Akwa Lady Gwendoline, Smith Lesley, Twiddy Maureen, Abt Grant, Garnett Claire, Oldham Melissa, Shahab Lion, Herbec Aleksandra
Faculty of Health Sciences, Institute of Clinical and Applied Health Research, University of Hull, Hull, United Kingdom.
Hull York Medical School, University of Hull and University of York, Hull, United Kingdom.
PLoS One. 2023 Oct 10;18(10):e0287199. doi: 10.1371/journal.pone.0287199. eCollection 2023.
The COVID-19 pandemic and attendant lockdowns have had a substantial negative effect on alcohol consumption and physical activity globally. Pre-pandemic evidence in the adult population suggests that higher levels of physical activity were associated with higher levels of drinking, but it is unclear how the pandemic may have affected this. Therefore, this study aims to assess the association between alcohol consumption and physical activity in a UK cohort established during the COVID-19 pandemic.
Analyses utilized data from the Health Behaviours during the COVID-19 pandemic (HEBECO) study involving 2,057 UK adults (≥18 years). Participants completed self-report measures of alcohol consumption [frequency, quantity, frequency of heavy episodic drinking (HED) and AUDIT-C score] and physical activity [moderate-vigorous physical activity (MVPA), frequency of muscle strengthening activity (MSA) and sedentary behaviour] between November 2020 and January 2021. Ordinal logistic regression models were conducted, adjusting for sociodemographic factors.
Fifteen percent of the sample reported abstinence from drinking. Overall, 23.4% of participants drank ≥4 times/week, 13.9% drank more than 6 units/single drinking occasion (HED), 7.5% reported HED daily/almost daily and 4.2% scored ≥11 on AUDIT-C. MSA 3 days/week compared with no MSA was significantly associated with higher odds of alcohol frequency [OR (95 CI%) = 1.41 (1.04-1.91)], quantity [OR (95 CI%) = 1.38 (1.02-1.87)], HED [OR (95 CI%) = 1.42 (1.05-1.94)] and possible dependence [OR (95 CI%) = 1.47 (1.05-2.06)]. The association of MVPA and sedentary behaviour with drinking measures was not significant (p>0.05).
In contrast with previous research, MSA rather than aerobic physical activity was associated with increased alcohol consumption during the COVID-19 pandemic. It is conceivable that during lockdown while drinking was used as a coping strategy, limited opportunities for aerobic exercise made MSA a more convenient form of physical activity. To guide public health interventions, more research is required to examine the temporal relationship between different forms of physical activity and alcohol consumption.
新冠疫情及其带来的封锁措施对全球酒精消费和身体活动产生了重大负面影响。疫情前针对成年人群的证据表明，较高水平的身体活动与较高水平的饮酒量相关，但尚不清楚疫情对此可能产生了怎样的影响。因此，本研究旨在评估在新冠疫情期间建立的一个英国队列中酒精消费与身体活动之间的关联。
分析使用了来自新冠疫情期间健康行为（HEBECO）研究的数据，该研究涉及2057名英国成年人（≥18岁）。参与者在2020年11月至2021年1月期间完成了关于酒精消费的自我报告测量[频率、数量、重度暴饮频率（HED）和酒精使用障碍识别测试简表（AUDIT-C）得分]以及身体活动[中等至剧烈身体活动（MVPA）、肌肉强化活动频率（MSA）和久坐行为]。进行了有序逻辑回归模型分析，并对社会人口学因素进行了调整。
15%的样本报告戒酒。总体而言，23.4%的参与者每周饮酒≥4次，13.9%的参与者单次饮酒超过6单位（HED），7.5%的参与者报告每天/几乎每天都有HED，4.2%的参与者AUDIT-C得分≥11。每周进行3天MSA与不进行MSA相比，与饮酒频率[比值比（95%置信区间）=1.41（1.04 - 1.91）]、饮酒量[比值比（95%置信区间）=1.38（1.02 - 1.87）]、HED[比值比（95%置信区间）=1.42（1.05 - 1.94）]以及可能的酒精依赖[比值比（95%置信区间）=1.47（1.05 - 2.06）]的较高几率显著相关。MVPA和久坐行为与饮酒测量指标之间的关联不显著（p>0.05）。
与先前的研究相反，在新冠疫情期间，与饮酒量增加相关的是MSA而非有氧运动。可以想象，在封锁期间，当饮酒被用作一种应对策略时，有氧运动的机会有限使得MSA成为一种更方便的身体活动形式。为了指导公共卫生干预措施，需要更多研究来考察不同形式的身体活动与酒精消费之间的时间关系。
