| Literature DB >> 35206129 |
Eszter Füzéki1, Jan Schröder2, Rüdiger Reer2, David A Groneberg1, Winfried Banzer1.
Abstract
Germany experienced a 6-month second lockdown (November 2020-April 2021) during the COVID-19 pandemic, which included the closure of all physical activity (PA) facilities. The use of online exercise classes (OECs) was promoted by public health and exercise organizations. Using the present cross-sectional online survey, we assess the use of and opinion towards OECs in Germany during the second lockdown. We used contingency tables and the Chi2 test to calculate the frequency of awareness and use of OECs according to PA status, well-being and demographic data, and conducted a binary logistic regression with OEC awareness or use and dichotomized independent predictors. The associations between opinion and activity status, frequency of use, educational attainment, age and body mass index were calculated using Spearman correlations. A total of 993 datasets were analyzed in detail. Of the 785 (79.1%) participants reporting awareness of OECs, 536 tried them, and 262, 188 and 85 used them <1 per week, 1-2 per week and ≥3 per week, respectively. The users were typically active, female participants with poorer mental well-being. The opinions towards OECs varied according to participant characteristics, such as activity status, BMI and age. Overall, regular OEC use was quite limited, and, as such, cannot replace in-person exercise opportunities. Keeping physical activity facilities open and safe must be prioritized in the ongoing pandemic.Entities:
Keywords: confinement; coronavirus; internet; physical activity
Mesh:
Year: 2022 PMID: 35206129 PMCID: PMC8872076 DOI: 10.3390/ijerph19041942
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Sample characteristics (n = 993).
| n | % | ||
|---|---|---|---|
| Sex | female | 708 | 71.3 |
| male | 285 | 28.7 | |
| Age | ≥50 years | 460 | 46.3 |
| <50 years | 533 | 53.7 | |
| BMI | ≥30 kg/m2 | 118 | 11.9 |
| <30 kg/m2 | 875 | 88.1 | |
| Education | <Bachelor | 306 | 30.8 |
| ≥Bachelor | 687 | 69.2 | |
| PA level (WHO) | inactive | 701 | 70.6 |
| active | 292 | 29.4 | |
| Well-being (WHO-5) | <50 points | 465 | 46.8 |
| ≥50 points | 528 | 53.2 | |
| OEC awareness | no | 208 | 20.9 |
| yes | 785 | 79.1 | |
| OEC use | no | 249 | 25.1 |
| yes | 536 | 54.0 | |
| Use < 1 per week | 262 | 26.4 | |
| Use 1–2 per week | 188 | 18.9 | |
| Use ≥ 3 per week | 85 | 8.6 | |
| No answer | 1 | 0.1 |
Abbreviations: BMI = body mass index, PA = physical activity, WHO = World Health Organization and OEC = online exercise class.
Differences between the respondents being aware (n = 785) and not being aware (n = 208) of OECs.
| OEC Not Aware | OEC Aware | X2 (993, 1) | ES | |||
|---|---|---|---|---|---|---|
| Sex | female | 17.2% | 82.8% | 20.560 | <0.001 | 0.14 |
| male | 30.2% | 69.8% | ||||
| Age (years) | ≥50 | 27.2% | 72.8% | 20.070 | <0.001 | 0.14 |
| <50 | 15.6% | 84.4% | ||||
| BMI (kg/m2) | ≥30 | 30.5% | 69.5% | 7.394 | 0.007 | 0.09 |
| <30 | 19.7% | 80.3% | ||||
| Education | <Bachelor | 22.2% | 77.8% | 0.435 | 0.510 | 0.02 |
| ≥Bachelor | 20.4% | 79.6% | ||||
| PA | inactive | 25.4% | 74.6% | 28.453 | <0.001 | 0.17 |
| active | 10.3% | 89.7% | ||||
| Well-being (WHO-5 pts.) | <50 | 22.8% | 77.2% | 1.806 | 0.179 | 0.04 |
| ≥50 | 19.3% | 80.7% |
Abbreviations: OEC = online exercise class, ES = effect size, BMI = body mass index, PA = physical activity and WHO = World Health Organization.
Binary logistic regression to predict the awareness of online exercise classes.
| Dependent: | OEC | β | OR | 95% CI | ||
|---|---|---|---|---|---|---|
| n = 993 | Lower | Upper | ||||
| Sex | female vs. male | 1.430 | <0.001 | 4.179 | 3.188 | 5.477 |
| Age | 50 or older vs. younger | −0.078 | 0.587 | 0.925 | 0.699 | 1.224 |
| BMI | obese vs. BMI < 30 | −0.270 | 0.239 | 0.763 | 0.486 | 1.197 |
| Education | non-academic vs. | 0.106 | 0.535 | 1.112 | 0.796 | 1.553 |
| PA (WHO) | inactive vs. Active | 0.091 | 0.521 | 1.095 | 0.830 | 1.444 |
| Well-being (WHO-5) | depressive vs. | 0.236 | 0.115 | 1.266 | 0.944 | 1.697 |
Abbreviations: OEC = online exercise class, BMI = body mass index, PA = physical activity and WHO = World Health Organization.
