Decrease In Physical Activity Levels Research Articles

Studies of physical activity and COVID-19 during the pandemic: an updated scoping review.

This review is an update of the previous study aiming to identify the available evidence related to physical activity (PA) in the context of the coronavirus disease (COVID-19) pandemic. We searched 6 databases (PubMed, Embase, SPORTDiscus, Scopus, Web of Science, and CINAHL) in April 2024. Medical subject headings and keywords related to PA and COVID-19 were combined to conduct the online search, which covered the period from July 2020 to April 2024. Overall, 49,579 articles were retrieved. After duplicate removal and title, abstract, and full-text screening, 1,976 articles were included in this update. Most of the studies were observational with a cross-sectional design (68.0%). Most of COVID-19 and PA studies came from high-income countries. Most studies explored the changes in PA levels due to the COVID-19 pandemic and its effects on mental health outcomes. Research on PA and COVID-19 prioritized online approach and cross-sectional designs. Most of the evidence identified a decrease in PA levels due to social distancing measures.

Mediterranean Diet adherence, physical activity level, and quality of life in patients affected by thyroid diseases: Comparison between pre- and post-lockdown assessment

Background: SARS-CoV-2 pandemic resulted in lifestyle change of world’s population because of the measures adopted by governments to contain the virus spread. Design and Methods: This study examined whether lockdown impacted anthropometric indices, Mediterranean Diet (MD) adherence, Physical Activity Level (PAL), and Quality of Life (SF-12) in a cohort of 116 patients (96 F, aged 57.2 ± 13.1 years) affected by thyroid disorders. Before lockdown, data were collected during the endocrinological examination; after lockdown they were collected through a tele-phone interview (via video call). Results: Data revealed an overweight condition in 59% of patients, with no significant differences between the two observations (BMI values: 26.5 ± 4.9 vs 26.6 ± 4.9 kg/m2), whereas waist circumference values significantly increased over time (93.3 ± 12.6 vs 94.4 ± 12.5 cm; p = 0.003). Moreover, a lower adherence to the MD (PREDIMED score: 7.3 ± 1.8 vs 7.0 ± 1.8; p = 0.003) and a significant increase of sitting time (6.4 ± 3.2 h/die vs 9.0 ± 4.2; p < 0.001) were observed. A not significant decrease in PAL, which revealed a sedentary condition in pre- and post-lockdown (648 and 562 METs/week respectively), was found. The SF-12 score did not show relevant changes between the two observations. Conclusion: Our study highlights that patients with thyroid diseases are often sedentary and exhibit a high prevalence of over-weight, underscoring the need for a systematic anthropometric evaluation and, at times, lifestyle interventions.

Ramadan-Induced Lifestyle Changes: Effects on Sleep and Physical Activity in Non-Fasting Type 1 Diabetes Patients

ObjectivesIn this study we aimed to identify sleep patterns, physical fitness, and barriers to physical activity (PA) during Ramadan observance in a cohort of nonfasting individuals with type 1 diabetes (T1D). MethodsSixty-one nonfasting patients with T1D, age 28.34±9.43 years, ranging from 15 to 54 years, completed questionnaires before and during Ramadan. The questionnaires included 3 assessment instruments: the Barriers to Physical Activity in Type 1 Diabetes (BAPAD1), the Pittsburgh Sleep Quality Index (PSQI), and the International Physical Activity Questionnaire. ResultsDuring Ramadan, there was no significant change in BAPAD1 scores compared to before Ramadan (p=0.378). The primary barriers encompassed hypoglycemia risk, work schedules, diabetes control, and fatigue. Moreover, subjective sleep quality deteriorated during Ramadan compared to the pre-Ramadan period (p<0.001). Sleep duration decreased by 58 minutes (p<0.01) and was associated with later bedtimes and more awakenings. There was a notably decrease in PA levels (p=0.042), particularly for vigorous activities (p=0.017), whereas sedentary time showed a significant increase (p=0.008). ConclusionsRamadan observance did not affect barriers to PA in individuals with T1D despite alteration of sleep patterns and PA levels. Lifestyle alterations associated with Ramadan observance significantly impact individuals with T1D who are not fasting, resulting in reduced PA, shortened sleep duration, and increased sedentary time.

Preoperative decreased physical activity is associated with greater postoperative pain: the mediating role of preoperative sleep disturbance.

