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. 2021 Dec 15;18(24):13228.
doi: 10.3390/ijerph182413228.

Stay-at-Home Orders during COVID-19: The Influence on Physical Activity and Recreational Screen Time Change among Diverse Emerging Adults and Future Implications for Health Promotion and the Prevention of Widening Health Disparities

Daheia J Barr-Anderson  1 , Vivienne M Hazzard  2 , Samantha L Hahn  2   3 , Amanda L Folk  1 , Brooke E Wagner  1 , Dianne Neumark-Sztainer  3
Affiliations

Stay-at-Home Orders during COVID-19: The Influence on Physical Activity and Recreational Screen Time Change among Diverse Emerging Adults and Future Implications for Health Promotion and the Prevention of Widening Health Disparities

Daheia J Barr-Anderson et al. Int J Environ Res Public Health. .

Abstract

Background: The purpose of this study was to examine changes in physical activity (PA) and recreational screen time (RST) behaviors from pre-COVID-19 in 2018 to Spring 2020 during the mandatory stay-at-home order in an ethnically/racially, socioeconomically diverse sample of emerging adults.

Methods: Longitudinal data were analyzed from 218 participants (Mage = 24.6 ± 2.0 years) who completed two surveys: EAT 2018 (Eating and Activity over Time) and C-EAT in 2020 (during COVID-19). Repeated ANCOVAs and multiple linear regression models were conducted.

Results: Moderate-to-vigorous and total PA decreased (4.7 ± 0.3 to 3.5 ± 0.3 h/week [p < 0.001] and 7.9 ± 0.4 to 5.8 ± 0.4 h/week [p < 0.001], respectively), and RST increased from 26.5 ± 0.9 to 29.4 ± 0.8 h/week (p = 0.003). Perceived lack of neighborhood safety, ethnic/racial minoritized identities, and low socioeconomic status were significant predictors of lower PA and higher RST during COVID-19. For example, low SES was associated with 4.04 fewer hours of total PA compared to high SES (p < 0.001).

Conclusions: Stay-at-home policies may have significantly influenced PA and RST levels in emerging adults with pre-existing disparities exacerbated during this mandatory period of sheltering-in-place. This suggests that the pandemic may have played a role in introducing or magnifying these disparities. Post-pandemic interventions will be needed to reverse trends in PA and RST, with a focus on improving neighborhood safety and meeting the needs of low socioeconomic and ethnic/racial minoritized groups.

Keywords: longitudinal study; pandemic; physical activity; screen time; sedentary behavior.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

References

    1. U.S. Department of Health and Human Services . Physical Activity Guidelines for Americans. Department of Health and Human Services; Washington, DC, USA: 2018.
    1. Walz T. Emergency Order 20-04 Providing for Temporary Closure of Bars, Restaurants, and Other Places of Public Accommodation. 2020. [(accessed on 3 November 2020)]. Available online: https://mn.gov/governor/assets/2020_03_16_EO_20_04_Bars_Restaurants_tcm1....
    1. Folk A.L., Wagner B.E., Hahn S.L., Larson N., Barr-Anderson D.J., Neumark-Sztainer D. Changes to Physical Activity during a Global Pandemic: A Mixed Methods Analysis among a Diverse Population-Based Sample of Emerging Adults in the U.S. Int. J. Environ. Res. Public Health. 2021;18:3674. doi: 10.3390/ijerph18073674. - DOI - PMC - PubMed
    1. Wagner B.E., Folk A.L., Hahn S.L., Barr-Anderson D.J., Larson N., Neumark-Sztainer D. Recreational Screen Time Behaviors during the COVID-19 Pandemic in the U.S.: A Mixed-Methods Study among a Diverse Population-Based Sample of Emerging Adults. Int. J. Environ. Res. Public Health. 2021;18:4613. doi: 10.3390/ijerph18094613. - DOI - PMC - PubMed
    1. Wood D., Crapnell T., Lau L., Bennett A., Lotstein D., Ferris M., Kuo A. Emerging Adulthood as a Critical Stage in the Life Course. In: Halfon N., Forrest C.B., Lerner R.M., Faustman E.M., editors. Handbook of Life Course Health Development. Springer; Cham, Switzerland: 2018. pp. 123–143. - PubMed

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