Changes in sexual thoughts and behaviors in a clinical sample of child sexual abuse material users under the COVID-19 pandemic

LAY SUMMARYUsers of child sexual abuse material were interviewed about changes in their daily lives as well as sexual thoughts and behaviors during the COVID-19 restrictions. The changes found, such as in general mental health and sexual urges, can increase the risk for sexual offending and are therefore important to consider regarding possible future lockdowns. In this article, we describe a qualitative study in which we examined perceived effects of the COVID-19 pandemic on help-seeking individuals who access child sexual abuse material (CSAM, legally referred to as child pornography). The study recruited 18 participants who were part of the internet based Prevent It Cognitive Behavior Therapy (CBT) clinical trial, which aims to reduce CSAM use and child exploitation, and were willing to answer questions during a semi-structured interview about the perceived impact of the pandemic restrictions on their lives, including their sexual thoughts and behaviors. Key themes that were identified from the participants' answers included changes in day-to-day life, mental health, sexual thoughts, behaviors or urges, responses and coping strategies used to deal with sexual urges, changes on the forums, positive changes, and how they could best be assisted with coping in this situation. Our qualitative analysis also suggested that the pandemic affected urges to use CSAM, therefore potentially increasing the risk of online sexual offending. These results support that there is a need to investigate this potential negative side effect of quarantines or lockdowns before future pandemics.

Correlation between physical activity practice and mortality from COVID-19: an ecological study

Background and objective: new population-level studies are needed to better assess the relationship between physical inactivity and mortality from COVID-19. The aim of the study was to evaluate the correlation between population prevalence of physical activity and standardized mortality rates by COVID-19 in Brazilian capital cities and the Federal District. Methods: this is an ecological study, whose analysis is secondary. The prevalence of physical inactivity, insufficient physical activity, and physical activity during free time was obtained from the Surveillance of Risk Factors and Protection for Chronic Diseases by Telephone Survey 2019 (VIGITEL), according to minutes spent on leisure, commuting, and household activities. The COVID-19 mortality data was obtained from the Influenza Epidemiological Surveillance Information System (SIVEP-Gripe), adding the accumulated deaths until December 31, 2020. The resident population was estimated from the Instituto Brasileiro de Geografia e Estatistica (IBGE) for the year 2020. Pearson Correlation evaluated the correlation between the prevalence of different physical activity practices and the standardized mortality rate from COVID-19, in total, and according to age groups. Results: there was a significant positive correlation (r = 0.420;p = 0.029) between the overall prevalence of insufficient physical activity and the standardized COVID-19 mortality rate. No correlation was observed between the other prevalence of physical activity and the standardized mortality rate from COVID-19. Conclusion: there was a correlation between insufficient levels of physical activity and the standardized mortality rate from COVID-19 in people living in Brazilian capital cities.

The impact of the covid-19 pandemic on lifestyle behaviors in U.S. college students.

OBJECTIVE: To investigate COVID-19's impact on college student health behaviors. PARTICIPANTS: 189 college students. METHODS: Participants completed an online survey on behaviors relating to sleep, sedentary activities, and physical activity before and during the COVID-19 pandemic. Comparisons utilized Students' dependent t-test or Wilcoxon signed-rank tests. RESULTS: There was an increase in time to fall asleep (before: 23.4 ± 18.0 vs. during: 42.8 ± 44.3 min·day-1, p < 0.001), time spent in bed (before: 7.8 ± 1.5 vs. during: 8.5 ± 1.5 hr·day-1, p < 0.001), as well as shifts in later bed and awake time (p < 0.001). Total sedentary time increased during the pandemic (before: 9.0 ± 3.8 vs. during: 9.9 ± 4.1 hr·day-1, p = 0.016); and time spent using a TV, computer, or phone (before: 3.1 ± 1.9 vs. during: 4.2 ± 2.3 hr·day-1, p < 0.001). There was a significant decrease in moderate-vigorous activity (before: 123.8 ± 96.0 vs. during: 108.9 ± 75.5 min·week-1, p = 0.028) and resistance training days (before: 2.4 ± 2.1 vs. during: 1.7 ± 2.1 days·week-1, p < 0.001). CONCLUSIONS: COVID-19 negatively influenced health behaviors in college students.

Discrepancies Between Self-reported and Objectively Measured Smartphone Screen Time: Before and During Lockdown.

