (chi square tests) inferential statistics employed. Results Risk for major depression (T1: 20.0% T2: 29.0%, p .002), poor general health 4.7% 0%, .002) 15.4% 25.4%, worsened over time, moderate-to-severe anxiety remained stable 26.1% 30.2%, .15). Low more prevalent wave 21.4% 16.0%), moderate improvement observed ( t (129) -7.09, < .001). No differences status (employed/self-employed), except workers being likely report at (16.1%, .002). Better lower higher those reported (β .21, .01; β -.43, .001; .32, .003, respectively), improved this .36, -.27, .27, .008, controlling age, gender ethnicity. Conclusion The ability psychologically detach pandemic lockdown, predicted quality after crisis, irrespective status. Interventions encourage may help support employee all times, not only extreme circumstances pandemics economic uncertainty.

Language: Английский

---

Resting heart rate is a population-level biomarker of cardiorespiratory fitness: The Fenland Study

PLoS ONE, Journal Year: 2023, Volume and Issue: 18(5), P. e0285272 - e0285272

Published: May 11, 2023

Introduction Few large studies have evaluated the relationship between resting heart rate (RHR) and cardiorespiratory fitness. Here we examine cross-sectional longitudinal relationships RHR fitness, explore factors that influence these relationships, demonstrate utility of for remote population monitoring. Methods In analyses (The UK Fenland Study: 5,722 women, 5,143 men, aged 29-65y), measured (beats per min, bpm) while seated, supine, during sleep. Fitness was estimated as maximal oxygen consumption (ml⋅min -1 ⋅kg ) from an exercise test. Associations fitness were adjusting age, sex, adiposity, physical activity. (6,589 participant subsample), re-assessed after a median 6 years association within-person change in During coronavirus disease-2019 pandemic, used smartphone application to remotely serially measure (1,914 subsample, August 2020 April 2021) examined differences dynamics by pre-pandemic level. Results Mean sleep 67, 64, 57 bpm. Age-adjusted associations (beta coefficients) -0.26, -0.29, -0.21 ml⋅kg ⋅beat women -0.27, -0.31, -0.19 men. Adjustment adiposity activity attenuated RHR-to-fitness 10% 50%, respectively. Longitudinally, 1-bpm increase supine associated with 0.23 ml⋅min decrease increased those low but stable others. Conclusions is valid population-level biomarker Physical attenuate

Language: Английский

---

Changes in physical activity and sedentary behavior during the first COVID-19 pandemic- restrictions in Germany: a nationwide survey

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Feb. 12, 2024

Abstract Background The COVID-19 pandemic restrictions posed challenges to maintaining healthy lifestyles and physical well-being. During the first mobility from March mid-July 2020, German population was advised stay home, except for work, exercise, essential shopping. Our objective comprehensively assess impact of these on changes in activity sedentary behavior identify most affected groups. Methods Between April 30, May 12, we distributed a COVID-19-specific questionnaire participants National Cohort (NAKO). This gathered information about participants’ currently compared time before restrictions. We integrated this new data with existing anxiety, depressive symptoms, activity. analyses focused sociodemographic factors, social relationships, health, working conditions. Results Out 152,421 respondents, significant proportion reported altered behavioral patterns due Over third initially meeting WHO’s recommendation could no longer meet guidelines during Participants substantial declines sports activities (mean change ( M ) = -0.38; 95% CI: -.390; -.378; range -2 + 2) reduced active transportation -0.12; -.126; -.117). However, they also increased recreational 0.12; .117; .126) while engaging more 0.24; .240; .247) pre-restriction levels. Multivariable linear log-binomial regression models indicated that younger adults were by than older adults. shift remote self-rated symptoms factors strongly associated all domains, including behavior, likelihood continue following guidelines. Conclusions Mobility shifted towards inactivity or low-intensity nationwide spring potentially leading considerable lasting health risks.

Language: Английский

---

Exploring Barriers and Facilitators to Physical Activity during the COVID-19 Pandemic: A Qualitative Study

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(15), P. 9169 - 9169

Published: July 27, 2022

Quantitative data show that physical activity (PA) reduced during the COVID-19 pandemic, with differential impacts across demographic groups. Qualitative research is limited; thus, this study aimed to understand barriers and facilitators PA focusing on groups more likely have been affected by restrictions, map these onto capability, opportunity, motivation model of behaviour (COM-B). One-to-one interviews were conducted younger (aged 18–24) older adults 70+), those long-term or mental health conditions, parents young children. Themes identified using reflexive thematic analysis mapped COM-B domains. A total 116 participants contributed 18–93, 61% female, 71% White British). Key themes importance outdoor environment, impact fear contracting COVID-19, level engagement home exercise. Caring responsibilities conflicting priorities a barrier. as method socialising, establishing new routines, for protecting motivators. Most opportunity (environmental factors) reflective (evaluations/plans) Future interventions should target domains pandemics (e.g., adapting guidance depending location giving education benefits PA).

Language: Английский

---

Association between regular physical activity and the protective effect of vaccination against SARS-CoV-2 in a South African case–control study

British Journal of Sports Medicine, Journal Year: 2022, Volume and Issue: 57(4), P. 205 - 211

Published: Oct. 24, 2022

Both vaccination and physical activity have been shown to independently decrease the likelihood of severe COVID-19 infection.To assess association between regular against among healthcare workers.A test negative case-control study design was used estimate risk having an associated COVID-19-related hospital admission, individuals who were unvaccinated compared with those fully vaccinated Ad26.COV2.S (>28 days after a single dose). 196 444 participant tests stratified into three measured subgroups low, moderate high activity, hypothesis that is effect modifier on relationship hospitalisation.Vaccine effectiveness admission within low group 60.0% (95% CI 39.0 73.8), 72.1% 55.2 82.6) for group, 85.8% 74.1 92.2) group. Compared levels, levels had 1.4 1.36 1.51) 2.8 2.35 3.35) times lower respectively (p value <0.001 both groups).Regular improved vaccine hospitalisation, higher greater effectiveness. Physical enhances outcomes should be encouraged by public health messaging.

Language: Английский

---

Repercussions of Pandemic and Preventive Measures on General Well-Being, Psychological Health, Physical Fitness, and Health Behavior: Mediating Role of Coping Behavior

Psychology Research and Behavior Management, Journal Year: 2023, Volume and Issue: Volume 16, P. 2437 - 2454

Published: July 1, 2023

Background: Pandemic prevention measures increased physical inactivity due to travel restrictions that led negative fitness, health behavior, psychological health, and general well-being. The mediating role of coping behavior must be identified before developing interventional strategies for this pandemic. Objective: study investigates the mitigate Coronavirus disease impact on Methods: A web-based survey was used under convenience sampling collect primary data. Smart-PLS 3.0 analyze collected Results: All 14 direct correlations (H1-H14) were correct, behavior's shown statistically significant (H9a- H14d). Conclusion: Our findings indicate in mitigating pandemic impacts significant. It is concluded a healthy adaptation protecting barrier against COVID-19 adverse effects health. Keywords: COVID-19, lockdown, impact,

Language: Английский

---