INTRODUCTION: The pandemic of coronavirus disease (COVID-19) and related restrictions (closed schools and sports centers, social isolation, masks) may have a negative impact on children's health. The purpose of this study was to evaluate the level of physical activity (PA) of Czech children during COVID-19 in autumn 2020. METHODS: Ninety-eight Czech children (mean age = 10.1 ± 1.47 years) completed the standardized Physical Activity Questionnaire for Older Czech Children (PAQ-C/cz) during COVID lockdown. Data were compared with previously published norms. Thirty-five children also reported daily number of steps measured by accelerometers. RESULTS: Total PAQ-C score was 0.38 lower during COVID compared to Pre-COVID [t(302) = 5.118., p < .001]. The male PAQ-C total score was 0.37 lower [t(146) = 3.21., p = .002)] and the female total score was 0.39 lower [t(154) = 3.97., p < .001] during COVID compared to Pre-COVID. Specifically, responses of PA during spare time, before-school, physical education (PE), and recess were significantly lower during COVID. The average number of steps was 7.767 steps/day (boys = 9.255; girls = 6.982). CONCLUSION: COVID lockdown resulted in significant reduction of PA in Czech children. Strategies to promote adequate PA of children during the pandemic need to be determined.

Department of Rehabilitation and Sports Medicine Postgraduate Medical School 2nd Faculty of Medicine Charles University and Motol University Hospital Prague Czech Republic

Health and Human Kinetics Ohio Wesleyan University Delaware OH United States of America

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Jakubec L, Dygrýn J, Šimůnek A, Frömel K. Validita originálního algoritmu pro odhad pohybové aktivity a sedavého chování z dotazníku Youth Activity Profile u českých dětí a adolescentů. Tělesná kultura. 2020;42: 62–69.

Kaptoge S, Pennells L, De Bacquer D, Cooney MT, Kavousi M, Stevens G, et al.. World Health Organization cardiovascular disease risk charts: revised models to estimate risk in 21 global regions. The Lancet Global Health. 2019;7: e1332–e1345. doi: 10.1016/S2214-109X(19)30318-3 PubMed DOI PMC

Nemet D. Childhood Obesity, Physical Activity, and Exercise. Pediatric exercise science. 2016;28: 48–51. doi: 10.1123/pes.2016-0014 PubMed DOI

Tremblay MS, Carson V, Chaput J-P, Connor Gorber S, Dinh T, Duggan M, et al.. Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep. Applied Physiology, Nutrition, and Metabolism. 2016;41: S311–S327. PubMed

Sá C dos SC de, Pombo A, Luz C, Rodrigues LP, Cordovil R. COVID-19 social isolation in brazil: effects on the physical activity routine of families with children. Rev paul pediatr. 2021;39: e2020159. doi: 10.1590/1984-0462/2021/39/2020159 PubMed DOI PMC

Sigmund E., Sigmundová D., & Šnoblová R. Monitorování lokomoční pohybové aktivity dětí pomocí pedometrů: přesnost, doporučení a praktické příklady. Medicina Sportiva Bohemica et Slovaca. 2011;20: 17–23.

Miles L. Physical activity and health. Nutrition bulletin. 2007;32: 314–363. doi: 10.1016/j.healthpol.2007.03.004 PubMed DOI

Anderson PM, Butcher KF. Childhood obesity: trends and potential causes. The Future of children. 2006; 19–45. doi: 10.1353/foc.2006.0001 PubMed DOI

Fox KR. The influence of physical activity on mental well-being. Public health nutrition. 1999;2: 411–418. doi: 10.1017/s1368980099000567 PubMed DOI

Guo Y-R, Cao Q-D, Hong Z-S, Tan Y-Y, Chen S-D, Jin H-J, et al.. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak–an update on the status. Military Med Res. 2020;7: 11. doi: 10.1186/s40779-020-00240-0 PubMed DOI PMC

López-Bueno R, López-Sánchez GF, Casajús JA, Calatayud J, Tully MA, Smith L. Potential health-related behaviors for pre-school and school-aged children during COVID-19 lockdown: A narrative review. Preventive Medicine. 2021;143: 106349. doi: 10.1016/j.ypmed.2020.106349 PubMed DOI PMC

