COVID transmission-related concerns impact on physical activity behavior: data from the iCare study.
DOI:
https://doi.org/10.12820/rbafs.30e0382Keywords:
Physical activity, COVID-19, Pandemic, Health behaviorsAbstract
Objective: We explored the relationship between COVID-19 transmission-related concerns and reduced physical activity during COVID (RPAC). Methods: We analyzed data from 2,543 participants across Argentina, Brazil, Colombia, Canada, and the USA with at least 200 participants per country. The two primary concerns assessed were: a) fear of being infected, and 2) concern about personal health if infected. Participants were asked to report changes in their physical activity (PA) behavior since COVID-19 pandemic started. Results: The sample was predominantly female (75.7%), with 66.9% aged between 30-64 years. The prevalence of participants who reported RPAC remained stable in South American countries but increased in Canada (+7.8 percentage points [p.p.]; p = 0.001) and decreased in the USA (-9.7 pp; p = 0.003). Concerns about personal health were significantly associated with RPAC in South America (PR = 1.47; 95% CI: 1.09; 1.97), while no association was found in North America. Notably, participants from Colombia (PR = 1.90; 95% CI: 1.09; 3.31), and the USA (PR = 1.48; 95% CI: 1.01; 2.17) were more likely to report RPAC due to COVID-19 concerns. Conclusion: While participants reduced their PA behavior in South American countries and Canada during the first 15 months of the pandemic, COVID 19-related concerns stayed high. In contrast in the USA less participants reported RPAC, as concerns decreased, suggesting a shift in PA behavior as COVID-19-related concerns lessened.
Downloads
References
Helsingen LM, Refsum E, Gjøstein DK, Løberg M, Bretthauer M, Kalager M, et al. The COVID-19 pandemic in Norway and Sweden - threats, trust, and impact on daily life: a comparative survey. BMC Public Health. 2020;20(1):1597. DOI: https://doi.org/10.1186/s12889-020-09615-3
Tull M, Edmonds K, Scamaldo K, Richmond J, Rose J, Gratz K. Psychological Outcomes Associated with Stay-at-Home Orders and the Perceived Impact of COVID-19 on Daily Life. Psychiatry Res. 2020;289(113098). DOI: https://doi.org/10.1016/j.psychres.2020.113098
de Almeida S, Costa E, Lopes F, Santos J, Barros P. Concerns and adjustments: How the Portuguese population met COVID-19. PLoS One. 2020;15(10). DOI: https://doi.org/10.1371/journal.pone.0240500
Leão T, Amorim M, Fraga S, Barros H. What doubts, concerns and fears about COVID-19 emerged during the first wave of the pandemic? Patient Educ Couns. 2021;104(2):235–41. DOI: https://doi.org/10.1016/j.pec.2020.11.002
Torales J, O’Higgins M, Castaldelli-Maia J, Ventriglio A. The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Soc Psychiatry. 2020;66(4):317–20. DOI: https://doi.org/10.1177/0020764020915212
Robinson E, Boyland E, Chisholm A, Harrold J, Maloney N, Marty L, et al. Obesity, eating behavior and physical activity during COVID-19 lockdown: A study of UK adults. Appetite. 2021;156. DOI: https://doi.org/10.1016/j.appet.2020.104853
Meyer J, McDowell C, Lansing J, Brower C, Smith L, Tully M, et al. Changes in Physical Activity and Sedentary Behavior in Response to COVID-19 and Their Associations with Mental Health in 3052 US Adults. Int J Environ Res Public Health. 2020;17(18):1–13. DOI: https://doi.org/10.3390/ijerph17186469
Yen HY, Li C. Determinants of physical activity: A path model based on an ecological model of active living. PLoS One. 2019;14(7):e0220314. DOI: https://doi.org/10.1371/journal.pone.0220314
Barrett EM, Wyse J, Forde C. Did physical activity and associated barriers change during COVID-19 restrictions in Ireland? Repeated cross-sectional study. Health Promot Int. 2022;37(4). DOI: https://doi.org/10.1093/heapro/daac127
Shigemura J, Ursano R, Morganstein J, Kurosawa M, Benedek D. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry Clin Neurosci. 2020;74(4):281–2. DOI: https://doi.org/10.1111/pcn.12988
Matos R, Amaro N, Antunes R, Rosa M. Portuguese adults’ concerns on the return to indoor sports practice after confinement due to COVID-19 pandemic - mitigation strategies proposals. Rev Psicol Deporte. 2022;21(2):227–41. DOI: https://doi.org/10.6018/cpd.435751
Caputo EL, Reichert FF. Studies of Physical Activity and COVID-19 during the Pandemic: A Scoping Review. J Phys Act Health. 2020;17(12):1275-84.
