RT journal article T1 A Pandemic within the Pandemic? Physical Activity Levels Substantially Decreased in Countries Affected by COVID-19 A1 Wilke, Jan A1 Mohr, Lisa A1 Tenforde, Adam S. A1 Edouard, Pascal A1 Fossati, Chiara A1 González-Gross, Marcela A1 Sánchez Ramírez, Celso A1 Laiño, Fernando A1 Tan, Benedict A1 Pillay, Julian David A1 Pigozzi, Fabio A1 Jiménez Pavón, David A1 Novak, Bernhard A1 Jaunig, Johannes A1 Zhang, Mandy A1 van Poppel, Mireille A1 Heidt, Christoph A1 Willwacher, Steffen A1 Yuki, Gustavo A1 Lieberman, Daniel E. A1 Vogt, Lutz A1 Verhagen, Evert A1 Hespanhol, Luiz A1 Hollander, Karsten A2 Didáctica de la Educación FísicaPlástica y Musical K1 coronavirus K1 health K1 exercise K1 guidelines AB Governments have restricted public life during the COVID-19 pandemic, inter alia closing sports facilities and gyms. As regular exercise is essential for health, this study examined the effect of pandemic-related confinements on physical activity (PA) levels. A multinational survey was performed in 14 countries. Times spent in moderate-to-vigorous physical activity (MVPA) as well as in vigorous physical activity only (VPA) were assessed using the Nordic Physical Activity Questionnaire (short form). Data were obtained for leisure and occupational PA pre- and during restrictions. Compliance with PA guidelines was calculated based on the recommendations of the World Health Organization (WHO). In total, n = 13,503 respondents (39 +/- 15 years, 59% females) were surveyed. Compared to pre-restrictions, overall self-reported PA declined by 41% (MVPA) and 42.2% (VPA). Reductions were higher for occupational vs. leisure time, young and old vs. middle-aged persons, previously more active vs. less active individuals, but similar between men and women. Compared to pre-pandemic, compliance with WHO guidelines decreased from 80.9% (95% CI: 80.3-81.7) to 62.5% (95% CI: 61.6-63.3). Results suggest PA levels have substantially decreased globally during the COVID-19 pandemic. Key stakeholders should consider strategies to mitigate loss in PA in order to preserve health during the pandemic. PB MDPI SN 1660-4601 YR 2021 FD 2021-03 LK http://hdl.handle.net/10498/24760 UL http://hdl.handle.net/10498/24760 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 12-nov-2026