Screen time shows higher health risks compared to other types of sedentary behaviors. A lockdown may simultaneously increase screen time, reduce physical activity (PA), and change time perception. Our goal was to compare self-reported against objectively measured smartphone screen time (SST) in a sample of active and inactive Portuguese adults before and during a social lockdown. This study was a cross-sectional analysis with 211 Portuguese adults (57.8% males), aged 25.2 ± 8.5 years, from two cohorts, one before the social lockdown and the other during the lockdown. SST was self-reported (SR-SST) and objectively measured using a smartphone (OM-SST). PA was self-reported. Linear regressions were performed to determine the association between SR-SST and OM-SST. A Bland and Altman analysis was used to assess agreement. Independent T-tests were performed for comparisons between cohorts and paired sample T-tests for comparisons within each cohort. The cohort assessed during the lockdown showed a higher SST than the cohort assessed before the lockdown (OM-SST; p < 0.001 and SR-SST; p = 0.009). Before the lockdown, there was no difference between SR-SST and OM-SST (p = 0.100). However, during the social lockdown, although the agreement between SR-SST and OM-SST was good (ICC = 0.72), participants systematically underestimated their SST by ~ 71 min/day (p < 0.001), and this underestimation was higher in inactive participants (~ 85 min/day) than in active individuals (~ 49 min/day). The general population needs to be aware of the benefits of limiting screen time, especially during periods of societal modifications, such as a generalized lockdown. There was a tendency to underestimate SST, meaning a lack of awareness of the actual time spent in this potentially deleterious behavior. This underestimation was more pronounced during the lockdown period and for the inactive participants, thus posing a greater health risk. The findings from this investigation entail relevant information for policy makers to delineate strategies for reducing population screen time from a preventive health perspective.

Parents' Perceptions of Changes in Sleep Duration, Physical Activity, and Sedentary Behavior in Arab Israeli Children during the COVID-19 Outbreak.

The COVID-19 pandemic led many countries to apply lockdown measures that could prevent children from achieving the physical activity, sedentary behavior, and sleep levels suggested for their psychophysical health. The current study tested changes in physical activity, sedentary behavior, and sleep length of children and the incidence of achieving the 24 h movement standards through the limitations of COVID-19. A total of 490 Arab Israeli parents were surveyed. An electronic cross-sectional survey was performed, including questions addressing engagement in physical activities, use of screens, and sleep duration. Throughout the COVID-19 outbreak, time spent participating in physical activity was reduced, sedentary behavior and sleep duration were increased, and the percentage of the sample who met the physical activity and sedentary behavior suggestions lessened. The percentage of participants who attained the overall 24 h movement recommendations was very low during the pandemic; school children met the guideline recommendations for physical activity and sleep duration more than preschool children, and girls spent more time in physical activity. These findings highlight the need for strategies to enhance physical activity and decrease sedentary behavior in children to prevent long-term effects of limitations imposed by COVID-19. Efforts to perceive and encourage healthy routines in Arab Israeli children in the case of pandemic limitations are expected to serve as a precedence.

The Effect of Physical Activity and Sedentary Behavior on Mental Health During the COVID-19 Pandemic Among the Adult Population in the Rural Area of Perambalur: A Cross-Sectional Study.

Background The global COVID-19 pandemic has been incredibly destructive, especially for mental health. The lockdown measures required people to stay in their homes. This lifestyle caused them to become sedentary, which could have an impact on both their physical and mental well-being. We used the International Physical Activity Questionnaire (IPAQ) and the General Health Questionnaire-12 (GHQ-12) to measure the physical activity (PA) and mental health of adults in Perambalur, India, during the COVID-19 pandemic. Materials and methods The researchers conducted a cross-sectional investigation among people ages 15-60 years old from September 2021 to February 2022. In this study, we included 400 individuals through the method of convenient sampling. We conducted a population-based survey in which a semi-structured questionnaire was used to gather information on the age, gender, weight, height, physical activity (International Physical Activity Questionnaire {IPAQ}), and mental health (General Health Questionnaire-12 {GHQ-12}) of the participants. We conducted an analysis of the data using the Statistical Package for Social Sciences (SPSS) software version 20 (IBM SPSS Statistics, Armonk, NY). Results Most of the participants (65.8%) were female, and 69.5% belonged to the age group of 20-24 years; their mean age was 23 years. Physical activity was scored using the IPAQ, and we divided the participants into three categories: 37%, insufficient; 58%, sufficient; and 5%, high activity. The GHQ-12 assessment revealed that around half of the participants (47.8%) had psychological distress. In a bivariate analysis, those in the 15-19 and 24-29 age groups reported more distress than those in the other age groups (p = 0.006). Those who engaged in sufficient physical activity (54.7%) reported more distress than those who engaged in high (25%) or insufficient activity (p = 0.002). Conclusion Nearly half of the participants experienced psychological distress during the COVID-19 pandemic. Those who were engaging in sufficient physical activity experienced higher levels of distress than those with high and insufficient activities.

