Estimating the global increase in sedentary time during COVID-19 lockdowns: a systematic review and meta-analysis
e202205042
Keywords:
Coronavirus, Pandemic, Quarantine, Inactivity, Sitting, IPAQAbstract
BACKGROUND // This study aimed to estimate the increase in sedentary time during the lockdowns compared to the situation before the COVID-19 outbreak in adult population samples from different countries worldwide.
METHODS // We systematically searched three electronic databases until 27th February 2021 for studies reporting data on total sedentary time before and during COVID-19 lockdowns using a validated tool. We performed a meta-analysis using random-effects models to calculate weighted mean differences in total daily sedentary time before and during the lockdowns. The analysis was repeated stratified and compared by sex.
RESULTS // We included 20 studies, with a good (n=15) and fair (n=5) methodological quality. We pooled for meta-analysis the data from 18 studies, comprising 47,245 participants. The COVID-19 lockdowns across the globe led to a weighted mean increase of 2.40 hours per day in total sedentary behavior time (95% confidence interval: 1.95; 2.85). The stratified and comparative analysis by sex in 8 studies indicated a similar increase for women (n=20,455) and men (n=11,825).
CONCLUSIONS // Total daily sedentary time increased by 2.40 hours worldwide during the lockdowns compared to the situation before the COVID-19 outbreak, with no significant difference between sexes.
Downloads
References
Khanna R, Cicinelli M, Gilbert S, Honavar S, Murthy GV. COVID-19 pandemic: Lessons learned and future directions. Indian J Ophthalmol. 2020 May;68(5):703–710.
Baker MG, Wilson N, Anglemyer A. Successful elimination of Covid-19 transmission in New Zealand. N Engl J Med. 2020 Aug;383(8):e56.
Pecanha T, Goessler KF, Roschel H, Gualano B. Social isolation during the COVID-19 pandemic can increase physical inactivity and the global burden of cardiovascular disease. Am J Physiol-Hear Circ Physiol. 2020 Jun;318(6):H1441–446.
Lippi G, Henry BM, Bovo C, Sanchis-Gomar F. Health risks and potential remedies during prolonged lockdowns for coronavirus disease 2019 (COVID-19). Diagnosis (Berlin, Ger. 2020 Apr;7(2):85–90.
Caputo EL, Reichert FF. Studies of physical activity and COVID-19 during the pandemic: A scoping review. J Phys Act Heal. 2020 Dec;17(12):1275–1284.
López-Valenciano A, Suárez-Iglesias D, Sanchez-Lastra MA, Ayán C. Impact of COVID-19 pandemic on university students’ physical activity levels: an early systematic review. Front Psychol. 2021 Jan;11:624567.
Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE et al. Sedentary Behavior Research Network (SBRN)-Terminology Consensus Project process and outcome. Int J Behav Nutr Phys Act. 2017 Dec;14(1):75.
Network SBR. Letter to the editor: Standardized use of the terms “sedentary” and “sedentary behaviours”. Appl Physiol Nutr Metab. 2012 Jun;37(3):540–542.
Ekelund U, Steene-Johannessen J, Brown WJ, Fagerland MW, Owen N, Powell KE et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet. 2016 Sep;388(10051):1302–1310.
Grøntved A, Hu FB. Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: A meta-analysis. JAMA-J Am Med Assoc. 2011 Jun;305(23):2448–2455.
Chau JY, Grunseit AC, Chey T, Stamatakis E, Brown WJ, Matthews CE et al. Daily sitting time and all-cause mortality: a meta-analysis. Gorlova OY, editor. PLoS One. 2013 Nov;8(11):e80000.
Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS et al. Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults a systematic review and meta-analysis. Ann Intern Med. 2015 Jan;162(2):123–32.
Ku P-W, Steptoe A, Liao Y, Hsueh M-C, Chen L-J. A cut-off of daily sedentary time and all-cause mortality in adults: a meta-regression analysis involving more than 1 million participants. BMC Med. 2018 Dec;16(1):74.
Van Dyck D, Cerin E, De Bourdeaudhuij I, Hinckson E, Reis RS, Davey R et al. International study of objectively measured physical activity and sedentary time with body mass index and obesity: IPEN adult study. Int J Obes. 2015 Feb;39(2):199–207.
Biddle SJH, Bennie JA, Bauman AE, Chau JY, Dunstan D, Owen N et al. Too much sitting and all-cause mortality: Is there a causal link? BMC Public Health. 2016 Jul;16(1):635.
Young DR, Hivert MF, Alhassan S, Camhi SM, Ferguson JF, Katzmarzyk PT et al. Sedentary behavior and cardiovascular morbidity and mortality: A science advisory from the American Heart Association. Circulation. 2016 Sep;134(13):e262–279.
