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Open Access 01-12-2021 | COVID-19 | Research article

The impact of COVID-19 lockdown on physical activity and weight gain among active adult population in Israel: a cross-sectional study

Authors: Horesh Dor-Haim, Sara Katzburg, Polla Revach, Hagai Levine, Sharon Barak

Published in: BMC Public Health | Issue 1/2021

Abstract

Background

The COVID-19 outbreak holds public health concerns. The stay-at-home increases sedentary behavior, with unintended adverse outcomes. Since organized recreation and sports facilities were closed, we aimed to study how the crisis of closure affected exercise habits and weight gain among the trainee population in Israel. We examined differences in weight gain among individuals with different PA activities and assessed their ability to adapt to digital media as an alternative training structure.

Methods

A cross-sectional survey consisted of a multiple-choice questionnaire obtained using a web-based survey application. Trainees (1202) who exercised steadily anonymously answered the questionnaire sent by their coaches regarding their activity and weight gain during lockdown times.

Results

Results confirmed that 70% of Israelis trained less than their usual routine, 60% used digital media for training, 55% gained weight. Half of the respondents gained more than 2 kg, with an average increase of 1.2 kg. However, those who exhibited a higher physical activity level gained less weight. Using digital media for training was associated with higher physical activity levels. The aged population was less likely to use digital media.

Conclusions

Since increased sedentary behavior could increase the risk for potential worsening of health conditions, health agencies should look for strategies, including digital remote media training to promote physical activity and subsequently, preventing the increased burden of future comorbidities worsening by a sedentary lifestyle.

Approval: by the Helsinki ethics committee of Sheba Medical Center (6504–19-SMC).

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TEAM WHO. Coronavirus disease 2019 (COVID-19) situation report – 37 2020: World Healh Organization; 2020.

Balanzá-Martínez V, Atienza-Carbonell B, Kapczinski F, De Boni RB. Lifestyle behaviours during the COVID-19 - time to connect. Acta Psychiatr Scand. 2020;141(5):399–400. https://doi.org/10.1111/acps.13177.CrossRefPubMedPubMedCentral

Vandelanotte C, Sugiyama T, Gardiner P, Owen N. Associations of leisure-time internet and computer use with overweight and obesity, physical activity and sedentary behaviors: cross-sectional study. J Med Internet Res. 2009;11(3):e28. https://doi.org/10.2196/jmir.1084.CrossRefPubMedPubMedCentral

Lippi G, Henry BM, Sanchis-Gomar F. Physical inactivity and cardiovascular disease at the time of coronavirus disease 2019 (COVID-19). Eur J Prev Cardiol. 2020;27(9):906–8. https://doi.org/10.1177/2047487320916823.CrossRefPubMedPubMedCentral

Bélair MA, Kohen DE, Kingsbury M, Colman I. Relationship between leisure time physical activity, sedentary behaviour and symptoms of depression and anxiety: evidence from a population-based sample of Canadian adolescents. BMJ Open. 2018;8(10):e021119. https://doi.org/10.1136/bmjopen-2017-021119.CrossRefPubMedPubMedCentral

Maier HE, Lopez R, Sanchez N, Ng S, Gresh L, Ojeda S, et al. Obesity increases the duration of influenza a virus shedding in adults. J Infect Dis. 2018;218(9):1378–82. https://doi.org/10.1093/infdis/jiy370.CrossRefPubMedPubMedCentral

Codella R, Luzi L, Inverardi L, Ricordi C. The anti-inflammatory effects of exercise in the syndromic thread of diabetes and autoimmunity. Eur Rev Med Pharmacol Sci. 2015;19(19):3709–22.PubMed

Krause Mda S, de Bittencourt PI Jr. Type 1 diabetes: can exercise impair the autoimmune event? The L-arginine/glutamine coupling hypothesis. Cell Biochem Funct. 2008;26(4):406–33. https://doi.org/10.1002/cbf.1470.CrossRefPubMed

Chen P, Mao L, Nassis GP, Harmer P, Ainsworth BE, Li F. Coronavirus disease (COVID-19): the need to maintain regular physical activity while taking precautions. J Sport Health Sci. 2020;9(2):103–4. https://doi.org/10.1016/j.jshs.2020.02.001.CrossRefPubMedPubMedCentral

10.