Engagement in physical activity (PA) is often associated with better sleep quality and less pain severity among patients diagnosed with breast cancer. However, less research has focused on whether patients' PA prior to breast surgery, including their perceived decrease in PA level, is associated with worse preoperative sleep quality, and subsequently, greater postoperative pain. This longitudinal study investigated whether patients' preoperative PA was associated with their postoperative pain. We also explored whether preoperative sleep disturbance partially mediated the relationship between preoperative PA and postoperative pain. Prior to breast surgery, patients self-reported both their overall level of PA and whether they perceived a decrease in their PA since the diagnosis/onset of treatment for cancer. Patients also completed a measure of preoperative sleep disturbance. Two weeks after surgery, patients completed a measure of postoperative surgical-area pain severity. Our results showed that preoperatively perceiving a decrease in PA level was significantly associated with greater preoperative sleep disturbance and postoperative pain. A mediation analysis revealed that the association between preoperative decreased PA and postoperative pain was partially mediated by preoperative sleep disturbance. Notably, patients' overall preoperative level of PA was not related to preoperative sleep disturbance or postoperative pain. These findings suggest that maintaining, or even increasing, PA after diagnosis/treatment may be more important than the absolute amount of PA that women engage in during the preoperative period. Potentially, some patients with breast cancer may benefit from a preoperative intervention focused on both maintaining PA and bolstering sleep quality.

Abstract P223: Long Term Impact of COVID19 Pandemic on Estimated Cardiorespiratory Fitness and Physical Activity Level in South American Adults: Results From the Lown Scholars PAFIT Network Online Survey

Background: While restriction measures helped to control the further transmission of the SARS-cov2 virus, they also produced undesirable repercussions on physical activity level (PAL) and, potentially, cardiorespiratory fitness (CRF). However, the extent to which CRF has returned to pre-pandemic levels in the current time has yet to be consistently evaluated, especially in South America. Objective: We aimed to assess changes in PAL and estimated CRF (eCRF) from before the COVID-19 pandemic until the current time using an online survey with validated questionnaires and identifying the determinants of the observed changes. Methods: We conducted a cross-sectional online survey using Global Physical Activity Questionnaire (GPAQ) to assess physical activity and sedentary time on a convenience sample of 1934 adults (68.7% women) from Argentina (n = 484), Brazil (n = 405), Chile (n = 279), Colombia (n = 343) and Uruguay (n = 423). We asked participants questions regarding their physical activity, body weight, socioeconomic status, education and cardiovascular risk factors before the start of the pandemic (Feb/Mar 2020) and at the time of the survey (Jul-Sep 2022). We calculated the eCRF before the pandemic and at the current time using a Brazilian equation including age, sex, body mass index, arterial hypertension, hyperlipidemia, current smoking, physical inactivity, and diabetes. To adjust for age, we also calculated eCRF using only the current time age. Results: The participants reported a significant increase in the prevalence of self reported hypertension (12.9% to 16.5%), diabetes (6.8% to 9.8%), dyslipidemia (18.9% to 24%), and obesity (15.4% to 18.2%) comparing pre-COVID-19 period to the time of the survey. In contrast, they reported a significant decrease in PAL at work (median 936.5 to 864.6 METs/min/week; p &lt; 0.032) and within active transportation domains (median 502.6 to 460.3 METs/min/week; p &lt; 0.008). No significant changes were reported in leisure time physical activity. The median sedentary time on weekdays increased by 60 minutes (360 to 420; p &lt; 0.001) post pandemic and eCRF was reduced (mean difference, -1.17 mL/min/kg; p &lt; 0.001). When adjusted for age, the differences remained statistically significant. (-0.50; mL/min/kgmL/min/kg; p 0.001). Conclusion: Social restriction policies aimed at controlling pandemics may lead to reduction in physical activity level and cardiorespiratory fitness in the long term.

Physical activity, acute severity and long-term consequences of COVID-19: an 18-month follow-up survey based on a Swedish national cohort

ObjectiveTo investigate how changes in levels of physical activity (PA) in regard to acute disease severity relate to perceived difficulties in performing daily life activities 18 months after COVID-19 infection.DesignAn...

Physical Activity, Alcohol, and Cigarette Use in Urological Cancer Patients over Time since Diagnosis.