Maltoni G, Zioutas M, Deiana G, Biserni GB, Pession A, Zucchini S. Adolescent males suffered from reduced physical activity and increased BMI during COVID- 19 pandemic. Nutrition, Metabolism and Cardiovascular Diseases. 2021; S093947532100140X. doi: 10.1016/j.numecd.2021.03.018 PubMed DOI

Beck AL, Huang JC, Lendzion L, Fernandez A, Martinez S. Impact of the COVID-19 pandemic on parents’ perception of health behaviors in children with overweight and obesity. Academic Pediatrics. 2021; S1876285921002679. doi: 10.1016/j.acap.2021.05.015 PubMed DOI PMC

Law EF, Zhou C, Seung F, Perry F, Palermo TM. Longitudinal study of early adaptation to the coronavirus disease pandemic among youth with chronic pain and their parents: effects of direct exposures and economic stress. Pain. 2021;Publish Ahead of Print. doi: 10.1097/j.pain.0000000000002290 PubMed DOI PMC

Zolnikov TR, Clark T, Zolnikov T. Likely Exacerbation of Psychological Disorders from Covid-19 Response. J Prim Care Community Health. 2021;12: 215013272110167. doi: 10.1177/21501327211016739 PubMed DOI PMC

Li SH, Beames JR, Newby JM, Maston K, Christensen H, Werner-Seidler A. The impact of COVID-19 on the lives and mental health of Australian adolescents. Eur Child Adolesc Psychiatry. 2021. [cited 4 Jun 2021]. doi: 10.1007/s00787-021-01790-x PubMed DOI PMC

Panda PK, Gupta J, Chowdhury SR, Kumar R, Meena AK, Madaan P, et al.. Psychological and Behavioral Impact of Lockdown and Quarantine Measures for COVID-19 Pandemic on Children, Adolescents and Caregivers: A Systematic Review and Meta-Analysis. Journal of Tropical Pediatrics. 2021;67: fmaa122. doi: 10.1093/tropej/fmaa122 PubMed DOI PMC

Bucak IH, Almis H, Tasar SO, Uygun H, Turgut M. Have the sleep habits in children of health workers been more affected during the COVID-19 pandemic? Sleep Medicine. 2021;83: 235–240. doi: 10.1016/j.sleep.2021.05.003 PubMed DOI PMC

Perez D, Thalken JK, Ughelu NE, Knight CJ, Massey WV. Nowhere to Go: Parents’ Descriptions of Children’s Physical Activity During a Global Pandemic. Front Public Health. 2021;9: 642932. doi: 10.3389/fpubh.2021.642932 PubMed DOI PMC

López-Bueno R, Calatayud J, Andersen LL, Casaña J, Ezzatvar Y, Casajús JA, et al.. Cardiorespiratory fitness in adolescents before and after the COVID-19 confinement: a prospective cohort study. Eur J Pediatr. 2021. [cited 4 Jun 2021]. doi: 10.1007/s00431-021-04029-8 PubMed DOI PMC

Gaba A, Rubin L, Sigmund E, Badura P, Dygryn J, Kudlacek M, et al.. Executive summary of the Czech Republic’s 2018 Report Card on Physical Activity for Children and Youth. Acta Gymnica. 2019;49: 92–102. doi: 10.5507/ag.2019.007 DOI

World Health Organization. CZECH REPUBLIC PHYSICAL ACTIVITY FACTSHEET. Available: https://ec.europa.eu/assets/eac/sport/library/factsheets/czech-rep-factsheet_en.pdf

Komenda M, Bulhart V, Karolyi M, Jarkovský J, Mužík J, Májek O, et al.. Complex Reporting of the COVID-19 Epidemic in the Czech Republic: Use of an Interactive Web-Based App in Practice. J Med Internet Res. 2020;22: e19367. doi: 10.2196/19367 PubMed DOI PMC

Johns Hopkins University & Medicine. MORTALITY ANALYSES. In: Johns Hopkins University & Medicine; [Internet]. Available: https://origin-coronavirus.jhu.edu/data/mortality

Hesketh KR, Lakshman R, van Sluijs EM. Barriers and facilitators to young children’s physical activity and sedentary behaviour: a systematic review and synthesis of qualitative literature. Obesity Reviews. 2017;18: 987–1017. doi: 10.1111/obr.12562 PubMed DOI PMC

Schmidt SCE, Anedda B, Burchartz A, Eichsteller A, Kolb S, Nigg C, et al.. Physical activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: a natural experiment. Sci Rep. 2020;10: 21780. doi: 10.1038/s41598-020-78438-4 PubMed DOI PMC

UNESCO 2021. Education: From disruption to recovery. In: UNESCO.

