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Changes in Physical Activity and Sedentary Behaviour in Cardiovascular Disease Patients during the COVID-19 Lockdown

Author

Listed:
  • Bram M.A. van Bakel

    (Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands)

  • Esmée A. Bakker

    (Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands)

  • Femke de Vries

    (Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands)

  • Dick H.J. Thijssen

    (Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands
    Research Institute for Sports and Exercise Sciences, Liverpool John Moores University, Liverpool L3 5UX, UK)

  • Thijs M.H. Eijsvogels

    (Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands)

Abstract

The COVID-19 lockdown has been associated with physical inactivity. We prospectively evaluated changes in moderate-to-vigorous physical activity (MVPA) and sedentary time (ST) among 1565 cardiovascular disease (CVD) patients using validated questionnaires at 5 weeks after lockdown initiation (i.e., baseline, April 2020) and at every 4 subsequent weeks, until July 2020. Multivariate mixed model analyses were performed to identify whether age, sex, CVD-subtype, lockdown adherence and mental health factors impacted changes in physical (in)activity. Patients were 67 (interquartile range: 60–73) years and primarily diagnosed with coronary artery disease. Time spent in MVPA was 143 min/day (95% confidence interval (CI) 137; 148) at baseline. Female sex, heart-failure, fear of COVID-19 infection and limited possibilities for physical activity were independently associated with lower levels of MVPA across time. After adjusting for confounders, overall MVPA did not change. ST was 567 (95% CI 555; 578) min/day at baseline. Lack of social contact, limited possibilities for physical activity and younger age were independently associated with higher levels of ST. After adjusting for confounders, ST progressively increased following 8 (Δ+19.7 (95% CI 0.4; 39.0)) and 12 weeks (Δ+25.2 (95% CI 5.4; 47.1) min/day) of lockdown. Despite a phased relaxation of the lockdown, CVD patients progressively increased ST and reported no change in MVPA. This highlights the need to target physical inactivity during and beyond the COVID-19 pandemic.

Suggested Citation

  • Bram M.A. van Bakel & Esmée A. Bakker & Femke de Vries & Dick H.J. Thijssen & Thijs M.H. Eijsvogels, 2021. "Changes in Physical Activity and Sedentary Behaviour in Cardiovascular Disease Patients during the COVID-19 Lockdown," IJERPH, MDPI, vol. 18(22), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11929-:d:678460
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    References listed on IDEAS

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    1. Arkaitz Castañeda-Babarro & Ane Arbillaga-Etxarri & Borja Gutiérrez-Santamaría & Aitor Coca, 2020. "Physical Activity Change during COVID-19 Confinement," IJERPH, MDPI, vol. 17(18), pages 1-10, September.
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    1. Roberta Adorni & Andrea Greco & Marco D’Addario & Francesco Zanatta & Francesco Fattirolli & Cristina Franzelli & Alessandro Maloberti & Cristina Giannattasio & Patrizia Steca, 2022. "Sense of Coherence Predicts Physical Activity Maintenance and Health-Related Quality of Life: A 3-Year Longitudinal Study on Cardiovascular Patients," IJERPH, MDPI, vol. 19(8), pages 1-14, April.

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