Infographic. Stay physically active during COVID-19 with exercise as medicine

Wedig, Isaac J.; Duelge, Tristan A; Elmer, Steven J.

doi:10.1136/bjsports-2020-103282

Cited by 29 publications

(28 citation statements)

References 5 publications

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“…Training. With the main aim to engage older adults to perform the recommended levels of PA even at home and limit the sitting time in the COVID-19 pandemic [25], participants received during HC (by express postal service together with the accelerometer) a voluntary home-based exercise routine prescription. It was recommended to be performed five days per week from the last week of home confinement until the end of deescalation process.…”

Section: Implementation and Adherence Of Unsupervised Exercisementioning

confidence: 99%

“…Given the negative health consequences of reducing PA and increasing SB, from the beginning of the COVID-19 outbreak, some authors proposed continuing PA at home to stay healthy and maintain immune system function in the current precarious environment [ 3 , 25 ]. Such forms of exercise may include strengthening exercises, balance activities, walking at home, stretching, or a combination of all or some of them [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Impact of the Home Confinement Related to COVID‐19 on the Device‐Assessed Physical Activity and Sedentary Patterns of Spanish Older Adults

Fernández-García

Marín-Puyalto

Gómez-Cabello

et al. 2021

BioMed Research International

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The main objective of this study was to device-assess the levels of physical activity and sedentary behaviour patterns of older adults during the situation prior to the COVID-19 pandemic, home confinement, and phase-0 of the deescalation. We also aimed to analyse the effectiveness of an unsupervised home-based exercise routine to counteract the potential increase in sedentary behaviour during the periods within the pandemic. A total of 18 noninstitutionalized older adults( 78.4 ± 6.0 y.), members of the Spanish cohort of the EXERNET-Elder 3.0 project, participated in the study. They were recommended to perform an exercise prescription based on resistance, balance, and aerobic exercises during the pandemic. Wrist triaxial accelerometers (ActiGraph GT9X) were used to assess the percentage of sedentary time, physical activity, sedentary bouts and breaks of sedentary time. An ANOVA for repeated measures was performed to analyse the differences between the three different periods. During home quarantine, older adults spent more time in sedentary behaviours ( 71.6 ± 5.3 % ) in comparison with either the situation prior to the pandemic ( 65.5 ± 6.7 % ) or the ending of isolation ( 67.7 ± 7.1 % ) (all p < 0.05 ). Moreover, participants performed less bouts of physical activity and with a shorter duration during home quarantine (both p < 0.05 ). Additionally, no differences in the physical activity behaviours were found between the situation prior to the pandemic and the phase-0 of deescalation. According to our results, the home confinement could negatively affect health due to increased sedentary lifestyle and the reduction of physical activity. Therefore, our unsupervised exercise program does not seem to be a completely effective strategy at least in this period.

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Section: Implementation and Adherence Of Unsupervised Exercisementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of the Home Confinement Related to COVID‐19 on the Device‐Assessed Physical Activity and Sedentary Patterns of Spanish Older Adults

Fernández-García

Marín-Puyalto

Gómez-Cabello

et al. 2021

BioMed Research International

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“…In our study, the increase of SB during the pandemic was much lower (6.1% in HQ; 2.2% in EI) in comparison with UL, although it must be considered that the population was different and previous study does not include specific data neither in adults or older adults. Also, low PA levels are associated with increased prevalence of anxiety [30], which reinforces the importance of the promotion of home-based PA during such lockdowns, to reach at least the recommended 150 min of PA per week[25].…”

Section: Discussionmentioning

confidence: 99%

“…Given the negative health consequences of reducing PA and increasing SB, from the beginning of the COVID-19 outbreak some authors proposed continuing PA at home to stay healthy in the current precarious environment[7,25]. Such forms of exercise may include strengthening exercises, balance activities, walking at home, stretching, or a combination of all or some of them[7].…”

Section: Introductionmentioning

confidence: 99%

Impact of the home confinement related to COVID-19 on the device-assessed physical activity and sedentary patterns of Spanish older adults

