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. 2021 Dec 23;159:111675. doi: 10.1016/j.exger.2021.111675

Table 2.

PA level during the COVID-19 pandemic.

Author (Year)
(n = 25)
Activity level assessment method Cut-off points for PA level Main outcomes
Maugeri et al. (2020) IPAQ-SF. - Low active (<600 MET–minutes/week);
- Moderate active (>600 MET–minutes/week);
- High active (>3000 MET–minutes/week).
- Statistically significant difference between before and during COVID-19 pandemic (Mean: 2429 vs. 1577 MET–min/wk.; p < 0.0001)
- Low active individuals increased up to 39.62%
- ↓ of total weekly PA energy
Sasaki et al. (2021) IPAQ-SF. - Walking (3.3 METs)
- Moderate-intensity activity (4.0 METs)
- Vigorous-intensity activity (8.0 METs)
- PA was reduced by approximately 5–10% for moderate-intensity activity, walking, and total PA. After the restrictions, there was an increase in sitting time (5% increase for men,10% increase for women).
Visser et al. (2020) LAPAQ. - <150 versus ≥150 min/week - Negative impact on PA behaviors (48.3–54.3% of the sample);
- Half of the sample reported to be always (8%) or sometimes (41.3%) less physically active than normal.
Song et al. (2020) PASE. NM - Significant decrease in the amount of exercise (duration and frequency and number of patients who do not exercise at all increased).
Balci et al. (2021) PASE. - Higher scores indicate greater physical activity. - PA level was reduced in healthy and PD groups.
Pérez et al. (2021) BPAAT. - Insufficiently active (score 0–3 points);
- Sufficiently active (score 4–8 points).
- A general decrease in PA level during the lockdown (BPAAT total score: −1.1/8 (95 CI% 0.6; 1.5) points; p < 0.001).
Browne et al. (2020) Accelerometer. - Sedentary behavior (≤0 99 cpm);
- Light PA (100–1951 cpm);
- Moderate-vigorous (≥1952 cpm).
- Increase in sedentary behavior (p = 0.032) and decrease in steps/day (p = 0.018).
Meyer et al. (2020) IPAQ-SF. - Inactive (0 min);
- Insufficiently active (1–150 min/day);
- Sufficiently active (150–300 min/day);
- Highly active (>300 min/day).
- 42.6% reported sitting for more than 8 h per day;
- 72.5% reported being either sufficiently or highly active.
Richardson et al. (2021) IPAQ-E; LLFDI. - High, moderate, or low PA (according to IPAQ-SV scoring protocol - http://www.ipaq.ki.se/) - Both males and females maintained their PA levels but also increased their sedentary time.
Di Santo et al. (2020) IPAQ-SF. - 600 MET/week roughly corresponding to 150 min of moderate intensity activity; - 46 participants declared having decreased their PA;
- 69.60% reported an increase in the time spent sitting or lying down;
- 5 of the 25 respondents who, before the lockdown did not reach the recommended threshold of 600 MET/week, increased their PA levels during quarantine.
Wang et al. (2020b) Daily step counts collected through a smartphone linked to a social network platform (WeChat). - Low daily step (≤1500 steps/day)
- Frequent low daily steps (≥14 days of low daily step counts over a 30-day period)
- Daily steps dropped rapidly (by 2678 steps) and substantially and was more pronounced among females.
- The prevalence of frequent low daily steps increased to 7.4% (196/2655) during the COVID-19 epidemic period, after physical distancing measures were implemented.
Suzuki et al. (2020) PAQ-EJ - Light housework (2.0 METs)
- Moderate or somewhat heavy housework (2.5 METs)
- Labor (2.8 METs)
- Transportation (2.8 METs)
- Light exercise/sports (3.0 METs)
- Resistance exercise/sports (3.0 METs)
- Moderate or somewhat strenuous exercise/sports (4.3 METs)
- 47.3% of the participants were less active and decreased their PA per week.
- The light and moderate or strenuous exercise/sports and housework categories were the most affected.
Ruiz-Roso et al. (2020) IPAQ - Moderate-intensity activities (>3 and <6 METs);
- Vigorous-intensity activities (≥6 METs).
- Increase in sitting without doing any PA;
- Decrease in average minutes per week spent walking;
- Patients with DM with a BMI > 30 kg/m2 showed a significant increment in the hours they spent sitting;
- Patients with DM with a BMI between 25 and 30 kg/m2 did not increase hours they spent sitting.
Qin et al. (2020) IPAQ - High, moderate, or low PA (according to IPAQ-SV scoring protocol - http://www.ipaq.ki.se/) - 41.3% of insufficient PA was found during home quarantine induced by COVID-19.
