TY - JOUR
T1 - Changes in physical activity associated with the COVID-19 pandemic in individuals with overweight and obesity
T2 - an interrupted time series analysis with historical controls
AU - Robertson, Michael C.
AU - Lee, Che Young
AU - Wu, Ivan Haw Chong
AU - Liao, Yue
AU - Raber, Margaret
AU - Parker, Nathan
AU - Le, Thuan
AU - Gatus, Leticia
AU - Basen-Engquist, Karen M.
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2022/4
Y1 - 2022/4
N2 - The objective of this study was to investigate changes in physical activity patterns associated with the COVID-19 pandemic in individuals with overweight and obesity who were participating in a school district worksite weight loss program. We conducted comparative design interrupted time series analyses on physical activity device (Fitbit) data from the 2018–2019 and 2019–2020 school years (N = 211). We administered a questionnaire in 2020 to supplement device data. After the stay-at-home orders in 2020, participants tended to decrease their weekly step count (B = −1315.7, SE = 627.7, p =.045), decrease their weekly “Lightly active minutes” (B = −39.1, SE = 12.6, p =.007), and increase their weekly “Very active minutes” compared to their counterparts from the year before (B = 7.6, SE = 3.2, p =.020). Decreased motivation, gym closures, and safety concerns were cited as barriers to physical activity. Having more time and health consciousness were cited as facilitators of physical activity. The COVID-19 pandemic was related to changes in physical activity in both positive and negative ways, revealing opportunities to promote healthy lifestyle behaviors in this population. More research is needed to determine optimal approaches to health promotion in the post-COVID-19 era.
AB - The objective of this study was to investigate changes in physical activity patterns associated with the COVID-19 pandemic in individuals with overweight and obesity who were participating in a school district worksite weight loss program. We conducted comparative design interrupted time series analyses on physical activity device (Fitbit) data from the 2018–2019 and 2019–2020 school years (N = 211). We administered a questionnaire in 2020 to supplement device data. After the stay-at-home orders in 2020, participants tended to decrease their weekly step count (B = −1315.7, SE = 627.7, p =.045), decrease their weekly “Lightly active minutes” (B = −39.1, SE = 12.6, p =.007), and increase their weekly “Very active minutes” compared to their counterparts from the year before (B = 7.6, SE = 3.2, p =.020). Decreased motivation, gym closures, and safety concerns were cited as barriers to physical activity. Having more time and health consciousness were cited as facilitators of physical activity. The COVID-19 pandemic was related to changes in physical activity in both positive and negative ways, revealing opportunities to promote healthy lifestyle behaviors in this population. More research is needed to determine optimal approaches to health promotion in the post-COVID-19 era.
KW - COVID-19
KW - Interrupted time series analysis
KW - Obesity
KW - Physical activity
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U2 - 10.1007/s10865-021-00261-7
DO - 10.1007/s10865-021-00261-7
M3 - Article
C2 - 34698998
AN - SCOPUS:85118179328
SN - 0160-7715
VL - 45
SP - 186
EP - 196
JO - Journal of Behavioral Medicine
JF - Journal of Behavioral Medicine
IS - 2
ER -