Barriers and facilitators to changes in adolescent physical activity during COVID-19.
Barriers and facilitators to changes in adolescent physical activity during COVID-19.
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DOI：
10.1136/bmjsem-2020-000919
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发表时间：
2020
影响因子：
4.8
通讯作者：
Woods C
中科院分区：
文献类型：
--
作者：
Ng K;Cooper J;McHale F;Clifford J;Woods C
COVID-19 限制减少了青少年进行体育活动 (PA) 的机会。本研究的目的是研究青少年体力活动在学校停课期间如何变化，确定封锁期间这些变化的主要障碍和促进因素，并利用这些信息来了解如何积极管理未来的危机情况，以防止身体活动不足。爱尔兰青少年（N=1214；年龄 12-18 岁）于 2020 年 4 月参与了一项在线横断面研究，包括 PA 级别的项目、PA 的变化以及开放式格式变化的原因。数值分析是通过多个二元逻辑回归进行的，根据锁定期间 PA 的变化以及文本响应的开放编码的归纳分析进行分层。青少年表示，他们在封锁期间进行的 PA 减少了（50%）、没有变化（30%）或进行了更多 PA（20%）。进行较少 PA 的青少年更有可能超重 (OR=1.8，CI=1.2–2.7) 或肥胖 (OR=2.2，CI=1.2–4.0)，并且不太可能有强烈的 PA 习惯 (OR=0.4，CI=0.2–0.6)。被提及最多的 PA 障碍是冠状病毒、俱乐部训练取消和时间。进行更多 PA 的强烈关联包括在过去 7 天内至少参加 3 次力量训练（OR=1.7，CI=1.3–2.4）；促进者是更多的时间、冠状病毒和没有学校。 COVID-19 限制对于 PA 来说既是障碍也是机遇。家长、学校、公共卫生、社区和行业必须合作，防止危机时期缺乏身体活动，特别是对于弱势群体而言。
COVID-19 restrictions reduced adolescents’ opportunities for physical activity (PA). The purpose of this study was to examine how adolescent PA changed during school closures, to identify the key barriers and facilitators for these changes during lockdown and to use this information to understand how to manage future crises’ situations positively to prevent physical inactivity. Irish adolescents (N=1214; ages 12–18 years) participated in an online cross-sectional study during April 2020, including items on PA level, changes in PA and reasons for change in an open-ended format. Numeric analyses were through multiple binary logistic regressions, stratified by changes in PA during lockdown and inductive analysis of open coding of text responses. Adolescents reported they did less PA (50%), no change (30%) or did more PA during lockdown (20%). Adolescents who did less PA were more likely to be overweight (OR=1.8, CI=1.2–2.7) or obese (OR=2.2, CI=1.2–4.0) and less likely to have strong prior PA habits (OR=0.4, CI=0.2–0.6). The most cited barriers to PA were coronavirus, club training cancelled and time. Strong associations for doing more PA included participation in strengthening exercises at least three times in the past 7 days (OR=1.7, CI=1.3–2.4); facilitators were more time, coronavirus and no school. COVID-19 restrictions were both a barrier to and an opportunity for PA. Parents, schools, public health, communities and industries must collaborate to prevent physical inactivity at times of crisis, especially for vulnerable groups.