Trajectories and Determinants of Physical Activity during COVID-19 Pandemic: A Population-Based Study of Middle-Aged and Elderly Individuals in The Netherlands

Physical inactivity is a major public health problem, and there are concerns this might have increased during the COVID-19 pandemic. We aimed to identify distinct trajectories of physical activity over a 6-week period after the first restrictive measures and to explore determinants of these trajecto...

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Autores principales:	Amy Hofman, Marlou A. M. Limpens, Tosca O. E. de Crom, Mohammad Arfan Ikram, Annemarie I. Luik, Trudy Voortman
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	physical activity lifestyle trajectories latent class trajectory analyses COVID-19 pandemic Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/035f2d2174714a70a717b657ff3d054e
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spelling	oai:doaj.org-article:035f2d2174714a70a717b657ff3d054e2021-11-25T18:34:29ZTrajectories and Determinants of Physical Activity during COVID-19 Pandemic: A Population-Based Study of Middle-Aged and Elderly Individuals in The Netherlands10.3390/nu131138322072-6643https://doaj.org/article/035f2d2174714a70a717b657ff3d054e2021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3832https://doaj.org/toc/2072-6643Physical inactivity is a major public health problem, and there are concerns this might have increased during the COVID-19 pandemic. We aimed to identify distinct trajectories of physical activity over a 6-week period after the first restrictive measures and to explore determinants of these trajectories in a population-based cohort of middle-aged and elderly in the Netherlands (<i>n</i> = 5777). We observed that at least 59% of participants did not meet the World Health Organization recommendations for physical activity. Using latent class trajectory analyses over three time points, we identified five distinct trajectories, including four steady trajectories at different levels (very low, low, medium and high) and one increasing trajectory. Using multinomial logistic regression analyses, we observed that, compared to the ‘steadily high’ trajectory, participants in the ‘steadily very low’ trajectory were more often older, lower educated, reporting poorer physical health, more depressive symptoms, consuming a less healthy diet, smoking, and lower alcohol use, and were less often retired. A similar pattern of determinants was seen for those in the increasing trajectory, albeit with smaller effect sizes. Concluding, we observed low levels of physical activity that generally remained during the pandemic. The determinants we described can help identify groups that require additional preventive interventions.Amy HofmanMarlou A. M. LimpensTosca O. E. de CromMohammad Arfan IkramAnnemarie I. LuikTrudy VoortmanMDPI AGarticlephysical activitylifestyletrajectorieslatent class trajectory analysesCOVID-19pandemicNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3832, p 3832 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	physical activity lifestyle trajectories latent class trajectory analyses COVID-19 pandemic Nutrition. Foods and food supply TX341-641
spellingShingle	physical activity lifestyle trajectories latent class trajectory analyses COVID-19 pandemic Nutrition. Foods and food supply TX341-641 Amy Hofman Marlou A. M. Limpens Tosca O. E. de Crom Mohammad Arfan Ikram Annemarie I. Luik Trudy Voortman Trajectories and Determinants of Physical Activity during COVID-19 Pandemic: A Population-Based Study of Middle-Aged and Elderly Individuals in The Netherlands
description	Physical inactivity is a major public health problem, and there are concerns this might have increased during the COVID-19 pandemic. We aimed to identify distinct trajectories of physical activity over a 6-week period after the first restrictive measures and to explore determinants of these trajectories in a population-based cohort of middle-aged and elderly in the Netherlands (<i>n</i> = 5777). We observed that at least 59% of participants did not meet the World Health Organization recommendations for physical activity. Using latent class trajectory analyses over three time points, we identified five distinct trajectories, including four steady trajectories at different levels (very low, low, medium and high) and one increasing trajectory. Using multinomial logistic regression analyses, we observed that, compared to the ‘steadily high’ trajectory, participants in the ‘steadily very low’ trajectory were more often older, lower educated, reporting poorer physical health, more depressive symptoms, consuming a less healthy diet, smoking, and lower alcohol use, and were less often retired. A similar pattern of determinants was seen for those in the increasing trajectory, albeit with smaller effect sizes. Concluding, we observed low levels of physical activity that generally remained during the pandemic. The determinants we described can help identify groups that require additional preventive interventions.
format	article
author	Amy Hofman Marlou A. M. Limpens Tosca O. E. de Crom Mohammad Arfan Ikram Annemarie I. Luik Trudy Voortman
author_facet	Amy Hofman Marlou A. M. Limpens Tosca O. E. de Crom Mohammad Arfan Ikram Annemarie I. Luik Trudy Voortman
author_sort	Amy Hofman
title	Trajectories and Determinants of Physical Activity during COVID-19 Pandemic: A Population-Based Study of Middle-Aged and Elderly Individuals in The Netherlands
title_short	Trajectories and Determinants of Physical Activity during COVID-19 Pandemic: A Population-Based Study of Middle-Aged and Elderly Individuals in The Netherlands
title_full	Trajectories and Determinants of Physical Activity during COVID-19 Pandemic: A Population-Based Study of Middle-Aged and Elderly Individuals in The Netherlands
title_fullStr	Trajectories and Determinants of Physical Activity during COVID-19 Pandemic: A Population-Based Study of Middle-Aged and Elderly Individuals in The Netherlands
title_full_unstemmed	Trajectories and Determinants of Physical Activity during COVID-19 Pandemic: A Population-Based Study of Middle-Aged and Elderly Individuals in The Netherlands
title_sort	trajectories and determinants of physical activity during covid-19 pandemic: a population-based study of middle-aged and elderly individuals in the netherlands
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/035f2d2174714a70a717b657ff3d054e
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Trajectories and Determinants of Physical Activity during COVID-19 Pandemic: A Population-Based Study of Middle-Aged and Elderly Individuals in The Netherlands

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