Research article Topical Sections

Physical fitness in Austrian elementary school children prior to and post-COVID-19

  • Received: 28 March 2023 Revised: 15 May 2023 Accepted: 19 May 2023 Published: 26 May 2023
  • Background 

    With the emergence of the COVID-19 pandemic, many countries implemented policies that included movement restrictions, social distancing and school closures in order to control the spread of the virus. Even though these actions may have been necessary to save lives, there have been some unintended consequences that could affect future public health.

    Methods 

    The present study uses data from more than 24,500 Austrian elementary school children (51.2% male) that participated in a state-wide fitness evaluation program, which was initiated in the 2016/17 school year. In addition to body weight and height, data on cardiorespiratory endurance, muscular power, speed, agility, flexibility and object control were collected from three cohorts prior to the implementation of movement restrictions (school years: 2016/17, 2017/18, 2018/19) and one cohort in 2022, after the majority of COVID-19 policies had been lifted.

    Results 

    Body mass index percentiles were significantly higher in children post-COVID-19 (p < 0.01). Further, cardiorespiratory endurance, agility and flexibility were significantly lower post-COVID-19 compared to the years preceding movement restrictions (p ≤ 0.01), while absolute muscular strength was higher in the year 2022 (p < 0.01).

    Conclusion 

    Given the detrimental effects of COVID-19 policies on physical fitness in children, additional efforts are necessary that include versatile opportunities for physical activity and the promotion of physical fitness in order to modify the observed negative health trajectories and ensure future public health.

    Citation: Clemens Drenowatz, Gerson Ferrari, Klaus Greier, Sitong Chen, Franz Hinterkörner. Physical fitness in Austrian elementary school children prior to and post-COVID-19[J]. AIMS Public Health, 2023, 10(2): 480-495. doi: 10.3934/publichealth.2023034

    Related Papers:

  • Background 

    With the emergence of the COVID-19 pandemic, many countries implemented policies that included movement restrictions, social distancing and school closures in order to control the spread of the virus. Even though these actions may have been necessary to save lives, there have been some unintended consequences that could affect future public health.

    Methods 

    The present study uses data from more than 24,500 Austrian elementary school children (51.2% male) that participated in a state-wide fitness evaluation program, which was initiated in the 2016/17 school year. In addition to body weight and height, data on cardiorespiratory endurance, muscular power, speed, agility, flexibility and object control were collected from three cohorts prior to the implementation of movement restrictions (school years: 2016/17, 2017/18, 2018/19) and one cohort in 2022, after the majority of COVID-19 policies had been lifted.

    Results 

    Body mass index percentiles were significantly higher in children post-COVID-19 (p < 0.01). Further, cardiorespiratory endurance, agility and flexibility were significantly lower post-COVID-19 compared to the years preceding movement restrictions (p ≤ 0.01), while absolute muscular strength was higher in the year 2022 (p < 0.01).

    Conclusion 

    Given the detrimental effects of COVID-19 policies on physical fitness in children, additional efforts are necessary that include versatile opportunities for physical activity and the promotion of physical fitness in order to modify the observed negative health trajectories and ensure future public health.



    加载中

    Acknowledgments



    The project “Wie fit bist du” was funded by the State of Upper Austria via the “Sportland Oberösterreich”.

    Use of AI tools declaration



    The authors declare they have not used Artificial Intelligence (AI) tools in the creation of this article.

    Conflict of interest



    The authors declare no conflict of interest regarding the publication of this paper.

