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. 2022 Sep 28;19(19):12344. doi: 10.3390/ijerph191912344
Study Study Characteristics, Stringency Level & Workplace Conditions
  • Design

  • Assessment Tool

  • Assessment Period

Population & Participants
  • Sex Distribution (Male/Female/Not Specified)

  • Age (SD)

Primary Outcome
(PA-Changes)
Control Group Secondary Outcomes (Physical: e.g., BMI or Mental: e.g., Mood, Quality of Life) Specialties/
Conclusions
Aegerter et al. (2021) [12] Longitudinal study based on data from an ongoing randomized controlled trial (International Physical Activity Questionnaire—Short-Form: IPAQ-SF); January 2020 to April 2020

Stringency: no measures
Workplace: no measures
Canton of Zurich and Aargau, Switzerland

sex: 76 (28.95%/71.05%)

age (y): 42.7 (21.8–62.7)
No changes in PA No controls BMI:
No change

Better work-life balance reported by 43.4%, worsened by 22.4%
This study could not show any influence of changes in the workplace on physical activity. However, an improvement in work-life balance and a reduction in working hours were found.

One-off effects such as relatively good weather, reduced working hours and a generally higher perception of one’s own health due to the pandemic represent a risk-of-bias
Alardo-Gonzalvo et al. (2021) [13] Cross-sectional online survey (IPAQ);
22 March 2020 to 27 March 2020

Stringency: 5.56
Workplace: no closing
Ecuador

sex: 67 (21.3/78.7)

age: 40.6 ± 10.8
Sedentary total:
+20%
Sedentary female:
+25.2%
Sedentary male:
+6.9%
Captured in study: Students n = 390:
Sedentary total:
+26.4%
Sedentary female: +28.4%
Sedentary male:
+22.7%
No change in measurements reported Decrease in Sedentary. Female with higher decrease in Sedentary.
Argus et al. (2021) [14] Cross-sectional internet-based survey (Baecke Physical Activity Questionnaire: BPAI & NORDIC Questionnaire); May 2020 to June 2020

Stringency: 75
Workplace: Require closing all but essential
Tartu, Estonia

sex: 161 (35.4%/64.6%)

age (y): 38.2 ± 9.5
(20–59)
PA total decrease: −0.41 ±1.37, −5.2% BPAI (ES = 0.26)

PA work increase: +0.18 ±0.54, +7.9% BPAI (ES = 0.5)
No controls Negative correlation between the change in self-reported sports PA and MSP (ES = −0.21), a change in workplace comfort (ES = −0.26) and a change in workplace ergonomics score (ES = −0.23) Decrease in overall physical activity, but increase in work-associated physical activity
Barkley et al. (2020) [15] Cross-sectional online survey (Godin Physical Activity Questionnaire & IPAQ;
18 May 2020 to 18 June 2020

Stringency: 72.69
Workplace: Require closing all but essential
Kent State University Ohio, USA

214 (176 Faculty, 28 Staff, 10 Administrators)

age (y): Faculty (52.1 ± 10.7), Staff (48.1 ± 12.5), Administrators (48.2 ± 8.6)
Faculty, Staff and Administrators: No changes in PA

Sedentary increases:
Faculty: +15.2%
Staff: +6.3%
Administrators: 9.9%
Captured in study:
Undergrade students (n = 100) with change in mild physical activity (−33.7%)

Sedentary:
Undergrade (n = 100): +19.2%
Grad (n = 84): +18.1%
BMI:
No change in all groups
Additional it could be shown that the group that had the highest physical activity before the pandemic had the highest decrease in physical activity during the pandemic. However, this analysis did not distinguish between students and employees.
Brusaca et al. (2021) [10] Case-series with accelerometer data collection;
September 2019 to July 2020

Stringency: 74.54
Workplace: Require closing all but essential
Brazil; São Carlos

sex: 11 (54.5%/45.5%)

age (y): 39.3 ± 9.6 (26–57)
Sedentary decrease: −3.3%
Standing decrease: −1.8%
Light-PA decrease: −10.6%
MVPA decrease: −42.4%
Time in Bed increase: +11.6%
No controls No change in measurements reported Workers spent more Time in Bed relative to time awake during home-office and decrease there MVPA
Fukushima et al. (2021) [16] Cross-sectional online survey (Work-related Physical Activity Questionnaire: WPAQ);
28 July 2020 to 2 August 2020

