Health behaviour change during the UK COVID-19 lockdown: Findings from the first wave of the C-19 health behaviour and well-being daily tracker study.
Identifieur interne : 000399 ( Main/Exploration ); précédent : 000398; suivant : 000400Health behaviour change during the UK COVID-19 lockdown: Findings from the first wave of the C-19 health behaviour and well-being daily tracker study.
Auteurs : Felix Naughton [Royaume-Uni] ; Emma Ward [Royaume-Uni] ; Mizanur Khondoker [Royaume-Uni] ; Pippa Belderson [Royaume-Uni] ; Anne Marie Minihane [Royaume-Uni] ; Jack Dainty [Royaume-Uni] ; Sarah Hanson [Royaume-Uni] ; Richard Holland [Royaume-Uni] ; Tracey Brown [Royaume-Uni] ; Caitlin Notley [Royaume-Uni]Source :
- British journal of health psychology [ 2044-8287 ] ; 2021.
Abstract
OBJECTIVES
To provide baseline cohort descriptives and assess change in health behaviours since the UK COVID-19 lockdown.
DESIGN
A prospective cohort (N = 1,044) of people recruited online, purposively targeting vulnerable populations.
METHODS
After a baseline survey (April 2020), participants completed 3 months of daily ecological momentary assessments (EMA). Dietary, physical activity, alcohol, smoking, vaping and substance use behaviours collected retrospectively for the pre-COVID-19 period were compared with daily EMA surveys over the first 30 days during early lockdown. Predictors of behaviour change were assessed using multivariable regression models.
RESULTS
30% of the cohort had a COVID-19 at risk health condition, 37% were classed as deprived and 6% self-reported a mental health condition. Relative to pre-pandemic levels, participants ate almost one portion of fruit and vegetables less per day (vegetables mean difference -0.33, 95% CI -0.40, -0.25; fruit -0.57, 95% CI -0.64, -0.50), but showed no change in high sugar portions per day (-0.03, 95% CI -0.12, 0.06). Participants spent half a day less per week doing ≥30 min of moderate to vigorous physical activity (-0.57, 95% CI -0.73, -0.40) but slightly increased days of strength training (0.21, 95% CI 0.09, 0.34), increased alcohol intake (AUDIT-C score change 0.25, 95% CI 0.13, 0.37), though did not change smoking, vaping or substance use behaviour. Worsening health behaviour change was associated with being younger, female and higher body mass index.
CONCLUSIONS
The cohort reported worsening health behaviours during early lockdown. Longer term changes will be investigated using further waves of data collection.
DOI: 10.1111/bjhp.12500
PubMed: 33410229
Affiliations:
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University of East Anglia, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Addictions Research Group, Norwich Medical School, University of East Anglia</wicri:regionArea><wicri:noRegion>University of East Anglia</wicri:noRegion></affiliation></author><author><name sortKey="Khondoker, Mizanur" sort="Khondoker, Mizanur" uniqKey="Khondoker M" first="Mizanur" last="Khondoker">Mizanur Khondoker</name><affiliation wicri:level="1"><nlm:affiliation>Norwich Medical School, University of East Anglia, Norwich, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Norwich Medical School, University of East Anglia, Norwich</wicri:regionArea><wicri:noRegion>Norwich</wicri:noRegion></affiliation></author><author><name sortKey="Belderson, Pippa" sort="Belderson, Pippa" uniqKey="Belderson P" first="Pippa" last="Belderson">Pippa Belderson</name><affiliation wicri:level="1"><nlm:affiliation>Addictions Research Group, Norwich Medical School, University of East Anglia, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Addictions Research Group, Norwich Medical School, University of East Anglia</wicri:regionArea><wicri:noRegion>University of East Anglia</wicri:noRegion></affiliation></author><author><name sortKey="Marie Minihane, Anne" sort="Marie Minihane, Anne" uniqKey="Marie Minihane A" first="Anne" last="Marie Minihane">Anne Marie Minihane</name><affiliation wicri:level="1"><nlm:affiliation>Nutrition and Preventive Medicine Group, Norwich Medical School, University of East Anglia, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Nutrition and Preventive Medicine Group, Norwich Medical School, University of East Anglia</wicri:regionArea><wicri:noRegion>University of East Anglia</wicri:noRegion></affiliation></author><author><name sortKey="Dainty, Jack" sort="Dainty, Jack" uniqKey="Dainty J" first="Jack" last="Dainty">Jack Dainty</name><affiliation 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Holland</name><affiliation wicri:level="1"><nlm:affiliation>Leicester Medical School, University of