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; Vivienne M. Hazzard; Samantha L. Hahn; Amanda L. Folk; Brooke E. Wagner; Dianne Neumark-Sztainer

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, Vivienne M. Hazzard, Samantha L. Hahn, Amanda L. Folk, Brooke E. Wagner, Dianne Neumark-Sztainer

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

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 shel-tering-in-place. This suggests that the pandemic may have played a role in introducing or magnify-ing 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.

Original language	English (US)
Article number	13228
Journal	International journal of environmental research and public health
Volume	18
Issue number	24
DOIs	https://doi.org/10.3390/ijerph182413228
State	Published - Dec 1 2021

Bibliographical note

Funding Information:
Funding: This work was supported by two sources of funding: grant R35 HL139853 (PI: D. Neu-mark-Sztainer) from the National Heart, Lung, and Blood Institute and grant T32 MH082761 (PI: S. Crow) from the National Institute of Mental Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute, the National Institute of Mental Health, or the National Institutes of Health.

Funding Information:
This work was supported by two sources of funding: grant R35 HL139853 (PI: D. Neu-mark-Sztainer) from the National Heart, Lung, and Blood Institute and grant T32 MH082761 (PI: S. Crow) from the National Institute of Mental Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute, the National Institute of Mental Health, or the National Institutes of Health. The authors would like to acknowledge the co-investigators, post-doctoral fel-lows, and graduate students who contributed to the survey development and data collection of both the EAT 2018 and C-EAT surveys from the University of Minnesota: Marla Eisenberg, Nicole Lar-son, Katie Loth, Laura Hopper, Susan Mason, Jaime Slaughter-Acey, and from Columbia University: Melanie Wall.

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

Longitudinal study
Pandemic
Physical activity
Screen time
Sedentary behavior

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Barr-Anderson, D. J., Hazzard, V. M., Hahn, S. L., Folk, A. L., Wagner, B. E., & Neumark-Sztainer, D. (2021). 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. International journal of environmental research and public health, 18(24), Article 13228. https://doi.org/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. / Barr-Anderson, Daheia J.; Hazzard, Vivienne M.; Hahn, Samantha L. et al.
In: International journal of environmental research and public health, Vol. 18, No. 24, 13228, 01.12.2021.

Research output: Contribution to journal › Article › peer-review

Barr-Anderson, DJ , Hazzard, VM, Hahn, SL, Folk, AL, Wagner, BE & Neumark-Sztainer, D 2021, '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', International journal of environmental research and public health, vol. 18, no. 24, 13228. https://doi.org/10.3390/ijerph182413228

Barr-Anderson DJ , Hazzard VM, Hahn SL, Folk AL, Wagner BE, Neumark-Sztainer D. 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. International journal of environmental research and public health. 2021 Dec 1;18(24):13228. doi: 10.3390/ijerph182413228

Barr-Anderson, Daheia J. ; Hazzard, Vivienne M. ; Hahn, Samantha L. et al. / 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. In: International journal of environmental research and public health. 2021 ; Vol. 18, No. 24.

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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 shel-tering-in-place. This suggests that the pandemic may have played a role in introducing or magnify-ing 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.",

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note = "Funding Information: Funding: This work was supported by two sources of funding: grant R35 HL139853 (PI: D. Neu-mark-Sztainer) from the National Heart, Lung, and Blood Institute and grant T32 MH082761 (PI: S. Crow) from the National Institute of Mental Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute, the National Institute of Mental Health, or the National Institutes of Health. Funding Information: This work was supported by two sources of funding: grant R35 HL139853 (PI: D. Neu-mark-Sztainer) from the National Heart, Lung, and Blood Institute and grant T32 MH082761 (PI: S. Crow) from the National Institute of Mental Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute, the National Institute of Mental Health, or the National Institutes of Health. The authors would like to acknowledge the co-investigators, post-doctoral fel-lows, and graduate students who contributed to the survey development and data collection of both the EAT 2018 and C-EAT surveys from the University of Minnesota: Marla Eisenberg, Nicole Lar-son, Katie Loth, Laura Hopper, Susan Mason, Jaime Slaughter-Acey, and from Columbia University: Melanie Wall. Publisher Copyright: {\textcopyright} 2021 by the authors. Licensee MDPI, Basel, Switzerland.",

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AU - Hazzard, Vivienne M.

AU - Hahn, Samantha L.

AU - Folk, Amanda L.

AU - Wagner, Brooke E.

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N2 - 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 shel-tering-in-place. This suggests that the pandemic may have played a role in introducing or magnify-ing 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.

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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

Abstract

Bibliographical note

Keywords

UN SDGs

Access

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