Nieman DC, Wentz LM. The compelling link between physical activity and the body's defense system. J Sport Health Sci. 2019;8(3):201–17. https://doi.org/10.1016/j.jshs.2018.09.009.CrossRefPubMed

11.

Warren KJ, Olson MM, Thompson NJ, Cahill ML, Wyatt TA, Yoon KJ, et al. Exercise improves host response to influenza viral infection in obese and non-obese mice through different mechanisms. PLoS One. 2015;10(6):e0129713. https://doi.org/10.1371/journal.pone.0129713.CrossRefPubMedPubMedCentral

12.

Luzi L, Radaelli MG. Influenza and obesity: its odd relationship and the lessons for COVID-19 pandemic. Acta Diabetol. 2020;57(6):759–64. https://doi.org/10.1007/s00592-020-01522-8.CrossRefPubMed

13.

González-Gross M, Meléndez A. Sedentarism, active lifestyle and sport: impact on health and obesity prevention. Nutr Hosp. 2013;28(Suppl 5):89–98.PubMed

14.

Anderson E, Durstine JL. Physical activity, exercise, and chronic diseases: a brief review. Sports Med Health Sci. 2019;1(1):3–10. https://doi.org/10.1016/j.smhs.2019.08.006.CrossRef

15.

Lippi G, Henry BM, Bovo C, Sanchis-Gomar F. Health risks and potential remedies during prolonged lockdowns for coronavirus disease 2019 (COVID-19). Diagnosis. 2020;7(2):85–90. https://doi.org/10.1515/dx-2020-0041.CrossRefPubMed

16.

team WHO. Global Strategy on Diet, Physical Activity and Health. On-Line: World Health Organization; 2011.

17.

Organization WH. Global action plan on physical activity 2018–2030: more active people for a healthier world: World Health Organization; 2018.

18.

Arena R, Myers J, Williams MA, Gulati M, Kligfield P, Balady GJ, et al. Assessment of functional capacity in clinical and research settings: a scientific statement from the American Heart Association Committee on exercise, rehabilitation, and prevention of the council on clinical cardiology and the council on cardiovascular nursing. Circulation. 2007;116(3):329–43. https://doi.org/10.1161/CIRCULATIONAHA.106.184461.CrossRefPubMed

19.

Israel National Health Interview Survey NHIS-3 2013–2015 [Online]. In: Israel MoHSo, editor. Jerusalem: Ministry of Health State of Israel; 2016.

20.

Kohl HW 3rd, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, et al. The pandemic of physical inactivity: global action for public health. Lancet. 2012;380(9838):294–305. https://doi.org/10.1016/S0140-6736(12)60898-8.CrossRefPubMed

21.

Bauman AE, Sallis JF, Dzewaltowski DA, Owen N. Toward a better understanding of the influences on physical activity: the role of determinants, correlates, causal variables, mediators, moderators, and confounders. Am J Prev Med. 2002;23(2):5–14. https://doi.org/10.1016/S0749-3797(02)00469-5.CrossRefPubMed

22.

Dishman RK, Sallis JF, Orenstein DR. The determinants of physical activity and exercise. Public Health Rep. 1985;100(2):158.PubMedPubMedCentral

23.

Rivera-Torres S, Fahey TD, Rivera MA. Adherence to exercise programs in older adults: informative report. Gerontol Geriatric Med. 2019;5:2333721418823604.CrossRef

24.

