Prospective changes in physical activity, sedentary time and sleep during the COVID-19 pandemic in a US-based cohort study

被引:13
作者
Rees-Punia, Erika [1 ]
Newton, Christina C. [1 ]
Rittase, Melissa H. [1 ]
Hodge, Rebecca A. [1 ]
Nielsen, Jannie [2 ,3 ]
Cunningham, Solveig [2 ]
Teras, Lauren R. [1 ]
Patel, Alpa [1 ]
机构
[1] Amer Canc Soc, Dept Populat Sci, Atlanta, GA 30329 USA
[2] Emory Univ, Rollins Sch Publ Hlth, Hubert Dept Global Hlth, Atlanta, GA USA
[3] Univ Copenhagen, Dept Publ Hlth, Global Hlth Sect, Copenhagen, Denmark
来源
BMJ OPEN | 2021年 / 11卷 / 12期
关键词
COVID-19; sleep medicine; preventive medicine; public health; MORTALITY; ASSOCIATION; METAANALYSIS; DURATION; BEHAVIOR; LOCKDOWN; CANCER; RISK;
D O I
10.1136/bmjopen-2021-053817
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives Assess differences in movement behaviours within the 24-hour cycle, including light intensity physical activity (LPA), moderate-to-vigorous physical activity (MVPA), sedentary time and sleep, before and during the COVID-19 pandemic and assess these differences stratified by several relevant factors in a subcohort of the Cancer Prevention Study-3. Design and setting US-based longitudinal cohort study (2018-August 2020). Participants N=1992 participants, of which 1304 (65.5%) are women, and 1512 (75.9%) are non-Latino white, with a mean age 57.0 (9.8) years. Measures Age, sex, race/ethnicity, education; self-reported LPA, MVPA, sedentary time and sleep duration collected before and during the pandemic; pandemic-related changes in work, childcare and living arrangement; COVID-19 health history. Results Compared to 2018, participants spent an additional 104 min/day sedentary, 61 fewer min/day in LPA and 43 fewer min/day in MVPA during the pandemic. Time spent sleeping was similar at the two time points. Differences in movement behaviours were more pronounced among men, those with a higher level of education, and those who were more active before the pandemic. Conclusions From 2018 to Summer 2020, during the COVID-19 pandemic, US adults have made significant shifts in daily time spent in LPA, MVPA and sedentary. There is an urgent need to promote more physical activity and less sedentary time during this public health crisis to avoid sustaining these patterns long-term.
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页数:7
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