Urological cancers represent a substantial global public health concern, exerting far-reaching effects on both individuals and their families. There is an urgent need to comprehensively understand the transformations in patients' lifestyles and behaviors, given their critical role in the treatment process and overall well-being. This study, involving 128 urological cancer patients, aims to investigate changes in physical activity levels, problematic drinking behaviors assessed through the Alcohol Use Disorders Identification Test (AUDIT), and smoking habits assessed using the Fagerström Test for Nicotine Dependence (FTND) over four distinct time intervals over the subsequent three years from the time of diagnosis and among individuals diagnosed more than three years ago. The results reveal a significant decrease in physical activity levels between study intervals (p < 0.0001), declining from 69% to 45% between the first and second post-diagnosis assessments. Furthermore, the highest levels of problematic substance use, indicated by mean scores, were noted in the first year following diagnosis (AUDIT: 4.20, p = 0.01; FTND: 4.83, p = 0.08). Given the significant impact of physical activity on the prospects of recovery, it is imperative to delve more deeply into the factors contributing to this decline and devise targeted interventions for its improvement. In the context of substance use, it is essential to ascertain whether the initially high levels are a result of coping with the cancer diagnosis or represent a turning point at which patients modify their behaviors and cease their addiction. A more thorough understanding of this phenomenon would enhance the effectiveness of precisely focused interventions.

Impact of the COVID-19 Lockdown on Physical Activity Levels and Health Parameters in Young Adults with Cancer.

The lockdown of the COVID-19 pandemic impacted physical activity (PA) levels around the world, affecting health parameters in young adults with cancer (YAC). To our knowledge, there is no evidence of the impact of the lockdown on the Spanish YAC. To analyse the changes in PA levels before, during, and after the lockdown of the YAC and its impact on health metrics in Spain, in this study, we utilized a self-reported web survey. PA levels decreased during the lockdown, and a significant increase in PA was observed after the lockdown. Moderate PA had the largest reduction (49%). Significant increases in moderate PA were noted after the lockdown (85.2%). Participants self-reported more than 9 h of sitting per day. HQoL and fatigue levels were significantly worse during the lockdown. The impact of the COVID-19 pandemic in this cohort of Spanish YAC showed a decrease in PA levels during the lockdown, affecting sedentarism, fatigue and HQoL. After lockdown, PA levels partially recovered, while HQoL and fatigue levels remained altered. This may have long-term physical effects such as cardiovascular comorbidities associated with sedentarism and psychosocial effects. It is necessary to implement strategies such as cardio-oncology rehabilitation (CORE), an intervention that can be delivered online, potentially improving participants' health behaviours and outcomes.

Changes in physical activity during the COVID-19 lockdown based on the sociodemographic profile of 5569 students and academic staff of Austrian universities

ObjectivesThe COVID-19 pandemic and the associated restrictions/lockdowns have influenced the health and lifestyle behaviour of university students and staff, particularly their physical activity (PA) habits. However, the association between the direction of PA changes and sociodemographic characteristics has not been studied. This nationwide study was conducted in Austrian colleges/universities and aimed to identify the magnitude and direction of changes in PA levels during the COVID-19 restrictions and compare participants who had unchanged vs decreased vs increased PA based on sociodemographic characteristics (sex, age, body mass index, study level, living area, nationality and Austrian regions). Study designThis was a cross-sectional study to measure the association between the explanatory variable and outcome measures. MethodsA total number of 4528 students (mean age 24.9 years) and 1041 academic staff (mean age 46.4 years) participated in an online survey and provided self-reported data on sociodemographic characteristics and PA change during the pandemic. ResultsA total of 41.3% of students and 37.5% of academic staff reported a decrease in PA level, whereas PA levels increased in 36.3% and 27.9%, respectively. In students, all sociodemographic variables (including sex, age, body mass index, study level, living area, nationality and Austrian regions) were significantly associated with the direction of PA changes (P < 0.05). Living area and Austrian region were found to be significant indicators of direction of PA changes in academic staff (P < 0.05). ConclusionsThese findings suggest that the inconsistency of previous studies in PA change during the pandemic may at least partly be explained by differences in the sociodemographic characteristics of the participants.

