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@ARTICLE{Herbolsheimer:288082,
      author       = {F. Herbolsheimer$^*$ and A. Peters and S. Wagner and S. N.
                      Willich and L. Krist and T. Pischon and K. Nimptsch and S.
                      Gastell and M. Brandes and B. Brandes and T. Schikowski and
                      B. Schmidt and K. B. Michels and R. Mikolajczyk and V. Harth
                      and N. Obi and S. Castell and J. K. Heise and W. Lieb and K.
                      Franzpötter and A. Karch and H. Teismann and H. Völzke and
                      C. Meinke-Franze and M. Leitzmann and M. J. Stein and H.
                      Brenner$^*$ and B. Holleczek$^*$ and A. Weber and B. Bohn
                      and A. Kluttig and K. Steindorf$^*$},
      title        = {{C}hanges in physical activity and sedentary behavior
                      during the first {COVID}-19 pandemic- restrictions in
                      {G}ermany: a nationwide survey : {R}unning head: physical
                      activity during the {COVID}-19 restrictions.},
      journal      = {BMC public health},
      volume       = {24},
      number       = {1},
      issn         = {1471-2458},
      address      = {London},
      publisher    = {BioMed Central},
      reportid     = {DKFZ-2024-00336},
      pages        = {433},
      year         = {2024},
      note         = {#EA:C110#LA:C110#},
      abstract     = {The 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.},
      keywords     = {COVID-19 (Other) / Depression (Other) / Lockdown (Other) /
                      Pandemic restrictions (Other) / Physical activity (Other) /
                      Sedentary behavior (Other)},
      cin          = {C110 / C070},
      ddc          = {610},
      cid          = {I:(DE-He78)C110-20160331 / I:(DE-He78)C070-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:38347566},
      doi          = {10.1186/s12889-024-17675-y},
      url          = {https://inrepo02.dkfz.de/record/288082},
}