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Associations between physical activity, sedentary behaviour, and alcohol consumption among UK adults: Findings from the Health Behaviours during the COVID-19 pandemic (HEBECO) study

  • Lady Akwa*
  • , Lesley Smith
  • , Maureen Twiddy
  • , Grant Abt
  • , Claire Garnett
  • , Melissa Oldham
  • , Lion Shahab
  • , Aleksandra Herbec
  • *Corresponding author for this work

    Research output: Contribution to journal › Article (Academic Journal) › peer-review

    6 Citations (Scopus)

    Abstract

    Introduction
    The COVID-19 pandemic and attendant lockdowns have had a substantial negative effect on alcohol consumption and physical activity globally. Pre-pandemic evidence in the adult population suggests that higher levels of physical activity were associated with higher levels of drinking, but it is unclear how the pandemic may have affected this. Therefore, this study aims to assess the association between alcohol consumption and physical activity in a UK cohort established during the COVID-19 pandemic.

    Methods
    Analyses utilized data from the Health Behaviours during the COVID-19 pandemic (HEBECO) study involving 2,057 UK adults (≥18 years). Participants completed self-report measures of alcohol consumption [frequency, quantity, frequency of heavy episodic drinking (HED) and AUDIT-C score] and physical activity [moderate-vigorous physical activity (MVPA), frequency of muscle strengthening activity (MSA) and sedentary behaviour] between November 2020 and January 2021. Ordinal logistic regression models were conducted, adjusting for sociodemographic factors.

    Results
    Fifteen percent of the sample reported abstinence from drinking. Overall, 23.4% of participants drank ≥4 times/week, 13.9% drank more than 6 units/single drinking occasion (HED), 7.5% reported HED daily/almost daily and 4.2% scored ≥11 on AUDIT-C. MSA 3 days/week compared with no MSA was significantly associated with higher odds of alcohol frequency [OR (95 CI%) = 1.41 (1.04–1.91)], quantity [OR (95 CI%) = 1.38 (1.02–1.87)], HED [OR (95 CI%) = 1.42 (1.05–1.94)] and possible dependence [OR (95 CI%) = 1.47 (1.05–2.06)]. The association of MVPA and sedentary behaviour with drinking measures was not significant (p>0.05).

    Conclusion
    In contrast with previous research, MSA rather than aerobic physical activity was associated with increased alcohol consumption during the COVID-19 pandemic. It is conceivable that during lockdown while drinking was used as a coping strategy, limited opportunities for aerobic exercise made MSA a more convenient form of physical activity. To guide public health interventions, more research is required to examine the temporal relationship between different forms of physical activity and alcohol consumption.
    Original languageEnglish
    Article numbere0287199
    Number of pages15
    JournalPLOS ONE
    Volume18
    Issue number10
    DOIs
    Publication statusPublished - 10 Oct 2023

    Bibliographical note

    Funding Information:
    Funding: This project is partially funded by an ongoing Cancer Research UK programme grant to UCL Tobacco and Alcohol Research Group (C1417/ A22962) and by SPECTRUM, a UK Prevention Research Partnership Consortium (MR/S037519/ 1). The funders had no role in the study design, data collection and analysis, decision to publish or preparation of the manuscript.

    Publisher Copyright:
    © 2023 Akwa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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