Differential Effects of a Global Public Health Crisis on Physical Activity: Evidence From a Statewide Survey From the United States.
Differential Effects of a Global Public Health Crisis on Physical Activity: Evidence From a Statewide Survey From the United States.
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DOI：
10.1177/19375867221107087
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发表时间：
2022-10
影响因子：
2.2
通讯作者：
Lee, Chanam
中科院分区：
文献类型：
--
作者：
Towne, Samuel D., Jr.;Xu, Minjie;Zhu, Xuemei;Ory, Marcia G.;Lee, Sungmin;Lee, Chanam
我们的目的是确定与大流行之前相比，COVID-19 封锁如何影响身体活动的变化，包括长期持续变化的可能性。众所周知，体育活动在整体健康中的重要作用受到周围环境（例如邻居）的影响，这促使人们对体育活动及其与大流行时间线内个人层面和社区层面因素的关系进行了研究。一项全州范围的在线调查使用负二项式模型评估了成年人自我报告的每周中度至剧烈体力活动分钟数 (MVPA)，与大流行之前和大流行期间（广泛接种疫苗之前）的典型一周进行比较。总体而言，大流行期间 MVPA 有所下降，尽管下降的主要原因是社区以外的 MVPA 减少。相比之下，在社区内完成的 MVPA 随着时间的推移而增加。社区内 MVPA 的这种变化在多个特征上并不统一，包括收入水平有利于那些收入最高的人 (p < .05)，而种族/民族有利于那些自我报告为非西班牙裔白人的人 (p < .05)。虽然包括较高步行分数在内的几个因素与较高的 MVPA 水平相关，但没有证据表明随着时间的推移而发生变化，但有证据表明，健康的社会和结构性决定因素的其他关键指标（包括收入和种族/民族）随着时间的推移存在不同影响。这项研究可以补充现有的文献，不仅涉及 COVID-19，还涉及社区建立的环境研究，旨在确定与 MVPA 变化相关的因素，MVPA 是整体健康和健康相关结果的已知指标。
We aimed to identify how the COVID-19 lockdown affected changes, including the potential for longer term sustained changes, in physical activity, as compared to immediately prior to the pandemic. Physical activity’s significant role in overall health is known to be influenced by the surrounding environment, such as one’s neighborhood, prompting this study of physical activity and its relationship with individual-level and neighborhood-level factors within the pandemic timeline. A statewide online survey assessed adults’ self-reported weekly minutes of moderate-to-vigorous physical activity (MVPA) comparing a typical week immediately prior to the pandemic and during the pandemic (prewidespread vaccination) using negative binomial models. Overall, MVPA decreased during the pandemic, though the decrease was driven largely by the reduction in MVPA outside one’s neighborhood. In contrast, MVPA done within one’s neighborhood increased over time. This change in MVPA done within one’s neighborhood was not uniform across several characteristics including income level favoring those with the highest income (p < .05) and race/ethnicity favoring those self-reporting as non-Hispanic White (p < .05). While several factors, including higher Walk Scores, were associated with higher levels of MVPA without evidence of change over time, evidence of a differential effect over time was seen for other key indicators of social and structural determinants of health including income and race/ethnicity. This study can add to the existing literature surrounding not only COVID-19 but also neighborhood built environmental research seeking to identify factors associated with changes in MVPA, a known indicator of overall health and health-related outcomes.
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影响因子：
4.1
作者：
Ory MG;Towne SD Jr;Won J;Forjuoh SN;Lee C
通讯作者：
Lee C
影响因子：
2.8
作者：
Dunton GF;Wang SD;Do B;Courtney J
通讯作者：
Courtney J
DOI：
10.3390/ijerph17186469
发表时间：
2020-09-05
影响因子：
--
作者：
Meyer J;McDowell C;Lansing J;Brower C;Smith L;Tully M;Herring M
通讯作者：
Herring M
影响因子：
33.9
作者：
Moreland, Amanda;Herlihy, Christine;Baldwin, Grant
通讯作者：
Baldwin, Grant
影响因子：
18.4
作者：
Carr LJ;Dunsiger SI;Marcus BH
通讯作者：
Marcus BH