    [1] Ortega FB, Ruiz JR, Castillo MJ, et al. (2008) Physical fitness in childhood and adolescence: a powerful marker of health. Int J Obes 32: 1-11. https://doi.org/10.1038/sj.ijo.0803774
    [2] Robinson LE, Stodden DF, Barnett LM, et al. (2015) Motor Competence and its Effect on Positive Developmental Trajectories of Health. Sports Med 45: 1273-1284. https://doi.org/10.1007/s40279-015-0351-6
    [3] Hruby A, Chomitz VR, Arsenault LN, et al. (2012) Predicting maintenance or achievement of healthy weight in children: the impact of changes in physical fitness. Obesity 20: 1710-1717. https://doi.org/10.1038/oby.2012.13
    [4] Rodrigues LP, Leitão R, Lopes VP (2013) Physical fitness predicts adiposity longitudinal changes over childhood and adolescence. J Sci Med Sport 16: 118-123. https://doi.org/10.1016/j.jsams.2012.06.008
    [5] Zaqout M, Michels N, Bammann K, et al. (2016) Influence of physical fitness on cardio-metabolic risk factors in European children. The IDEFICS study. Int J Obes 40: 1119-1125. https://doi.org/10.1038/ijo.2016.22
    [6] Gu X, Chang M, Solmon M (2016) Physical activity, physical fitness, and health-related quality of life in school-aged children. J Teach Phys Educ 35: 117-126. https://doi.org/10.1123/jtpe.2015-0110
    [7] Köble K, Postler T, Oberhoffer-Fritz R, et al. (2022) A Better Cardiopulmonary Fitness Is Associated with Improved Concentration Level and Health-Related Quality of Life in Primary School Children. J Clin Med 11: 1326. https://doi.org/10.3390/jcm11051326
    [8] Esteban-Cornejo I, Tejero-González CM, Martinez-Gomez D, et al. (2014) Independent and combined influence of the components of physical fitness on academic performance in youth. J Pediatr 165: 306-312. https://doi.org/10.1016/j.jpeds.2014.04.044
    [9] Sardinha LB, Marques A, Minderico C, et al. (2016) Longitudinal Relationship between Cardiorespiratory Fitness and Academic Achievement. Med Sci Sports Exerc 48: 839-844. https://doi.org/10.1249/MSS.0000000000000830
    [10] Meijer A, Königs M, de Bruijn AGM, et al. (2021) Cardiovascular fitness and executive functioning in primary school-aged children. Dev Sci 24: e13019. https://doi.org/10.1111/desc.13019
    [11] Pontifex MB, Raine LB, Johnson CR, et al. (2011) Cardiorespiratory fitness and the flexible modulation of cognitive control in preadolescent children. J Cogn Neurosci 23: 1332-1345. https://doi.org/10.1162/jocn.2010.21528
    [12] Caspersen CJ, Powell KE, Christenson GM (1985) Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep 100: 126-131.
    [13] Masanovic B, Gardasevic J, Marques A, et al. (2020) Trends in Physical Fitness Among School-Aged Children and Adolescents: A Systematic Review. Front Pediatr 8: 627529. https://doi.org/10.3389/fped.2020.627529
    [14] Lamoureux NR, Fitzgerald JS, Norton KI, et al. (2019) Temporal Trends in the Cardiorespiratory Fitness of 2,525,827 Adults Between 1967 and 2016: A Systematic Review. Sports Med 49: 41-55. https://doi.org/10.1007/s40279-018-1017-y
    [15] Ross R, Blair SN, Arena R, et al. (2016) Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association. Circulation 134: e653-e699. https://doi.org/10.1161/CIR.0000000000000461
    [16] Eberhardt T, Niessner C, Oriwol D, et al. (2020) Secular Trends in Physical Fitness of Children and Adolescents: A Review of Large-Scale Epidemiological Studies Published after 2006. Int J Environ Res Public Health 17: 5671. https://doi.org/10.3390/ijerph17165671
    [17] Fühner T, Kliegl R, Arntz F, et al. (2021) An Update on Secular Trends in Physical Fitness of Children and Adolescents from 1972 to 2015: A Systematic Review. Sports Med 51: 303-320. https://doi.org/10.1007/s40279-020-01373-x
    [18] Hanssen-Doose A, Niessner C, Oriwol D, et al. (2021) Population-based trends in physical fitness of children and adolescents in Germany, 2003–2017. Eur J Sport Sci 21: 1204-1214. https://doi.org/10.1080/17461391.2020.1793003
    [19] Fang K, Mu M, Liu K, et al. (2019) Screen time and childhood overweight/obesity: A systematic review and meta-analysis. Child Care Health Dev 45: 744-753. https://doi.org/10.1111/cch.12701
