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Impact of risk for severe COVID-19 illness on physical activity during the pandemic

BACKGROUND: Precautions to mitigate spread of COVID-19 such as the closing of exercise facilities impacted physical activity behaviors. Varied risks for severe COVID-19 may have influenced participation in regular physical activity to maintain precautions. OBJECTIVE: Describe differences in the amou...

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Autores principales: Wierenga, Kelly L., Perkins, Susan M., Forster, Anna K., Alwine, Jennifer, Ofner, Susan, Mulkey, Malissa A., Hacker, Eileen Danaher, Pressler, Susan J., Moore, Scott Emory
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10165014/
https://www.ncbi.nlm.nih.gov/pubmed/37187106
http://dx.doi.org/10.1016/j.hrtlng.2023.05.002
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author Wierenga, Kelly L.
Perkins, Susan M.
Forster, Anna K.
Alwine, Jennifer
Ofner, Susan
Mulkey, Malissa A.
Hacker, Eileen Danaher
Pressler, Susan J.
Moore, Scott Emory
author_facet Wierenga, Kelly L.
Perkins, Susan M.
Forster, Anna K.
Alwine, Jennifer
Ofner, Susan
Mulkey, Malissa A.
Hacker, Eileen Danaher
Pressler, Susan J.
Moore, Scott Emory
author_sort Wierenga, Kelly L.
collection PubMed
description BACKGROUND: Precautions to mitigate spread of COVID-19 such as the closing of exercise facilities impacted physical activity behaviors. Varied risks for severe COVID-19 may have influenced participation in regular physical activity to maintain precautions. OBJECTIVE: Describe differences in the amount and intensity of physical activity between adults at high versus low risk for severe COVID-19 illness during the pandemic. We hypothesized that over 13 months, 1) high-risk adults would have greater odds of inactivity than low-risk adults, and 2) when active, high-risk adults would have lower metabolic equivalent of task minutes (MET-min) than low-risk adults. METHODS: This longitudinal observational cohort study surveyed U.S. adults’ demographics, health history, and physical activity beginning March 2020 using REDCap. Using self-report, health history was assessed with a modified Charlson Comorbidity Index and physical activity with the International Physical Activity Questionnaire. Repeated physical activity measurements were conducted in June, July, October, and December of 2020, and in April of 2021. Two models, a logistic model evaluating physical inactivity (hypothesis 1) and a gamma model evaluating total MET-min for physically active individuals (hypothesis 2), were used. Models were controlled for age, gender, and race. RESULTS: The final sample consisted of 640 participants (mean age 42.7 ± 15.7, 78% women, 90% white), with n = 175 categorized as high-risk and n = 465 as low-risk. The odds of inactivity for the high-risk adults were 2.8 to 4.1 times as high than for low-risk adults at baseline and 13 months. Active high-risk adults had lower MET-min levels than low-risk adults in March (28%, p = 0.001), June (29%, p = 0.002), and July of 2020 (30%, p = 0.005) only. CONCLUSIONS: Adults at high risk of severe COVID-19 illness were disproportionately more likely to be physically inactive and exhibit lower MET-min levels than adults at low risk during the early months of the COVID-19 pandemic.
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spelling pubmed-101650142023-05-08 Impact of risk for severe COVID-19 illness on physical activity during the pandemic Wierenga, Kelly L. Perkins, Susan M. Forster, Anna K. Alwine, Jennifer Ofner, Susan Mulkey, Malissa A. Hacker, Eileen Danaher Pressler, Susan J. Moore, Scott Emory Heart Lung Article BACKGROUND: Precautions to mitigate spread of COVID-19 such as the closing of exercise facilities impacted physical activity behaviors. Varied risks for severe COVID-19 may have influenced participation in regular physical activity to maintain precautions. OBJECTIVE: Describe differences in the amount and intensity of physical activity between adults at high versus low risk for severe COVID-19 illness during the pandemic. We hypothesized that over 13 months, 1) high-risk adults would have greater odds of inactivity than low-risk adults, and 2) when active, high-risk adults would have lower metabolic equivalent of task minutes (MET-min) than low-risk adults. METHODS: This longitudinal observational cohort study surveyed U.S. adults’ demographics, health history, and physical activity beginning March 2020 using REDCap. Using self-report, health history was assessed with a modified Charlson Comorbidity Index and physical activity with the International Physical Activity Questionnaire. Repeated physical activity measurements were conducted in June, July, October, and December of 2020, and in April of 2021. Two models, a logistic model evaluating physical inactivity (hypothesis 1) and a gamma model evaluating total MET-min for physically active individuals (hypothesis 2), were used. Models were controlled for age, gender, and race. RESULTS: The final sample consisted of 640 participants (mean age 42.7 ± 15.7, 78% women, 90% white), with n = 175 categorized as high-risk and n = 465 as low-risk. The odds of inactivity for the high-risk adults were 2.8 to 4.1 times as high than for low-risk adults at baseline and 13 months. Active high-risk adults had lower MET-min levels than low-risk adults in March (28%, p = 0.001), June (29%, p = 0.002), and July of 2020 (30%, p = 0.005) only. CONCLUSIONS: Adults at high risk of severe COVID-19 illness were disproportionately more likely to be physically inactive and exhibit lower MET-min levels than adults at low risk during the early months of the COVID-19 pandemic. Elsevier Inc. 2023 2023-05-08 /pmc/articles/PMC10165014/ /pubmed/37187106 http://dx.doi.org/10.1016/j.hrtlng.2023.05.002 Text en © 2023 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Wierenga, Kelly L.
Perkins, Susan M.
Forster, Anna K.
Alwine, Jennifer
Ofner, Susan
Mulkey, Malissa A.
Hacker, Eileen Danaher
Pressler, Susan J.
Moore, Scott Emory
Impact of risk for severe COVID-19 illness on physical activity during the pandemic
title Impact of risk for severe COVID-19 illness on physical activity during the pandemic
title_full Impact of risk for severe COVID-19 illness on physical activity during the pandemic
title_fullStr Impact of risk for severe COVID-19 illness on physical activity during the pandemic
title_full_unstemmed Impact of risk for severe COVID-19 illness on physical activity during the pandemic
title_short Impact of risk for severe COVID-19 illness on physical activity during the pandemic
title_sort impact of risk for severe covid-19 illness on physical activity during the pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10165014/
https://www.ncbi.nlm.nih.gov/pubmed/37187106
http://dx.doi.org/10.1016/j.hrtlng.2023.05.002
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