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Timothy Mirabito, Robin Hardin, and Joshua R. Pate
Steven J. Elmer and Kelly B. Kamm
nearby in the state (i.e., ∼425 miles away), Michigan Technological University and the Department of Kinesiology and Integrative Physiology were committed to doing their part to aid in the pandemic response. Figure 1 —Map of regional area surrounding Michigan Technological University (Houghton, MI
Francesco Luciano, Federica Crova, and Francesco Canella
Background: COVID-19 containment measures curb viral spread but may hamper walking mobility. As a low daily step count is associated with increased noncommunicable diseases and mortality, assessing the relationship between pandemic responses and walking mobility can help trade-off public health measures. We investigated the association between containment stringency and walking mobility across 60 countries in the period between January 21, 2020 and January 21, 2022 and modeled how this could impact mortality hazard. Methods: Walking mobility was measured through the Apple Mobility Trends, containment measures stringency index through the Oxford COVID-19 response tracker (which considers local policies on closures, healthcare, and economy), and meteorological data by National Oceanic and Atmospheric Administration weather stations. Walking mobility was regressed over stringency in a mixed-effect model with weather variables as covariates. The impact of stringency on all-cause mortality due to reduced mobility was modeled based on regression results, prepandemic walking mobility, and the association between step count and all-cause mortality hazard. Results: Across the 60 countries, the average stringency was 55 (9) (mean [SD]) out of 100. Stringency was negatively associated with walking mobility; a log-linear model fitted data better than a linear one, with a regression coefficient for stringency on ln (walking mobility) (95% confidence interval) of −1.201 × 10−2 (−1.221 × 10−2 to −1.183 × 10−2). Increasing stringency, thus decreasing walking mobility, nonlinearly incremented the modeled all-cause mortality hazard by up to ∼40%. Conclusions: In this study, walking mobility was negatively associated with containment measures stringency; the relationship between stringency, mobility, and the subsequent impact on health outcomes may be nonlinear. These findings can help in balancing pandemic containment policies.
Kathryn E. Wilson, Andrew Corbett, Andrew Van Horn, Diego Guevara Beltran, Jessica D. Ayers, Joe Alcock, and Athena Aktipis
circumstances led to a sharp increase in psychological distress in the weeks immediately following the pandemic response, 3 – 6 accompanied by corresponding changes in health behaviors, such as a reduction in physical activity (PA). 7 Longitudinal analyses indicate that psychological distress was at its
Jeffrey T. Fairbrother and Jared Russell
opening article for this issue focuses on leadership during the COVID-19 pandemic. Given what we have learned broadly about the likelihood of similar future health crises, the lessons drawn from this article are both timely and timeless. Elmer and Kamm ( 2022 ) describe efforts to assemble a pandemic
Lisa Chamussy, Tessa Morgan, Kathryn Morgan, Lisa Williams, Janine Wiles, and Merryn Gott
Although the initial COVID-19 pandemic response centered on halting virus transmission, concerns have subsequently emerged regarding secondary risks, such as the impact on people’s ability to remain physically active ( Di Corrado et al., 2020 ; Parsons et al., 2021 ; Peçanha et al., 2020 ; Said
Viviene A. Temple
adapt to the lifestyle changes resulting from pandemic responses. Experiences of both large and small contexts, from a health service provider supporting 11,000 people with ID ( Mills et al., 2020 ), to a small 352-bed research and clinical hospital ( Buono et al., 2021 ), to a family unit ( Kim et