Fillon A, Genin P, Larras B, Vanhelst J, Luiggi M, Aubert S, et al.. France’s 2020 Report Card on Physical Activity and Sedentary Behaviors in Children and Youth: Results and Progression. Journal of Physical Activity and Health. 2021; 1–7. doi: 10.1123/jpah.2021-0025 PubMed DOI

Pombo A, Luz C, Rodrigues LP, Ferreira C, Cordovil R. Correlates of children’s physical activity during the COVID-19 confinement in Portugal. Public Health. 2020;189: 14–19. doi: 10.1016/j.puhe.2020.09.009 PubMed DOI PMC

Cachón-Zagalaz J, Zagalaz-Sánchez Ma L, Arufe-Giráldez V, Sanmiguel-Rodríguez A, González-Valero G. Physical Activity and Daily Routine among Children Aged 0–12 during the COVID-19 Pandemic in Spain. IJERPH. 2021;18: 703. doi: 10.3390/ijerph18020703 PubMed DOI PMC

Schnaiderman D, Bailac M, Borak L, Comar H, Eisner A, Ferrari A, et al.. Psychological impact of COVID-19 lockdown in children and adolescents from San Carlos de Bariloche, Argentina: Parents’ perspective. Arch Argent Pediat. 2021;119. doi: 10.5546/aap.2021.eng.170 PubMed DOI

Kowalski KC, Crocker PR, Kowalski NP. Convergent validity of the physical activity questionnaire for adolescents. Pediatric exercise science. 1997;9: 342–352.

Sallis JF, Saelens BE. Assessment of physical activity by self-report: status, limitations, and future directions. Research quarterly for exercise and sport. 2000;71: 1–14. PubMed

Welk GJ, Wood K. Physical activity assessments in physical education: A practical review of instruments and their use in the curriculum. Journal of Physical Education, Recreation & Dance. 2000;71: 30–40. PubMed

Colley RC, Butler G, Garriguet D, Prince SA, Roberts KC. Comparison of self-reported and accelerometer-measured physical activity among Canadian youth. Health Reports. 2019;30: 3–12. doi: 10.25318/82-003-x201900700001-eng PubMed DOI

Crocker PR, Bailey D, Faulkner R, Kowalski K, McGrath R. Measuring general levels of physical activity: preliminary evidence for the Physical Activity Questionnaire for Older Children. Medicine & Science in Sports & Exercise. 1997;29: 1344–1349. doi: 10.1097/00005768-199710000-00011 PubMed DOI

Rubín L, Mitáš J, Dygrýn J, Vorlíček M, Nykodým J, Řepka E, et al.. Pohybová aktivita a tělesná zdatnost českých adolescentů v kontextu zastavěného prostředí. Univerzita Palackého v Olomouci; 2018.

Cuberek R, Janíková M, Dygrýn J. Adaptation and validation of the Physical Activity Questionnaire for Older Children (PAQ-C) among Czech children. PloS one. 2021;16: e0245256. doi: 10.1371/journal.pone.0245256 PubMed DOI PMC

Marques ES, Moraes CL de, Hasselmann MH, Deslandes SF, Reichenheim ME. Violence against women, children, and adolescents during the COVID-19 pandemic: overview, contributing factors, and mitigating measures. Cadernos de saude publica. 2020;36: e00074420. doi: 10.1590/0102-311X00074420 PubMed DOI

Kowalski KC, Crocker PR, Donen RM. The physical activity questionnaire for older children (PAQ-C) and adolescents (PAQ-A) manual. College of Kinesiology, University of Saskatchewan. 2004;87: 1–38.

Cohen J. Statistical power analysis for the behavioural sciences. Hillsdale, NJ: Laurence Erlbaum Associates. Inc; 1988.