Differences between users (n = 536) and non-users (n = 249) of OEC.
| OEC No Use | OEC Use | X2 (785, 1) | ES | |||
|---|---|---|---|---|---|---|
| Sex | female (%) | 25.9% | 74.1% | 35.672 | <0.001 | 0.21 |
| male (%) | 48.7% | 51.3% | ||||
| Age (years) | ≥50 (%) | 35.5% | 64.5% | 3.902 | 0.048 | 0.07 |
| <50 (%) | 28.9% | 71.1% | ||||
| BMI (kg/m2) | ≥30 (%) | 43.9% | 56.1% | 6.275 | 0.012 | 0.09 |
| <30 (%) | 30.3% | 69.7% | ||||
| Education | <Bachelor (%) | 35.3% | 64.7% | 2.015 | 0.156 | 0.05 |
| ≥Bachelor (%) | 30.2% | 69.8% | ||||
| PA | inactive (%) | 39.0% | 61.0% | 38.408 | <0.001 | 0.22 |
| active (%) | 17.2% | 82.8% | ||||
| Well-being (WHO-5 pts.) | <50 (%) | 30.9% | 69.1% | 0.196 | 0.658 | 0.02 |
| ≥50 (%) | 32.4% | 67.6% |
Abbreviations: OEC = online exercise classes, ES = effect size, BMI = body mass index, PA = physical activity and WHO = World Health Organization.
Frequency of the use of online exercise classes according to physical activity status.
| Frequency of OEC Use | Inactive | Active | Total | |
|---|---|---|---|---|
| Missing | counts | 0 | 1 | 1 |
| % | 0.0% | 0.4% | 0.2% | |
| <1/week | counts | 134 | 128 | 262 |
| % | 51.1% | 46.7% | 48.9% | |
| 1–2/week | counts | 96 | 92 | 188 |
| % | 36.6% | 33.6% | 35.1% | |
| ≥3/week | counts | 32 | 53 | 85 |
| % | 12.2% | 19.3% | 15.9% | |
| Total | counts | 262 | 274 | 536 |
| % | 100% | 100% | 100% | |
Abbreviation: OEC = online exercise class.
Binary logistic regression to predict the use of online exercise classes.
| Dependent: | OEC | β | OR | 95% CI | ||
|---|---|---|---|---|---|---|
| n = 785 | Lower | Upper | ||||
| Sex | female vs. male | 1.501 | <0.001 | 4.486 | 3.316 | 6.069 |
| Age | 50 or older vs. younger | −0.043 | 0.782 | 0.958 | 0.707 | 1.298 |
| BMI | obese vs. BMI < 30 | −0.402 | 0.114 | 0.669 | 0.407 | 1.101 |
| Education | non-academic vs. academic | −0.215 | 0.221 | 0.807 | 0.572 | 1.138 |
| PA (WHO) | inactive vs. active | −0.671 | <0.001 | 0.511 | 0.377 | 0.693 |
| Well-being (WHO-5) | depressive vs. non-depressive | 0.344 | 0.028 | 1.410 | 1.037 | 1.918 |
Abbreviations: OEC = online exercise class, BMI = body mass index, PA = physical activity and WHO = World Health Organization.
Figure 1Users’ opinions towards OECs in % (‘time flexibility’ (a), ‘self-motivation’ (b), ‘social interaction’ (c), ‘individual trainer guidance’ (d), and ‘boringness’ (e)).
Spearman correlations of opinions towards OECs.
| Opinion | Spearman | Sex | Age | BMI | Education Level | PA | Well-Being | OEC Use Frequency |
|---|---|---|---|---|---|---|---|---|
| Flexible time management | rho | 0.107 | 0.043 | 0.080 | −0.111 | −0.158 | −0.158 | −0.294 |
| 0.013 | 0.321 | 0.064 | 0.010 | <0.001 | <0.001 | <0.001 | ||
| Lacking interaction with exercisers | rho | −0.080 | 0.071 | −0.059 | 0.070 | 0.053 | 0.135 | 0.129 |
| 0.065 | 0.099 | 0.174 | 0.105 | 0.221 | 0.002 | 0.003 | ||
| Lower motivation | rho | −0.131 | 0.101 | −0.010 | 0.093 | 0.184 | 0.121 | 0.317 |
| 0.002 | 0.019 | 0.820 | 0.032 | <0.001 | 0.005 | <0.001 | ||
| Lacking instructor’s support | rho | −0.028 | −0.029 | −0.102 | 0.066 | 0.147 | 0.174 | 0.177 |
| 0.518 | 0.509 | 0.018 | 0.130 | 0.001 | <0.001 | <0.001 | ||
| Boringness | rho | −0.171 | 0.002 | −0.079 | 0.021 | 0.187 | 0.179 | 0.420 |
| <0.001 | 0.972 | 0.069 | 0.632 | <0.001 | <0.001 | <0.001 |
Abbreviations: OEC = online exercise class, PA = physical activity and BMI = body mass index.