| Literature DB >> 34742627 |
Lauren Arundell1, Jo Salmon2, Anna Timperio3, Shannon Sahlqvist4, Riaz Uddin5, Jenny Veitch6, Nicola D Ridgers7, Helen Brown8, Kate Parker9.
Abstract
OBJECTIVES: To examine the effects of COVID-19 related 'lockdown restrictions' on Australian's (5-75 years) physical activity recommendation achievement and active recreation participation.Entities:
Keywords: Australia; Health policy; Lockdown restriction; Public health; walking
Mesh:
Year: 2021 PMID: 34742627 PMCID: PMC8841386 DOI: 10.1016/j.jsams.2021.10.004
Source DB: PubMed Journal: J Sci Med Sport ISSN: 1878-1861 Impact factor: 4.597
Participant characteristics.
| Children (n = 147) | Adolescents (n = 1296) | Adults (n = 1360) | |
|---|---|---|---|
| Mean age, years (SD) | 9.1 (2.2) | 16.2 (1.2) | 36.9 (15.1) |
| Sex | 61 (41.5) | 903 (69.7) | |
| Female, n (%) | 1121 (82.4) | ||
| Education | |||
| University or tertiary qualification, n (%) | N/A | N/A | 921 (67.4) |
| State/territory, n (%) | |||
| Australian Capital Territory | 8 (5.4) | 27 (2.1) | 54 (4.0) |
| New South Wales | 28(19.1) | 329 (25.4) | 255 (18.8) |
| Northern Territory | 2 (1.2) | 8 (0.6) | 11 (0.8) |
| Queensland | 14 (9.5) | 252 (19.5) | 154 (11.3) |
| South Australia | 11 (7.5) | 96 (7.4) | 93 (6.8) |
| Tasmania | 6 (4.1) | 59 (4.6) | 58 (4.3) |
| Victoria | 69 (47.0) | 399 (30.8) | 652 (47.9) |
| Western Australia | 9 (6.1) | 126 (9.7) | 83 (6.1) |
Note: N/A = not applicable.
Proportion of sample, relative difference, and odds of meeting moderate-to-vigorous intensity physical activity (MVPA), muscle strengthening, and both recommendations before (February) and during (April/May) COVID-19 lockdown restrictions.
| Recommendations | Children | Adolescents | Adults | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Overall | Males | Females | Overall | Males | Females | Overall | Males | Females | |
| MVPA | |||||||||
| February (% met) | 34.0 | 44.7 | 19.7 | 8.0 | 11.3 | 6.8 | 30.2 | 35.1 | 29.3 |
| April/May (% met) | 21.8 | 27.1 | 14.8 | 8.1 | 8.3 | 8.2 | 33.0 | 37.0 | 32.5 |
| Relative difference¥‡ | −35.9% | – | – | 1.3% | −26.5% | 20.6% | 9.3% | – | – |
| Odds ratio | 0.27 | – | – | 1.04 | 0.71 | 1.22 | 1.26 | – | – |
| Muscle strengthening | |||||||||
| February (% met) | 10.2 | 8.2 | 13.1 | 28.7 | 31.0 | 22.8 | 48.0 | 42.6 | 44.2 |
| April/May (% met) | 16.3 | 10.6 | 24.6 | 27.0 | 31.2 | 25.8 | 37.2 | 34.2 | 38.0 |
| Relative difference¥‡ | 59.8% | – | – | −5.9% | – | – | −22.5% | – | – |
| Odds ratio | 1.72 | – | – | 1.03 | – | – | 0.76 | – | – |
| MVPA and muscle strengthening | |||||||||
| February (% met) | 2.7 | 3.5 | 1.6 | 3.9 | 4.2 | 3.1 | 17.9 | 16.7 | 17.0 |
| April/May (% met) | 3.4 | 2.4 | 4.9 | 3.3 | 1.1 | 4.2 | 16.6 | 18.5 | 16.4 |
| Relative difference¥‡ | 25.9% | – | – | −15.4% | −73.8% | 35.5% | −7.3% | – | – |
| Odds ratio | 0.62 | – | – | 0.95 | 0.12 | 1.48 | 0.88 | – | – |
Note: Child data were proxy-reported by parents/guardians; ¥relative difference calculated as ((April/May%- February%)/February%)*100; Mixed effects logistic regression (with interaction for time × sex) or logistic regression with robust sandwich estimation for variance assessed differences in the whole sample between February 2020 and April/May 2020; Odds ratio (OR) represents the odds of meeting the recommendation in April/May compared to February (referent group = February); CI = confidence intervals; ‡relative difference and odds ratio only computed for males and females if there was a significant interaction (p < 0.05).