Stamatakis E, Ekelund U, Ding D, Hamer M, Bauman AE, Lee IM. Is the time right for quantitative public health guidelines on sitting? A narrative review of sedentary behaviour research paradigms and findings. Br J Sports Med. 2019 Mar;53(6):377–382.
Rezende LFM, Sá TH, Mielke GI, Viscondi JYK, Rey-López JP, Garcia LMT. All-cause mortality attributable to sitting time: analysis of 54 countries worldwide. Am J Prev Med. 2016 Aug;51(2):253–263.
Heron L, O’Neill C, McAneney H, Kee F, Tully MA. Direct healthcare costs of sedentary behaviour in the UK. J Epidemiol Community Health. 2019 Jul;73(7):625–629.
Rosenberg D, Cook A, Gell N, Lozano P, Grothaus L, Arterburn D. Relationships between sitting time and health indicators, costs, and utilization in older adults. Prev Med Reports. 2015 Jan;2:247–249.
McDowell CP, Herring MP, Lansing J, Brower C, Meyer JD. Working from home and job loss due to the COVID-19 pandemic are associated with greater time in sedentary behaviors. Front Public Heal. 2020 Nov;8:597619.
Hall G, Laddu DR, Phillips SA, Lavie CJ, Arena R. A tale of two pandemics: how will COVID-19 and global trends in physical inactivity and sedentary behavior affect one another? Prog Cardiovasc Dis. 2020 Apr.
Stockwell S, Trott M, Tully M, Shin J, Barnett Y, Butler L et al. Changes in physical activity and sedentary behaviours from before to during the COVID-19 pandemic lockdown: A systematic review. BMJ Open Sport Exerc Med. 2021 Feb;7(1):960.
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009 Jul 21;339.
Schardt C, Adams MB, Owens T, Keitz S, Fontelo P. Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Med Inform Decis Mak. 2007;7:1–6.
World Health Organization. Guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization; 2020.
Rodseth R, Marais L. Meta-analysis: Everything you wanted to know but were afraid to ask. SA Orthop J. 2016;15(4):31–36.
Lipsey MW. Identifying interesting variables and analysis opportunities. En: Cooper H, Hedges LV, Valentine JC, editores. The handbook of research synthesis and meta-analysis [Internet]. Russell Sage Foundation; 2009 [cited 2021 Feb 15]. p. 147–8. Disponible en: https://psycnet.apa.org/record/2009-05060-008
National Institutes of Health. Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies [Internet]. 2021 [consultado 2021 Feb 15]. Disponible en: https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools
Wan X, Wang W, Liu J, Tong T. Estimating the sample mean and standard deviation from the sample size, median, range and/or interquartile range. BMC Med Res Methodol. 2014 Dec;14(1):135.
Higgins JP, Green S. Cochrane Handbook for Systematic Reviews of Interventions [Internet]. Chichester, UK: John Wiley & Sons, Ltd; 2008 [consultado 2020 Jul 20]. 1–649 p. Disponible en: http://doi.wiley.com/10.1002/9780470712184
Senn SJ. Overstating the evidence-double counting in meta-analysis and related problems. BMC Med Res Methodol [Internet]. 2009 Dec 13 [consultado 2020 Jul 20];9(1):10. Disponible en: https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/1471-2288-9-10
Northey JM, Cherbuin N, Pumpa KL, Smee DJ, Rattray B. Exercise interventions for cognitive function in adults older than 50: a systematic review with meta-analysis. Br J Sports Med. 2018 Feb 1;52(3):154–160.
Gates N, Singh MAF, Sachdev PS, Valenzuela M. The effect of exercise training on cognitive function in older adults with mild cognitive impairment: a meta-analysis of randomized controlled trials. Am J Geriatr Psychiatry. 2013;21(11):1086–1097.
Ács P, Prémusz V, Morvay-Sey K, Pálvölgyi Á, Trpkovici M, Elbert G et al. Effects of COVID-19 on physical activity behavior among university students: results of a Hungarian online survery. Heal Probl Civiliz. 2020;14(3):174–182.
Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L et al. Effects of COVID-19 home confinement on eating behaviour and physical activity: results of the ECLB/COVID-19 international online survey. Nutrients. 2020 Jun 1;12(6):1583.
Barkley JE, Lepp A, Glickman E, Farnell GS, Beiting J, Wiet R et al. The acute effects of the COVID-19 pandemic on physical activity and sedentary behavior in university students and employees. Int J Exerc Sci [Internet]. 2020 [consultado 2020 Oct 28];13(5):1326–39. Disponible en: https://digitalcommons.wku.edu/ijes/vol13/iss5/8/
Castañeda-Babarro A, Coca A, Arbillaga-Etxarri A, Gutiérrez-Santamaría B. Physical activity change during COVID-19 confinement. Int J Environ Res Public Health. 2020 Sep;17(18):1–10.
