Changes in Physical Activity and Sedentary Behaviour in Cardiovascular Disease Patients during the COVID-19 Lockdown

The COVID-19 lockdown has been associated with physical inactivity. We prospectively evaluated changes in moderate-to-vigorous physical activity (MVPA) and sedentary time (ST) among 1565 cardiovascular disease (CVD) patients using validated questionnaires at 5 weeks after lockdown initiation (i.e.,...

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Autores principales:	Bram M.A. van Bakel, Esmée A. Bakker, Femke de Vries, Dick H.J. Thijssen, Thijs M.H. Eijsvogels
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	COVID-19 lockdown cardiovascular disease physical activity sedentary behaviour Medicine R
Acceso en línea:	https://doaj.org/article/8ee1acf36b244b3f8d000cc2b1d71c4b
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spelling	oai:doaj.org-article:8ee1acf36b244b3f8d000cc2b1d71c4b2021-11-25T17:49:33ZChanges in Physical Activity and Sedentary Behaviour in Cardiovascular Disease Patients during the COVID-19 Lockdown10.3390/ijerph1822119291660-46011661-7827https://doaj.org/article/8ee1acf36b244b3f8d000cc2b1d71c4b2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11929https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601The COVID-19 lockdown has been associated with physical inactivity. We prospectively evaluated changes in moderate-to-vigorous physical activity (MVPA) and sedentary time (ST) among 1565 cardiovascular disease (CVD) patients using validated questionnaires at 5 weeks after lockdown initiation (i.e., baseline, April 2020) and at every 4 subsequent weeks, until July 2020. Multivariate mixed model analyses were performed to identify whether age, sex, CVD-subtype, lockdown adherence and mental health factors impacted changes in physical (in)activity. Patients were 67 (interquartile range: 60–73) years and primarily diagnosed with coronary artery disease. Time spent in MVPA was 143 min/day (95% confidence interval (CI) 137; 148) at baseline. Female sex, heart-failure, fear of COVID-19 infection and limited possibilities for physical activity were independently associated with lower levels of MVPA across time. After adjusting for confounders, overall MVPA did not change. ST was 567 (95% CI 555; 578) min/day at baseline. Lack of social contact, limited possibilities for physical activity and younger age were independently associated with higher levels of ST. After adjusting for confounders, ST progressively increased following 8 (Δ+19.7 (95% CI 0.4; 39.0)) and 12 weeks (Δ+25.2 (95% CI 5.4; 47.1) min/day) of lockdown. Despite a phased relaxation of the lockdown, CVD patients progressively increased ST and reported no change in MVPA. This highlights the need to target physical inactivity during and beyond the COVID-19 pandemic.Bram M.A. van BakelEsmée A. BakkerFemke de VriesDick H.J. ThijssenThijs M.H. EijsvogelsMDPI AGarticleCOVID-19lockdowncardiovascular diseasephysical activitysedentary behaviourMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11929, p 11929 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 lockdown cardiovascular disease physical activity sedentary behaviour Medicine R
spellingShingle	COVID-19 lockdown cardiovascular disease physical activity sedentary behaviour Medicine R Bram M.A. van Bakel Esmée A. Bakker Femke de Vries Dick H.J. Thijssen Thijs M.H. Eijsvogels Changes in Physical Activity and Sedentary Behaviour in Cardiovascular Disease Patients during the COVID-19 Lockdown
description	The COVID-19 lockdown has been associated with physical inactivity. We prospectively evaluated changes in moderate-to-vigorous physical activity (MVPA) and sedentary time (ST) among 1565 cardiovascular disease (CVD) patients using validated questionnaires at 5 weeks after lockdown initiation (i.e., baseline, April 2020) and at every 4 subsequent weeks, until July 2020. Multivariate mixed model analyses were performed to identify whether age, sex, CVD-subtype, lockdown adherence and mental health factors impacted changes in physical (in)activity. Patients were 67 (interquartile range: 60–73) years and primarily diagnosed with coronary artery disease. Time spent in MVPA was 143 min/day (95% confidence interval (CI) 137; 148) at baseline. Female sex, heart-failure, fear of COVID-19 infection and limited possibilities for physical activity were independently associated with lower levels of MVPA across time. After adjusting for confounders, overall MVPA did not change. ST was 567 (95% CI 555; 578) min/day at baseline. Lack of social contact, limited possibilities for physical activity and younger age were independently associated with higher levels of ST. After adjusting for confounders, ST progressively increased following 8 (Δ+19.7 (95% CI 0.4; 39.0)) and 12 weeks (Δ+25.2 (95% CI 5.4; 47.1) min/day) of lockdown. Despite a phased relaxation of the lockdown, CVD patients progressively increased ST and reported no change in MVPA. This highlights the need to target physical inactivity during and beyond the COVID-19 pandemic.
format	article
author	Bram M.A. van Bakel Esmée A. Bakker Femke de Vries Dick H.J. Thijssen Thijs M.H. Eijsvogels
author_facet	Bram M.A. van Bakel Esmée A. Bakker Femke de Vries Dick H.J. Thijssen Thijs M.H. Eijsvogels
author_sort	Bram M.A. van Bakel
title	Changes in Physical Activity and Sedentary Behaviour in Cardiovascular Disease Patients during the COVID-19 Lockdown
title_short	Changes in Physical Activity and Sedentary Behaviour in Cardiovascular Disease Patients during the COVID-19 Lockdown
title_full	Changes in Physical Activity and Sedentary Behaviour in Cardiovascular Disease Patients during the COVID-19 Lockdown
title_fullStr	Changes in Physical Activity and Sedentary Behaviour in Cardiovascular Disease Patients during the COVID-19 Lockdown
title_full_unstemmed	Changes in Physical Activity and Sedentary Behaviour in Cardiovascular Disease Patients during the COVID-19 Lockdown
title_sort	changes in physical activity and sedentary behaviour in cardiovascular disease patients during the covid-19 lockdown
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/8ee1acf36b244b3f8d000cc2b1d71c4b
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Changes in Physical Activity and Sedentary Behaviour in Cardiovascular Disease Patients during the COVID-19 Lockdown

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