Children's proxy-reported participation in active recreation behaviours before (February) and during (April/May) COVID-19 lockdown restrictions: percent (%) of sample participating and odds of participation in April/May compared to February.
| Overall sample | Sex | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Boys | Girls | |||||||||
| n | February (%) | April/May (%) | Odds ratio [95%CI] | February (%) | April/May (%) | February (%) | April/May (%) | |||
| Walking for leisure/exercise with family | 139 | 69.1 | 81.3 | 2.79 | 0.008 | 71.8 | 84.3 | 66.7 | 76.4 | 0.610 |
| Informal sport practice or play | 133 | 63.2 | 49.6 | 0.31 | 0.003 | 71.1 | 50.0 | 50.0 | 47.2 | 0.044 |
| Sex-stratified analysis: | 0.16 | 0.74 | ||||||||
| Cycling for leisure outdoors | 133 | 51.9 | 52.6 | 1.13 | 0.757 | 51.8 | 53.2 | 48.2 | 50.9 | 0.663 |
| Running outdoors | 133 | 42.1 | 40.6 | 0.88 | 0.734 | 51.2 | 49.4 | 25.9 | 26.9 | 0.720 |
| Recreational activities | 131 | 35.9 | 28.2 | 0.49 | 0.065 | 39.8 | 27.3 | 29.6 | 30.2 | 0.143 |
| Cycling at home | 133 | 24.1 | 24.1 | 0.98 | 0.984 | 24.1 | 25.3 | 22.2 | 20.8 | 0.406 |
| Walking for leisure/exercise with a group | 137 | 16.1 | 11.7 | 0.65 | 0.287 | 15.4 | 9.6 | 15.3 | 14.6 | 0.474 |
| Walking for leisure/exercise on own | 138 | 7.3 | 21.8 | 8.62 | 0.002 | 8.4 | 20.2 | 5.0 | 21.8 | 0.393 |
| Muscle strengthening exercises at home | 129 | 5.4 | 13.2 | 216.69 | 0.017 | 6.3 | 10.0 | 3.7 | 17.3 | 0.024 |
| Sex-stratified analysis: | 1.67 | 5.44 | ||||||||
| Yoga/Pilates/stretching at home | 133 | 5.3 | 9.0 | 1.84 | 0.216 | 4.8 | 7.5 | 5.6 | 11.3 | 0.760 |
| Fitness/aerobics class at home | 132 | 3.0 | 7.6 | 2.72 | 0.098 | 2.4 | 7.5 | 3.7 | 7.7 | 0.733 |
Note: Activities order based on most to least common in February for the whole sample; February is before COVID-19 and April/May during lockdown restrictions; child data were proxy-reported by parents/guardians; Mixed effects logistic regression (with interaction for time × sex) assessed or logistic regression with robust sandwich estimation for variance assessed differences between February 2020 and April/May 2020 in the whole sample and between sexes. OR = odds ratio which represents the odds of performing an activity in April/May compared to February; CI = confidence intervals; ap value for time difference for the whole sample; bp value for time × sex interaction; odds ratio only computed for males and females if there was a significant interaction (p < 0.05).
Adolescents' self-reported participation in active recreation behaviours before (February) and during (April/May) COVID-19 lockdown restrictions: percent (%) of sample participating and odds of participation in April/May compared to February.