Women's Involvement in Steady Exercise (WISE): Study Protocol for a Randomized Controlled Trial.

BACKGROUND: Physical inactivity is a serious public health problem for people of all ages and is currently the fourth highest global risk factor for mortality. The transition period from adolescence to adulthood coincides with a marked reduction in participation in physical activity, with more than 50% (and up to 80%) of young adults stopping physical activity. This decrease in physical activity is more evident in women than in men. Despite efforts, existing programs face challenges in effectively initiating and maintaining physical activity among individuals, particularly women, for extended durations. To address these limitations, the Women's Involvement in Steady Exercise (WISE) randomized controlled trial (RCT) seeks to assess the efficacy of a digital high-intensity training intervention complemented by nutritional plans and other health-related advice. METHODS: The study will be a three-center, randomized (1:1), controlled, parallel-group trial with a six-month intervention period. A total of 300 participants will be recruited at three study sites in Spain, Serbia and Italy. The participants will be randomized to one of the two groups and will follow a six-month program. The primary outcome of the study is the daily step count. Self-reported physical activity, the adherence to the exercise program, body composition, physical activity enjoyment, quality of sleep and physical capacities will also be evaluated.

Adherence to mediterranean diet and its associated factors in adolescents from Madrid

BACKGROUND // Unhealthy diet is the main contributor to childhood obesity. The aim of this study was to assess adherence to the mediterranean diet in a sample of adolescents and analyse adherence-related factors. METHODS // Cross-sectional descriptive study (June-October 2020), in a non-probabilistic sample of 473 patients with Substance Use Disorder, from the 8 Addiction Care Centers (CAD) of the Madrid City Council. Their demographic, habits and health characteristics, IgM and IgG for SARS-CoV-2, previous PCR, presence of symptoms, contact with COVID-19 cases were described, and multivariate analysis was performed using binary logistic regression. RESULTS // A total of 64.3% of participants displayed a medium level and 21.3% a high level of adherence to the mediterranean diet. High adherence was less frequent among teenage girls (17% [PR=0.63;p=0.02]), those whose mothers had not gone beyond primary school (16.3% [PR=0.58;p=0.07]), those who slept less than 8.5 h/day (16.8% [PR=0.54;p < 0.01]), and those who used a mobile telephone for more than 2.6 hours per day (12.2% [PR=0.56;p=0.02]). CONCLUSIONS // Adherence to the mediterranean diet is less than optimum in four out of five adolescents, and is lower in teenage girls whose mothers had not gone beyond primary school or who devote more time to mobile telephones and less time to sleeping. Our results highlight the importance of paying attention to sleeping habits and reducing the use of screens when seeking to improve mediterranean diet adherence among adolescents.

The Impact of Pandemic Lockdowns and Remote Learning on Student Fitness: An Investigation of Changes to High School Student Fitness Levels

Purpose: The purpose of this study was to investigate the impact on health-related fitness resulting from COVID-19 lockdowns on male high school students in Melbourne, Australia. Method: A total of 146 students completed fitness testing in February and retesting in November following 7 months of remote learning. Fitness tests conducted were 20-m shuttle run (Beep Test), flexed arm hang, body mass index, push-ups, sit-ups, and sit and reach. Results: The mean fitness levels of this cohort decreased across the health-related fitness components. Decreases were varying in magnitude, body composition (d = 0.3), flexibility (d = 0.56), muscular strength (d = 0.64), muscular endurance (d = 0.39 and d = 0.26), and cardiovascular endurance (d = 0.96). Discussion: The impact on students' fitness levels was noteworthy, and the long-term impacts of this decrease are yet to be seen. This research brings focus to what can be done to maintain adolescent fitness when their usual exercise opportunities are not available.