Stringency: 25.93
Workplace: Recommend closing
Japan; Tokyo (41.73%), Others (58.27%)

sex: 1239 (59.24%/
40.76%)

age (y): 20–79
Sedentary crude (adjusted):
+111 ± 76.3 min/day, +49%

Light-PA: −53.3 ± 49.2 min/day, −47.2%

MVPA: −36.6 ±27.3 min/day, −39.8%
No controls No measurements collected Workers who worked from home spent less PA time and linger uninterrupted Sedentary time during work time than those who never worked at home

Use of active workstations is a powerful intervention
Füzéki et al. (2021) [17] Cross-sectional online survey (European Health Interview Survey—Physical Activity Questionnaire: EHIS-PAQ) asking prior to and during lockdown condition;
15 April 2020 to 23 June 2020

Stringency: 85.19
Workplace: Require closing all but essential
Italian Population

sex: 1500 (24.5%/
75.1%)

age (y): 43.1 ± 1.3
Walking: −11.4% (ES = 0.46)
Cycling: −62.8% (ES = 0.3)
TRPA: −51.9% (ES = 0.51)

LTPA: −30% (ES = 0.31)

DMSA: −1.1% (ES = 0.3)
WRPA: no change
No controls BMI: no change No differentiation for walking, cycling, Leisure time PA between WFH and NWFH; WRPA does not distinguish between WFH and NWFH

Decrease in TRPA (because of closure of all non-essential businesses and WFH) and Leisure time PA, no change in WRPA
Füzéki et al. (2021) [18] Cross-sectional online survey (EHIS-PAQ) asking prior to and during lockdown condition; 23 April 2020 to 12 September 2020

Stringency: 76.85
Workplace: Require closing all but essential
Germany

sex: 979 (28.2%/71.8%)

age: 44 ± 14.7
Walking: −10.5% (ES = 0.16)
Cycling: −18.3% (ES = 0.13)
LTPA: −15.9% (ES = 0.22)
TRPA: −13.6% (ES = 0.13)
DMSA: −6.3% (ES = 0.07)
No controls No measurements collected Light-PA has declined more in the WFH group than in the NWFH group. No further interactions.
Füzéki et al. (2021) [19] Cross-sectional online survey (EHIS-PAQ) asking prior to and during lockdown condition; 8 April 2021 to 2 July 2021

Stringency: 76.85
Workplace: Require closing some sectors
Germany

sex: 993 (28.7%/71.3%)

age: 44 ± 14.7
Walking: −17.4% (ES = 0.21)
Cycling: −5.2% (ES = 0.18)
LTPA: −22.1% (ES = 0.33)
TRPA: −20% (ES = 0.25)
DMSA: −11.8% (ES = 0.13)
No controls Well-Being: −24% TRPA has declined more in the WFH group than in the NWFH group.
WFH did not affect light-PA and depressive Mode.
Howe et al. (2021) [20] Cross-sectional Qualtrics online survey (Global Physical Activity Questionnaire: GPAQ) asking prior to and during lockdown;
21 April 2020 to 9 May 2020

USA
Stringency: 72.69
Workplace: Require closing all but essential

CAN
Stringency: 74.54
Workplace: Require closing all but essential
USA (91.9%), CAN (8.1%);
Caucasian (88.8%), Black (3.4%), Asian (3%), others (4.8%)

sex: 1336 (25.1%/74
−2%/0.7%)

age (y): 18->70
Work-related MVPA:
Overall decrease:
−45.2% CAN
−44% USA

MVPA decrease: −58.2% with a change in work environment by 687 (51.4%) participants

TRPA decreases:
USA: −188.1 ± 51.9 min/week
CAN: −152.6 ± 14.1 min/week

Sedentary time increase: +94.9 ± 4.1 min/week
Captured in study:
MVPA with no change in work environment by 467 (35%) participants:
−8.7%
No measurements collected Bias Risk factors:
Younger adults, female, Caucasian

Significant decrease of MVPA and TRPA with a change in work environment; no additional significant increase in SB with a change in work environment
Hunter et al. (2021) [21] Cross-sectional online survey (IPAQ);
9 June 2020 to 9 August 2020

Stringency: 60.19
Workplace: Recommend closing
Australia and New Zealand
and Oceania (51.3%), Caucasian (38.3%), Asian (5.8%), Other (4.6%)

sex: 433 (23.3%/75.1%)

age: 38.8
Total PA: −20% No controls Work ability: −20%
Mental work ability: −20%
Met the MVPA guideline result in better work ability and mental work ability
Katewongsa et al. (2021) [22] Cross-sectional online survey (GPAQ);
March 2020 to May 2020