Geroge D, Mallery P. SPSS for windows step by step: A simple guide and reference. Boston: Allyn & Bacon; 2003.

Xiang S, Dong J, Li X, Li L. Association between Sleep Duration, Physical Activity, and Mental Health Disorders: A Secondary Analysis of the National Survey of Children’s Health 2017–2018. Boffano P, editor. BioMed Research International. 2021;2021: 1–7. doi: 10.1155/2021/5585678 PubMed DOI PMC

Filos D, Lekka I, Kilintzis V, Stefanopoulos L, Karavidopoulou Y, Maramis C, et al.. Exploring associations between children’s obesogenic behaviours and local environment using big data (Preprint). JMIR mHealth and uHealth. 2020. [cited 7 Jun 2021]. doi: 10.2196/26290 PubMed DOI PMC

Pombo A, Luz C, Rodrigues LP, Ferreira C, Cordovil R. Correlates of Children’s Physical Activity During the Covid-19 Confinement in Portugal. In Review; 2020. Jul. doi: 10.1016/j.puhe.2020.09.009 PubMed DOI PMC

Vuković J, Matić RM, Milovanović IM, Maksimović N, Krivokapić D, Pišot S. Children’s Daily Routine Response to COVID-19 Emergency Measures in Serbia. Front Pediatr. 2021;9: 656813. doi: 10.3389/fped.2021.656813 PubMed DOI PMC

McGall SE, McGuigan MR, Nottle C. Contribution of free play towards physical activity guidelines for New Zealand primary school children aged 7–9 years. British journal of sports medicine. 2011;45: 120–124. doi: 10.1136/bjsm.2009.065318 PubMed DOI

Ng K, Cosma A, Svacina K, Boniel-Nissim M, Badura P. Czech adolescents’ remote school and health experiences during the spring 2020 COVID-19 lockdown. Preventive Medicine Reports. 2021;22: 101386. doi: 10.1016/j.pmedr.2021.101386 PubMed DOI PMC

Vilchez JA, Kruse J, Puffer M, Dudovitz RN. Teachers and School Health Leaders’ Perspectives on Distance Learning Physical Education During the COVID ‐19 Pandemic. J School Health. 2021; josh.13030. doi: 10.1111/josh.13030 PubMed DOI PMC

Gobbi E, Maltagliati S, Sarrazin P, di Fronso S, Colangelo A, Cheval B, et al.. Promoting Physical Activity during School Closures Imposed by the First Wave of the COVID-19 Pandemic: Physical Education Teachers’ Behaviors in France, Italy and Turkey. IJERPH. 2020;17: 9431. doi: 10.3390/ijerph17249431 PubMed DOI PMC

ErdiM L, Ergün A, Kuğuoğlu S. Reliability and validity of the Turkish version of the Physical Activity Questionnaire for Older Children (PAQ-C). Turk J Med Sci. 2019;49: 162–169. doi: 10.3906/sag-1806-212 PubMed DOI PMC

Thomas EL, Upton D. Psychometric properties of the physical activity questionnaire for older children (PAQ-C) in the UK. Psychology of Sport and Exercise. 2014;15: 280–287. doi: 10.1016/j.psychsport.2014.02.002 DOI

Jing WJ, Tom B, Patrick LW, An CT, Jane PA. Validation of the Physical Activity Questionnaire for Older Children (PAQ-C) among Chinese Children. Biomed Environ Sci. 2016;29: 177–86. doi: 10.3967/bes2016.022 PubMed DOI

Trost SG, Sallis JF, Pate RR, Freedson PS, Taylor WC, Dowda M. Evaluating a model of parental influence on youth physical activity. American Journal of Preventive Medicine. 2003;25: 277–282. doi: 10.1016/s0749-3797(03)00217-4 PubMed DOI

Rowlands AV, Eston RG, Ingledew DK. Relationship between activity levels, aerobic fitness, and body fat in 8-to 10-yr-old children. Journal of Applied Physiology. 1999;86: 1428–1435. doi: 10.1152/jappl.1999.86.4.1428 PubMed DOI