Influence of Grit on Physical Activity, Sitting Time and Dietary Behaviors: A Multi-Study Analysis

Engaging in physical activity (PA), minimizing sitting time and consuming a healthy diet are behaviors associated with health and wellness across the lifespan. The present multi-study analysis examined the relationship between grit and PA, sitting time and dietary behaviors in several populations that included US adults, active-duty military personnel, veterans, college students and performing artists. The four research laboratories administered an internet-based survey between spring and summer of 2020. The common questionnaires on the surveys were the Grit Scale Short Form, International Physical Activity Questionnaire Short Form and the Rapid Eating Assessment for Participants Short Form. Multiple regression analyses were conducted to examine the association between grit, PA, sitting time and dietary behaviors. PA was associated with grit for US adults, civilians and college students but not for performing artists or active-duty military populations. Sitting time was associated with grit for US adults and active-duty military personnel. US adults, college students and performing artists were found to have a positive association between healthy dietary behaviors and grit. Overall, the findings indicate that grit has a positive influence on PA, sitting time and dietary behaviors across the unique populations;however, the relationships indicate some nuanced differences between the populations.

Increased Depression and the Worsening of Depressive Symptoms Associated with Physical Inactivity during the COVID-19 Pandemic: A Two-Phase Cross-Sectional Study.

The COVID-19 pandemic has increased the incidence of depression and other mental disorders in the general population, influenced by various individual and contextual factors. Physical activity (PA) interventions offer a promising approach to mitigating the negative mental health effects of the pandemic. This study aims to analyze the association between PA and depressive symptoms. A total of 785 individuals aged 37.4 ± 13.2 years (72.5% female) were evaluated at two different time points: the first between 2018 and 2019, and the second during the COVID-19 pandemic in 2020. Depressive symptoms, demographic, and socioeconomic data were assessed using the Beck Depression Inventory to estimate depressive symptoms. Frequency analysis and binary and multinomial regression were employed for data analysis. The prevalence of mild depressive symptoms increased from 23.1% before the pandemic to 35.1% during the pandemic. Our findings reveal that practicing PA before the pandemic was a protective factor (OR: 0.19; 95% CI: 0.13, 0.30; p < 0.001) against mild depressive symptoms. Additionally, individuals who continued to practice PA during the pandemic had a lower chance of presenting mild (OR: 0.21; 95% CI: 0.15, 0.30) and moderate/severe (OR: 0.15; 95% CI: 0.08, 0.27) symptoms. Furthermore, our study shows that PA, which was already a protective factor before the pandemic, remained protective during the pandemic, even for those with the highest levels of depression.

Physical Inactivity, Sedentary Behavior and Quality of Life in the Chilean Population: ENCAVI Results, 2015-2016.

Regular physical activity (PA) is indicated to be one of the main healthy habits that allow populations to achieve a good quality of life (QoL); however, levels of physical inactivity (PI) and sedentary behavior (SB) have risen worldwide, with negative health effects. The aim of this study is to analyze PI and SB levels, as well as their association with QoL in the Chilean population. A secondary analysis was performed based on the database from the 2015-2016 National Quality of Life Survey (ENCAVI) in Chile, using the modules for sociodemographic characteristics, health, and PA. Contingency tables and logistic regressions were conducted to determine the association between PI (low-intensity PA, LIPA; low-moderate PA, LMPA), SB (P75), and QoL adjusted for sociodemographic variables. Approximately 84%, 83%, and 47% of the participants presented LIPA, LMPA, and moderate-high SB, respectively. Participants that presented high PI and SB had lower QoL scores than those who were more active (p < 0.05). We observe that, in people with PI (LIPA), there is a higher risk of a low QoL regarding mental and physical components (OR 1.941; OR 1.189, p < 0.001) among females (OR 1.473; OR 1.513, p < 0.001) and those of a low educational level (OR 2.170; OR 1.410 p < 0.001). People with PI (LMPA) increased their risk for a low QoL in regard to mental and physical components (OR 1.750; OR 1.458, p < 0.001) among females (OR 1.528; OR 1.507, p < 0.001) and those of a low educational level (OR 2.195; OR 1.402 p < 0.001). We observe that people with SB (P75) increased their risk of a low QoL concerning physical and mental components (OR 1.475; OR 1.257, p < 0.001) for those of the female gender (OR 1.615; OR 1.563, p < 0.001) and a low educational level (OR 2.248; OR 1.423 p < 0.001). High levels of PI in both intensities and SB impact QoL in the Chilean population. It is crucial to generate public policies for more PA, especially for females and those of lower educational levels.