Effects of Pubertal Timing and Pubertal Tempo on Social Physique Anxiety, Self-determined Motivation, and Exercise in Early Adolescent Girls

PurposeResearch has shown that there is a decrease in physical activity levels during early adolescence, especially for girls. Previous studies have shown that the social physique anxiety (SPA) may be a controlling factor influencing exercise motivation and engagement in this behavior; however, the potential role that puberty plays in this decrease has not been considered until now. The objective of the present study was to examine the impact of pubertal timing and pubertal tempo on SPA and exercise motivation and behavior. MethodsData from 328 early adolescent girls, aged between 9 and 12 at the time of joining the study, were collected in 3 waves over a 2-year period. Using structural equation modeling techniques, different 3-time-point growth models were estimated to examine if earlier maturing and compressed maturing in girls had differential effects on SPA and exercise motivation and behavior. ResultsThe results from growth analyses suggest that early maturing (according to all the pubertal indicators considered, except menstruation) tends to translate into (1) an increase in SPA levels and (2) a decrease in exercise - in the latter case, by reducing self-determined motivation. However, no differential effects from any of the pubertal indicators were found for compressed maturing in girls. DiscussionThese results highlight the need for increased efforts toward developing programs aimed at helping early maturing girls to cope with the challenges of puberty with a particular focus on SPA experiences and exercise motivation and behavior.

Resilience characterized and quantified from physical activity data: A tutorial in R

Rationale&#x0D; Consistent physical activity (PA) is key for health and well-being; however, various events (e.g., pandemic outbreaks, acute diseases) can act as stressors for PA, and thus may be followed by a decrease in PA levels. The process of recovering from such stressors and bouncing back to the previous state of PA can be referred to as resilience. Quantifying resilience is fundamental to assess the impact of stressors on daily PA and to identify factors and strategies to foster adaptive capacities. However, PA time series are typically characterized by evident daily fluctuations that mask the underlying trajectory and, therefore, prevent from detecting the point in time when the system consistently recovers from the stressor. Objective: In this paper, we present a methodological approach to identify the recovery point and ultimately quantify the resilience process from PA data using the area under the curve (AUC). Methods: As use case to illustrate the methodology, we quantified resilience in step count for eight participants following the stressor represented by the start of the first COVID-19 lockdown (March 15, 2020). Step count time series were collected in Barcelona, as part of the COVICAT study, in the period between October 1, 2019 and September 30, 2020. Steps were collected daily using wrist-worn devices. The methodology is implemented in R and a tutorial is available on Open Science Framework. Results: We applied the following analytical steps to each participant’s time series. 1) We calculated the pre-stressor baseline level for step count as the median step count before the first COVID-19 lockdown. 2) We fitted multiple growth models (i.e., linear, quadratic, generalized additive) to each participant’s post stressor time series and identified the best model using the Root Mean Squared Error (RMSE). 3) We used the fitted values from the selected model to identify the point in time when the participants recovered from the stressor (bouncing back to the baseline level). 4) We quantified the AUC and, ultimately, resilience as the cumulative difference between baseline level and each fitted value before the recovery point. Further resilience features were extracted to capture the different aspects of the process and will be presented. Conclusions: Our contribution offers a methodological guide to quantify resilience from PA data and proposes a ready-to-go toolbox that can be easily applied by interested researchers and foster further scientific investigation in different ways. For instance, it allows to i) explore the determinants of the resilience process for PA, ii) identify intervention strategies that improve individuals’ adaptive capacities and promote faster resilience, and iii) use the provided indicators of resilience as outcomes to test the effectiveness of interventions aiming at reducing the impact of stressors on PA.

Physical Activity in the COVID-19 Era and Its Impact on Adolescents' Well-Being.

Physical inactivity and sedentary habits are among the major risk factors for decreased physical and mental well-being. Since the onset of the COVID-19 pandemic, normal daily routines changed, including physical activity (PA) habits. The aim of this manuscript is to review the literature according to the PRISMA guidelines in order to analyze the changes in PA and exercise practice after the onset of the COVID-19 pandemic and its impact on the well-being of adolescents. A PubMed search was performed using the keywords "Exercise" [Mesh]) AND "COVID-19" [Mesh], and filters to limit the research to pertain to adolescents (13-18 years) and English reports. Out of the search, 15 reports met the criteria for inclusion in the study. The main findings outlined a global decrease in PA levels associated with decreased well-being levels, modified eating habits and leisure time activity, and increased obesity, anxiety, and depression among adolescents. PA is a significant health determinant and should be improved through the awareness of the benefits of regular PA and of the risks of sedentary behavior, as well as through support from family, friends, and teachers. Providing PA at school, as a part of the academic program, increasing the availability of equipment and facilities, and promoting at-home PA options are suggested as support for increasing PA in all countries and settings.

