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000288082 1001_ $$0P:(DE-He78)63e25168359ecc68156e34417d75d0a7$$aHerbolsheimer, Florian$$b0$$eFirst author$$udkfz
000288082 245__ $$aChanges in physical activity and sedentary behavior during the first COVID-19 pandemic- restrictions in Germany: a nationwide survey : Running head: physical activity during the COVID-19 restrictions.
000288082 260__ $$aLondon$$bBioMed Central$$c2024
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000288082 520__ $$aThe COVID-19 pandemic restrictions posed challenges to maintaining healthy lifestyles and physical well-being. During the first mobility restrictions from March to mid-July 2020, the German population was advised to stay home, except for work, exercise, and essential shopping. Our objective was to comprehensively assess the impact of these restrictions on changes in physical activity and sedentary behavior to identify the most affected groups.Between April 30, 2020, and May 12, 2020, we distributed a COVID-19-specific questionnaire to participants of the German National Cohort (NAKO). This questionnaire gathered information about participants' physical activity and sedentary behavior currently compared to the time before the restrictions. We integrated this new data with existing information on anxiety, depressive symptoms, and physical activity. The analyses focused on sociodemographic factors, social relationships, physical health, and working conditions.Out of 152,421 respondents, a significant proportion reported altered physical activity and sedentary behavioral patterns due to COVID-19 restrictions. Over a third of the participants initially meeting the WHO's physical activity recommendation could no longer meet the guidelines during the restrictions. Participants reported substantial declines in sports activities (mean change (M) = -0.38; 95% CI: -.390; -.378; range from -2 to + 2) and reduced active transportation (M = -0.12; 95% CI: -.126; -.117). However, they also increased recreational physical activities (M = 0.12; 95% CI: .117; .126) while engaging in more sedentary behavior (M = 0.24; 95% CI: .240; .247) compared to pre-restriction levels. Multivariable linear and log-binomial regression models indicated that younger adults were more affected by the restrictions than older adults. The shift to remote work, self-rated health, and depressive symptoms were the factors most strongly associated with changes in all physical activity domains, including sedentary behavior, and the likelihood to continue following the physical activity guidelines.Mobility patterns shifted towards inactivity or low-intensity activities during the nationwide restrictions in the spring of 2020, potentially leading to considerable and lasting health risks.
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000288082 650_7 $$2Other$$aCOVID-19
000288082 650_7 $$2Other$$aDepression
000288082 650_7 $$2Other$$aLockdown
000288082 650_7 $$2Other$$aPandemic restrictions
000288082 650_7 $$2Other$$aPhysical activity
000288082 650_7 $$2Other$$aSedentary behavior
000288082 7001_ $$aPeters, Annette$$b1
000288082 7001_ $$aWagner, Sarah$$b2
000288082 7001_ $$aWillich, Stefan N$$b3
000288082 7001_ $$aKrist, Lilian$$b4
000288082 7001_ $$aPischon, Tobias$$b5
000288082 7001_ $$aNimptsch, Katharina$$b6
000288082 7001_ $$aGastell, Sylvia$$b7
000288082 7001_ $$aBrandes, Mirko$$b8
000288082 7001_ $$aBrandes, Berit$$b9
000288082 7001_ $$aSchikowski, Tamara$$b10
000288082 7001_ $$aSchmidt, Börge$$b11
000288082 7001_ $$aMichels, Karin B$$b12
000288082 7001_ $$aMikolajczyk, Rafael$$b13
000288082 7001_ $$aHarth, Volker$$b14
000288082 7001_ $$aObi, Nadia$$b15
000288082 7001_ $$aCastell, Stefanie$$b16
000288082 7001_ $$aHeise, Jana K$$b17
000288082 7001_ $$aLieb, Wolfgang$$b18
000288082 7001_ $$aFranzpötter, Katrin$$b19
000288082 7001_ $$aKarch, André$$b20
000288082 7001_ $$aTeismann, Henning$$b21
000288082 7001_ $$aVölzke, Henry$$b22
000288082 7001_ $$aMeinke-Franze, Claudia$$b23
000288082 7001_ $$aLeitzmann, Michael$$b24
000288082 7001_ $$aStein, Michael J$$b25
000288082 7001_ $$0P:(DE-He78)90d5535ff896e70eed81f4a4f6f22ae2$$aBrenner, Hermann$$b26$$udkfz
000288082 7001_ $$0P:(DE-He78)53e1a2846c69064e27790dbf349ccaec$$aHolleczek, Bernd$$b27$$udkfz
000288082 7001_ $$aWeber, Andrea$$b28
000288082 7001_ $$aBohn, Barbara$$b29
000288082 7001_ $$aKluttig, Alexander$$b30
000288082 7001_ $$0P:(DE-He78)a0c2037d9054be26907a05ae520d5756$$aSteindorf, Karen$$b31$$eLast author$$udkfz
000288082 773__ $$0PERI:(DE-600)2041338-5$$a10.1186/s12889-024-17675-y$$gVol. 24, no. 1, p. 433$$n1$$p433$$tBMC public health$$v24$$x1471-2458$$y2024
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