The impact of COVID-19 movement restrictions on physical activity in a low-income semi-rural population in Malaysia: A longitudinal study.

The impact of COVID-19 movement restrictions on physical activity in a low-income semi-rural population in Malaysia: A longitudinal study.
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DOI:
10.7189/jogh.11.05029
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发表时间:
2021
影响因子:
7.2
通讯作者:
Johnson L
Johnson L
中科院分区:
医学2区
文献类型:
--
作者:
Salway R;Su TT;Ismail R;Glynis Armstrong ME;Foster C;Johnson L

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2019冠状病毒病大流行促使全球各国限制行动,影响身体活动(PA),这是一个主要的非传染性疾病风险因素,因此可能会对健康造成无意的长期影响。在中低收入国家的半农村地区,职业活动是PA的主要来源,与COVID-19限制相关的PA变化尚不清楚。我们调查了马来西亚半农村地区的移动控制令(MCO)限制的影响。东南亚共同体观察站是一个充满活力的前瞻性社区群组。我们联系了随机抽样的1007名成年人(18岁以上),他们曾在2018年提供过PA数据。我们在MCO期间(2020年3月至5月)和采访时(2020年6月)询问了有关PA的问题。在MCO期间,与2018年相比,PA平均每周减少6.7小时(95%置信区间(CI)= 5.3,8.0),其中就业人员减少最多。到6月,PA比2018年减少了3.4小时/周(95% CI = 2.0,4.8),导致34%的成年人目前不活跃(2018年为20%)。职业PA的减少并没有被积极的旅行或在家活动所取代。尽管观察到这些减少,但大多数参与者并不认为MCO影响了他们的PA。行动限制与持续到严格限制期之后的PA较低有关; PA的这种长期减少可能对健康产生不利影响。未来的MCO应该鼓励人们积极参与,但可能还需要针对那些不一定意识到自己处于危险之中的人提供有针对性的信息。特别是,较富裕国家制定的政策可能不容易转化为中低收入国家的政策。
The COVID-19 pandemic prompted movement restrictions in countries worldwide, impacting on physical activity (PA), a major non-communicable disease risk factor, and thus may have unintentional long-term health implications. In semi-rural areas of low-middle-income-countries (LMICs), where occupational activity is the main source of PA, changes in PA associated with COVID-19 restrictions are unknown. We investigated the impact of Movement Control Order (MCO) restrictions in a semi-rural region of Malaysia. The South East Asia Community Observatory (SEACO) is a dynamic prospective community cohort. We contacted a random sample of 1007 adults (18+) who had previously provided PA data in 2018. We asked about PA during the MCO (March-May 2020) and at the time of interview (June 2020). During the MCO, PA reduced by a mean of 6.7 hours/week (95% confidence interval (CI) = 5.3, 8.0) compared to 2018, with the largest reductions among those in employment. By June, PA was 3.4 hours/week (95% CI = 2.0, 4.8) less than 2018, leaving 34% of adults currently inactive (20% in 2018). Reductions in occupational PA were not replaced with active travel or activity at home. Despite these observed reductions, most participants did not think the MCO had affected their PA. Movement restrictions are associated with lower PA lasting beyond the period of strict restrictions; such longer-term reductions in PA may have a detrimental impact on health. Future MCOs should encourage people to be active, but may additionally need targeted messaging for those who don’t necessarily realise they are at risk. In particular, policies developed in more affluent countries may not easily translate to LMICs.
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