Effect of COVID-19 Lockdown on Cardiovascular Health in University Students

A decrease in physical activity levels among university students during the COVID-19 pandemic is well-documented in the literature. However, the effect of lockdown restrictions on cardiovascular fitness has not been thoroughly investigated. The aim of the study was to assess the possible changes in cardiovascular fitness among university students during a 14-week period of the COVID-19 pandemic. Thirteen female and seven male tourism and recreation students participated in the study. Examinations were conducted in November 2020 and in February/March 2021. Students performed the PWC170 test on a cycling ergometer. Maximal oxygen consumption was calculated based on the PWC170 test results. Blood pressure and heart rate were measured at rest, as well as in the 1st and 5th minute of post-exercise recovery. No substantial changes were observed in maximal oxygen consumption level when comparing autumn and winter indices. Male students presented elevated blood pressure whereas female students presented normal blood pressure. Heart-rate and blood-pressure indices did not show substantial alternations in examined students during analyzed period. Fourteen weeks of lockdown had little effect on the cardiovascular health of tourism and recreation students.

Exploring changes in levels and patterns of physical activity in undergraduate medical and nursing students during the COVID-19 pandemic.

This study reports the physical activity (PA) levels among medical and nursing students at a university in Bahrain during the COVID-19 pandemic. Through self-selection sampling of an online survey, participants' data on general demographics, PA levels before and during the COVID-19 pandemic and reasons for PA changes were collected. From the 110 valid responses, 70 participants (63%) experienced a decrease in PA during the COVID-19 lockdown. Fear of contracting COVID-19 and lack of motivation were two significant reasons for reduced PA levels (p < 0.001) compared to those who did not experience a decrease in PA. Other factors significantly associated with reduced PA levels include living alone (p < 0.018) or with roommates (p < 0.006) compared to living with family. Having more time available was associated with positive changes to PA levels (p < 0.001). Significant differences in MET-min/week were seen between students who experienced increased PA (median of 1605 MET-min/week) compared to those who experienced a decrease (424 MET-min/week) or no change (1070 MET-min/week) in PA levels (p < 0.001). In conclusion, low PA levels are prevalent within medical and nursing students in Bahrain (51% reported < 600 MET-min/week), with ~2 in 3 students reporting a decrease in PA levels during the COVID-19 pandemic. Support programs and strategies to increase engagement in PA within this population are warranted.

THERMODYNAMIC PERFORMANCE ANALYSIS OF HUMAN CARDIOVASCULAR SYSTEM FOR NORMAL AND CARDIOMEGALY CONDITIONS

This study aims to determine the thermodynamic performance of the cardiovascular system for healthy and cardiomegaly conditions where work done by the heart and lung is considered as input expenses. Analysis based on the second law of thermodynamics was performed under three distinct physiological conditions: resting, moderate, and excessive activity levels. From this analysis, it is noted that, exergy transfer rate increases with the increase in the physiological activity level. The exergetic efficiency of the cardiovascular system is about 55% at resting and changes by about 4% with physical activity level. The human cardiovascular system efficiency is increased with an increase in breathing air inlet temperature and relative humidity irrespective of physiological conditions. The work also quantifies the efficiency of the heart and lung as individual systems. For a fixed breathing air inlet temperature and relative humidity, the cardiovascular system performance increases with a decrease in physical activity levels.

The Effect Of Covid-19 On Sedentary Behavior And Physical Activity Levels In College Students.

