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, Год журнала: 2024, Номер 12(8), С. e1232 - e1243

Опубликована: Июнь 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.

Язык: Английский

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Risk Factors of Severe COVID-19: A Review of Host, Viral and Environmental Factors

Viruses, Год журнала: 2023, Номер 15(1), С. 175 - 175

Опубликована: Янв. 7, 2023

The clinical course and outcome of COVID-19 are highly variable, ranging from asymptomatic infections to severe disease death. Understanding the risk factors is relevant both in setting at epidemiological level. Here, we provide an overview host, viral environmental that have been shown or (in some cases) hypothesized be associated with outcomes. considered detail include age frailty, genetic polymorphisms, biological sex (and pregnancy), co- superinfections, non-communicable comorbidities, immunological history, microbiota, lifestyle patient; variation infecting dose; socioeconomic factors; air pollution. For each category, compile (sometimes conflicting) evidence for association factor outcomes (including strength effect) outline possible action mechanisms. We also discuss complex interactions between various factors.

Язык: Английский

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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, Год журнала: 2022, Номер 19(1)

Опубликована: Май 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.

Язык: Английский

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The Effect of the COVID-19 Pandemic on the Mental and Emotional Health of Athletes: A Systematic Review

The American Journal of Sports Medicine, Год журнала: 2022, Номер 51(8), С. 2207 - 2215

Опубликована: Апрель 12, 2022

The coronavirus disease 2019 (COVID-19) pandemic has caused the cancellation or postponement of virtually every sporting event, resulting in training disruptions, income loss, and career uncertainties for athletes around world. At present, effect COVID-19 on mental emotional health is not well understood.

Язык: Английский

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

BMC Public Health, Год журнала: 2024, Номер 24(1)

Опубликована: Фев. 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.

Язык: Английский

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Positive and negative emotions during the COVID-19 pandemic: A longitudinal survey study of the UK population

PLoS ONE, Год журнала: 2024, Номер 19(2), С. e0297214 - e0297214

Опубликована: Фев. 7, 2024

The COVID-19 pandemic has had a profound impact on society; it changed the way we work, learn, socialise, and move throughout world. In United Kingdom, policies such as business closures, travel restrictions, social distance mandates were implemented to slow spread of relaxed intermittently response period. While negative emotions feelings distress anxiety during this time crisis be expected, also see signs human resilience, including positive like determination, pride, strength. A longitudinal study using online survey tools was conducted assess people’s changing moods in UK. Positive Negative Affect Schedule (PANAS) used measure self-reported six periods (phases) from March 2020 July 2021. total 4,222 respondents participated survey, while sub-group each phases (n = 167). results analysed cross-sectional design for full group across phase, prospective cohort analysis subset participants who voluntarily answered Gender, age employment status found most significant PANAS score, with older people, retirees, women generally reporting more moods, young people unemployed reported lower scores higher scores, indicating emotions. Additionally, that summer 2021, which may related relaxation COVID-19-related UK well introduction vaccines general population. This is an important investigation into what allows positivity gives insights or groups vulnerable increased states feelings.

Язык: Английский

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Impact of COVID-19 Pandemic on Weight and BMI among UK Adults: A Longitudinal Analysis of Data from the HEBECO Study

Nutrients, Год журнала: 2021, Номер 13(9), С. 2911 - 2911

Опубликована: Авг. 24, 2021

COVID-19-related restrictions impacted weight and weight-related factors during the initial months of pandemic. However, longitudinal analyses are scarce. An online, study was conducted among self-selected UK adults (n = 1818), involving three surveys (May-June, August-September, November-December 2020), covering anthropometric, sociodemographic, behavioural measures. Data were analysed using generalised estimating equations. Self-reported average weight/body mass index (BMI) significantly increased between May-June period August-September (74.95 to 75.33 kg/26.22 kg/m2 26.36kg/m2, p < 0.001, respectively), then decreased (to 75.06 kg/26.27 kg/m2, 0.01), comparable levels (p 0.274/0.204). there great interindividual variation, 37.0%/26.7% (average 3.64 kg (95% confidence interval: 3.32, 3.97)/1.64 (1.49, 1.79)), 34.5%/26.3% 3.59 (3.34, 3.85)/1.53 (1.42, 1.63)) weight/BMI November-December. Weight/BMI increase negatively associated with BMI, positively monthly high fat, salt sugar (HFSS) snacks intake alcohol consumption, for BMI only, older age. Associations time-varying; lower higher HFSS high-risk consumption maintaining increases The fluctuated 2020. substantial variation in trajectories indicates long-term health impacts from pandemic, food consumption.

