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
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Open Access
- 6 January 2021
- journal article
- research article
- Published by Wiley in British Journal of Health Psychology
- Vol. 26 (2), 624-643
- https://doi.org/10.1111/bjhp.12500
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.This publication has 40 references indexed in Scilit:
- Fruit and vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose-response meta-analysis of prospective cohort studiesBMJ, 2014
- Long-term health benefits of physical activity – a systematic review of longitudinal studiesBMC Public Health, 2013
- Fruit and vegetable consumption and all-cause mortality: a dose-response analysisThe American Journal of Clinical Nutrition, 2013
- UK health performance: findings of the Global Burden of Disease Study 2010The Lancet, 2013
- The 21st century hazards of smoking and benefits of stopping: a prospective study of one million women in the UKThe Lancet, 2013
- Can a single question provide an accurate measure of physical activity?British Journal of Sports Medicine, 2012
- Dealing With Missing Outcome Data in Randomized Trials and Observational StudiesAmerican Journal of Epidemiology, 2011
- Ecological momentary assessment (EMA) in studies of substance use.Psychological Assessment, 2009
- AUDIT‐C as a Brief Screen for Alcohol Misuse in Primary CareAlcohol: Clinical and Experimental Research, 2007
- The Fagerström Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance QuestionnaireBritish Journal of Addiction, 1991