    [20] Guthold R, Stevens GA, Riley LM, et al. (2020) Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants. Lancet Child Adolesc Health 4: 23-35. https://doi.org/10.1016/S2352-4642(19)30323-2
    [21] LeBlanc A, Gunnelll K, Prince S, et al. (2017) The ubiquity of the screen: An overview of the risks and benefits of screen tim in our modern world. Transl J Am Coll Sports Med 2: 104-113.
    [22] Barnett LM, Lai SK, Veldman SL, et al. (2016) Correlates of Gross Motor Competence in Children and Adolescents: A Systematic Review and Meta-Analysis. Sports Med 46: 1663-1688. https://doi.org/10.1007/s40279-016-0495-z
    [23] Fiori F, Bravo G, Parpinel M, et al. (2020) Relationship between body mass index and physical fitness in Italian prepubertal schoolchildren. PLoS One 15: e0233362. https://doi.org/10.1371/journal.pone.0233362
    [24] Pratt M, Ramirez Varela A, Salvo D, et al. (2020) Attacking the pandemic of physical inactivity: what is holding us back?. Br J Sports Med 54: 760-762. https://doi.org/10.1136/bjsports-2019-101392
    [25] World Health OrganisationCoronavirus disease 2019 (COVID-19): situation report (2020).
    [26] Couzin-Frankel J, Vogel G, Weiland M (2020) Not open and shut. Science 369: 241-245. https://doi.org/10.1126/science.369.6501.241
    [27] Hsiang S, Allen D, Annan-Phan S, et al. (2020) The effect of large-scale anti-contagion policies on the COVID-19 pandemic. Nature 584: 262-267. https://doi.org/10.1038/s41586-020-2404-8
    [28] Tison GH, Avram R, Kuhar P, et al. (2020) Worldwide Effect of COVID-19 on Physical Activity: A Descriptive Study. Ann Intern Med 173: 767-770. https://doi.org/10.7326/M20-2665
    [29] Madigan S, Eirich R, Pador P, et al. (2022) Assessment of Changes in Child and Adolescent Screen Time During the COVID-19 Pandemic: A Systematic Review and Meta-analysis. JAMA Pediatr 176: 1188-1198. https://doi.org/10.1001/jamapediatrics.2022.4116
    [30] Chronologie der Cororna-Krise in Österreich. Available from: https://regiowiki.at/wiki/Chronologie_der_Corona-Krise_in_%C3%96sterreich.
    [31] Douglas M, Katikireddi SV, Taulbut M, et al. (2020) Mitigating the wider health effects of covid-19 pandemic response. BMJ 369: m1557. https://doi.org/10.1136/bmj.m1557
    [32] Pedrosa AL, Bitencourt L, Fróes ACF, et al. (2020) Emotional, Behavioral, and Psychological Impact of the COVID-19 Pandemic. Front Psychol 11: 566212. https://doi.org/10.3389/fpsyg.2020.566212
    [33] Androutsos O, Perperidi M, Georgiou C, et al. (2021) Lifestyle Changes and Determinants of Children's and Adolescents' Body Weight Increase during the First COVID-19 Lockdown in Greece: The COV-EAT Study. Nutrients 13: 930. https://doi.org/10.3390/nu13030930
    [34] Blueher SW, Huizinga O, Joisten C, et al. (2023) Changes in lifestyle and body weight in children and adolescents during the COVID-19 pandemic: A representative survey of parents in Germany. Obes Facts . https://doi.org/10.1159/000529116
    [35] Schmidt SCE, Anedda B, Burchartz A, et al. (2020) Physical activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: a natural experiment. Sci Rep 10: 21780. https://doi.org/10.1038/s41598-020-78438-4
    [36] Burkart S, Parker H, Weaver RG, et al. (2022) Impact of the COVID-19 pandemic on elementary schoolers' physical activity, sleep, screen time and diet: A quasi-experimental interrupted time series study. Pediatr Obes 17: e12846. https://doi.org/10.1111/ijpo.12846
    [37] Kharel M, Sakamoto JL, Carandang RR, et al. (2022) Impact of COVID-19 pandemic lockdown on movement behaviours of children and adolescents: a systematic review. BMJ Glob Health 7: e007190. https://doi.org/10.1136/bmjgh-2021-007190
    [38] Rossi L, Behme N, Breuer C (2021) Physical Activity of Children and Adolescents during the COVID-19 Pandemic-A Scoping Review. Int J Environ Res Public Health 18: 11440. https://doi.org/10.3390/ijerph182111440
    [39] Ten Velde G, Lubrecht J, Arayess L, et al. (2021) Physical activity behaviour and screen time in Dutch children during the COVID-19 pandemic: Pre-, during- and post-school closures. Pediatr Obes 16: e12779. https://doi.org/10.1111/ijpo.12779
    [40] Wunsch K, Kienberger K, Niessner C (2022) Changes in Physical Activity Patterns Due to the Covid-19 Pandemic: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health 19: 2250. https://doi.org/10.3390/ijerph19042250
