Factors Associated with Physical Activity Increases and Decreases Among a Sample of Appalachian Residents During the COVID-19 Pandemic: A Cross-Sectional Study

Introduction: Physical activity (PA) can prevent and reduce the deleterious physical and mental health effects of COVID-19 and associated lockdowns. Research conducted early in the pandemic demonstrates that a greater proportion of adults in the U.S. have decreased than increased PA, and the effects vary by sociodemographic factors. Ongoing evidence is important to identify patterns in PA changes during the pandemic. Purpose: This study aims to identify factors associated with increases and decreases in PA during the COVID-19 pandemic in a convenience sample of adults residing in Appalachia. Methods: Surveys were collected from a convenience sample of adults from eight counties in West Virginia from January to March 2021. Logistic regression analysis was used to identify sociodemographic, health, and rurality factors associated with (1) increased PA and (2) decreased PA during the pandemic, assessed retrospectively via self-report. Results: Analysis of 1,401 survey responses revealed that better self-rated health, lower body mass index, and higher income and education were associated with a greater likelihood of more time spent doing PA during the pandemic (p ≤ .05). Respondents with lower self-rated health, higher body mass index, lower income, and lower levels of education—plus females and those living in a more urban county—were more likely to spend less time doing PA during the pandemic (p ≤ .05). Implications: Analyses suggest that pre-pandemic disparities in PA by health, wealth, and education were exacerbated during the pandemic. These must be addressed before physical inactivity and ill health become endemic to the Appalachian Region.

Effectiveness of a Point-of-Decision Prompt to Encourage Physical Distancing on Greenways and Rail-Trails During the COVID-19 Pandemic

Adherence to public health messaging recommending physical distancing in public outdoor spaces during the early months of the COVID-19 pandemic and strategies to promote physical distancing are currently unknown. This study examined the effectiveness of a point-of-decision prompt to increase physical distancing (maintaining at least 6?ft of distance) on greenways and rail-trails using systematic observation with passive infrared cameras. Results indicate that the intervention did not have a significant effect on interacting groups maintaining physical distance. However, groups maintaining physical distance increased from baseline (72%) to post-intervention (79%) and likelihood of maintaining physical distance at baseline and post-intervention was higher when: passing in the opposite direction compared to passing in the same direction;using 12-foot-wide trails compared to 10-foot-wide trails;and only one person was in each group. These results provide important implications for public health and parks and recreation professionals to promote physical distancing on multi-use trails.