Chouchou F, Augustini M, Caderby T, Caron N, Turpin NA, Dalleau G. The importance of sleep and physical activity on well-being during COVID-19 lockdown: reunion island as a case study. Sleep Med. 2021 Sep 22;77:297–301.
Janssen X, Fleming L, Kirk A, Rollins L, Young D, Grealy M et al. Changes in physical activity, sitting and sleep across the COVID-19 national lockdown period in Scotland. Int J Environ Res Public Health [Internet]. 2020 Dec 14 [consultado 2021 Feb 15];17(24):9362. Disponible en: https://www.mdpi.com/1660-4601/17/24/9362
Qi M, Li P, Moyle W, Weeks B, Jones C. Physical activity, health-related quality of life, and stress among the Chinese adult population during the COVID-19 pandemic. Int J Environ Res Public Health [Internet]. 2020 Sep 7 [consultado 2021 Feb 15];17(18):6494. Disponible en: https://www.mdpi.com/1660-4601/17/18/6494
Richardson DL, Duncan MJ, Clarke ND, Myers TD, Tallis J. The influence of COVID-19 measures in the United Kingdom on physical activity levels, perceived physical function and mood in older adults: a survey-based observational study. J Sports Sci [Internet]. 2020 Nov 26 [consultado 2021 Feb 15];1–13. Disponible en: https://www.tandfonline.com/doi/full/10.1080/02640414.2020.1850984
Rodríguez-Larrad A, Mañas A, Labayen I, González-Gross M, Espin A, Aznar S et al. Impact of COVID-19 confinement on physical activity and sedentary behaviour in Spanish university students: role of gender. Int J Environ Res Public Health [Internet]. 2021 Jan 6 [consultado 2021 Feb 15];18(2):369. Disponible en: https://www.mdpi.com/1660-4601/18/2/369
Romero-Blanco C, Rodríguez-Almagro J, Onieva-Zafra MD, Parra-Fernández ML, Prado-Laguna M del C, Hernández-Martínez A. Physical activity and sedentary lifestyle in university students: changes during confinement due to the COVID-19 pandemic. Int J Environ Res Public Health [Internet]. 2020 Sep 9 [consultado 2020 Oct 14];17(18):6567. Disponible en: https://www.mdpi.com/1660-4601/17/18/6567
Sañudo B, Fennell C, Sánchez-Oliver AJ. Objectively-assessed physical activity, sedentary behavior, smartphone use, and sleep patterns preand during-COVID-19 quarantine in young adults from Spain. Sustain [Internet]. 2020 Aug 1 [consultado 2020 Oct 14];12(15):5890. Disponible en: www.mdpi.com/journal/sustainability
Savage MJ, James R, Magistro D, Donaldson J, Healy LC, Nevill M et al. Mental health and movement behaviour during the COVID-19 pandemic in UK university students: Prospective cohort study. Ment Health Phys Act. 2020 Oct;19:100357.
Ugbolue U, Duclos M, Urzeala C, Berthon M, Kulik K, Bota A et al. An assessment of the novel COVISTRESS questionnaire: COVID-19 impact on physical activity, sedentary action and psychological emotion. J Clin Med [Internet]. 2020 Oct 19 [consultado 2021 Feb 15];9(10):3352. Disponible en: https://www.mdpi.com/2077-0383/9/10/3352
Yang S, Guo B, Ao L, Yang C, Zhang L, Zhou J et al. Obesity and activity patterns before and during COVID-19 lockdown among youths in China. Clin Obes [Internet]. 2020 Dec 2 [consultado 2021 Feb 15];10(6):e12416. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/cob.12416
Zheng C, Huang WY, Sheridan S, Sit CH-P, Chen X-K, Wong SH-S. COVID-19 pandemic brings a sedentary lifestyle in young adults: a cross-sectional and longitudinal study. Int J Environ Res Public Health [Internet]. 2020 Aug 19 [consultado 2021 Feb 15];17(17):6035. Disponible en: https://www.mdpi.com/1660-4601/17/17/6035
Gallè F, Sabella EA, Ferracuti S, De Giglio O, Caggiano G, Protano C et al. Sedentary behaviors and physical activity of Italian undergraduate students during lockdown at the time of COVID-19 pandemic. Int J Environ Res Public Health. 2020 Sep 1;17(17):1–11.