Promoting Physical Activity in Children through Smartphone Service Intervention

Background Against the problem of declining physical activity among youth after COVID-19, this study has developed a design-led intervention that promotes physical activity using a smartphone service for families with children in upper grades of elementary school. The objective of this research is to evaluate the effectiveness of design elements constituting the intervention program via testing the service against a family with children in upper grades of elementary school. Methods Through forming a multidisciplinary team between the Department of Design and the Department of Children and Families, the study developed a strategy to instigate a constructive behavioral change to help family members become more physically active at home. The strategy used information, empowerment, and motivation as a driver of stimuli. A 13-day home user test was conducted to examine its effectiveness and to identify its limitations for future enhancements. Results Through the home user test, it was achievable to confirm an increase in actual physical activity as well as beneficial improvements in the perception of regulating physiological activity into habits. It was observed that motivation was internalized through family-level behavior intervention, parental role modeling through feed-forward information, reinforcing the importance of physical activity in children and adolescents, and experiencing a sense of accomplishment and self-efficacy from achieving their daily goals. Conclusions Based on theoretical considerations for motivation and the maintenance of changed behavior, a service that combines various intervention elements, is presented in this paper. This resulted in an understanding of the theoretical background and anticipated impacts on the future development of such smartphone-based services for tackling social issues such as sedentary behavior. Through this study, both children and their parents would be better equipped to make positive contributions to building a healthy community. © 2023, Archives of Design Research. All rights reserved.

Human capital as an essential component of sustainability reporting during COVID-19: A cross-sectional study among employees in sedentary occupation

Introduction: With the ongoing pandemic, sustainability reporting regarding its different components and stakeholders needs modifications accordingly. These modifications are required because of the new challenges and opportunities emerging in the face of Covid-19 with regards to various guiding components of sustainability reporting. One such component that gained much popularity during the pandemic is 'Human Capital'. Maintaining the wellbeing of the employees is one of the essential elements of the human capital of the organization or firm. Objective(s): To study the association of sedentary behavior and physical activity of the respondents to their health. Material(s) and Method(s): A cross-sectional study has been conducted within the region of Delhi-NCR for a sample size of 147 which was calculated. Result(s): No association of health outcomes was found with sedentary behavior and physical activity. Although no association was found between current health outcomes and sedentary behavior, there had been a tremendous increase in the sedentary lifestyle during the Covid-19 pandemic. Conclusion(s): Sustainability reporting should mention a transparent report regarding the physical and mental wellbeing of their employees and shall provide effective solutions for dealing with the long-term impacts of the pandemic on the employees' health.

Physical activity and sedentary behavior during COVID-19: Trajectory and moderation by personality

The present study examined the relation between personality and changes in physical activity and sedentary behaviors during the acute phase of the 2019 coronavirus disease (COVID-19) pandemic. Personality was assessed prior to the coronavirus crisis in the Understanding America Study (UAS, N = 6,702) and the Psychological, Behavioral, and Social Response (PBSR) to the coronavirus pandemic (N = 3,992) study. Physical activity was assessed 4 times from March 2020 to May 2020 in the UAS, and sedentary behavior was assessed 3 times from January 2020 to April 2020 in the PBSR. Higher neuroticism was associated with less increase in physical activity, whereas higher conscientiousness and agreeableness were related to a steeper increase in physical activity over time in the UAS. In the PBSR, higher neuroticism and lower extraversion, agreeableness, and conscientiousness were related to higher average sedentary behavior. This study provides new evidence that personality predicts behavioral responses to the COVID-19 crisis. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Impact of ambient air pollution on physical activity and sedentary behavior in children.