Язык: Английский

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Symptoms Compatible With Long Coronavirus Disease (COVID) in Healthcare Workers With and Without Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection—Results of a Prospective Multicenter Cohort

Clinical Infectious Diseases, Год журнала: 2022, Номер 75(1), С. e1011 - e1019

Опубликована: Янв. 26, 2022

Abstract Background The burden of long-term symptoms (ie, long COVID) in patients after mild COVID-19 is debated. Within a cohort healthcare workers (HCWs), frequency and risk factors for compatible with COVID are assessed. Methods Participants answered baseline (August/September 2020) weekly questionnaires on SARS-CoV-2 nasopharyngeal swab (NPS) results acute disease symptoms. In January 2021, serology was performed; March, (including psychometric scores) were asked compared between HCWs positive NPS, seropositive without NPS (presumable asymptomatic/pauci-symptomatic infections), negative controls. effect time since diagnosis quantitative anti-spike protein antibodies (anti-S) evaluated. Poisson regression used to identify symptom occurrence. Results Of 3334 (median, 41 years; 80% female), 556 (17%) had 228 (7%) only seropositive. more frequently reported ≥1 controls (73% vs 52%, P &lt; .001); did not score higher than (58% = .13), although impaired taste/olfaction (16% 6%, .001) hair loss (17% 10%, .004) common. Exhaustion/burnout by 24% Many remained elevated those diagnosed &gt;6 months ago; anti-S titers correlated high scores. Acute viral best predicted long-COVID Physical activity at negatively associated neurocognitive impairment fatigue Conclusions Seropositive mildly affected COVID. common, even noninfected HCWs. might be protective against impairment/fatigue COVID-19.

Язык: Английский

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Unintended Consequences of COVID-19 Non-Pharmaceutical Interventions (NPIs) for Population Health and Health Inequalities

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(7), С. 5223 - 5223

Опубликована: Март 23, 2023

Since the start of COVID-19 pandemic in early 2020, governments around world have adopted an array measures intended to control transmission SARS-CoV-2 virus, using both pharmaceutical and non-pharmaceutical interventions (NPIs). NPIs are public health that do not rely on vaccines or medicines include policies such as lockdowns, stay-at-home orders, school closures, travel restrictions. Although intention was slow viral transmission, emerging research indicates these also had unintended consequences for other aspects health. Hence, we conducted a narrative review studies investigating NPIs, with particular emphasis mental lifestyle risk factors non-communicable diseases (NCD): physical activity (PA), overweight obesity, alcohol consumption, tobacco smoking. We reviewed scientific literature combinations search terms ‘COVID-19′, ‘pandemic’, ‘lockdowns’, ‘mental health’, ‘physical activity’, ‘obesity’. were found considerable adverse health, activity, obesity. The impacts consumption varied greatly within between studies. variability different groups implies increased inequalities by age, sex/gender, socioeconomic status, pre-existing lifestyle, place residence. In conclusion, proper assessment use attempts spread should be weighed against potential Our findings relevance future preparedness response teams.

Язык: Английский

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Perceived Social Support and Sustained Physical Activity During the COVID-19 Pandemic

International Journal of Behavioral Medicine, Год журнала: 2022, Номер 30(5), С. 651 - 662

Опубликована: Сен. 29, 2022

COVID-19 lockdown introduced substantial barriers to physical activity, providing a unique 'natural experiment' understand the social factors associated with sustained activity. The objectives of this study were identify proportion people who successfully activity during and explore whether support, loneliness isolation maintenance lockdown.Longitudinal data from 16,980 participants, mean age 51.3 years (SD = 14.3) Social Study was used sample participants maintained their despite lockdown.Seventeen percent consistently active whilst 42% completely inactive. After adjustment for multiple confounders, high support 64% (95% CI 50-80%) increased odds sustaining medium 32% 20-44%) odds. Associations between not found.This supports previous research showing importance long-term behaviour but shows that such effects extend contexts restrictions.

Язык: Английский

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