Department of Medicine, Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA 94305, USA.
University of Nebraska Medical Center, College of Medicine, Omaha, NE 68198, USA.
Transl Behav Med. 2021 Dec 14;11(12):2155-2163. doi: 10.1093/tbm/ibab122.
Sheltering-in-place, social distancing, and other strategies to minimize COVID-19 transmission may impact physical activity (PA) and well-being in older adults. To assess self-reported PA changes, well-being, and priorities of older women across the USA early in the COVID-19 pandemic. In May 2020, a 10-question survey was emailed to 5,822 women, aged over 70 years, who had been assigned to the Women's Health Initiative (WHI) Strong and Healthy (WHISH) trial PA intervention and had provided email addresses. The survey assessed general and physical well-being, current priorities, and PA levels before and during the COVID-19 pandemic. Demographic and physical function data were collected previously. Descriptive analyses characterized participants' priorities and PA changes from before the pandemic to the time of data collection during the pandemic. Differences in PA change by age, physical function, and geographic region were assessed by Kruskal-Wallis and post hoc Dunn tests. Among 2,876 survey respondents, 89% perceived their general well-being as good, very good, or excellent, despite 90% reporting at least moderate (to extreme) concern about the pandemic, with 18.2% reporting increased PA levels, 27.1% reporting no changes, and 54.7% reporting decreased PA levels. Top priorities "in the midst of the COVID-19 outbreak" were staying in touch with family/friends (21%) and taking care of one's body (20%). Among priorities related to physical well-being, staying active was selected most frequently (33%). Support for maintaining PA in older populations should be a priority during a pandemic and similarly disruptive events.
就地避难、社交隔离和其他最小化 COVID-19 传播的策略可能会影响老年人的身体活动（PA）和健康。为了评估 COVID-19 大流行早期美国老年女性的自我报告 PA 变化、健康状况和优先事项。在 2020 年 5 月，一项包含 10 个问题的调查通过电子邮件发送给了 5822 名年龄在 70 岁以上的女性，这些女性曾被分配到妇女健康倡议（WHI）的强壮和健康（WHISH）试验 PA 干预组，并提供了电子邮件地址。该调查评估了一般和身体健康状况、当前优先事项以及 COVID-19 大流行前和期间的 PA 水平。此前收集了人口统计学和身体功能数据。描述性分析描述了参与者在大流行前和大流行期间数据收集时的优先事项和 PA 变化。通过 Kruskal-Wallis 和事后 Dunn 检验评估了 PA 变化与年龄、身体功能和地理位置的差异。在 2876 名调查受访者中，尽管 90%的人报告对大流行至少有中度（到极度）的担忧，但 89%的人认为他们的一般健康状况良好、非常好或极佳，其中 18.2%报告 PA 水平增加，27.1%报告没有变化，54.7%报告 PA 水平下降。“在 COVID-19 爆发期间”的首要任务是与家人/朋友保持联系（21%）和照顾好自己的身体（20%）。在与身体健康相关的优先事项中，保持活跃是最常被选择的（33%）。在大流行和类似的破坏性事件期间，应优先考虑支持老年人保持 PA。