BACKGROUND: Exposure to air pollution has become a serious environmental issue affecting children's health and health-related behavior in China. Previous studies have focused on the associations between air pollution and physical activity among adults; however, few have examined the relationship between air pollution and health-related behavior among children, which are particularly susceptible population subgroups. The present study aims to examine the impact of air pollution on daily physical activity (PA) and sedentary behavior (SB) among children in China. METHODS: PA and SB data were collected by actiGraph accelerometers for eight consecutive days. PA and SB data from 206 children were matched to daily air pollution obtained from the Ministry of Environmental Protection of the People's Republic of China, including the average daily air quality index (AQI), PM2.5 (µg/m³), and PM10 (µg/m³). Associations were estimated using linear individual fixed-effect regressions. RESULTS: A 10-unit increase in daily AQI was associated with a reduction in daily PA by 5.94 (95% confidence interval [CI] = -8.79, -3.08) minutes of moderate to vigorous physical activity (MVPA) and 229.82 (95% CI = -345.35, -114.28) walking steps and an increase in daily SB by 15.77 (95% CI = 9.01, 22.53) minutes. A 10 µg/m³ increase in air pollution concentration in daily PM2.5 was associated with a reduction in daily PA by 7.51 (95% CI = -11.04, -3.97) minutes of MVPA, 295.69 (95% CI = -438.46, -152.92) walking steps and an increase in daily SB by 21.12 (95% CI = 12.77, 29.47) minutes. A 10 µg/m³ increase in air pollution concentration in daily PM10 was associated with a reduction in daily PA by 13.18 (95% confidence interval [CI] = -15.98, -10.37) minutes of MVPA, 518.34 (95% CI = -631.77, -404.91) walking steps and an increase in daily SB by 19.87 (95% CI = 13.10, 26.64) minutes. CONCLUSION: Air pollution may discourage physical activity and increase sedentary behavior among children. Policy interventions are needed to reduce air pollution and develop strategies to decrease risks to children's health.

Increased Prolonged Sitting in Patients with Rheumatoid Arthritis during the COVID-19 Pandemic: A Within-Subjects, Accelerometer-Based Study.

BACKGROUND: Social distancing measures designed to contain the COVID-19 pandemic can restrict physical activity, a particular concern for high-risk patient groups. We assessed rheumatoid arthritis patients' physical activity and sedentary behavior level, pain, fatigue, and health-related quality of life prior to and during the social distancing measures implemented in Sao Paulo, Brazil. METHODS: Post-menopausal females diagnosed with rheumatoid arthritis were assessed before (from March 2018 to March 2020) and during (from 24 May to 7 July 2020) social distancing measures to contain COVID-19 pandemic, using a within-subjects, repeated-measure design. Physical activity and sedentary behavior were assessed using accelerometry (ActivPAL micro). Pain, fatigue, and health-related quality of life were assessed by questionnaires. RESULTS: Mean age was 60.9 years and BMI was 29.5 Kg/m2. Disease activity ranged from remission to moderate activity. During social distancing, there were reductions in light-intensity activity (13.0% [-0.2 h/day, 95% CI: -0.4 to -0.04; p = 0.016]) and moderate-to-vigorous physical activity (38.8% [-4.5 min/day, 95% CI: -8.1 to -0.9; p = 0.015]), but not in standing time and sedentary time. However, time spent in prolonged bouts of sitting ≥30 min increased by 34% (1.0 h/day, 95% CI: 0.3 to 1.7; p = 0.006) and ≥60 min increased by 85% (1.0 h/day, 95% CI: 0.5 to 1.6). There were no changes in pain, fatigue, and health-related quality of life (all p > 0.050). CONCLUSIONS: Imposed social distancing measures to contain the COVID-19 outbreak were associated with decreased physical activity and increased prolonged sedentary behavior, but did not change clinical symptoms sitting among patients with rheumatoid arthritis.

Changes in Pediatric Movement Behaviors During the COVID-19 Pandemic by Stages of Lockdown in Ontario, Canada: A Longitudinal Cohort Study.

BACKGROUND: Children's movement behaviors have been affected by the COVID-19 pandemic; however, little is known regarding movement behavior patterns over time by government-issued lockdowns. Our primary objective was to evaluate how children's movement behaviors changed by stages of lockdown/reopening in Ontario, Canada, from 2020 to 2021. METHODS: A longitudinal cohort study with repeated measures of exposure and outcomes was conducted. The exposure variables were dates from before and during COVID-19 when child movement behavior questionnaires were completed. Lockdown/reopening dates were included as knot locations in the spline model. The outcomes were daily screen, physical activity, outdoor, and sleep time. RESULTS: A total of 589 children with 4805 observations were included (53.1% boys, 5.9 [2.6] y). On average, screen time increased during the first and second lockdowns and decreased during the second reopening. Physical activity and outdoor time increased during the first lockdown, decreased during the first reopening, and increased during the second reopening. Younger children (<5 y) had greater increases in screen time and lower increases in physical activity and outdoor time than older children (≥5 y). CONCLUSIONS: Policy makers should consider the impact of lockdowns on child movement behaviors, especially in younger children.