- The prevalence of insufficient PA more than doubled during the initial stage of COVID-19 epidemic in China (global: 27.5% vs. China in epidemic stage: 57.5%, 2, p < 0.0001)
Yamada et al. (2020) IPAQ - Moderate-intensity activities (>3 and <6 METs);
- Vigorous-intensity activities (≥6 METs).
- Significant decrease in total PA time in April 2020 (median [IQR], 180 [0 to 420]) when compared to January 2020 (median [IQR], 245 [90 to 480]) (P < 0.001).
de Matos et al. (2020) IPAQ - Inactive - <600 MET-min/week;
- Insufficiently active - ≥600 and <3000 met-min/week;
- Active - ≥3000 MET-min/week.
- In the pandemic period, 84% of the sample was considered inactive, 13% moderate active, and 3% high active;
- In relation to the periods before and during the pandemic, it was observed that: in elderly (p < 0.0001) the weekly energy expenditure reduced significantly.
Chambonniere et al. (2021) IPAQ; ONAPS-PAQ - Inactive (≤ 2 h and 30 min per week of moderate to vigorous PA). - 39.2% decreased PA during the confinement;
- PA decreased among 43.4% of old people who lived in urban areas;
- PA decreased 32.4% (p = 0.001) of old people who lived in rural areas;
Miyahara et al. (2021) Accelerometer - Light-intensity PA (1.5–2.9 METs);
- Moderate-intensity PA (≥3 METs);
- The PA level of daily activity decreased by 32.6%;
- Light-intensity PA decreased by 18.2%;
- Walking activity decreased by 17.0%;
- The average daily number of steps decreased by 38.9%.
- In the High-PA group, the number of steps, activity time, moderate-intensity PA, light-intensity PA, and total PA decreased after self-restraint (p > 0.02)
Yamada et al. (2021) IPAQ-SF. - Moderate-intensity activities (>3 and <6 METs);
- Vigorous-intensity activities (≥6 METs).
- Significant decrease in total PA time in April 2020, August 2020 and January 2021 than in January 2020 (P < 0.001).
Carvalho et al. (2021) IPAQ-SF. - High, moderate, or low PA (according to IPAQ-SV scoring protocol - http://www.ipaq.ki.se/) - 90% of older adults self-reported a decrease in overall PA levels;
- 64.7% increased daily sitting time during the home confinement.
Lage et al. (2021) IPAQ-SF - <150 min per week" or “>150 min per week” of moderate to vigorous PA. - 83.80% self-reported a decrease in daily PA levels (p < 0.001);
- 73.90% increased sitting time (p < 0.001).
Nascimento et al. (2021) IPAQ-SF - Low PA level (0 to <600 MET·min weekly);
- Medium PA level (600 to <1200 MET·min weekly);
- High PA level (≥1200 MET·min weekly).
- At the beginning of the study, 56.8% of the older adults were classified as active, and after the first month, 18.5% reported changes in this condition;
- Changes in MET'S, which presented lower values when compared with April and August (p < 0.01, for both);
- There was an increase in sitting time compared with April independent of the measure period (week and weekend, p < 0.01 for both).
García-Esquinas et al. (2021) PASE NM - Mean reduction in the PASE score of 16.66 points
Leavy et al. (2021) Accelerometer - Sedentary behavior (<100 counts per minute)
- Light-intensity PA (100–1040 counts per minute);
- Moderate to vigorous intensity PA (≥1041 counts per minute).
- No statistically significant difference in overall PA level (steps per day) was seen between prepandemic and postpandemic measures (P = 0.429).
Salman et al. (2021) IPAQ-SF - Low active (<600 MET–minutes/week);
- Moderate active (>600 MET–minutes/week);
- High active (>3000 MET–minutes/week).
- Mean PA was significantly lower following the introduction of lockdown from 3519 to 3185 MET min/week (p < 0.001)

Legend: Physical Activity (PA); International Physical Activity Questionnaire-Short form (IPAQ-SF); Longitudinal Aging Study Amsterdam Physical Activity Questionnaire (LAPAQ); Parkinson's disease (PD); Physical Activity Scale for the Elderly (PASE); Brief Physical Activity Assessment Tool (BPAAT); Late-Life Function and Disability Instrument (LLFDI); Metabolic Equivalent Task (MET); International Physical Activity Questionnaire Environment Module (IPAQ-E); Physical Activity Questionnaire for Elderly Japanese (PQA-EJ); Body Mass Index (BMI); World Health Organization (WHO); Not mentioned (NM); Interquartile range (IQR).