Lear S, Hu W, Rangarajan S, Gasevic D, Leong D, Iqbal R, et al. The effect of physical activity on mortality and cardiovascular disease in 130 000 people from 17 high-income, middle-income, and low-income countries: the PURE study. Lancet. 2017;390(10113):2643–54. DOI: https://doi.org/10.1016/S0140-6736(17)31634-3
Caputo EL, Feter N, Doring IR, Leite JS, Cassuriaga J, Rombaldi AJ, et al. How has COVID-19 social distancing impacted physical activity patterns? Data from the PAMPA cohort, Brazil. J Exerc Sci Fit. 2021;19(4):252–8. DOI: https://doi.org/10.1016/j.jesf.2021.09.001
Lesser IA, Nienhuis CP. The Impact of COVID-19 on Physical Activity Behavior and Well-Being of Canadians. Int J Environ Res Public Health. 2020;17(11):3899. DOI: https://doi.org/10.3390/ijerph17113899
Giustino V, Parroco AM, Gennaro A, Musumeci G, Palma A, Battaglia G. Physical Activity Levels and Related Energy Expenditure during COVID-19 Quarantine among the Sicilian Active Population: A Cross-Sectional Online Survey Study. Sustainability. 2020;12(11):4356. DOI: https://doi.org/10.3390/su12114356
Feter N, Caputo EL, Delpino FM, Leite JS, da Silva LS, de Almeida Paz I, et al. Physical activity and long COVID: findings from the Prospective Study About Mental and Physical Health in Adults cohort. Public Health. 2023;220:148–54. DOI: https://doi.org/10.1016/j.puhe.2023.05.011
Jimeno-Almazán A, Martínez-Cava A, Buendía-Romero Á, Franco-López F, Sánchez-Agar JA, Sánchez-Alcaraz BJ, et al. Relationship between the severity of persistent symptoms, physical fitness, and cardiopulmonary function in post-COVID-19 condition: a population-based analysis. Intern Emerg Med. 2022;17(8):2199–208. DOI: https://doi.org/10.1007/s11739-022-03039-0
Deslauriers F, Gosselin-Boucher V, Léger C, Vieira AM, Bacon SL, Lavoie KL. The impact of COVID-19 on the lives of Canadians with and without non-communicable chronic diseases: results from the iCARE Study. BMC Public Health. 2023;23(1). DOI: https://doi.org/10.1186/s12889-023-15658-z
O’Connor S, Bélanger-Gravel A. Social determinants of long-term reported changes in physical activity and healthy eating during the COVID-19 pandemic in Canada: multiple cross-sectional surveys analysis from the iCARE study. Appl Physiol Nutr Metab. 2024;49(2):179–89. DOI: https://doi.org/10.1139/apnm-2023-0206
Stojanovic J, Raparelli V, Boccia S, Bacon SL, Lavoie KL. Public perceptions and behavioural responses to the first COVID-19 pandemic wave in Italy: results from the iCARE study. Eur J Public Health. 2021;31(6):1270–7. DOI: https://doi.org/10.1093/eurpub/ckab147
Bacon SL, Lavoie KL, Boyle J, Stojanovic J, Joyal-Desmarais K. International assessment of the link between COVID-19 related attitudes, concerns and behaviours in relation to public health policies: optimising policy strategies to improve health, economic and quality of life outcomes (the iCARE Study). BMJ Open. 2021;11(3).