A scoping review on the impact of the COVID-19 pandemic on physical activity and sedentary behavior in Saudi Arabia.

BACKGROUND: In Saudi Arabia, stay-at-home orders to address the coronavirus disease 2019 (COVID-19) pandemic between March 15 and 23, 2020 and eased on May 28, 2020. We conducted a scoping review to systematically describe physical activity and sedentary behavior in Saudi Arabia associated with the timing of the lockdown. METHODS: We searched six databases on December 13, 2021 for articles published in English or Arabic from 2018 to the search date. Studies must have reported data from Saudi Arabia for any age and measured physical activity or sedentary behavior. RESULTS: Overall, 286 records were found; after excluding duplicates, 209 records were screened, and 19 studies were included in the review. Overall, 15 studies were cross-sectional, and 4 studies were prospective cohorts. Three studies included children and adolescents (age: 2-18 years), and 16 studies included adults (age: 15-99 years). Data collection periods were < = 5 months, with 17 studies collecting data in 2020 only, one study in 2020-2021, and one study in 2021. The median analytic sample size was 363 (interquartile range 262-640). Three studies of children/adolescents collected behaviors online at one time using parental reporting, with one also allowing self-reporting. All three studies found that physical activity was lower during and/or following the lockdown than before the lockdown. Two studies found screen time, television watching, and playing video games were higher during or following the lockdown than before the lockdown. Sixteen adult studies assessed physical activity, with 15 utilizing self-reporting and one using accelerometry. Physical activity, exercise, walking, and park visits were all lower during or following the lockdown than before the lockdown. Six adult studies assessed sedentary behavior using self-report. Sitting time (4 studies) and screen time (2 studies) were higher during or following the lockdown than before the lockdown. CONCLUSIONS: Among children, adolescents, and adults, studies consistently indicated that in the short-term, physical activity decreased and sedentary behavior increased in conjunction with the movement restrictions. Given the widespread impact of the pandemic on other health behaviors, it would be important to continue tracking behaviors post-lockdown and identify subpopulations that may not have returned to their physical activity and sedentary behavior to pre-pandemic levels to focus on intervention efforts.

Global Implications of COVID-19 Pandemic on Adults' Lifestyle Behavior: The Invisible Pandemic of Noncommunicable Disease.

COVID-19 pandemic, with its subsequent lockdown and mobility restriction is a public health emergency that has obliged substantial modifications in daily routines and lifestyle of people worldwide. The drastic measures of social isolation and home confinement has impacted to a great extent the physical and psychological health. The resultant abrupt in lifestyle-related behavior such as physical inactivity, unhealthy dietary habit, sleep disturbance, stress, tobacco use, and alcohol intake, is directly linked to the rising global burden of non-communicable disease. This review aims at gaining a rich and extensive understanding of the potential negative impact triggered by COVID-19 on lifestyle-related behaviors that will influence long-term physical and mental wellbeing. Electronic database search was conducted on PubMed, ScienceDirect, Google Scholar, and Scopus from January 1, 2020 to March 15, 2021. Data related to COVID-19 impact on lifestyle habits were extracted from these studies. Articles were included if meeting the inclusion criteria (i.e., assessed the impact of COVID-19 on physical inactivity and sedentary behavior, dietary habits, sleep, mental health, vitamin D, and substance use among adults. Further search was conducted to address these behavioral changes among athletes. While physical isolation is a necessary public health measure to protect the population, outcomes of this review indicate that in light of adverse lifestyle changes brought by the pandemic, noncommunicable disease remains a critical concern. Hence, adopting healthy lifestyle behavior is essentially important especially during the current time to boost immunity and reduce the risk of COVID-19 infection. Recognizing the pandemic collateral effects offers a forward-looking perspective to guide the government and health authorities in planning prevention and control programs that focus on resilient and sustainable behavioral change.