Jiménez-Pavón D, Carbonell-Baeza A, Lavie CJ. Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: special focus in older people. Prog Cardiovasc Dis. 2020;63(3):386–8. https://doi.org/10.1016/j.pcad.2020.03.009.CrossRefPubMedPubMedCentral

25.

Feng NC, Ryan E, Kidane M, Tusch ES, McFeeley BM, Carlsson R, et al. Feasibility of an at-home, web-based, interactive exercise program for older adults. Alzheimers Dement. 2019;5(1):825–33. https://doi.org/10.1016/j.trci.2019.10.005.CrossRef

26.

López-Bueno R, Calatayud J, Andersen LL, Balsalobre-Fernández C, Casaña J, Casajús JA, et al. Immediate impact of the COVID-19 confinement on physical activity levels in Spanish adults. Sustainability. 2020;12(14):5708. https://doi.org/10.3390/su12145708.CrossRef

27.

Hargreaves EA, Lee C, Jenkins M, Calverley JR, Hodge K, Houge MS. Changes in physical activity pre-, during and post-lockdown COVID-19 restrictions in New Zealand and the explanatory role of daily hassles. Front Psychol. 2021;12:410.CrossRef

28.

Robinson E, Boyland E, Chisholm A, Harrold J, Maloney NG, Marty L, et al. Obesity, eating behavior and physical activity during COVID-19 lockdown: a study of UK adults. Appetite. 2021;156:104853. https://doi.org/10.1016/j.appet.2020.104853.CrossRefPubMed

29.

Puccinelli PJ, da Costa TS, Seffrin A, de Lira CAB, Vancini RL, Nikolaidis PT, et al. Reduced level of physical activity during COVID-19 pandemic is associated with depression and anxiety levels: an internet-based survey. BMC Public Health. 2021;21(1):1–11.CrossRef

30.

Myers RH, Myers RH. Classical and modern regression with applications. Belmont: Duxbury press; 1990.

31.

Cortina JM. What is coefficient alpha? An examination of theory and applications. J Appl Psychol. 1993;78(1):98–104. https://doi.org/10.1037/0021-9010.78.1.98.CrossRef

32.

Jakobsen JC, Gluud C, Wetterslev J, Winkel P. When and how should multiple imputation be used for handling missing data in randomised clinical trials–a practical guide with flowcharts. BMC Med Res Methodol. 2017;17(1):1–10.CrossRef

33.

Ravalli S, Musumeci G. Coronavirus outbreak in Italy: physiological benefits of home-based exercise during pandemic: Multidisciplinary Digital Publishing Institute; 2020.

34.

Kumanyika SK, Obarzanek E, Stettler N, Bell R, Field AE, Fortmann SP, et al. Population-based prevention of obesity: the need for comprehensive promotion of healthful eating, physical activity, and energy balance: a scientific statement from American Heart Association Council on epidemiology and prevention, interdisciplinary Committee for Prevention (formerly the expert panel on population and prevention science). Circulation. 2008;118(4):428–64. https://doi.org/10.1161/CIRCULATIONAHA.108.189702.CrossRefPubMed

35.

Michal Laron RG. Health Behaviors during the COVID-19 Pandemic – Preliminary Findings. 2020. https://brookdale.jdc.org.il/en/publication/israeli-household-health-behaviors-corona/.

36.

Fox KR. The influence of physical activity on mental well-being. Public Health Nutr. 1999;2(3a):411–8. https://doi.org/10.1017/S1368980099000567.CrossRefPubMed

37.

Robinson TN, Matheson D, Wilson DM, Weintraub DL, Banda JA, McClain A, et al. A community-based, multi-level, multi-setting, multi-component intervention to reduce weight gain among low socioeconomic status Latinx children with overweight or obesity: the Stanford GOALS randomised controlled trial. Lancet Diabet Endocrinol. 2021;9(6):336–49. https://doi.org/10.1016/S2213-8587(21)00084-X.CrossRef

38.

