Division of Preventive and Sports Medicine, Institute of Occupational, Social and Environmental Medicine, Goethe-University Frankfurt, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany.
Department of Sports Medicine, Faculty for Psychology and Human Movement Science, Institute for Human Movement Science, University of Hamburg, Turmweg 2, 20148 Hamburg, Germany.
Int J Environ Res Public Health. 2021 Mar 3;18(5):2511. doi: 10.3390/ijerph18052511.
The spread of the COVID-19 virus was met by a strict lockdown in many countries around the world, with the closure of all physical activity (PA) facilities and limitations on moving around freely. The aim of the present online survey was to assess the effect of lockdown on physical activity in Italy. Physical activity was assessed using the European Health Interview Survey questionnaire. A total of 1500 datasets were analyzed. Differences between conditions were tested with a chi-based (χ) test for categorical variables, and with the Student's -test for paired data. A fixed effects binary logistic regression analysis was conducted to identify relevant predictor variables to explain the compliance with World Health Organisation (WHO) recommendations. We found a substantial decline in all physical activity measures. Mean differences in walking and cycling metabolic equivalent of task minutes per week (METmin/week), respectively, were 344.4 (95% confidence interval (95% CI): 306.6-382.2; 0.001) and 148.5 (95% CI: 123.6-173.5; < 0.001). Time spent in leisure time decreased from 160.8 to 112.6 min/week (mean difference 48.2; 95% CI: 40.4-56.0; < 0.001). Compliance with WHO recommendations decreased from 34.9% to 24.6% (chi (1, 3000) = 38.306, < 0.001, V = 0.11). Logistic regression showed a reduced chance (OR 0.640, 95% CI: 0.484-0.845; = 0.001) to comply with WHO PA recommendations under lockdown conditions. Measures to promote physical activity should be intensified to limit detrimental health effects.
新冠病毒在全球范围内的传播促使许多国家实施了严格的封锁措施，关闭了所有体育活动设施，并限制了人们的自由流动。本在线调查旨在评估封锁对意大利体育活动的影响。体育活动使用欧洲健康访谈调查问卷进行评估。共分析了 1500 个数据集。使用基于卡方（χ）检验的分类变量检验条件之间的差异，使用学生 t 检验检验配对数据。进行固定效应二项逻辑回归分析，以确定相关预测变量，以解释对世界卫生组织（WHO）建议的遵守情况。我们发现所有体育活动措施都大幅下降。每周步行和骑自行车代谢当量任务分钟（METmin/week）的平均差异分别为 344.4（95%置信区间（95%CI）：306.6-382.2； 0.001）和 148.5（95%CI：123.6-173.5； < 0.001）。休闲时间减少了 48.2 分钟/周，从 160.8 分钟/周降至 112.6 分钟/周（平均差异 48.2；95%CI：40.4-56.0； < 0.001）。符合 WHO 建议的比例从 34.9%降至 24.6%（卡方（1，3000）= 38.306， < 0.001，V = 0.11）。逻辑回归显示，在封锁条件下，遵守 WHO 体育活动建议的可能性降低（OR 0.640，95%CI：0.484-0.845； = 0.001）。应加强促进体育活动的措施，以限制对健康的不利影响。
