| Literature DB >> 34852807 |
Kwok Ng1,2, Pasi Koski3, Nelli Lyyra4, Sanna Palomaki4, Kaisu Mononen5, Minna Blomqvist5, Tommi Vasankari6,7, Sami Kokko4.
Abstract
BACKGROUND: Physical activity (PA) is recognised as one of the leading and effective strategies to prevent non-communicable diseases that boosts the immune system to fight against diseases. Closures of schools, sport clubs and facilities because of COVID-19 reduced the opportunities to participate in PA. We aimed to examine physical activity levels of late adolescents, the contexts to be physical active and its changes during the spring 2020 lockdown.Entities:
Keywords: Cycling; Home-gym; Organised sport; Physical education; Walking
Mesh:
Year: 2021 PMID: 34852807 PMCID: PMC8635322 DOI: 10.1186/s12889-021-12263-w
Source DB: PubMed Journal: BMC Public Health ISSN: 1471-2458 Impact factor: 3.295
Fig. 1Sample population flow chart for analyses. Late Adolescents Physical Activity (LAPA), COVID-19 (C19), Swedish version (S)
Sample characteristics by survey type with Chi-square tests of independence
| Total | LAPA-C19 | LAPA | LAPA-S | |||
|---|---|---|---|---|---|---|
| Gender | Total | 2408 | 1678 | 363 | 367 | 0.065 |
| Female (%) | 63.9 | 65.4 | 60.1 | 60.8 | ||
| Male (%) | 36.1 | 34.6 | 39.9 | 39.2 | ||
| Age Categories | Total | 2408 | 1678 | 363 | 367 | 0.001 |
| 16y (%) | 9.3 | 9.5 | 11.6 | 6.3 | ||
| 17y (%) | 54.1 | 55.3 | 53.7 | 49.0 | ||
| 18y (%) | 36.5 | 35.2 | 34.7 | 44.7 | ||
| Disabilities | Total | 2408 | 1678 | 363 | 367 | 0.129 |
| Without Disabilities (%) | 84.9 | 83.7 | 86.5 | 88.6 | ||
| With Disabilities (%) | 15.2 | 16.3 | 13.5 | 11.4 | ||
| ∙ Sensory (%) | 2.7 | 2.8 | 3.3 | 1.4 | 0.212 | |
| ∙ Physical (%) | 0.4 | 0.4 | 0.3 | 0.5 | 0.852 | |
| ∙ Cognitive (%) | 7.3 | 7.7 | 6.6 | 5.7 | 0.349 | |
| ∙ Behavioural (%) | 9.1 | 10.1 | 5.8 | 7.6 | 0.021 | |
| Urbanicity | Total | 2402 | 1672 | 363 | 367 | <.001 |
| Rural (%) | 31.9 | 31.0 | 21.5 | 46.0 | ||
| Urban (%) | 68.1 | 69.0 | 78.5 | 54.0 | ||
| Change in PA | Total | 2305 | 1652 | 302 | 351 | .356 |
| Less (%) | 38.6 | 37.7 | 39.4 | 41.9 | ||
| Same (%) | 22.5 | 22.6 | 24.8 | 19.7 | ||
| More (%) | 39.0 | 39.6 | 35.8 | 38.5 | ||
| Family Finances* | Total | 1672 | 1672 | n/a | ||
| Bad or very bad (%) | 5.0 | 5.0 | ||||
| Average (%) | 23.8 | 23.8 | ||||
| Good (%) | 51.3 | 51.3 | ||||
| Very good (%) | 19.9 | 19.9 | ||||
| Remote PE* | Total | 1676 | 1676 | n/a | ||
| No remote PE (%) | 43.1 | 43.1 | ||||
| Low tasks remote PE (%) | 23.2 | 23.2 | ||||
| High task remote PE (%) | 33.7 | 33.7 |
LAPA Late Adolescents Physical Activity, C19 COVID-19 version, S Swedish version
