Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina - Chapel Hill, NC, Chapel Hill, USA.
Lifestyle and Health Research Center, Health Science Research Center, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
BMC Public Health. 2023 Mar 27;23(1):572. doi: 10.1186/s12889-023-15422-3.
In Saudi Arabia, stay-at-home orders to address the coronavirus disease 2019 (COVID-19) pandemic between March 15 and 23, 2020 and eased on May 28, 2020. We conducted a scoping review to systematically describe physical activity and sedentary behavior in Saudi Arabia associated with the timing of the lockdown.
We searched six databases on December 13, 2021 for articles published in English or Arabic from 2018 to the search date. Studies must have reported data from Saudi Arabia for any age and measured physical activity or sedentary behavior.
Overall, 286 records were found; after excluding duplicates, 209 records were screened, and 19 studies were included in the review. Overall, 15 studies were cross-sectional, and 4 studies were prospective cohorts. Three studies included children and adolescents (age: 2-18 years), and 16 studies included adults (age: 15-99 years). Data collection periods were < = 5 months, with 17 studies collecting data in 2020 only, one study in 2020-2021, and one study in 2021. The median analytic sample size was 363 (interquartile range 262-640). Three studies of children/adolescents collected behaviors online at one time using parental reporting, with one also allowing self-reporting. All three studies found that physical activity was lower during and/or following the lockdown than before the lockdown. Two studies found screen time, television watching, and playing video games were higher during or following the lockdown than before the lockdown. Sixteen adult studies assessed physical activity, with 15 utilizing self-reporting and one using accelerometry. Physical activity, exercise, walking, and park visits were all lower during or following the lockdown than before the lockdown. Six adult studies assessed sedentary behavior using self-report. Sitting time (4 studies) and screen time (2 studies) were higher during or following the lockdown than before the lockdown.
Among children, adolescents, and adults, studies consistently indicated that in the short-term, physical activity decreased and sedentary behavior increased in conjunction with the movement restrictions. Given the widespread impact of the pandemic on other health behaviors, it would be important to continue tracking behaviors post-lockdown and identify subpopulations that may not have returned to their physical activity and sedentary behavior to pre-pandemic levels to focus on intervention efforts.
2020 年 3 月 15 日至 23 日，沙特阿拉伯为应对 2019 年冠状病毒病（COVID-19）大流行实施了居家令，并于 2020 年 5 月 28 日放宽了限制。我们进行了范围界定审查，以系统描述与封锁时间相关的沙特阿拉伯的体力活动和久坐行为。
我们于 2021 年 12 月 13 日在六个数据库中搜索了从 2018 年至搜索日期发表的英文或阿拉伯文的文章。研究必须报告了来自沙特阿拉伯的任何年龄的体力活动或久坐行为数据。
总共发现了 286 条记录；排除重复项后，筛选了 209 条记录，有 19 项研究纳入了综述。总体而言，15 项研究为横断面研究，4 项研究为前瞻性队列研究。有 3 项研究纳入了儿童和青少年（年龄：2-18 岁），16 项研究纳入了成年人（年龄：15-99 岁）。数据收集期为≤5 个月，其中 17 项研究仅在 2020 年收集数据，1 项研究在 2020-2021 年收集数据，1 项研究在 2021 年收集数据。中位数分析样本量为 363（四分位距 262-640）。3 项儿童/青少年研究在一次使用父母报告在线收集行为，其中一项也允许自我报告。所有三项研究均发现，体力活动在封锁期间和/或之后均低于封锁之前。两项研究发现，在封锁期间和/或之后，屏幕时间、看电视和玩电子游戏的时间均高于封锁之前。16 项成人研究评估了体力活动，其中 15 项使用自我报告，1 项使用加速度计。在封锁期间和/或之后，体力活动、锻炼、散步和去公园的次数均低于封锁之前。六项成人研究使用自我报告评估久坐行为。（4 项研究）和屏幕时间（2 项研究）在封锁期间和/或之后均高于封锁之前。
在儿童、青少年和成年人中，研究一致表明，在短期内，随着运动限制的增加，体力活动减少，久坐行为增加。鉴于大流行对其他健康行为的广泛影响，重要的是要继续追踪封锁后的行为，并确定可能尚未恢复到大流行前体力活动和久坐行为水平的亚人群，以便重点关注干预措施。
