COVID-19 lockdown consequences on body mass index and perceived fragility related to physical activity: A worldwide cohort study

Constanta Urzeala*, Martine Duclos, Ukadike Chris Ugbolue, Aura Bota, Mickael Berthon, Keri Kulik, David Thivel, Reza Bagheri, Yaodong Gu, Julien S. Baker, Nicolas Andant, Bruno Pereira, Karine Rouffiac, Covistress Network, Maëlys Clinchamps, Frédéric Dutheil, Stéphanie Mestres, Cécile Miele, Valentin Navel, Lénise ParreiraYves Boirie, Jean Baptiste Bouillon-Minois, Maria Livia Fantini, Jeannot Schmidt, Stéphanie Tubert-Jeannin, Pierre Chausse, Michael Dambrun, Sylvie Droit-Volet, Julien Guegan, Serge Guimond, Laurie Mondillon, Armelle Nugier, Pascal Huguet, Samuel Dewavrin, Fouad Marhar, Geraldine Naughton, Amanda Benson, Claus Lamm, Vicky Drapeau, Raimundo Avilés Dorlhiac, Benjamin Bustos, Haifeng Zhang, Peter Dieckmann, Binh Quach, Yanping Duan, Gemma Gao, Wendy Y J Huang, Ka Lai Kelly Lau, Chun Qing Zhang, Jiao Jiao, Kuan-chou Chen, Perluigi Cocco, Rosamaria Lecca, Monica Puligheddu, Michela Figorilli, Morteza Charkhabi, Daniela Pfabigan, Peter Dieckmann, Samuel Antunes, David Neto, Pedro Almeida, Maria João Gouveia, Pedro Quinteiro, Benoït Dubuis, Juliette Lemaignen, Andy Liu, Foued Saadaoui

*Corresponding author for this work

Research output: Contribution to journalJournal articlepeer-review

17 Citations (Scopus)


BACKGROUND: This paper is a follow-up study continuing the COVISTRESS network previous research regarding health-related determinants. OBJECTIVE: The aim was to identify the main consequences of COVID-19 lockdown on Body Mass Index and Perceived Fragility, related to Physical Activity (PA), for different categories of populations, worldwide. DESIGN: The study design included an online survey, during the first wave of COVID-19 lockdown, across different world regions. SETTING AND PARTICIPANTS: The research was carried out on 10 121 participants from 67 countries. The recruitment of participants was achieved using snowball sampling techniques via social networks, with no exclusion criteria other than social media access. MAIN OUTCOME MEASURES: Body Mass Index, Physical Activity, Perceived Fragility and risk of getting infected items were analysed. SPSS software, v20, was used. Significance was set at P < .05. RESULTS: Body Mass Index significantly increased during lockdown. For youth and young adults (18-35 years), PA decreased by 31.25%, for adults (36-65 years) by 26.05% and for the elderly (over 65 years) by 30.27%. There was a high level of Perceived Fragility and risk of getting infected for female participants and the elderly. Correlations between BMI, Perceived Fragility and PA were identified. DISCUSSION AND CONCLUSIONS: The research results extend and confirm evidence that the elderly are more likely to be at risk, by experiencing weight gain, physical inactivity and enhanced Perceived Fragility. As a consequence, populations need to counteract the constraints imposed by the lockdown by being physically active.

Original languageEnglish
Pages (from-to)522-531
Number of pages10
JournalHealth expectations : an international journal of public participation in health care and health policy
Issue number2
Early online date9 Jun 2021
Publication statusPublished - Apr 2022

Scopus Subject Areas

  • Public Health, Environmental and Occupational Health

User-Defined Keywords

  • health
  • pandemic
  • vulnerable population


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