Background: People with physical disabilities and/or chronic diseases report lower levels of physical activity and well-being than the general population, which potentially is exacerbated through the COVID-19 pandemic. This study explored the international literature on physical activity, sedentary behavior and well-being in adults with physical disabilities and/or chronic diseases during the first wave of the pandemic. Method: In a rapid review, we included studies reporting on physical activity, sedentary behavior and/or well-being in adults with physical disabilities and/or chronic diseases. Four databases (Pubmed, CINAHL, PsycInfo, Embase) were searched for studies published until 30 September 2020. Results: We included twenty-nine studies involving eleven different types of disabilities or health conditions from twenty-one different countries. Twenty-six studies reported on physical activity, of which one reported an increase during the COVID-19 pandemic, four studies reported no difference, and twenty-one studies reported a decrease. Thirteen studies reported a decline in well-being. Only one study measured sedentary behavior, reporting an increase. Conclusion: Despite the variety in methods used, almost all studies reported negative impacts on physical activity and well-being in people with physical disabilities and/or chronic disease during the first wave of the pandemic. These findings highlight the importance of supporting this population, especially in times of crisis.

中文翻译：

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COVID-19 大流行第一波期间身体残疾和/或慢性病成年人的体力活动、久坐行为和健康：快速回顾


背景：患有身体残疾和/或患有慢性疾病的人报告的身体活动和健康水平低于普通人群，而这种情况可能因 COVID-19 大流行而加剧。这项研究探讨了第一波大流行期间患有身体残疾和/或慢性病的成年人的身体活动、久坐行为和福祉的国际文献。方法：在快速回顾中，我们纳入了有关患有身体残疾和/或慢性病的成年人的身体活动、久坐行为和/或健康状况的研究。检索了四个数据库（Pubmed、CINAHL、PsycInfo、Embase），查找截至 2020 年 9 月 30 日发表的研究。结果：我们纳入了 29 项研究，涉及来自 21 个不同国家的 11 种不同类型的残疾或健康状况。 26 项研究报告了体力活动，其中一项研究报告称在 COVID-19 大流行期间身体活动有所增加，四项研究报告称没有差异，21 项研究报告称体力活动有所减少。十三项研究报告幸福感下降。只有一项研究测量了久坐行为，报告称久坐行为有所增加。结论：尽管使用的方法多种多样，但几乎所有研究都报告了第一波大流行期间对身体残疾和/或慢性病患者的身体活动和福祉的负面影响。这些发现凸显了支持这一人群的重要性，尤其是在危机时期。