Bacon SL, Lavoie KL, Boyle J, Stojanovic J, Joyal-Desmarais K. International assessment of the link between COVID-19 related attitudes, concerns and behaviours in relation to public health policies: optimising policy strategies to improve health, economic and quality of life outcomes (the iCARE Study). BMJ Open. 2021;11(3):e046127. DOI: https://doi.org/10.1136/bmjopen-2020-046127
Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJF, Martin BW, et al. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380(9838):258-71. DOI: https://doi.org/10.1016/S0140-6736(12)60735-1
Caputo EL, Reichert FF. Studies of Physical Activity and COVID-19 during the Pandemic: A Scoping Review. J Phys Act Health. 2020;7(12):1275-84. DOI: https://doi.org/10.1123/jpah.2020-0406
Karageorghis C, Bird J, Hutchinson J, Hamer M, Delevoye-Turrell Y, Guérin S, et al. Physical activity and mental well-being under COVID-19 lockdown: a cross-sectional multination study. BMC Public Health. 2021;21(1). DOI: https://doi.org/10.1186/s12889-021-10931-5
Caputo EL, Feter N, Leite JS, Doring IR, Cassuriaga J, Delpino FM, et al. Physical activity trajectory in the first 10 months of the COVID-19 pandemic in Southern Brazil: a follow-up study. BMC Sports Sci Med Rehabil. 2022;14(1). DOI: https://doi.org/10.1186/s13102-022-00450-0
WHO. WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization. 2020; Available from: https://www.who.int/publications/i/item/9789240015128 [2020 Dec].
Our World in Data. Coronavirus Pandemic (COVID-19). Available from: https://ourworldindata.org/coronavirus#explore-the-global-situation [2022 Out].
Our World in Data. COVID-19: Stringency Index. Available from: https://ourworldindata.org/covid-stringency-index [2022 Dec].
Hale T, Angrist N, Goldszmidt R, Kira B, Petherick A, Phillips T, et al. A global panel database of pandemic policies (Oxford COVID-19 Government Response Tracker). Nat Hum Behav. 2021;5(4):529-38. DOI: https://doi.org/10.1038/s41562-021-01079-8
Farah BQ, do Prado WL, Malik N, Lofrano-Prado MC, de Melo PH, Botero JP, et al. Barriers to physical activity during the COVID-19 pandemic in adults: a cross-sectional study. Sport Sci Health. 2021;17(2):441-47. DOI: https://doi.org/10.1007/s11332-020-00724-5
Peng X, Su Y, Hu Z, Sun X, Li X, Dolansky M, et al. Home-based telehealth exercise training program in Chinese patients with heart failure: A randomized controlled trial. Medicine. 2018;97(35):e12069. DOI: https://doi.org/10.1097/MD.0000000000012069
Chen H, Tsai C, Wu Y, Lin K, Lin C. Randomised controlled trial on the effectiveness of home-based walking exercise on anxiety, depression and cancer-related symptoms in patients with lung cancer. Br J Cancer. 2015;112(3):438–45. DOI: https://doi.org/10.1038/bjc.2014.612
24-Hour Movement Guidelines. Canadian 24-Hour Movement Guidelines. Available from: https://csepguidelines.ca [2021 Nov].

Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Eduardo Lucia Caputo, Paula RIbeiro, Kim Lavoie, Felipe Reichert

This work is licensed under a Creative Commons Attribution 4.0 International License.
When submitting a manuscript to the Revista Brasileira de Atividade Física & Saúde, the authors retain the copyright to the article and authorize the Revista Brasileira de Atividade Física & Saúde to publish the manuscript under the Creative Commons Attribution 4.0 License and identify it as the original publication source.