Participating in regular physical activity (PA) has various health benefits including, but not limited to, improved muscular and cardiorespiratory fitness, bone health, and reduces the risk of hypertension, coronary heart disease, stroke, diabetes, various types of cancer, and depression. Sedentary behavior is associated with increased blood pressure, increased cholesterol levels, lower self-esteem, social behavior problems, and poor academic achievement. Since the emergence of COVID-19, individuals needed to make various modifications in their daily lives, such as adjusting their levels of physical activity and/or their sedentary behavior. PURPOSE: To understand the effect of COVID-19 Pandemic on physical activity levels and sedentary behavior in college students. METHODS: A questionnaire was developed from two publicly available questionnaires: The International Physical Activity Questionnaire and the International Sedentary Assessment Tool. The questionnaires were modified to relate to college-aged individuals. Exclusion criteria were participating in any of the university varsity teams, or individuals that suffer a debilitating injury in the past six months. The questionnaires were distributed to students. Nineteen students participated in the study. Paired t-tests were used to determine the effects of COVID-19 on physical activity levels and sedentary behavior in college students, alpha level was set to 0.05. RESULTS: Significant increase in mean hours per week (hr/wk) spent in sedentary behavior was identified (p = 0.04). Students spent less hr/wk in sedentary behavior before COVID 19 (114.2 (50.9)) then during (139.2 (54.6)). No significant differences were found between the other dependent variables before and during COVID 19 respectively: vigorous PA 12.9 (13.9) hr/wk vs. 12.5 (11.6) hr/wk, (p = 0.882); moderate PA 15.4 (15.4) hr/wk vs, 12.5 (10.6) hr/wk, (p = 0.460); walking 19.1 (23.1) hr/wk vs. 11.8 (12.9) hr/wk, (p = 0.085); total time for PA 47.5 (42.3) hr/wk vs. 36.8 (25.8) hr/wk, (p = 0.288). CONCLUSION: The study identified a trend of decrease in physical activity levels and a significant increase in sedentary behavior during COVID-19 for these college students.

Changes in BMI and physical activity from youth to adulthood distinguish normal-weight, metabolically obese adults from those who remain healthy.

HighlightsAdults with MONW have a lower BMI during youth until young adulthood, but higher BMI after this than adults with metabolically healthy normal weight. Adults with MONW have a greater decrease in physical activity from youth to adulthood than other adults. Healthy lifestyle is important in the prevention of metabolic disorders, particularly in individuals who are slim in childhood.BackgroundIndividuals with metabolically obese normal-weight (MONW) have higher risk of cardiovascular events than those with obesity but a metabolically healthy status. Etiological factors leading to MONW are not well known. We hypothesized distinct trajectories of changes in BMI and physical activity may modify metabolic risk and distinguish individuals with MONW from those who remain healthy.MethodsWe compared the mean levels of BMI and physical activity at eight time points (1980, 1983, 1986, 1989, 1992, 2001, 2007, 2011) between MONW and healthy normal-weight adults using linear mixed-model analysis. The analyses included 1180 participants of the Cardiovascular Risk in Young Finns study, a population-based study that represents six different age cohorts 3, 6, 9, 12, 15 and 18 years of age at baseline.ResultsIndividuals with adult MONW had significantly lower BMI in childhood and young adulthood, but their BMI increased more than in other adults after this age (p<0.001for interaction between time and MONW status). Physical activity decreased relatively more since youth in individuals with adult MONW (p<0.001).ConclusionsRelative leanness in youth and subsequent weight gain in young adulthood, and a gradual decrease in physical activity levels from youth to adulthood, predispose normal-weight individuals to metabolic impairments. The results highlight the importance of a healthy lifestyle in the prevention of metabolic disorders, particularly in individuals who are slim in childhood.

Effects of social distancing caused by the COVID-19 pandemic on physical activity level, sitting time, and binge eating: a comparison between overweight/obese and normal-weight adults.

PurposeTo compare changes in physical activity level (PAL), sitting time (ST), and binge eating disorder (BED) in overweight/obese adults vs. those normal weight during social distancing caused by the COVID-19 pandemic.MethodsA cross-sectional and retrospective study was carried out with adults of both sexes, aged 18–60 years, which assessed, through an online form, the PAL, ST, and BED pre (PSD) and during social distancing (DSD) caused by the COVID-19 pandemic. The PAL and ST were assessed by the short version of the International Physical Activity Questionnaire and the assessment of BED by the Binge Eating Scale.Results323 responses were included in the analysis (194 normal weight and 129 overweight/obese). There was a decrease in PAL and an increase in the prevalence of BED in both groups; nevertheless, the overweight/obese group had a 62% chance of presenting lower PALs than normal-weight individuals (OR = 1.62; 95% CI 1.03–2.55) and showed a lower total weekly physical activity time during the pandemic (adjusted p = 0.05). In addition, overweight individuals were more likely to binge eat before (OR = 4.21; 95% CI 2.10–8.45) and during the pandemic (OR = 4.24; 95% CI 2.54–7.06) and showed a higher prevalence during social distancing.ConclusionThe social distancing caused by the COVID-19 pandemic changed exercise behaviors and increased the prevalence of binge eating in the general population. However, overweight/obese participants engaged in less total weekly physical activity and showed a higher prevalence of binge eating before and during social distancing.Level of evidenceLevel III; analytical observational cohort study.