Stringency: 0
Workplace: No closing
Thailand

sex: 6531 (50.9%/49.1%)

age: 18–39 (69.1%), 40–64 (30.9%)
Sedentary: +6.2%

Population with sufficient MVPA: −17.6%
Captured in study:
From 2019 n = 5379

sex: 5379 (48.5%/51.5%)

age: 18–39 (43.9%), 40–64 (56.1%)
No change in measurements reported Bias Risk factors:
Female, students, unemployed

The study does not differentiate between students, unemployed and employees

A relationship is observed between the WFH obligation and the increase in sedentary behavior
Koohsari et al. (2021) [11] Prospective online survey (GPAQ & Fatigue Questionnaire/ Checklist Individual Strength: CIS20-R); 22 February 2019 to 8 July 2020

Stringency: 25
Workplace: No closing
Japan

sex: 2466 (50.9%/49.1%)

age: 39.6 ± 10.7
Sedentary behavior (n = 1086)
Work-related: +9.8%
Total: +6.4%

PA work-related (n = 1315):
Vigorous: −9.5%
Moderate: −9.3%
TRPA: −8.3%

Total PA-Change: −11.4%
No controls Associations of the changes in workers’ sedentary behaviors and physical activity with changes in their fatigue Sedentary work has increased disproportionately in relation to work, overall decrease in PA
Limbers et al. (2020) [23] Cross-sectional online survey (IPAQ-SF & Quality of Life: WHOQOL-BREF & Perceived Stress Scale: PSS); 6 April 2020 to 13 April 2020

Stringency: 72.69
Workplace: Require closing all but essential
USA
Caucasian (70%), Black (6%), Latino (11%), others (13%)

sex: 200 (0%/100%)

age: 33.5 ± 6.25
Parenting Stress by WFH decrease:
Moderate PA: −50% (ES = 0.5)
Vigorous PA: −10% (ES = 0.09)
No controls High parenting stress caused lower quality of life and lower PA

Parenting Stress decrease
Physical Health Quality of Life: −58%
Psychological Quality of Life: −72%

Higher levels of MVPA were associated with decreased physical health quality of life in working mothers in contrast to study hypotheses
Moderate PA may be one mechanism that attenuates the association between parenting stress and a decrease in quality of life.

Risk of bias:
Only mothers WFH were included in this study
Lipert et al. (2021) [24] Cross-sectional online survey (IPAQ-SF & Pittsburgh Sleep Quality Index: PSQI);
1 April 2020 to 14 April 2020

Stringency: 81.48
Workplace: Require closing some sectors
Poland

sex: 983 (18.3%/81.7%)

age: over 18
Difference WFH to NWFH:
Total PA: −34.7%
Walking: −30.1%
Moderate PA: +1.3%
Vigorous PA: ±0
Captured in study: Difference Not working to NWFH:
Total PA: −32.6%
Walking: −18.8%
Moderate PA: +10.7%
Vigorous PA: +3.2%
No difference in the quality of sleep between WFH, NWFH and not working.

WFH reported more stress, work-life-balance disorder and a decrease in work satisfaction
The decrease in physical activity due to WFH is similar to unemployment, but unemployed persons show a higher value for moderate and vigorous PA
Rapisarda et al. (2021) [25] Longitudinal Cohort Study (IPAQ-SF); March 2020 to March 2021

Stringency: 64.35
Workplace: Require closing all but essential
(longitudinal study with different restrictions)
Italy

sex: 310 (47%/53%)

age: 44.1
PA differences 14 March 2020 to 14 March 2021:
Total PA: −31.6%
Vigorous PA: −13.1%
Moderate PA: +3.9%
Walking: −30.9%

Sedentary: +66.7%
No controls BMI: +7% There is a decrease in physical activity due to WFH, at the same time an increase in BMI.
Rees-Punia et al. (2021) [26] Cross-sectional online survey (Cancer Prevention Study-3) compared to data from 2018;
July 2020 to August 2020

Stringency: 68.89
Workplace: Require closing some sectors
USA
Caucasian (75.9%), Black (3.5%), Latino (12.7%), others (7.9%)

sex: 1992 (34.5%/65.5%)

age: 57 ± 9.8
NWFH (n = 897):
Time in Bed: −0.1%
Sedentary: +5.9%
Light-PA: −3%
MVPA: −2.7%