Leicester, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Leicester Medical School, University of Leicester</wicri:regionArea><wicri:noRegion>University of Leicester</wicri:noRegion></affiliation></author><author><name sortKey="Brown, Tracey" sort="Brown, Tracey" uniqKey="Brown T" first="Tracey" last="Brown">Tracey Brown</name><affiliation wicri:level="1"><nlm:affiliation>Addictions Research Group, Norwich Medical School, University of East Anglia, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Addictions Research Group, Norwich Medical School, University of East Anglia</wicri:regionArea><wicri:noRegion>University of East Anglia</wicri:noRegion></affiliation></author><author><name sortKey="Notley, Caitlin" sort="Notley, Caitlin" uniqKey="Notley C" first="Caitlin" last="Notley">Caitlin Notley</name><affiliation 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xml:lang="en">Health behaviour change during the UK COVID-19 lockdown: Findings from the first wave of the C-19 health behaviour and well-being daily tracker study.</title><author><name sortKey="Naughton, Felix" sort="Naughton, Felix" uniqKey="Naughton F" first="Felix" last="Naughton">Felix Naughton</name><affiliation wicri:level="1"><nlm:affiliation>Behavioural and Implementation Science Group, School of Health Sciences, University of East Anglia, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Behavioural and Implementation Science Group, School of Health Sciences, University of East Anglia</wicri:regionArea><wicri:noRegion>University of East Anglia</wicri:noRegion></affiliation></author><author><name sortKey="Ward, Emma" sort="Ward, Emma" uniqKey="Ward E" first="Emma" last="Ward">Emma Ward</name><affiliation wicri:level="1"><nlm:affiliation>Addictions Research Group, Norwich Medical School, University of East Anglia, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Addictions Research Group, Norwich Medical School, University of East Anglia</wicri:regionArea><wicri:noRegion>University of East Anglia</wicri:noRegion></affiliation></author><author><name sortKey="Khondoker, Mizanur" sort="Khondoker, Mizanur" uniqKey="Khondoker M" first="Mizanur" last="Khondoker">Mizanur Khondoker</name><affiliation wicri:level="1"><nlm:affiliation>Norwich Medical School, University of East Anglia, Norwich, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Norwich Medical School, University of East Anglia, Norwich</wicri:regionArea><wicri:noRegion>Norwich</wicri:noRegion></affiliation></author><author><name sortKey="Belderson, Pippa" sort="Belderson, Pippa" uniqKey="Belderson P" first="Pippa" last="Belderson">Pippa Belderson</name><affiliation wicri:level="1"><nlm:affiliation>Addictions Research Group, Norwich Medical School, University of East Anglia, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Addictions Research Group, Norwich Medical School, University of East Anglia</wicri:regionArea><wicri:noRegion>University of East Anglia</wicri:noRegion></affiliation></author><author><name sortKey="Marie Minihane, Anne" sort="Marie Minihane, Anne" uniqKey="Marie Minihane A" first="Anne" last="Marie Minihane">Anne Marie Minihane</name><affiliation wicri:level="1"><nlm:affiliation>Nutrition and Preventive Medicine Group, Norwich Medical School, University of East Anglia, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Nutrition and Preventive Medicine Group, Norwich Medical School, University of East Anglia</wicri:regionArea><wicri:noRegion>University of East Anglia</wicri:noRegion></affiliation></author><author><name sortKey="Dainty, Jack" sort="Dainty, Jack" uniqKey="Dainty J" first="Jack" last="Dainty">Jack Dainty</name><affiliation wicri:level="1"><nlm:affiliation>Norwich Medical School, University of East Anglia, Norwich, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Norwich Medical School, University of East Anglia, Norwich</wicri:regionArea><wicri:noRegion>Norwich</wicri:noRegion></affiliation></author><author><name sortKey="Hanson, Sarah" sort="Hanson, Sarah" uniqKey="Hanson S" first="Sarah" last="Hanson">Sarah Hanson</name><affiliation wicri:level="1"><nlm:affiliation>Behavioural and Implementation Science Group, School of Health Sciences, University of East Anglia, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Behavioural and Implementation Science Group, School of Health Sciences, University of East Anglia</wicri:regionArea><wicri:noRegion>University of East Anglia</wicri:noRegion></affiliation></author><author><name sortKey="Holland, Richard" sort="Holland, Richard" uniqKey="Holland R" first="Richard" last="Holland">Richard Holland</name><affiliation