Chtourou H, Trabelsi K, H'mida C, Boukhris O, Glenn JM, Brach M, et al. Staying physically active during the quarantine and self-isolation period for controlling and mitigating the COVID-19 pandemic: a systematic overview of the literature. Front Psychol. 2020;11. https://doi.org/10.3389/fpsyg.2020.01708.

39.

Maugeri G, Castrogiovanni P, Battaglia G, Pippi R, D'Agata V, Palma A, et al. The impact of physical activity on psychological health during Covid-19 pandemic in Italy. Heliyon. 2020;6(6):e04315. https://doi.org/10.1016/j.heliyon.2020.e04315.CrossRefPubMedPubMedCentral

40.

Israel MoCaSGo. Guidelines regarding sports activities in the corona era. Ministry of Culture and Sports Goverment of Israel; 2020. https://www.gov.il/he/departments/general/guidelines_sports_activities_corona.

41.

Sherrington C, Lord S, Finch CF. Physical activity interventions to prevent falls among older people: update of the evidence. J Sci Med Sport. 2004;7(1):43–51. https://doi.org/10.1016/S1440-2440(04)80277-9.CrossRefPubMed

42.

Gregg EW, Pereira MA, Caspersen CJ. Physical activity, falls, and fractures among older adults: a review of the epidemiologic evidence. J Am Geriatr Soc. 2000;48(8):883–93. https://doi.org/10.1111/j.1532-5415.2000.tb06884.x.CrossRefPubMed

43.

Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054–62. https://doi.org/10.1016/S0140-6736(20)30566-3.CrossRefPubMedPubMedCentral

44.

Zheng Z, Peng F, Xu B, Zhao J, Liu H, Peng J, et al. Risk factors of critical & mortal COVID-19 cases: a systematic literature review and meta-analysis. J Inf Secur. 2020;81(2):e16–25. https://doi.org/10.1016/j.jinf.2020.04.021.CrossRef

45.

Jordan RE, Adab P, Cheng K. Covid-19: risk factors for severe disease and death: British Medical Journal Publishing Group; 2020.

46.

Organization WH. Noncommunicable diseases and their risk factors. STEPwise approach to noncommunicable disease risk factor surveillance (STEPS). Accessed 18 Mar 2018.

47.

Diaz KM, Howard VJ, Hutto B, Colabianchi N, Vena JE, Safford MM, et al. Patterns of sedentary behavior and mortality in US middle-aged and older adults: a national cohort study. Ann Intern Med. 2017;167(7):465–75. https://doi.org/10.7326/M17-0212.CrossRefPubMedPubMedCentral

48.

Vancampfort D, Stubbs B, Koyanagi A. Physical chronic conditions, multimorbidity and sedentary behavior amongst middle-aged and older adults in six low-and middle-income countries. Int J Behav Nutr Phys Act. 2017;14(1):1–13.CrossRef

49.

Fallon K. Exercise in the time of COVID-19. Aust J Gen Pract. 2020;49(Suppl 13):1–2.

50.

STAFF F. The Impact of Coronavirus on Physical Activity All Over the World 2020.

51.

Garmin. Garmin blog [Internet]. Garmin, editor. Garmin; 2020. https://www.garmin.com/en-US/blog/general/the-effect-of-the-global-pandemic-on-active-lifestyles/#:~:text=For%20further%20clarity%2C%20the%20results,in%20weekend%20activity%20suddenly%20disappeared.

52.

Ford E, Giles W, Dietz W. Prevalence of the Metabolic Syndrome Among US Adults. JAMA. 2002;287(3):356. [cited 2018 Oct 10].

53.

Zaki N, Alashwal H, Ibrahim S. Association of hypertension, diabetes, stroke, cancer, kidney disease, and high-cholesterol with COVID-19 disease severity and fatality: a systematic review. Diabet Metabol Syndrome. 2020;14(5):1133–42. https://doi.org/10.1016/j.dsx.2020.07.005.CrossRef

54.