1178-P: Current Situations in Dietary Intake and Physical Activity in Japanese Patients with Type 2 Diabetes: JDCP Study

Medical nutrition therapy and exercise therapy are the cornerstones of treatment for patients with type 2 diabetes; however, there has not been a nationwide study on the actual dietary intake and physical activity status of patients since the 2000s. We aimed to clarify this in Japanese patients with type 2 diabetes using data from the Japan Diabetes Complication and its Prevention prospective (JDCP) , a nationwide study launched in 2007. A total of 1,992 patients with type 2 diabetes, aged 40-75 years, completed either the Brief-type, self-administered Diet History Questionnaire (1,643 patients) or International Physical Activity Questionnaire (1,834 patients) , and their data were analyzed in this study. Mean daily energy intake for all participants was 1686.8 kcal/day, and the mean proportions of carbohydrate, protein, and fat comprising total energy intake were 60.2, 16.2, and 23.6%, respectively. The patients in this study had similar energy and nutrient intake status to patients in the 1996 Japan Diabetes Complications Study; however, Japanese patients still had higher carbohydrate and lower fat consumption than patients with diabetes in Western countries. Only 10.5 % of the patients had equal to or more than 20 g/day of dietary fiber and 7.5% consumed less than 6 g of salt. Weekly physical activities of male and female patients were 2344.5±2700.9 and 1948.3±2209.3 METs·min/week in women, respectively (p &amp;lt;0.001) . As for exercise, 31.0% of patients did not do it habitually; this was particularly noticeable in female patients and patients under the age of 65. BMI increased from 22.7 to 24.1 kg/m2 in men and 23.2 to 24.8 kg/m2 in women from 1996 to 2007, respectively. The reason for this increment is suggested to be due to energy intake remaining unchanged despite a decrease in physical activity level. The balance between dietary energy intake and energy expenditure based on physical activity has become more important in Japanese patients with type 2 diabetes in recent years. Disclosure C.Horikawa: None. K.Tsuda: None. J.Satoh: None. Y.Hayashino: None. N.Tajima: None. R.Nishimura: Speaker's Bureau; Abbott Diabetes, Astellas Pharma Inc., AstraZeneca, Boehringer Ingelheim International GmbH, Eli Lilly and Company, Medtronic, Merck &amp; Co., Inc., Novo Nordisk, Ono Pharmaceutical Co., Ltd., Sanofi, Taisho Pharmaceutical Holdings Co., Ltd., Takeda Pharmaceutical Company Limited, Teijin Pharma Limited, Terumo Corporation. H.Sone: Research Support; Astellas Pharma Inc., Eisai Co., Ltd., Kyowa Kirin Co., Ltd., Novo Nordisk, Ono Pharmaceutical Co., Ltd., Taisho Pharmaceutical Holdings Co., Ltd., Takeda Pharmaceutical Company Limited. Funding Japan Diabetes Society

Association between physical activity and sleep quality in Algerian adults during COVID-19 lockdown

Background and Study Aim. There is no doubt that the Coronavirus disease (COVID-19) pandemic, and its related containment measures such as lockdown and social distancing, is affecting physical activity and sleep quality of the general population worldwide. Algeria, one of the most affected countries in Africa, entered the lockdown on March 9, 2020. Numerous studies have explored the interaction between physical activity and sleep quality showing the effect of physical activity levels on sleep, yet previous researches have not investigated the relationship between physical activity and sleep quality during lockdown. The main purpose of the present study was to investigate the association between physical activity and sleep quality in quarantined individuals.&#x0D; Material and Methods. A national Google online survey was conducted between 16th April and 25th May 2020. 1002 Participants responded to the Pittsburgh Sleep Quality Index (PSQI) questionnaire and the short form of the International Physical Activity Questionnaire (IPAQ). Of the 1002 participants who completed the survey, 358 were students. The final data were collected from the respondents.&#x0D; Results. The COVID-19 home confinement led to a decrease in physical activity levels. However, the majority of the study population had good sleep quality (61.9%), while only (38.1%) had poor sleep quality. In addition, women are less physically active than men (p &lt; 0.01). Moreover, there was a significant difference in sleep quality between sufficient and insufficient physical activity groups (p &lt; 0.05).&#x0D; Conclusions. Our results show that Algerian adults have low levels of physical activity, good sleep quality, and poor sleep quality is associated with insufficient physical activity in adults during lockdown.