The effects of COVID-19 stay-at-home orders on physical activity of people with obesity

Prado, Wagner Luiz do, Lofrano-Prado, Mara Cristina, Christofaro, Diego Giulliano Destro, Santana, Carla Caroliny de Almeida, Cucato, Gabriel, Jackson, Matthew, Shumate, Grace, Shumate, Sarah, Correia, Marilia de Almeida, Botero, João Paulo and Ritti-Dias, Raphael Mendes (2022) The effects of COVID-19 stay-at-home orders on physical activity of people with obesity. Einstein (São Paulo), 20. eAO6727. ISSN 1679-4508

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Abstract

Objective
To verify the association of changes on physical activity levels during coronavirus disease 2019 (COVID-19) outbreak of individuals with normal weight and overweight/obesity, and the influence of sex in this relationship.

Methods
This cross-sectional study (survey research) was conducted in Brazil between May 5 and May 17, 2020. Participants (n=1,828 / 1,062 women >18 years) were invited through social media to answer a structured questionnaire via Google Forms. The online assessment included self-reported responses to questions on physical activity, overall health, weight, and height. Binary logistic regression analyzed the relationship between overweight/obesity (body mass index ≥25kg/m2), the impact of COVID-19 on physical activity level, and the influence of sex.

Results
Compared to normal weight people, those with overweight/obesity practice less moderate to vigorous physical activity (p<0.001). There were associations between women and men with overweight/obesity and the impact of COVID-19 on the physical activity practice compared to normal weight people, adjusted by age, education level, social isolation, and previous physical activity level (p<0.017).

Conclusion
The study found an association of weight and changes in physical activity levels. Individuals with overweight/obesity were more likely to have a lower physical activity level during COVID-19 pandemic, regardless of sex.

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