Abstract
Purpose: Movement behaviors, including physical activity (PA), sedentary behavior (SB), and sleep, have been affected by the COVID-19 lockdown. This study examined the changes in movement behaviors among overweight and obese adults during the fifth wave of COVID-19 pandemic in Hong Kong and compared these behaviors between COVID-19 patients and healthy adults.
Methods: This is a retrospective study. Adults aged 18 years or above who stayed in Hong Kong during the fifth wave of COVID-19 (from February to April 2022) were invited. Participants self-reported their daily behaviors before and during the fifth wave of COVID-19. PA, SB, and sleep were assessed by International Physical Activity Questionnaire Short Form, sedentary behavior questionnaire, and Pittsburgh sleep quality index, respectively. The generalized linear model was used to analyze the difference between the groups (COVID-19 patients and healthy adults) and time (before and during the fifth wave), adjusting for sex, age, and body mass index (BMI).
Results: A total of 1587 overweight or obese adults (52.4% male, age: 37.6±13.8 years, BMI: 26.2±3.0 kg/m2 ) were recruited, and 571 were COVID-19 patients. Sleep duration was shorter during the fifth wave of COVID19 in both COVID-19 patients (7.7±1.7 vs. 7.5±1.7 h/day, p<0.001) and healthy adults (7.8±1.6 vs. 7.5±1.7 h/day, p<0.001). COVID-19 patients had better sleep quality than healthy adults before the wave (5.8±3.1 vs. 6.1±3.2, p=0.001). However, their sleep quality significantly reduced and was worse than healthy adults during the fifth wave (6.7±3.5 vs. 6.0±3.3, p<0.001). During the COVID-19 wave, healthy adults have more moderate to vigorous PA than COVID-19 patients (37.2±53.4 vs. 35.4±50.4 min/day, p=0.04). In addition, healthy adults reported a higher level of SB on weekends before (9.5±5.6 vs. 8.8±5.3 h/day, p=0.02) and during (9.6±5.6 vs. 8.7±5.2 h/day, p=0.02) the COVID-19 wave.
Conclusions: Worse sleep quality and less PA were observed during the COVID-19 outbreak, with a greater influence on COVID-19 patients. Long-term impact of COVID-19 pandemic warrants further investigation. Intervention studies are needed to improve movement behaviors among overweight and obese adults. Copyright © 2023 ISBNPA.
Methods: This is a retrospective study. Adults aged 18 years or above who stayed in Hong Kong during the fifth wave of COVID-19 (from February to April 2022) were invited. Participants self-reported their daily behaviors before and during the fifth wave of COVID-19. PA, SB, and sleep were assessed by International Physical Activity Questionnaire Short Form, sedentary behavior questionnaire, and Pittsburgh sleep quality index, respectively. The generalized linear model was used to analyze the difference between the groups (COVID-19 patients and healthy adults) and time (before and during the fifth wave), adjusting for sex, age, and body mass index (BMI).
Results: A total of 1587 overweight or obese adults (52.4% male, age: 37.6±13.8 years, BMI: 26.2±3.0 kg/m2 ) were recruited, and 571 were COVID-19 patients. Sleep duration was shorter during the fifth wave of COVID19 in both COVID-19 patients (7.7±1.7 vs. 7.5±1.7 h/day, p<0.001) and healthy adults (7.8±1.6 vs. 7.5±1.7 h/day, p<0.001). COVID-19 patients had better sleep quality than healthy adults before the wave (5.8±3.1 vs. 6.1±3.2, p=0.001). However, their sleep quality significantly reduced and was worse than healthy adults during the fifth wave (6.7±3.5 vs. 6.0±3.3, p<0.001). During the COVID-19 wave, healthy adults have more moderate to vigorous PA than COVID-19 patients (37.2±53.4 vs. 35.4±50.4 min/day, p=0.04). In addition, healthy adults reported a higher level of SB on weekends before (9.5±5.6 vs. 8.8±5.3 h/day, p=0.02) and during (9.6±5.6 vs. 8.7±5.2 h/day, p=0.02) the COVID-19 wave.
Conclusions: Worse sleep quality and less PA were observed during the COVID-19 outbreak, with a greater influence on COVID-19 patients. Long-term impact of COVID-19 pandemic warrants further investigation. Intervention studies are needed to improve movement behaviors among overweight and obese adults. Copyright © 2023 ISBNPA.
| Original language | English |
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| Publication status | Published - Jun 2023 |
| Event | The 22nd Annual Meeting of The International Society of Behavioral Nutrition and Physical Activity - Uppsala, Sweden Duration: 14 Jun 2023 → 17 Jun 2023 https://2023.isbnpa.org/ |
Conference
| Conference | The 22nd Annual Meeting of The International Society of Behavioral Nutrition and Physical Activity |
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| Abbreviated title | ISBNPA 2023 |
| Country/Territory | Sweden |
| City | Uppsala |
| Period | 14/06/23 → 17/06/23 |
| Internet address |