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Abstract
Lockdown imposed in the early phase of the SARS-CoV-2 outbreak represented a specific setting where activity was restricted but still possible. The aim was to investigate the cross-sectional associations between physical activity (PA) and SARS-CoV-2 infection in a French population-based cohort. Participants completed a PA questionnaire. PA was classified into: (i) total PA; (ii) aerobic PA by intensity; (iii) strengthening PA; (iv) PA by domain and type; and (vii) by location. Sedentary time was also recorded. Seroprevalence of anti-SARS-CoV-2 antibodies was assessed. Multivariable logistic regression models controlling for sociodemographic, lifestyle, anthropometric data, health status, and adherence to recommended protective anti-SARS-CoV-2 behaviours were computed. From 22,165 participants included, 21,074 (95.1%) and 1091 (4.9%) had a negative and positive ELISA-S test result, respectively. Total PA, vigorous PA, leisure-time PA, household PA, outdoor PA and indoor PA were all associated with lower probability of SARS-CoV-2 infection. Observations made in such a setting shed light on PA possibilities in a context of restricted mobility, where the health benefits of PA should not be overlooked. Along with already well-established benefits of PA for non-communicable disease prevention, these findings provide additional evidence for policies promoting all types of PA as a lever for population health.
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1 Université Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Center of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), Bobigny, France
2 Université Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Center of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), Bobigny, France; MoISA, Univ Montpellier, CIRAD, CIHEAM-IAMM, INRAE, Institut Agro, IRD, Montpellier, France (GRID:grid.121334.6) (ISNI:0000 0001 2097 0141)
3 Université Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Center of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), Bobigny, France (GRID:grid.121334.6); Santé Publique France, Nutritional Surveillance and Epidemiology Team (ESEN), Sorbonne Paris Nord University, Epidemiology and Statistics Research Center–University of Paris (CRESS), Bobigny, France (GRID:grid.493975.5) (ISNI:0000 0004 5948 8741)
4 Université Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Center of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), Bobigny, France (GRID:grid.493975.5)
5 Santé Publique France, Nutritional Surveillance and Epidemiology Team (ESEN), Sorbonne Paris Nord University, Epidemiology and Statistics Research Center–University of Paris (CRESS), Bobigny, France (GRID:grid.493975.5) (ISNI:0000 0004 5948 8741)
6 Université Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Center of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), Bobigny, France (GRID:grid.493975.5); APHP, Sorbonne Université, Département de Santé Publique, Paris, France (GRID:grid.462844.8) (ISNI:0000 0001 2308 1657)
7 Université Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Center of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), Bobigny, France (GRID:grid.462844.8)
8 IRIS, UMR CNRS 8156, EHESS, Inserm U997, Aubervilliers, France (GRID:grid.503259.8) (ISNI:0000 0001 2189 6991)
9 Paris-Saclay University, UVSQ, Inserm, Gustave Roussy, “Exposome and Heredity” Team, CESP UMR1018, Villejuif, France (GRID:grid.14925.3b) (ISNI:0000 0001 2284 9388); University of Florence, Department of Statistics, Computer Science and Applications “G. Parenti”, Florence, Italy (GRID:grid.8404.8) (ISNI:0000 0004 1757 2304)
10 Paris University, Paris, France (GRID:grid.15878.33) (ISNI:0000 0001 2110 7200); Inserm UMS 11, Paris Saclay University, Villejuif, France (GRID:grid.460789.4) (ISNI:0000 0004 4910 6535)
11 Unité des Virus Emergents (UVE), Aix Marseille Univ, IRD 190, INSERM 1207, Marseille, France (GRID:grid.5399.6) (ISNI:0000 0001 2176 4817)
12 Sorbonne Université, Inserm, Institut Pierre-Louis d’Epidémiologie et de Santé Publique, Paris, France (GRID:grid.7429.8) (ISNI:0000000121866389)
13 Université Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Center of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), Bobigny, France (GRID:grid.7429.8); Sorbonne University, Department of Nutrition, Human Nutrition Research Center Ile-de-France (CRNH IdF), Pitié-Salpêtrière Hospital (AP-HP), Paris, France (GRID:grid.462844.8) (ISNI:0000 0001 2308 1657)
14 Fondation Jean Dausset-CEPH (Centre d’Etude du Polymorphisme Humain), CEPH-Biobank, Paris, France (GRID:grid.417836.f) (ISNI:0000 0004 0639 125X)
15 Institut Pierre-Louis d’Épidémiologie et de Santé Publique, Sorbonne Université, Inserm, Paris, France (GRID:grid.7429.8) (ISNI:0000000121866389)
16 Paris University, Paris, France (GRID:grid.15878.33) (ISNI:0000 0001 2110 7200); Institut Pierre-Louis d’Épidémiologie et de Santé Publique, Sorbonne Université, Inserm, Paris, France (GRID:grid.7429.8) (ISNI:0000000121866389)
17 Paris-Saclay University, UVSQ, Inserm, Gustave Roussy, “Exposome and Heredity” Team, CESP UMR1018, Villejuif, France (GRID:grid.14925.3b) (ISNI:0000 0001 2284 9388)
18 Université Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Center of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), Bobigny, France (GRID:grid.14925.3b)