Hermassi S, Sellami M, Salman A, Al-Mohannadi AS, Bouhafs EG, Hayes LD et al. Effects of COVID-19 lockdown on physical activity and satisfaction with life in Qatar: a preliminary study. Int J Environ Res Public Health [Internet]. 2021 [consultado 2021 Mar 3]. Disponible en: https://research-portal.uws.ac.uk/en/publications/effects-of-covid-19-lockdown-on-physical-activity-and-satisfactio
Luciano F, Cenacchi V, Vegro V, Pavei G. COVID-19 lockdown: Physical activity, sedentary behaviour and sleep in Italian medicine students. Eur J Sport Sci [Internet]. 2020 Dec 6 [consultado 2021 Mar 3];1–10. Disponible en: https://www.tandfonline.com/doi/full/10.1080/17461391.2020.1842910
Srivastav AK, Sharma N, Samuel AJ. Impact of Coronavirus disease-19 (COVID-19) lockdown on physical activity and energy expenditure among physiotherapy professionals and students using web-based open E-survey sent through WhatsApp, Facebook and Instagram messengers. Clin Epidemiol Glob Heal. 2021 Jan 1;9:78–84.
Pišot S, Milovanović I, Šimunič B, Gentile A, Bosnar K, Prot F et al. Maintaining everyday life praxis in the time of COVID-19 pandemic measures (ELP/COVID-19 survey). Eur J Public Health [Internet]. 2020 Dec 11 [consultado 2021 Feb 15];30(6):1181–1186. Disponible en: https://academic.oup.com/eurpub/article/30/6/1181/5880552
World Health Organization. World Health Organization’s information network for epidemics, EPI-WIN updates-Update 40. Overview of the COVID-19 pandemic [Internet]. 2020 [consultado 2021 Feb 17]. Disponible en: https://www.who.int/teams/risk-communication/epi-win-updates
Hamer M, Coombs N, Stamatakis E. Associations between objectively assessed and self-reported sedentary time with mental health in adults: An analysis of data from the health survey for England. BMJ Open. 2014 Mar;4(3):4580.
Teychenne M, Costigan SA, Parker K. The association between sedentary behaviour and risk of anxiety: a systematic review. BMC Public Health. 2015 Jun;15(1):513.
Tremblay MS, Colley RC, Saunders TJ, Healy GN, Owen N. Physiological and health implications of a sedentary lifestyle. Appl Physiol Nutr Metab. 2010;35(6):725–740.
Zhai L, Zhang Y, Zhang D. Sedentary behaviour and the risk of depression: A meta-analysis. Br J Sports Med. 2015 Jun;49(11):705–709.
Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet Glob Heal. 2018 Oct;6(10):e1077–1086.
Du Y, Liu B, Sun Y, Snetselaar LG, Wallace RB, Bao W. Trends in adherence to the Physical Activity Guidelines for Americans for aerobic activity and time spent on sedentary behavior among US adults, 2007 to 2016. JAMA Netw Open. 2019 Jul;2(7):e197597.
Guo Y, Cheng C, Zeng Y, Li Y, Zhu M, Yang W et al. Mental health disorders and associated risk factors in quarantined adults during the COVID-19 outbreak in China: Cross-sectional study. J Med Internet Res. 2020 Aug;22(8):e20328.
Holingue C, Badillo-Goicoechea E, Riehm KE, Veldhuis CB, Thrul J, Johnson RM et al. Mental distress during the COVID-19 pandemic among US adults without a pre-existing mental health condition: Findings from American trend panel survey. Prev Med (Baltim). 2020 Oct;139:106231.
Van Tilburg TG, Steinmetz S, Stolte E, van der Roest H, de Vries DH. Loneliness and Mental Health During the COVID-19 Pandemic: A Study Among Dutch Older Adults. Journals Gerontol Ser B. 2020 Aug;XX:1–7.
Bakrania K, Edwardson CL, Khunti K, Bandelow S, Davies MJ, Yates T. Associations between sedentary behaviors and cognitive function: cross-sectional and prospective findings from the UK Biobank. Am J Epidemiol. 2018 Mar;187(3):441–454.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2022 Miguel A. Sanchez-Lastra, Alejandro López-Valenciano, David Suárez-Iglesias, Carlos Ayán
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Usted es libre de:
Compartir — copiar y redistribuir el material en cualquier medio o formato.
La licenciante no puede revocar estas libertades en tanto usted siga los términos de la licencia.
Bajo los siguientes términos:
Atribución — Usted debe dar crédito de manera adecuada , brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
SinDerivadas — Si remezcla, transforma o crea a partir del material, no podrá distribuir el material modificado.
No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
Avisos:
No tiene que cumplir con la licencia para elementos del material en el dominio público o cuando su uso esté permitido por una excepción o limitación aplicable.
No se dan garantías. La licencia podría no darle todos los permisos que necesita para el uso que tenga previsto. Por ejemplo, otros derechos como publicidad, privacidad, o derechos morales pueden limitar la forma en que utilice el material.