wicri:level="1"><nlm:affiliation>Leicester Medical School, University of Leicester, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Leicester Medical School, University of Leicester</wicri:regionArea><wicri:noRegion>University of Leicester</wicri:noRegion></affiliation></author><author><name sortKey="Brown, Tracey" sort="Brown, Tracey" uniqKey="Brown T" first="Tracey" last="Brown">Tracey Brown</name><affiliation wicri:level="1"><nlm:affiliation>Addictions Research Group, Norwich Medical School, University of East Anglia, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Addictions Research Group, Norwich Medical School, University of East Anglia</wicri:regionArea><wicri:noRegion>University of East Anglia</wicri:noRegion></affiliation></author><author><name sortKey="Notley, Caitlin" sort="Notley, Caitlin" uniqKey="Notley C" first="Caitlin" last="Notley">Caitlin Notley</name><affiliation wicri:level="1"><nlm:affiliation>Addictions Research Group, Norwich Medical School, University of East Anglia, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Addictions Research Group, Norwich Medical School, University of East Anglia</wicri:regionArea><wicri:noRegion>University of East Anglia</wicri:noRegion></affiliation></author></analytic><series><title level="j">British journal of health psychology</title><idno type="eISSN">2044-8287</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>To provide baseline cohort descriptives and assess change in health behaviours since the UK COVID-19 lockdown.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>A prospective cohort (N = 1,044) of people recruited online, purposively targeting vulnerable populations.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>After a baseline survey (April 2020), participants completed 3 months of daily ecological momentary assessments (EMA). Dietary, physical activity, alcohol, smoking, vaping and substance use behaviours collected retrospectively for the pre-COVID-19 period were compared with daily EMA surveys over the first 30 days during early lockdown. Predictors of behaviour change were assessed using multivariable regression models.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>30% of the cohort had a COVID-19 at risk health condition, 37% were classed as deprived and 6% self-reported a mental health condition. Relative to pre-pandemic levels, participants ate almost one portion of fruit and vegetables less per day (vegetables mean difference -0.33, 95% CI -0.40, -0.25; fruit -0.57, 95% CI -0.64, -0.50), but showed no change in high sugar portions per day (-0.03, 95% CI -0.12, 0.06). Participants spent half a day less per week doing ≥30 min of moderate to vigorous physical activity (-0.57, 95% CI -0.73, -0.40) but slightly increased days of strength training (0.21, 95% CI 0.09, 0.34), increased alcohol intake (AUDIT-C score change 0.25, 95% CI 0.13, 0.37), though did not change smoking, vaping or substance use behaviour. Worsening health behaviour change was associated with being younger, female and higher body mass index.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The cohort reported worsening health behaviours during early lockdown. Longer term changes will be investigated using further waves of data collection.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33410229</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>07</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2044-8287</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2021</Year><Month>Jan</Month><Day>06</Day></PubDate></JournalIssue><Title>British journal of health psychology</Title><ISOAbbreviation>Br J Health Psychol</ISOAbbreviation></Journal><ArticleTitle>Health behaviour change during the UK COVID-19 lockdown: Findings from the first wave of the C-19 health behaviour and well-being daily tracker study.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1111/bjhp.12500</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To provide baseline cohort descriptives and assess change in health behaviours since the UK COVID-19 lockdown.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">A prospective cohort (N = 1,044) of people recruited online, purposively targeting vulnerable populations.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">After a baseline survey (April 2020), participants completed 3 months of daily ecological momentary assessments (EMA). Dietary, physical activity, alcohol, smoking, vaping and substance use behaviours collected retrospectively for the pre-COVID-19 period were compared with daily EMA surveys over the first 30 days during early lockdown. Predictors of behaviour change were assessed using multivariable regression models.