Fernández-García

Marín-Puyalto

Gómez-Cabello

et al. 2020

Preprint

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ObjectivesThe main objective of this study was to device-assess the levels of physical activity and sedentary behaviour patterns of older adults during the situation prior to COVID-19 pandemic, home-quarantine and the ending of isolation. We also aimed analysing the effectiveness of an unsupervised home-based exercise routine to counteract the potential increase in sedentary behaviour during the periods within the pandemic.Methods18 non-institutionalized elderly (78.4±6.0 y.), members of the Spanish cohort of EXERNET-Elder 3.0 project participated in the study. They were recommended to perform an exercise prescription based on resistance, balance and aerobic exercises during the pandemic. Wrist triaxial accelerometers (ActiGraph GT9X) were used to assess the percentage of sedentary time, physical activity and sedentary bouts and breaks of sedentary time. An ANOVA for repeated measures was performed to analyse the differences between the three different periods.ResultsDuring home-quarantine, older adults spent more time in sedentary behaviours (71.6±5.3%) in comparison with either the situation prior to the pandemic (65.5±6.7%) or the ending of isolation (67.7±7.1%) (all p<0.05). Moreover, participants performed less bouts of physical activity and with a shorter duration during home quarantine (both p<0.05). Additionally, no differences in the physical activity behaviours were found between the situation prior to the pandemic and the ending of isolation.ConclusionsAccording with our results, the home-quarantine could negatively affect health due to increased sedentary lifestyle and the reduction of physical activity. Therefore, our unsupervised exercise program does not seem to be a completely effective strategy at least in this period.What is already known on this topicAlthough the available information is scarce and includes subjective methodology (questionnaires), it seems that the COVID-19 pandemic has negatively affected physical activity patterns.It is known that physical activity interventions are effective in improving health and reducing sedentary lifestyle in older adults. Nevertheless, little is known about whether an unsupervised home-based exercise routine is an effective alternative to counteract the potential increase in sedentary behaviour in this specific population during the pandemic lockdown.What are the findings? / What this study addsDespite unsupervised training, during home-quarantine, older adults spent more sedentary time than in the situation prior to COVID-19 and the ending of isolation (phase 0).There were no differences in break of sedentary time patterns between the situation prior to COVID-19 and the periods within the pandemic.During home-quarantine older adults performed fewer and shorter physical activity bouts than in the situation prior to COVID-19 despite unsupervised training.Our unsupervised home-exercise routine was not a completely effective alternative to avoid the increase of sedentary behaviour during home-quarantine.How might it impact on clinical practice in the future?Our findings can be used as a starting point to manage isolation restrictions more effectively and to develop strategies to promote physical activity and reduce sedentary behaviour among older adults during situations of forced lockdowns, as in the present COVID-19 pandemic.

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“…", "Chairs are killer's", "Time to take a stand against inactivity", "Get Britain standing", "On your Feet Britain", "Now is the time to get up and get moving! ", "Breaking up with your Chair", and "Swap sitting for moving" [6,7].…”

Section: Disability the Communication Of Physical Activity And Sedenmentioning

confidence: 99%

Disability, the communication of physical activity and sedentary behaviour, and ableism: a call for inclusive messages

Smith

Mallick²,

Monforte

et al. 2021

Br J Sports Med

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Infographic. Stay physically active during COVID-19 with exercise as medicine

Cited by 29 publications

References 5 publications

Impact of the Home Confinement Related to COVID‐19 on the Device‐Assessed Physical Activity and Sedentary Patterns of Spanish Older Adults

Impact of the Home Confinement Related to COVID‐19 on the Device‐Assessed Physical Activity and Sedentary Patterns of Spanish Older Adults

Impact of the home confinement related to COVID-19 on the device-assessed physical activity and sedentary patterns of Spanish older adults

Disability, the communication of physical activity and sedentary behaviour, and ableism: a call for inclusive messages

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