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. 2021 Oct 29;10(1):281.
doi: 10.1186/s13643-021-01818-y.

Protocol for a systematic review and meta-analysis of observational studies examining the impact of COVID-19 safety measures on physical activity patterns in adults

Fabian Schwendinger  1 , Denis Infanger  1 , Elena Pocecco  2 , Joséphine Gander  1 , Timo Hinrichs  1 , Arno Schmidt-Trucksäss  3
Affiliations

Protocol for a systematic review and meta-analysis of observational studies examining the impact of COVID-19 safety measures on physical activity patterns in adults

Fabian Schwendinger et al. Syst Rev. .

Abstract

Background: The primary objective of this study is twofold: (1) to examine the effect of COVID-19 safety measures, enacted to prevent transmission of SARS-nCOV-2, on total physical activity in the adult general population (≥ 18 years) and (2) to analyze the impact of the factor "severity of safety measures" on potential changes in physical activity. The secondary objective is to investigate the effects of safety measures on the respective PA intensities, i.e., sedentary behavior, light, moderate, and vigorous physical activity.

Methods: A systematic literature search will be performed in the following online databases: Medline (on Ovid), Web of Science, Scopus, L.OVE Coronavirus disease by Epistemonikos, and ProQuest Dissertations & Theses A&I. All obtained citations will undergo title and abstract as well as full-text screening by two independent reviewers. Observational studies investigating the effects of safety measures on physical activity patterns in the adult general population will be included. The standardized mean difference in total physical activity per time unit between pre- and during COVID-19 or between normative data and during COVID-19 will be the primary outcome. The standardized mean difference in sedentary time, light, moderate, and vigorous physical activity will be assessed as secondary outcomes. Eligible studies will be divided between the reviewers for data extraction using a pilot-tested data form. Risk of bias assessment will be performed using a standard assessment tool. If suitable, a random-effects meta-analysis and meta-regression with a unit of safety measure severity as the independent variable will be performed.

Discussion: This study will synthesize available data reporting the effect of COVID-19 safety measures on physical activity patterns in adults. Furthermore, we will incorporate a unit for the severity of safety measures for better generalizability of the results. These findings will be of great value for public health policymaking and estimating future health consequences.

Systematic review registration: PROSPERO CRD42021231039.

Keywords: Coronavirus; Locomotion; Physical inactivity; SARS-nCOV-2; Sedentary behavior; Social distance.

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Conflict of interest statement

The authors declare that they have no competing interests.

References

    1. Galea S, Merchant RM, Lurie N. The mental health consequences of COVID-19 and physical distancing: the need for prevention and early intervention. JAMA Intern Med. 2020;180(6):817–818. doi: 10.1001/jamainternmed.2020.1562. - DOI - PubMed
    1. World Health Organization. Coronavirus disease (COVID-19) pandemic 2021. https://www.who.int/emergencies/diseases/novel-coronavirus-2019. Accessed 22 December 2020.
    1. Bundesrat S. Verordnung 2 über Massnahmen zur Bekämpfung des Coronavirus (COVID-19) 2020.
    1. Schwendinger F, Pocecco E. Counteracting physical inactivity during the COVID-19 pandemic: evidence-based recommendations for home-based exercise. Int J Environ Res Public Health. 2020;17(11):3909. - PMC - PubMed
    1. Burtscher J, Millet GP, Burtscher M. Low cardiorespiratory and mitochondrial fitness as risk factors in viral infections: implications for COVID-19. Br J Sports Med. 2020:bjsports-2020-103572. - PubMed