Effects of COVID-19 home confinement on physical activity and eating behaviour Preliminary results of the ECLB-COVID19 international online-survey
Authors: Ammar Achraf , Brach Michael , Trabelsi Khaled , Chtourou Hamdi , Boukhris Omar , Masmoudi Liwa , Bouaziz Bassem , Bentlage Ellen , How Daniella , Ahmed Mona , Mueller Patrick , Mueller Notger , Aloui Asma , Hammouda Omar , Paineiras-Domingos Laisa Liane , Braakman-jansen Annemarie , Wrede Christian , Bastoni Sophia , Pernambuco Carlos Soares , Mataruna Leonardo , Taheri Morteza , Irandoust Khadijeh , Khacharem Aïmen , Bragazzi Nicola L , Chamari Karim , Glenn Jordan M , Bott Nicholas T , Gargouri Faiez , Chaari Lotfi , Batatia Hadj , Ali Gamal Mohamed , Abdelkarim Osama , Jarraya Mohamed , Abed Kais El , Souissi Nizar , Van Gemert-Pijnen Lisette , Riemann Bryan L , Riemann Laurel , Moalla Wassim , Gómez-Raja Jonathan , Epstein Monique , Sanderman Robbert , Schulz Sebastian , Jerg Achim , Al-Horani Ramzi , Mansi Taysir , Jmail Mohamed , Barbosa Fernando , Santos Fernando , Šimunič Boštjan , Pišot Rado , Cowan Donald , Gaggioli Andrea , Bailey Stephen J , Steinacker Jürgen , Driss Tarak , Hoekelmann Anita 
Published: May 2020

AbstractBackgroundPublic health recommendations and governmental measures during the COVID-19 pandemic have enforced numerous restrictions on daily living including social distancing, isolation and home confinement. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on health behaviours and lifestyle at home is undefined. Therefore, an international online survey was launched in April 2020 in seven languages to elucidate the behavioral and lifestyle consequences of COVID-19 restrictions. This report presents the preliminary results from the first thousand responders on physical activity (PA) and nutrition behaviours.MethodsThirty-five research organisations from Europe, North-Africa, Western Asia and the Americas promoted the survey through their networks to the general society, in English, German, French, Arabic, Spanish, Portugese, and Slovenian languages. Questions were presented in a differential format with questions related to responses “before” and “during” confinement conditions.Results1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%) were included into a general analysis. The COVID-19 home confinement had a negative effect on all intensities of PA (vigorous, moderate, walking and overall). Conversely, daily sitting time increased from 5 to 8 hours per day. Additionally, food consumption and meal patterns (the type of food, eating out of control, snacks between meals, number of meals) were more unhealthy during confinement with only alcohol binge drink decreasing significantly.ConclusionWhile isolation is a necessary measure to protect public health, our results indicate that it alters physical activity and eating behaviours in a direction that would compromise health. A more detailed analysis of survey data will allow for a segregation of these responses in different age groups, countries and other subgroups which will help develop bespoke interventions to mitigate the negative lifestyle behaviors manifest during the COVID-19 confinement.