*Only in LAPA-C19 survey
Descriptive Multinominal Regression of MVPA from 0 to 2 days MVPA (as reference)
| REF 0–2 days | 3–4 days | 5–6 days | 7 days | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OR | LCI | UCI | OR | LCI | UCI | OR | LCI | UCI | ||||
| Gender | ||||||||||||
| Female | 1.00 | 1.00 | 1.00 | |||||||||
| Male | 0.857 | 0.632 | 1.163 | 0.322 | 0.970 | 0.678 | 1.387 | 0.866 | 0.912 | 0.579 | 1.438 | 0.692 |
| Age (increasing) | 0.973 | 0.765 | 1.236 | 0.820 | 1.184 | 0.895 | 1.566 | 0.236 | 0.914 | 0.641 | 1.304 | 0.622 |
| SES (increasing) | 1.287 | 1.068 | 1.553 | 0.008 | 1.273 | 1.021 | 1.587 | 0.032 | 1.586 | 1.193 | 2.106 | 0.001 |
| Disabilities | ||||||||||||
| Without | 1.00 | 1.00 | 1.00 | |||||||||
| With | 0.722 | 0.499 | 1.044 | 0.083 | 0.627 | 0.395 | 0.996 | 0.048 | 0.685 | 0.371 | 1.264 | 0.226 |
| Residence | ||||||||||||
| Rural | 1.00 | 1.00 | 1.00 | |||||||||
| Urban | 1.225 | 0.901 | 1.667 | 0.196 | 1.471 | 1.022 | 2.118 | 0.038 | 0.923 | 0.589 | 1.445 | 0.725 |
| Remote PE | ||||||||||||
| Without | 1.00 | 1.00 | 1.00 | |||||||||
| Low Task | 0.787 | 0.554 | 1.116 | 0.179 | 0.572 | 0.371 | 0.882 | 0.012 | 0.352 | 0.193 | 0.643 | 0.001 |
| High Task | 1.608 | 1.117 | 2.314 | 0.011 | 1.837 | 1.219 | 2.769 | 0.004 | 1.277 | 0.773 | 2.107 | 0.339 |
| VPA | ||||||||||||
| < 3/week | 1.00 | 1.00 | 1.00 | |||||||||
| = > 3/week | 2.292 | 1.620 | 3.243 | <.001 | 13.863 | 9.378 | 20.493 | <.001 | 36.373 | 18.824 | 70.283 | <.001 |
| Organised Sport | ||||||||||||
| None | 1.00 | 1.00 | 1.00 | |||||||||
| Recreation | 1.313 | 0.940 | 1.835 | 0.111 | 1.179 | 0.793 | 1.751 | 0.416 | 1.250 | 0.737 | 2.118 | 0.407 |
| Competitive | 3.210 | 1.698 | 6.070 | <.001 | 7.115 | 3.686 | 13.733 | <.001 | 14.451 | 7.057 | 29.594 | 0.000 |
| Activities | ||||||||||||
| None | 1.00 | 1.00 | 1.00 | |||||||||
| Indoor | 4.502 | 2.624 | 7.726 | <.001 | 4.891 | 2.196 | 10.890 | <.001 | 6.181 | 1.481 | 25.793 | 0.012 |
| Outdoor | 6.555 | 4.171 | 10.301 | <.001 | 13.957 | 6.820 | 28.562 | <.001 | 27.323 | 7.316 | 102.041 | <.001 |
| In- & Outdoor | 10.356 | 6.549 | 16.376 | <.001 | 27.652 | 13.766 | 55.544 | <.001 | 54.277 | 15.157 | 194.373 | <.001 |
REF Reference category of 0–2 days MVPA, OR Odds ratio, LCI Lower 95% confidence interval, UCI Upper 95%, confidence interval, SES social economic status, PE physical education, VPA vigorous intensity physical activity
Fig. 2Flowchart of organised sport, changes in PA during spring 2020 lockdown and MVPA levels
Fig. 3Changes (adjusted mean and 95% CI) in physical activity among Finnish late adolescents during lockdown