WFH (n = 930):
Time in Bed: −0.2%
Sedentary: +8.4%
Light-PA: −4.4%
MVPA: −3.5%

WFH + Laid off (n = 73):
Time in Bed: +0.4%
Sedentary: +7.9%
Light-PA: −5.2%
MVPA: −3.2%
Captured in study:
Laid off (n = 110):
Time in Bed: +4.7%
Sedentary: +8.1%
Light-PA: −9.2%
MVPA: −3.4%
No change in measurements reported Bias Risk factors:
Higher BMI, unemployed, occupational change, lower income.
Schoofs et al. (2022) [27] Cross-sectional online survey;
16 April 2020 to 12 May 2020

Stringency: 78.7
Workplace: Require closing some sectors
The Netherlands

sex: 1414 (66%/34%)

age: 59 ± 13
WFH to NWFH:
Total PA: −910 MET-min/week
TRPA: −335 MET-min/week
Occupational: −563 MET-min/week

Complete study population:
Total Change in PA: −10.4%
Leisure Time-PA: −5.3%
TRPA: −40%
Occupation PA: −69.3%
Household PA: +4.1%
Captured in study:
Unemployed:
Total PA: −886 MET-min/week
TRPA: −290 MET-min/week
Occupational: −543 MET-min/week
No change in measurements reported Bias Risk factors:
Female, Higher BMI, unemployed, occupational change.

Due to COVID-19 Lockdown there is a decrease in PA. Women, unemployed and WFH show an increased decline in PA.
Schuch et al. (2021) [28] Cross-sectional online survey asking prior to and during lockdown; 11 April 2020 to 5 2020

Stringency: 74.54
Workplace: Require closing all but essential
Brazilian Population Rio Grande do Sul state (80%), Rio de Janeiro (11%), Ceará (6%), other states (3%); Caucasians (76.3%), Mixed (18.6%), Black (2.7%), others (2.4%)

sex: 1354 (27.3%/72.7%)

age (y): 18–65
MVPA decrease: −78.7 min/ day (−64.28%)
Sedentary increase: 179.9 min/day (+42%)
Captured in study; Unemployed/retired:
MVPA: −49.9 min/day
Sedentary: 133.8 min/day
No measurements collected No differentiation between students, soldiers, and employees

Bias Risk factors:
Younger adults, not married, mental disorder

Employed might have reduced their commuting-related PA and have likely increased their Sedentary time due to online meetings and activities
Xiao et al. (2021) [29] Cross-sectional online survey asking prior to and during lockdown;
24 April 2020 to 11 June 2020

Stringency: 72.69
Workplace: Require closing all but essential
USA 83.1% (origin):
California (47.3%), other states (35.8%), outside USA (6.4%), without remaining (10.5%)

Caucasian (60.9%), Asian (24.6%), Hispanic (9.3%), others (5.2%)

sex: 988 (32.1%/56.5%/11.4%)

age (y): 40.9 ± 13.1
PA change overall: −15% No controls Decrease in physical activity produces an increase in detrimental mental health issues (2 or more) (ES = 0.52) Protective factors male gender, high income (>150 k/year), independent work and good workstation set-up

people who show a decrease in physical activity due to working from home show negative physical and mental changes
Yoshimoto et al. (2021) [30] Cross-sectional online survey; 29 July 2020 to 19 August 2020

Stringency: 25.93
Workplace: No measures
Japan

sex: 1941 (70.5%/29.5%)

age: 43
WFH increased psychological stress and decreased PA

WFH and PA decreased (n = 326):
Pain augmented by 28.5%
NWFH and PA decreased (n = 590):
Pain augmented by 19.5%
WFH without PA decreased (n = 195):
Pain augmented by 13.8%
NWFH without PA decreased (n = 830):
Pain augmented by 5.7%
No controls In WFH group 23% report an increase in pain, While in NFWH group only 11.4% report an increase in pain

In the group that reduced their PA, 22.7% reported additional pain, in the group with no change only 7.2%.
WFH and decreased PA results in highest augmented pain.
Abbreviations: BMI = body mass index, WHO = World Health Organization, QOL = quality of life, DMSA = days of muscle strengthening activities, PA = physical activity, MVPA = moderate to vigorous PA, LTPA = leisure time PA, TRPA = transport-related PA, WRPA = work-related PA, WFH = working from home, NWFH = not WFH.