| Overall sample | Sex | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Males | Females | |||||||||
| n | February (%) | April/May (%) | Odds ratio [95%CI] | February (%) | April/May (%) | February (%) | April/May (%) | |||
| Walking for leisure/exercise on own | 1223 | 60.7 | 51.5 | 0.44 | <0.001 | 60.1 | 47.3 | 61.7 | 53.2 | 0.116 |
| Running outdoors | 1053 | 51.1 | 40.6 | 0.43 | <0.001 | 60.0 | 42.5 | 51.1 | 40.4 | 0.079 |
| Informal sport practice or play | 1027 | 47.1 | 24.0 | 0.16 | <0.001 | 51.9 | 28.5 | 46.6 | 22.3 | 0.632 |
| Walking for leisure/exercise with family | 1217 | 46.1 | 43.0 | 0.73 | 0.007 | 42.5 | 35.5 | 49.1 | 46.4 | 0.128 |
| Muscle strengthening exercises at home | 1029 | 43.3 | 46.5 | 1.15 | 0.242 | 52.4 | 48.0 | 44.0 | 46.5 | 0.106 |
| Yoga/Pilates/stretching at home | 1027 | 36.9 | 36.0 | 0.88 | 0.341 | 21.4 | 16.6 | 44.7 | 43.3 | 0.083 |
| Recreational activities | 1033 | 33.4 | 20.8 | 0.19 | <0.001 | 36.6 | 22.2 | 33.7 | 19.9 | 0.809 |
| Walking for leisure/exercise with a group | 1209 | 27.5 | 20.9 | 0.49 | <0.001 | 25.1 | 19.2 | 29.1 | 21.2 | 0.999 |
| Cycling for leisure outdoors | 1041 | 25.4 | 22.5 | 0.64 | 0.005 | 36.4 | 27.2 | 22.9 | 20.4 | 0.025 |
| Sex-stratified analysis: | 0.39 | 0.84 | ||||||||
| Fitness/aerobics class at home | 1028 | 16.0 | 18.2 | 1.01 | 0.053 | 8.7 | 9.0 | 20.6 | 22.2 | 0.787 |
| Cycling at home | 1030 | 12.2 | 10.0 | 0.18 | 0.001 | 16.1 | 10.9 | 13.0 | 9.4 | 0.106 |
Note: Activities order based on most to least common in February for the whole sample; February is before COVID-19 and April/May during lockdown restrictions; Mixed effects logistic regression (with interaction for time × sex) assessed or logistic regression with robust sandwich estimation for variance assessed differences between February 2020 and April/May 2020 in the whole sample and between sexes; OR = odds ratio which represents the odds of performing an activity in April/May compared to February; CI = confidence intervals; ap value for time difference for the whole sample; bp value for time × sex interaction; odds ratio only computed for males and females if there was a significant interaction (p < 0.05).
Adults' self-reported participation in active recreation behaviours before (February) and during (April/May) COVID-19 lockdown restrictions: percent (%) of sample participating and odds of participation in April/May compared to February.
| Overall sample | Sex | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Males | Females | |||||||||
| n | February (%) | April/May (%) | Odds ratio [95%CI] | February (%) | April/May (%) | February (%) | April/May (%) | |||
| Walking for leisure/exercise on own | 1335 | 62.6 | 59.0 | 0.74 | 0.003 | 62.0 | 55.5 | 63.0 | 59.7 | 0.586 |
| Walking for leisure/exercise with family | 1327 | 48.7 | 54.5 | 1.65 | <0.001 | 40.2 | 39.8 | 50.4 | 57.4 | 0.061 |
| Running outdoors | 1247 | 28.9 | 30.7 | 1.22 | 0.160 | 40.2 | 37.7 | 28.2 | 29.7 | 0.184 |
| Yoga/Pilates/stretching at home | 1239 | 27.5 | 43.7 | 4.24 | <0.001 | 16.5 | 23.3 | 30.5 | 47.6 | 0.057 |
| Muscle strengthening exercises at home | 1238 | 27.9 | 48.1 | 4.50 | <0.001 | 34.4 | 45.4 | 28.4 | 48.5 | 0.029 |
| Sex-stratified analysis: | 3.14 | 4.77 | ||||||||
| Informal sport practice or play | 1236 | 24.4 | 14.6 | 0.31 | <0.001 | 33.8 | 20.1 | 22.6 | 13.5 | 0.509 |
| Walking for leisure/exercise with a group | 1320 | 20.5 | 16.0 | 0.54 | <0.001 | 22.2 | 13.9 | 20.6 | 16.6 | 0.113 |
| Cycling for leisure outdoors | 1240 | 17.8 | 20.7 | 1.16 | 0.127 | 25.0 | 26.0 | 17.0 | 19.8 | 0.557 |
| Recreational activities | 1235 | 12.4 | 6.6 | 0.46 | <0.001 | 15.5 | 8.8 | 12.7 | 6.3 | 0.714 |
| Cycling at home | 1237 | 6.6 | 8.2 | 1.16 | 0.306 | 8.9 | 10.2 | 6.8 | 7.5 | 0.911 |
| Fitness/aerobics class at home | 1229 | 8.5 | 23.4 | 7.45 | <0.001 | 4.2 | 9.3 | 10.1 | 26.3 | 0.225 |
Note: Activities order based on most to least common in February for the whole sample; February is before COVID-19 and April/May during lockdown restrictions; Mixed effects logistic regression (with interaction for time × sex) assessed or logistic regression with robust sandwich estimation for variance assessed differences between February 2020 and April/May 2020 in the whole sample and between sexes; OR = odds ratio which represents the odds of performing an activity in April/May compared to February; CI = confidence intervals; ap value for time difference for the whole sample; bp value for time × sex interaction; odds ratio only computed for males and females if there was a significant interaction (p < 0.05).