CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2025; 60(01): s00441800941
DOI: 10.1055/s-0044-1800941
Artigo Original

The Impact of COVID-19 Social Isolation on Physical Activity and Sedentary Behavior in Brazilian Children and Adolescents

Article in several languages: português | English
1   Programa de Pós-Graduação em Ciências da Saúde Aplicadas ao Esporte e à Atividade Física, Departamento de Ortopedia, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil
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1   Programa de Pós-Graduação em Ciências da Saúde Aplicadas ao Esporte e à Atividade Física, Departamento de Ortopedia, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil
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1   Programa de Pós-Graduação em Ciências da Saúde Aplicadas ao Esporte e à Atividade Física, Departamento de Ortopedia, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil
,
1   Programa de Pós-Graduação em Ciências da Saúde Aplicadas ao Esporte e à Atividade Física, Departamento de Ortopedia, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil
,
1   Programa de Pós-Graduação em Ciências da Saúde Aplicadas ao Esporte e à Atividade Física, Departamento de Ortopedia, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil
,
1   Programa de Pós-Graduação em Ciências da Saúde Aplicadas ao Esporte e à Atividade Física, Departamento de Ortopedia, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil
› Author Affiliations

Abstract

Objective To measure the impact of social isolation on physical activities and sedentary behavior in Brazilian children and adolescents. To assess whether factors such as age, gender, days of week, type of housing, and the population of the city also had an impact.

Methods The study was approved by the Medical Ethics Committee, and consent from parents was obtained. A Google Form (Google LLC, Mountain View, CA, USA) was sent to parents by email and WhatsApp (Meta Platforms Inc., Menlo Park, CA, USA). Parents answered the C-PAQ.PT questions for two different periods of time, one month before and during social isolation.

Results There was a statistically significant reduction in the mean physical activity (p < 0.001) and an increase in the mean sedentary activities (p < 0.001) on weekdays and weekends during social isolation. There was a greater reduction in basketball, handball, and running in the 10 to 14-year-old group, as well as playing in the playground in the 5-to-9-year-old group. There was a statistically significant decrease in the practice of tag and cycling, respectively, among females and males. We did not observe statistically significant differences between types of housing and the number of inhabitants in the city.

Conclusion The C-PAQ.PT allowed a quantitative assessment to identify the variations in physical activities and sedentary behaviors during social isolation. We have observed that only two physical activities were impacted by gender. The changes were not influenced by the number of inhabitants in the city or the type of housing.

Financial Support

The authors declare that they did not receive financial support from agencies in the public, private, or non-profit sectors to conduct the present study.


Work carried out at the Department of Orthopedics, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.


Supplementary Material



Publication History

Received: 18 May 2024

Accepted: 02 October 2024

Article published online:
12 March 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Fernando Leite Miranda, Carlos Henrique Fernandes, Lia Myiamoto Meirelles, Flavio Faloppa, Benno Ejnisman, Moises Cohen. O impacto do isolamento social da Covid-19 na atividade física e no comportamento sedentário de crianças e adolescentes brasileiros. Rev Bras Ortop (Sao Paulo) 2025; 60: s00441800941.
DOI: 10.1055/s-0044-1800941
 