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">30% of the cohort had a COVID-19 at risk health condition, 37% were classed as deprived and 6% self-reported a mental health condition. Relative to pre-pandemic levels, participants ate almost one portion of fruit and vegetables less per day (vegetables mean difference -0.33, 95% CI -0.40, -0.25; fruit -0.57, 95% CI -0.64, -0.50), but showed no change in high sugar portions per day (-0.03, 95% CI -0.12, 0.06). Participants spent half a day less per week doing ≥30 min of moderate to vigorous physical activity (-0.57, 95% CI -0.73, -0.40) but slightly increased days of strength training (0.21, 95% CI 0.09, 0.34), increased alcohol intake (AUDIT-C score change 0.25, 95% CI 0.13, 0.37), though did not change smoking, vaping or substance use behaviour. Worsening health behaviour change was associated with being younger, female and higher body mass index.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The cohort reported worsening health behaviours during early lockdown. Longer term changes will be investigated using further waves of data collection.</AbstractText><CopyrightInformation>© 2021 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Naughton</LastName><ForeName>Felix</ForeName><Initials>F</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-9790-2796</Identifier><AffiliationInfo><Affiliation>Behavioural and Implementation Science Group, School of Health Sciences, University of East Anglia, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ward</LastName><ForeName>Emma</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Addictions Research Group, Norwich Medical School, University of East Anglia, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khondoker</LastName><ForeName>Mizanur</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Norwich Medical School, University of East Anglia, Norwich, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Belderson</LastName><ForeName>Pippa</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Addictions Research Group, Norwich Medical School, University of East Anglia, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marie Minihane</LastName><ForeName>Anne</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Nutrition and Preventive Medicine Group, Norwich Medical School, University of East Anglia, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dainty</LastName><ForeName>Jack</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Norwich Medical School, University of East Anglia, Norwich, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hanson</LastName><ForeName>Sarah</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Behavioural and Implementation Science Group, School of Health Sciences, University of East Anglia, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Holland</LastName><ForeName>Richard</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Leicester Medical School, University of Leicester, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brown</LastName><ForeName>Tracey</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Addictions Research Group, Norwich Medical School, University of East Anglia, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Notley</LastName><ForeName>Caitlin</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Addictions Research Group, Norwich Medical School, University of East Anglia, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2021</Year><Month>01</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Br J Health Psychol</MedlineTA><NlmUniqueID>9605409</NlmUniqueID><ISSNLinking>1359-107X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">behaviour change</Keyword><Keyword MajorTopicYN="N">ecological momentary assessment</Keyword><Keyword MajorTopicYN="N">health behaviours</Keyword><Keyword MajorTopicYN="N">intensive longitudinal design</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>08</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>12</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2021</Year><Month>1</Month><Day>7</Day><Hour>6</Hour><Minute>16</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2021</Year><Month>1</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>1</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33410229</ArticleId><ArticleId IdType="doi">10.1111/bjhp.12500</ArticleId></ArticleIdList><ReferenceList><Title>References</Title><Reference><Citation>Abrams, E. 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