O'Neill S, O'Driscoll L. Metabolic syndrome: a closer look at the growing epidemic and its associated pathologies. Obes Rev. 2015;16(1):1–12. https://doi.org/10.1111/obr.12229.CrossRefPubMed

55.

only D. Obesity report: About half of the population in Israel is in a state of overweight or obesity. Association of Public Health Physicians in Israel; 2018. https://publichealth.doctorsonly.co.il/2018/09/148469/.

56.

Fogelholm M, Kukkonen-Harjula K. Does physical activity prevent weight gain–a systematic review. Obes Rev. 2000;1(2):95–111. https://doi.org/10.1046/j.1467-789x.2000.00016.x.CrossRefPubMed

57.

Levine JA, Vander Weg MW, Hill JO, Klesges RC. Non-exercise activity thermogenesis: the crouching tiger hidden dragon of societal weight gain. Arterioscler Thromb Vasc Biol. 2006;26(4):729–36. https://doi.org/10.1161/01.ATV.0000205848.83210.73.CrossRefPubMed

58.

Annesi JJ, Johnson PH, McEwen KL. Changes in self-efficacy for exercise and improved nutrition fostered by increased self-regulation among adults with obesity. J Prim Prev. 2015;36(5):311–21. https://doi.org/10.1007/s10935-015-0398-z.CrossRefPubMed

59.

Begdache L, Chaar M, Sabounchi N, Kianmehr H. Assessment of dietary factors, dietary practices and exercise on mental distress in young adults versus matured adults: a cross-sectional study. Nutr Neurosci. 2019;22(7):488–98. https://doi.org/10.1080/1028415X.2017.1411875.CrossRefPubMed

60.

Annesi JJ, Tennant GA. Generalization of theory-based predictions for improved nutrition to adults with morbid obesity: implications of initiating exercise. Int J Clin Health Psychol. 2014;14(1):1–8. https://doi.org/10.1016/S1697-2600(14)70031-6.CrossRef

61.

Kjønniksen L, Anderssen N, Wold B. Organized youth sport as a predictor of physical activity in adulthood. Scand J Med Sci Sports. 2009;19(5):646–54. https://doi.org/10.1111/j.1600-0838.2008.00850.x.CrossRefPubMed

62.

Swift DL, Johannsen NM, Lavie CJ, Earnest CP, Church TS. The role of exercise and physical activity in weight loss and maintenance. Prog Cardiovasc Dis. 2014;56(4):441–7. https://doi.org/10.1016/j.pcad.2013.09.012.CrossRefPubMed

63.

Burke SM, Carron AV, Shapcott KM. Cohesion in exercise groups: an overview. Int Rev Sport Exerc Psychol. 2008;1(2):107–23. https://doi.org/10.1080/17509840802227065.CrossRef

64.

Bruner MW, Spink KS. The effects of team building on the adherence patterns of youth exercise participants. J Sport Exerc Psychol. 2007;29.

65.

Seger J. The new digital [st] age: barriers to the adoption and adaptation of new technologies to deliver extension programming and how to address them. J Ext. 2011;49(1):37996–0343.

66.

Chester MV, Allenby B. Toward adaptive infrastructure: flexibility and agility in a non-stationarity age. Sust Resilient Infrastr. 2019;4(4):173–91. https://doi.org/10.1080/23789689.2017.1416846.CrossRef

Title: The impact of COVID-19 lockdown on physical activity and weight gain among active adult population in Israel: a cross-sectional study
Authors: Horesh Dor-Haim
Sara Katzburg
Polla Revach
Hagai Levine
Sharon Barak
Publication date: 01-12-2021
Publisher: BioMed Central
Keyword: COVID-19
Published in: BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-021-11523-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The impact of COVID-19 lockdown on physical activity and weight gain among active adult population in Israel: a cross-sectional study

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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