    [41] Schmidt S, Burchartz A, Kolb S, et al. Zur Situation der körperlich-sportlichen Aktivität von Kindern und Jugendlichen während der COVID-19 Pandemie in Deutschland: Die Motorik-Modul Studie (MoMo), KIT Scientific Working Papers (2021).
    [42] Jarnig G, Jaunig J, Kerbl R, et al. (2022) Acceleration in BMI gain following COVID-19 restrictions. A longitudinal study with 7- to 10-year-old primary school children. Pediatr Obes 17: e12890. https://doi.org/10.1111/ijpo.12890
    [43] Lange SJ, Kompaniyets L, Freedman DS, et al. (2021) Longitudinal Trends in Body Mass Index Before and During the COVID-19 Pandemic Among Persons Aged 2–19 Years - United States, 2018-2020. MMWR Morb Mortal Wkly Rep 70: 1278-1283. https://doi.org/10.15585/mmwr.mm7037a3
    [44] Weaver RG, Hunt ET, Armstrong B, et al. (2021) COVID-19 Leads to Accelerated Increases in Children's BMI z-Score Gain: An Interrupted Time-Series Study. Am J Prev Med 61: e161-e169. https://doi.org/10.1016/j.amepre.2021.04.007
    [45] Chambonnière C, Fearnbach N, Pelissier L, et al. (2021) Adverse Collateral Effects of COVID-19 Public Health Restrictions on Physical Fitness and Cognitive Performance in Primary School Children. Int J Environ Res Public Health 18: 11099. https://doi.org/10.3390/ijerph182111099
    [46] Jarnig G, Jaunig J, van Poppel MNM (2021) Association of COVID-19 Mitigation Measures With Changes in Cardiorespiratory Fitness and Body Mass Index Among Children Aged 7 to 10 Years in Austria. JAMA Netw Open 4: e2121675. https://doi.org/10.1001/jamanetworkopen.2021.21675
    [47] Wahl-Alexander Z, Camic CL (2021) Impact of COVID-19 on School-Aged Male and Female Health-Related Fitness Markers. Pediatr Exerc Sci 33: 61-64. https://doi.org/10.1123/pes.2020-0208
    [48] Drenowatz C, Hinterkörner F, Greier K (2021) Physical Fitness and Motor Competence in Upper Austrian Elementary School Children-Study Protocol and Preliminary Findings of a State-Wide Fitness Testing Program. Front Sports Act Living 3: 635478. https://doi.org/10.3389/fspor.2021.635478
    [49] Kromeyer-Hauschild K, Wabitsch M, Kunze D, et al. (2001) Perzentile für den Body-mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr Kinderh 149: 807-818. https://doi.org/10.1007/s001120170107
    [50] Vogel M, Geserick M, Gausche R, et al. (2022) Age- and weight group-specific weight gain patterns in children and adolescents during the 15 years before and during the COVID-19 pandemic. Int J Obes 46: 144-152. https://doi.org/10.1038/s41366-021-00968-2
    [51] Chang TH, Chen YC, Chen WY, et al. (2021) Weight Gain Associated with COVID-19 Lockdown in Children and Adolescents: A Systematic Review and Meta-Analysis. Nutrients 13: 3668. https://doi.org/10.3390/nu13103668
    [52] Brazendale K, Beets MW, Weaver RG, et al. (2017) Understanding differences between summer vs. school obesogenic behaviors of children: the structured days hypothesis. Int J Behav Nutr Phys Act 14: 100. https://doi.org/10.1186/s12966-017-0555-2
    [53] Rundle AG, Park Y, Herbstman JB, et al. (2020) COVID-19-Related School Closings and Risk of Weight Gain Among Children. Obesity 28: 1008-1009. https://doi.org/10.1002/oby.22813
    [54] Marfori B, de Lira C, Vancini R, et al. (2022) Association between lowering restriction levels during the coronavirus outbreak and physical activity among adults: a longitudinal study in Brazil. Eur Rev Med Pharmacol Sci 26: 3377-3385.
    [55] Fruh SM (2017) Obesity: Risk factors, complications, and strategies for sustainable long-term weight management. J Am Assoc Nurse Pract 29: S3-S14. https://doi.org/10.1002/2327-6924.12510
    [56] Caussy C, Wallet F, Laville M, et al. (2020) Obesity is Associated with Severe Forms of COVID-19. Obesity 28: 1175. https://doi.org/10.1002/oby.22842
    [57] Kompaniyets L, Agathis NT, Nelson JM, et al. (2021) Underlying Medical Conditions Associated With Severe COVID-19 Illness Among Children. JAMA Netw Open 4: e2111182. https://doi.org/10.1001/jamanetworkopen.2021.11182