Tudor-Locke C, Craig CL, Beets MW, Belton S, Cardon GM, Duncan S, et al.. How many steps/day are enough? for children and adolescents. International Journal of Behavioral Nutrition and Physical Activity. 2011;8: 1–14. doi: 10.1186/1479-5868-8-78 PubMed DOI PMC

Vincent S. D., & Pangrazi R. P. An examination of the activity patterns of elementary school children. ediatric Exercise Science. 2002;14: 432–441. 10.1123/pes.14.4.432 DOI

Panel NE. Third report of the NCEP. Expert panel of detection, evaluation and treatment of high blood cholesterol in adults (ATP III): NIH Publication. Bethesda: National Heart. Lung and Blood Institute. 2001.

Moore JB, Jr JCH, Barbeau P, Gutin B, Treviño RP. Validation of the Physical Activity Questionnaire for Older Children in Children of Different Races. Pediatric Exercise Science. 2007;19: 6–19. doi: 10.1123/pes.19.1.6 PubMed DOI

Twisk JW. Physical activity guidelines for children and adolescents. Sports medicine. 2001;31: 617–627. doi: 10.2165/00007256-200131080-00006 PubMed DOI

Janssen I. Physical activity guidelines for children and youth. Applied Physiology, Nutrition, and Metabolism. 2007;32: S109–121. PubMed

Tremblay MS, Warburton DE, Janssen I, Paterson DH, Latimer AE, Rhodes RE, et al.. New Canadian physical activity guidelines. Applied physiology, nutrition, and metabolism. 2011;36: 36–46. doi: 10.1139/H11-009 PubMed DOI

Singh K, Tripathi K. Physical Activity Guidelines for Children and Youth. Available at SSRN 2308560. 2013.

Corbin CB, Pangrazi RP. Guidelines for appropriate physical activity for elementary school children. Update Reston, VA: NASPE Publications. 2003.

Máček M, Máčková J, Smolíková L. Počet kroků jako ukazatel tělesné zdatnosti. Medicina Sportiva Bohemica et Slovaca. 2010;19.

Dunton GF, Do B, Wang SD. Early effects of the COVID-19 pandemic on physical activity and sedentary behavior in children living in the U.S. BMC Public Health. 2020;20: 1351. doi: 10.1186/s12889-020-09429-3 PubMed DOI PMC

Moore SA, Faulkner G, Rhodes RE, Brussoni M, Chulak-Bozzer T, Ferguson LJ, et al.. Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth: a national survey. Int J Behav Nutr Phys Act. 2020;17: 85. doi: 10.1186/s12966-020-00987-8 PubMed DOI PMC

López-Bueno R, López-Sánchez GF, Casajús JA, Calatayud J, Gil-Salmerón A, Grabovac I, et al.. Health-related behaviors among school-aged children and adolescents during the Spanish Covid-19 confinement. Frontiers in pediatrics. 2020;8. doi: 10.3389/fped.2020.00008 PubMed DOI PMC

Zhang X, Zhu W, Kang S, Qiu L, Lu Z, Sun Y. Association between physical activity and mood states of children and adolescents in social isolation during the CoViD-19 epidemic. International journal of environmental research and public health. 2020;17: 7666. doi: 10.3390/ijerph17207666 PubMed DOI PMC

Rowe DA, Mahar MT, Raedeke TD, Lore J. Measuring physical activity in children with pedometers: Reliability, reactivity, and replacement of missing data. Pediatric Exercise Science. 2004;16: 343–354.

Adams MA, Johnson WD, Tudor-Locke C. Steps/day translation of the moderate-to-vigorous physical activity guideline for children and adolescents. International Journal of Behavioral Nutrition and Physical Activity. 2013;10: 1–11. doi: 10.1186/1479-5868-10-49 PubMed DOI PMC

Comparison of the level of physical activity after the COVID-19 pandemic in Poland, Slovakia and the Czech Republic

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Estimating Mode of Transport in Daily Mobility during the COVID-19 Pandemic Using a Multinomial Logistic Regression Model

Organized Sport Activities of 11 to 15-Year-Old Adolescents: Trends from 2010-2018 and Socioeconomic Context

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Leisure Time Use and Adolescent Mental Well-Being: Insights from the COVID-19 Czech Spring Lockdown