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The impact of the COVID-19 pandemic on physical activity and sleep among healthy adults: a systematic review and meta-analysis

BACKGROUND: The COVID-19 pandemic has had a significant impact on physical and mental health, while physical activity and sleep are two important indicators of the impact that have been explored in recent studies. However, the results of studies with different measurement methods and populations wit...

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Autores principales: Cui, Dandan, Zhang, Xiangning, Guo, Jianwei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10344672/
https://www.ncbi.nlm.nih.gov/pubmed/37457076
http://dx.doi.org/10.3389/fpsyg.2023.1149215
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author Cui, Dandan
Zhang, Xiangning
Guo, Jianwei
author_facet Cui, Dandan
Zhang, Xiangning
Guo, Jianwei
author_sort Cui, Dandan
collection PubMed
description BACKGROUND: The COVID-19 pandemic has had a significant impact on physical and mental health, while physical activity and sleep are two important indicators of the impact that have been explored in recent studies. However, the results of studies with different measurement methods and populations with different levels of physical activity have been diverse in that physical activity and sleep are affected by the COVID-19 pandemic in some studies but not in others. Our study aimed to investigate the impact of the COVID-19 pandemic on physical activity and sleep and the role of measurement methods and populations on results. METHODS: PubMed, Web of Science, and CNKI databases were used to search for related studies systematically. Study characteristics and data on physical activity and sleep were collected and analyzed from each included study. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were used to estimate pooled effect sizes. RESULTS: A total of 13 articles were included in the systematic review, 11 of which were included in the meta-analysis. We found that moderate-to-vigorous physical activity (MVPA) time was 0.33 (95% CI 0.07 to 0.59) and sleep quality was 0.37 (95% CI 0.21 to 0.53) decreased, while sleep duration was −0.24 (95% CI −0.28 to −0.20) increased during the lockdown; overall physical activity time had no significant difference (p = 0.07) during the lockdown. The “wearables” subgroup had no heterogeneity (p = 0.89, I(2) = 0) in sleep duration, while MVPA time measured by subjective scales was not significantly changed. The “elite athletes” subgroup had lower heterogeneity (p = 0.69, I(2) = 0) in sleep duration than general adults, while the results of sleep quality for population subgroups were significant and there was no heterogeneity within either. CONCLUSION: The COVID-19 pandemic had a significant impact on MVPA time, sleep duration, and sleep quality, instead of overall physical activity time among healthy adults. The results of MVPA time and sleep duration were greatly influenced by the measurement methods, and sleep behavior differed among populations with varying physical activity levels. Thus, when researching physical activity, especially MVPA time, should consider measurement methods, and more attention should be given to differences in populations when researching sleep behavior.
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spelling pubmed-103446722023-07-14 The impact of the COVID-19 pandemic on physical activity and sleep among healthy adults: a systematic review and meta-analysis Cui, Dandan Zhang, Xiangning Guo, Jianwei Front Psychol Psychology BACKGROUND: The COVID-19 pandemic has had a significant impact on physical and mental health, while physical activity and sleep are two important indicators of the impact that have been explored in recent studies. However, the results of studies with different measurement methods and populations with different levels of physical activity have been diverse in that physical activity and sleep are affected by the COVID-19 pandemic in some studies but not in others. Our study aimed to investigate the impact of the COVID-19 pandemic on physical activity and sleep and the role of measurement methods and populations on results. METHODS: PubMed, Web of Science, and CNKI databases were used to search for related studies systematically. Study characteristics and data on physical activity and sleep were collected and analyzed from each included study. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were used to estimate pooled effect sizes. RESULTS: A total of 13 articles were included in the systematic review, 11 of which were included in the meta-analysis. We found that moderate-to-vigorous physical activity (MVPA) time was 0.33 (95% CI 0.07 to 0.59) and sleep quality was 0.37 (95% CI 0.21 to 0.53) decreased, while sleep duration was −0.24 (95% CI −0.28 to −0.20) increased during the lockdown; overall physical activity time had no significant difference (p = 0.07) during the lockdown. The “wearables” subgroup had no heterogeneity (p = 0.89, I(2) = 0) in sleep duration, while MVPA time measured by subjective scales was not significantly changed. The “elite athletes” subgroup had lower heterogeneity (p = 0.69, I(2) = 0) in sleep duration than general adults, while the results of sleep quality for population subgroups were significant and there was no heterogeneity within either. CONCLUSION: The COVID-19 pandemic had a significant impact on MVPA time, sleep duration, and sleep quality, instead of overall physical activity time among healthy adults. The results of MVPA time and sleep duration were greatly influenced by the measurement methods, and sleep behavior differed among populations with varying physical activity levels. Thus, when researching physical activity, especially MVPA time, should consider measurement methods, and more attention should be given to differences in populations when researching sleep behavior. Frontiers Media S.A. 2023-06-29 /pmc/articles/PMC10344672/ /pubmed/37457076 http://dx.doi.org/10.3389/fpsyg.2023.1149215 Text en Copyright © 2023 Cui, Zhang and Guo. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Cui, Dandan
Zhang, Xiangning
Guo, Jianwei
The impact of the COVID-19 pandemic on physical activity and sleep among healthy adults: a systematic review and meta-analysis
title The impact of the COVID-19 pandemic on physical activity and sleep among healthy adults: a systematic review and meta-analysis
title_full The impact of the COVID-19 pandemic on physical activity and sleep among healthy adults: a systematic review and meta-analysis
title_fullStr The impact of the COVID-19 pandemic on physical activity and sleep among healthy adults: a systematic review and meta-analysis
title_full_unstemmed The impact of the COVID-19 pandemic on physical activity and sleep among healthy adults: a systematic review and meta-analysis
title_short The impact of the COVID-19 pandemic on physical activity and sleep among healthy adults: a systematic review and meta-analysis
title_sort impact of the covid-19 pandemic on physical activity and sleep among healthy adults: a systematic review and meta-analysis
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10344672/
https://www.ncbi.nlm.nih.gov/pubmed/37457076
http://dx.doi.org/10.3389/fpsyg.2023.1149215
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