    [58] Narici M, De Vito G, Franchi M, et al. (2021) Impact of sedentarism due to the COVID-19 home confinement on neuromuscular, cardiovascular and metabolic health: Physiological and pathophysiological implications and recommendations for physical and nutritional countermeasures. Eur J Sport Sci 21: 614-635. https://doi.org/10.1080/17461391.2020.1761076
    [59] Basterfield L, Burn NL, Galna B, et al. (2022) Changes in children's physical fitness, BMI and health-related quality of life after the first 2020 COVID-19 lockdown in England: A longitudinal study. J Sports Sci 40: 1088-1096. https://doi.org/10.1080/02640414.2022.2047504
    [60] Raine LB, Erickson KI, Grove G, et al. (2022) Cardiorespiratory fitness levels and body mass index of pre-adolescent children and older adults during the COVID-19 pandemic. Front Public Health 10: 1052389. https://doi.org/10.3389/fpubh.2022.1052389
    [61] Eberhardt T, Bös K, Niessner C (2022) Changes in Physical Fitness during the COVID-19 Pandemic in German Children. Int J Environ Res Public Health 19: 9504. https://doi.org/10.3390/ijerph19159504
    [62] Wessely S, Ferrari N, Friesen D, et al. (2022) Changes in Motor Performance and BMI of Primary School Children over Time-Influence of the COVID-19 Confinement and Social Burden. Int J Environ Res Public Health 19: 4565. https://doi.org/10.3390/ijerph19084565
    [63] Drenowatz C, Hinterkörner F, Greier K (2020) Physical Fitness in Upper Austrian Children Living in Urban and Rural Areas: A Cross-Sectional Analysis with More Than 18,000 Children. Int J Environ Res Public Health 17: 1045. https://doi.org/10.3390/ijerph17031045
    [64] Teich P, Fühner T, Bähr F, et al. (2023) The COVID pandemic affected the physical fitness of primary school children. https://doi.org/10.21203/rs.3.rs-2311576/v1
    [65] Tsoukos A, Bogdanis GC (2021) The Effects of a Five-Month Lockdown Due to COVID-19 on Physical Fitness Parameters in Adolescent Students: A Comparison between Cohorts. Int J Environ Res Public Health 19: 326. https://doi.org/10.3390/ijerph19010326
    [66] Zhou T, Zhai X, Wu N, et al. (2022) Changes in Physical Fitness during COVID-19 Pandemic Lockdown among Adolescents: A Longitudinal Study. Healthcare 10: 351. https://doi.org/10.3390/healthcare10020351
    [67] Pombo A, Luz C, de Sá C, et al. (2021) Effects of the COVID-19 Lockdown on Portuguese Children's Motor Competence. Children 8: 199. https://doi.org/10.3390/children8030199
    [68] Chambonniere C, Lambert C, Fearnbach N, et al. (2021) Effect of the COVID-19 lockdown on physical activity and sedentary behaviors in French children and adolescents: New results from the ONAPS national survey. Eur J Integr Med 43: 101308. https://doi.org/10.1016/j.eujim.2021.101308
    [69] Mitra R, Moore SA, Gillespie M, et al. (2020) Healthy movement behaviours in children and youth during the COVID-19 pandemic: Exploring the role of the neighbourhood environment. Health Place 65: 102418. https://doi.org/10.1016/j.healthplace.2020.102418
    [70] Schmidt S, Burchartz A, Kolb S, et al. (2022) Infuence of socioeconomic variables on physical activity and screen time of children and adolescents during COVID-19 lockdown in Germany: the MoMo study. Germ J Exerc Sport Res 52: 362-373. https://doi.org/10.1007/s12662-021-00783-x
    [71] Malina RM (2001) Physical activity and fitness: pathways from childhood to adulthood. Am J Hum Biol 13: 162-172. https://doi.org/10.1002/1520-6300(200102/03)13:2<162::AID-AJHB1025>3.0.CO;2-T
    [72] Silverberg SL, Zhang BY, Li SNJ, et al. (2022) Child transmission of SARS-CoV-2: a systematic review and meta-analysis. BMC Pediatr 22: 172. https://doi.org/10.1186/s12887-022-03175-8
    [73] Ezzatvar Y, Ramírez-Vélez R, Izquierdo M, et al. (2022) Physical activity and risk of infection, severity and mortality of COVID-19: a systematic review and non-linear dose-response meta-analysis of data from 1,853,610 adults. Br J Sports Med Epub . https://doi.org/10.1136/bjsports-2022-105733
  • Reader Comments
  • © 2023 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0)
通讯作者: 陈斌, bchen63@163.com
  • 1. 

    沈阳化工大学材料科学与工程学院 沈阳 110142

  1. 本站搜索
  2. 百度学术搜索
  3. 万方数据库搜索
  4. CNKI搜索

Metrics

Article views(2301) PDF downloads(87) Cited by(5)

Article outline

Figures and Tables

Figures(2)  /  Tables(4)

/

DownLoad:  Full-Size Img  PowerPoint
Return
Return

Catalog