Evidence map›Paper›PMID 40759970›Full record

ArticleArchives of public health = Archives belges de sante publique2025

Long-term impact of the COVID-19 pandemic on physical activity and estimated cardiorespiratory fitness in south American adults: a multi-country cross-sectional online survey.

Victor Zuniga Dourado, Maria do Socorro Morais Pereira Simões, Vinícius Tonon Lauria, Pablo Gulayin, Laura Gutierrez, Ricardo Peña-Silva, Isabel Pereyra-González, Alfonsina Ortiz, Sandra Lopez-Arana, Indah Suci Widyahening and 4 more

Abstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Victor Zuniga DouradoDepartment of Human Movement Sciences, Federal University of São Paulo (UNIFESP), Santos, São Paulo, Brazil. victor.dourado@unifesp.br.
Maria do Socorro Morais Pereira SimõesDepartment of Human Movement Sciences, Federal University of São Paulo (UNIFESP), Santos, São Paulo, Brazil.
Vinícius Tonon LauriaDepartment of Human Movement Sciences, Federal University of São Paulo (UNIFESP), Santos, São Paulo, Brazil.
Pablo GulayinDepartment of Research in Chronic Diseases, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina.
Laura GutierrezDepartment of Research in Chronic Diseases, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina.
Ricardo Peña-SilvaCollege of Medicine, Universidad de los Andes, Bogotá, Colombia.
Isabel Pereyra-GonzálezFaculty of Health Sciences, Catholic University of Maule, Curicó, Chile.
Alfonsina OrtizDepartment of Wellness and Health, Catholic University of Uruguay, Montevideo, Uruguay.
Sandra Lopez-AranaSchool of Nutrition and Dietetics, Faculty of Medicine, Finis Terrae University, Santiago, Chile.
Indah Suci WidyaheningDepartment of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Laila Al-ShaarDepartment of Public Health Sciences, College of Medicine, Penn State University, Pennsylvania, PA, USA.
Goodarz DanaeiDepartment of Global Health, Harvard T.H. School of Public Health, Boston, MA, USA.
Rosana PoggioDepartment of Research in Chronic Diseases, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina.
On behalf of Lown Scholars in Physical Activity and Fitness Network (PA&FIT)

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2011/07282-6
6 · The paper itself

Abstract

backgroundRestriction measures during the COVID-19 pandemic may have reduced opportunities to engage in physical activity. This study explored the changes in self-reported physical activity level (PAL), risk factors, and estimated cardiorespiratory fitness (eCRF) among south American adults by comparing data reflecting the pre-pandemic period to data collected during the survey.

methodsWe conducted a cross-sectional online survey between July 2021 through March 2022 using validated questionnaires (e.g., GPAQ and WHO-STEPS) on a convenience sample of 1,934 adults (68.7% women) from Argentina (n = 484), Brazil (n = 405), Chile (n = 279), Colombia (n = 343) and Uruguay (n = 423). We compared self-reported PAL, risk factors, and eCRF before the pandemic period and at the time of the survey (mean 842 days from the first reported case in each country). Data were presented as medians (interquartile range [IQR]) or means (95% confidence interval [CI]) for continuous variables and percentages for categorical ones. Paired data analyses were conducted using paired t-tests, Wilcoxon Signed Rank test, and McNamar's tests, as applicable.

resultsWe observed a decrease in PAL at work (median, 0 METs/min/week and interquartile range, [0-240] vs. 0 METs/min/week [0-30]; p = 0.032) and active transportation domains (0 METs/min/week [0-693] vs. 0 METs/min/week [0-594]; p = 0.008). In addition, the median sedentary time on weekdays increased by 60 min/day (360 [240-540] vs 420 [240-600]; p < 0.001). We also observed an increase in the proportion of participants with hypertension (12.9 vs. 16.5%), diabetes (6.8 vs. 9.8%), dyslipidemia (18.9 to 24%), depression symptoms (14.4 to 15.4%) and obesity (15.4 to 18.2%) compared with pre-pandemic levels (all p-values < 0.05). The eCRF was significantly lower at the survey time compared with pre-pandemic levels (mean difference, -1.17 mL/min/kg (or 3.34%): 95% CI, -1.03 to -1.30) even after adjusting for age (-0.50 mL/min/kg (or 1.45%): 95% CI -0.37 to -0.64).

conclusionsAcross five countries in South America, social restriction policies to control the COVID-19 pandemic may have reduced physical activity and estimated cardiorespiratory fitness with no recovery until the survey time.

Indexed as

Cardiovascular riskCoronavirusExerciseSARS-Cov-2

Identifiers

PMID40759970
PMCPMC12323014

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.