  • Referências

  • 1 World Health Organization. “Considerations in Adjusting Public Health and Social Measures in the Context of COVID-19 (Interim Guidance)”. Accessed 15 Apr 2020. https://www.who.int/publications-detail/considerations-in-adjusting-public-health-and-socialmeasures-in-the-context-of-covid-19-interim-guidance
  • 2 Bender JM, Brownson RC, Elliott MB, Haire-Joshu DL. Children's physical activity: using accelerometers to validate a parent proxy record. Med Sci Sports Exerc 2005; 37 (08) 1409-1413
  • 3 Corder K, Ekelund U, Steele RM, Wareham NJ, Brage S. Assessment of physical activity in youth. J Appl Physiol 2008; 105 (03) 977-987
  • 4 Burdette HL, Whitaker RC, Daniels SR. Parental report of outdoor playtime as a measure of physical activity in preschool-aged children. Arch Pediatr Adolesc Med 2004; 158 (04) 353-357
  • 5 Basterfield L, Adamson AJ, Parkinson KN, Maute U, Li PX, Reilly JJ. Gateshead Millennium Study Core Team. Surveillance of physical activity in the UK is flawed: validation of the Health Survey for England Physical Activity Questionnaire. Arch Dis Child 2008; 93 (12) 1054-1058
  • 6 Haskell WL. Physical activity by self-report: a brief history and future issues. J Phys Act Health 2012; 9 (Suppl. 01) S5-S10
  • 7 Blumenberg C, Menezes AMB, Gonçalves H, Assunção MCF, Wehrmeister FC, Barros AJD. How different online recruitment methods impact on recruitment rates for the web-based coortesnaweb project: a randomised trial. BMC Med Res Methodol 2019; 19 (01) 127
  • 8 Siegle CBH, Pombo A, Luz C, Rodrigues LP, Cordovil R, Sá CDSC. Do children's previous physical activity habits influence their behaviors during the Covid-19 social distancing period?. Rev Paul Pediatr 2022; 40: e2021010
  • 9 Eaton A, Ball GDC, Hwang Y. et al. The Impacts of COVID-19 Restrictions on Physical Activity in Children and Youth: A Systematic Review of Qualitative Evidence. J Phys Act Health 2023; 20 (05) 423-437
  • 10 Neville RD, Lakes KD, Hopkins WG. et al. Global Changes in Child and Adolescent Physical Activity During the COVID-19 Pandemic: A Systematic Review and Meta-analysis. JAMA Pediatr 2022; 176 (09) 886-894
  • 11 Anderson YC, Wynter LE, Grant CC. et al. Physical activity is low in obese New Zealand children and adolescents. Sci Rep 2017; 7: 41822
  • 12 Corder K, van Sluijs EM, Wright A, Whincup P, Wareham NJ, Ekelund U. Is it possible to assess free-living physical activity and energy expenditure in young people by self-report?. Am J Clin Nutr 2009; 89 (03) 862-870
  • 13 Miranda FL, Fernandes CH, Meirelles LM, Faloppa F, Ejnisman B, Cohen M. Translation and Cultural Adaptation to Brazilian Portuguese of the Children's Physical Activity Questionnaire (C-PAQ). Rev Bras Ortop 2021; 56 (05) 574-578
  • 14 Oliveira Junior E, Silva AFM, Antunes FD, Jacinto JL, Aguiar AF. Análise do equilíbrio postural em crianças praticantes e não praticantes de atividades esportivas. Rev Bras Med Esporte 2021; 27 (06) 588-591
  • 15 Almeida VAS, Fernandes CH, Meireles LM, Santos JBGD, Faloppa F, Ejnisman B. Translation and Cross-cultural Adaptation of the “Thumb Disability Exam - TDX” questionnaire into Brazilian Portuguese. Rev Bras Ortop 2020; 56 (06) 711-716
  • 16 Fernandes CH, Neto JR, Meirelles LM, Pereira CN, Dos Santos JB, Faloppa F. Translation and cultural adaptation of the Brief Michigan Hand Questionnaire to Brazilian Portuguese language. Hand (N Y) 2014; 9 (03) 370-374
  • 17 Lenzi L, Santos J, Raduan Neto J, Fernandes CH, Faloppa F. The Patient and Observer Scar Assessment Scale: Translation for portuguese language, cultural adaptation, and validation. Int Wound J 2019; 16 (06) 1513-1520
  • 18 Rossi L, Behme N, Breuer C. Physical Activity of Children and Adolescents during the COVID-19 Pandemic-A Scoping Review. Int J Environ Res Public Health 2021; 18 (21) 11440
  • 19 Guan H, Okely AD, Aguilar-Farias N. et al. Promoting healthy movement behaviours among children during the COVID-19 pandemic. Lancet Child Adolesc Health 2020; 4 (06) 416-418
  • 20 Dunton GF, Do B, Wang SD. Early effects of the COVID-19 pandemic on physical activity and sedentary behavior in children living in the U.S. BMC Public Health 2020; 20 (01) 1351
  • 21 Moore SA, Faulkner G, Rhodes RE. et al. Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth: a national survey. Int J Behav Nutr Phys Act 2020; 17 (01) 85
  • 22 de Soárez PC, Kowalski CCG, Ferraz MB, Ciconelli RM. Tradução para português brasileiro e validação de um questionário de avaliação de produtividade. Rev Panam Salud Publica 2007; 22 (01) 21-28
  • 23 Dainesi SM, Goldbaum M. E-survey with researchers, members of ethics committees and sponsors of clinical research in Brazil: an emerging methodology for scientific research. Rev Bras Epidemiol 2012; 15 (04) 705-713
  • 24 Sá CDSC, Pombo A, Luz C, Rodrigues LP, Cordovil R. Covid-19 social isolation in brazil: effects on the physical activity routine of families with children. Rev Paul Pediatr 2020; 39: e2020159
  • 25 Jesus GM, Assis MAA, Kupek E, Dias LA. Avaliaçao da atividade fisica de escolares com um questionario via internet. Rev Bras Med Esporte 2016; 22 (04) 261-266
  • 26 Zagalaz-Sánchez ML, Cachón-Zagalaz J, Arufe-Giráldez V, Sanmiguel-Rodríguez A, González-Valero G. Influence of the characteristics of the house and place of residence in the daily educational activities of children during the period of COVID-19′ confinement. Heliyon 2021; 7 (03) e06392
  • 27 Pombo A, Luz C, Rodrigues LP, Ferreira C, Cordovil R. Correlates of children's physical activity during the COVID-19 confinement in Portugal. Public Health 2020; 189: 14-19
  • 28 Pfledderer CD, Burns RD, Byun W, Carson RL, Welk GJ, Brusseau TA. School-based physical activity interventions in rural and urban/suburban communities: A systematic review and meta-analysis. Obes Rev 2021; 22 (09) e13265
  • 29 Stark JH, Neckerman K, Lovasi GS. et al. The impact of neighborhood park access and quality on body mass index among adults in New York City. Prev Med 2014; 64: 63-68
  • 30 Raitio A, Ahonen M, Jääskelä M. et al. Reduced Number of Pediatric Orthopedic Trauma Requiring Operative Treatment during COVID-19 Restrictions: A Nationwide Cohort Study. Scand J Surg 2021; 110 (02) 254-257
  • 31 Gumina S, Proietti R, Villani C, Carbone S, Candela V. The impact of COVID-19 on shoulder and elbow trauma in a skeletally immature population: an Italian survey. JSES Int 2021; 5 (01) 3-8
  • 32 Pedrinelli A, Garcez-Leme LE, Azul Nobre RdoS. O efeito da atividade física no aparelho locomotor do idoso. Rev Bras Ortop 2009; 44 (02) 96-101