新型冠状病毒肺炎疫情对泰国人口身体活动的影响：来自 2020 年泰国身体活动监测的证据。
The effects of the COVID-19 pandemic on the physical activity of the Thai population: Evidence from Thailand's Surveillance on Physical Activity 2020.
机构信息
Institute for Population and Social Research, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand; Thailand Physical Activity Knowledge Development Center (TPAK), Institute for Population and Social Research, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand.
Institute for Population and Social Research, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand; Thailand Physical Activity Knowledge Development Center (TPAK), Institute for Population and Social Research, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand.
出版信息
J Sport Health Sci. 2021 May;10(3):341-348. doi: 10.1016/j.jshs.2020.10.001. Epub 2020 Oct 9.
BACKGROUND
The coronavirus disease 2019 (COVID-19) pandemic has undoubtedly disrupted the physical activity (PA) of the Thai population. This study examined the effect of the COVID-19 pandemic on moderate-to-vigorous PA (MVPA) of Thai adults and assessed the effects of the national curfew policy and health-promotion campaigns on influencing PA during the pandemic.
METHODS
Thailand's Surveillance on Physical Activity (SPA) 2019 and 2020 datasets were employed to compare the PA level of Thai adults aged 18-64 years before and during the COVID-19 pandemic. Samples of 4460 respondents from SPA 2019 and 4482 respondents from SPA 2020 were included in the analysis. Global Physical Activity Questionnaires (Version 2.0), were used to measure PA in both periods. Sufficient MVPA for adults was defined based on the recommendation of 75 min of vigorous PA or a combination of 150 min of MVPA per week.
RESULTS
The proportion of Thai adults who had sufficient MVPA declined from 74.6% before the pandemic to 54.7% during the pandemic, and that decline was accompanied by a reduction in the cumulative minutes of MVPA from 580 min to 420 min. During the COVID-19 pandemic, male and middle-aged individuals were 1.3 times and 1.2 times more likely to have sufficient MVPA, respectively. Those who were unemployed, resided in an urban area, and/or had chronic disease(s) were 27%, 13%, and 27% less likely to meet the recommended level of PA during the pandemic, respectively. Those who were exposed to the Fit from Home campaign were 1.5 times more likely to have sufficient MVPA.
CONCLUSION
The pandemic measures imposed by the government have reduced the cumulative min of work-related PA, transportation PA, and recreational PA and have slowed Thailand's progress toward its PA goals. Although the Fit from Home campaign has probably contributed to a slight increase in MVPA, it will take some time for Thais to return to the pre-COVID-19 level of PA. Health promotion messages need to be continuously delivered to reduce irrational fear of infection and to boost the PA level of the Thai population as a health-promoting intervention.
背景
2019 年冠状病毒病（COVID-19）大流行无疑扰乱了泰国人口的身体活动（PA）。本研究调查了 COVID-19 大流行对泰国成年人中到剧烈身体活动（MVPA）的影响，并评估了全国宵禁政策和健康促进运动对大流行期间 PA 的影响。
方法
利用泰国身体活动监测（SPA）2019 年和 2020 年数据集，比较 COVID-19 大流行前后 18-64 岁泰国成年人的 PA 水平。分析包括 SPA 2019 年的 4460 名受访者和 SPA 2020 年的 4482 名受访者。在这两个时期，使用全球身体活动问卷（Version 2.0）测量 PA。将足够的 MVPA 定义为每周进行 75 分钟剧烈 PA 或 150 分钟的 MVPA 组合。
结果
在大流行之前，有足够 MVPA 的泰国成年人比例从 74.6%下降到 54.7%，同时 MVPA 的累计分钟数从 580 分钟减少到 420 分钟。在 COVID-19 大流行期间，男性和中年个体分别有 1.3 倍和 1.2 倍的可能性具有足够的 MVPA。失业、居住在城市地区和/或患有慢性病的个体在大流行期间达到 PA 推荐水平的可能性分别降低了 27%、13%和 27%。接触“居家健身”运动的个体有 1.5 倍的可能性具有足够的 MVPA。
结论
政府实施的大流行措施减少了与工作相关的 PA、交通 PA 和娱乐性 PA 的累计分钟数，减缓了泰国实现 PA 目标的进度。尽管“居家健身”运动可能导致 MVPA 略有增加，但泰国人需要一些时间才能恢复到 COVID-19 之前的 PA 水平。需要持续传递健康促进信息，以减少对感染的不合理恐惧，并促进泰国人口的 PA 水平，作为健康促进干预措施。
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