Abstract
As aging causes challenges in several countries globally, more and more people are suffering from bad health conditions. Nowadays, COVID-19 causes many problems—and one of the root causes of these problems is the isolation of people from each other. The aim of our article is to investigate the effects of COVID-19 on people’s physical activity. Physical activity is strongly correlated with health status and health preservation is very important to minimize the negative effects of the pandemic. In order to investigate this topic, we prepared an extended literature review, citing the most important sources of COVID-related health-preservation issues. Our results showed that the negative economic effects of the coronavirus pandemic have caused a decrease in physical activities in several cases. A reduction in possible physical activities has a potential negative effect on the life expectancies of elderly people. In order to underline the importance of physical activities, we prepared an extended literature review, aiming to summarize the available knowledge related to COVID-19. As a conclusion we recommend to strengthen, maintain, and develop available sporting possibilities for people. The most important of these recommendations is the development of physical activities that are available for free.
Keywords:
COVID-19; sports; physical activities; social classes; health preservation; aging; life expectancy 1. Introduction
According to Nieman [], the overall state of health of humankind is getting worse. As a result of the welcome increase in life expectancy, there are more countries in the world today in which the population is aging rapidly. There are also growing numbers of people in the world who lead a sedentary lifestyle, and, as a consequence, they suffer from various diseases or illnesses, such as obesity or diabetes. In turn, deteriorating health conditions facilitate recurring epidemics or even pandemics, such as the most recent one, prompted by the new coronavirus, also recognized as COVID-19 or SARS-CoV-2.
The objective of our study is to give an account of how the spread of this novel type of coronavirus has influenced the habits and customs of people in the context of doing sports. With the help of sports, health conditions may be improved, and an active lifestyle does indeed contribute to preserving health; however, due to the fact that the peculiarities of the transmission of this novel type of coronavirus, including direct droplet infection and infection by touching infected objects, allow for an extraordinarily rapid spread, and that the symptoms of the disease vary widely, from completely asymptomatic cases to fatal outcomes, and restrictive measures have been introduced in almost all countries around the world. These measures are particularly justified by the ability of asymptomatic patients to carry and spread the disease. Among the most frequently imposed restrictions, we highlight the following: mandatory hand disinfection, mandatory face and nose mask use in enclosed spaces (and later in open spaces), quarantine obligations by patients and those under examination, partial lockdowns and curfews, restrictions on the freedom of assembly, closing down schools and introducing distance education, the preference of digital working from home, and even border lockdowns, the consequence of which has been difficulty (and sometimes impossibility) in international travel and transportation. Although it is not necessarily interpreted as a restriction, people are also advised to increase physical distance between themselves and others, and to comply with what has been termed “social distancing” [].
As a result of the measures listed above, in quite a number of countries around the world, masses of the population have been forced to live secluded in their homes for shorter or longer periods of time, even in cases where they were not infected. In several locations, sports facilities were closed down due to the significant risk of contagion through droplet infection from physical activities. However, sports remain necessary for healthy people, even during quarantines and curfews, which is why supply will sooner or later inevitably meet demand.
3. Social Position and Physical Activities
The emergence of the new coronavirus has influenced situations related to physical activities in two different ways. On the one hand, performing a number of different kinds of sports has become more difficult than before. For example, types of exercises or workout done in enclosed spaces definitely belong in this category. On the other hand, the economic recession caused by the spread of COVID-19 has also exerted an influence on the financial situation of individuals open to doing physical activities, which could, in turn, have an impact on their ability and affinity to do sports.
Bourdieu [] claimed that, when examining sports, they need to be separated from “playing games” on the one hand and from various forms of physical exercise or gymnastics on the other hand. In this case, the truly significant criteria for sports include the elaborate systems of rules, in which a major part of their development was played by English elite institutions of education, attended by young members of the nobility and the rich middle class. Accordingly, the development of sports represents an evolutionary element in the framework of different forms of activity, regulated by strict systems of rules, that were developed from folk customs and games connected to major traditional agricultural festivities. This process is fairly similar to the series of changes and transformations, where classic dances, regulated by strict step combinations and choreographies, as well as protocol, developed from a variety of folk dances. Bourdieu [] also highlighted the fact that the ideal of “fair play” in sports serves to train future elite leaders, since the idea of fair competition here is more important than victory by all means, which is described by him as a plebeian principle. From the aspect of the current analysis, we regard all forms of physical exercise relevant, thus expanding the scope of our examination to other forms of physical activities while respecting Bourdieu’s definition at the same time. Nevertheless, Bourdieu [] also considered it imperative that the individual branches of sports should not be examined independently, but, rather, as parts of a great system of sports combined. In the complex system of sports, each and every component has its own place and value. Thus, we intend to continue our analysis accordingly; by considering physical activity and sports a potential—and appropriate—implementation for preserving one’s health.
In order to explore and describe the connections between the various layers of society and being engaged in sports or physical activities, it is necessary to establish clear definitions of social strata. However, there are no such clear-cut definitions available. Typically, social statuses are characterized by the presence or absence of certain privileges, and by access to various resources or the lack thereof. Correspondingly, we classify people as “individuals living in poverty” when meeting even basic necessities proves to be difficult for them. Fróna et al. [] pointed out that nutrient-poor food consumption tends to increase in cases where we also find less favorable social conditions. People living in poverty are also characterized by social exclusion []. Among the poor and destitute, the extent of involvement in physical activities is typically low, which largely is due to the fact that a significant proportion of leisure activities cannot be pursued free of charge. Thus, those who live on low levels of income will, in this case, primarily spend money on bare essentials required for subsistence or survival and, as a rule, will not be able to spare money for expenses related to sports []. For improving the situation of groups lagging behind and participating in physical activities to a lesser extent, it is necessary to produce analyses that accurately explore their situations, which should then be used for creating plans for the increase of physical activities in the light of the above. This is also necessary in order to make sure that a broader and ever-growing circle of individuals can benefit from the positive health-related effects of physical exercise and activity []. Furthermore, it is also essential that the possibility of doing sports should be arranged with an eye to the needs or demands of individual groups, and that the various programs and facilities should be accessible to those concerned []. Looking at the relationship between poverty and sports or physical activities in a global context, we find that there are quite a few developing countries around the world where access to sports opportunities or physical activity by citizens is extremely limited. In addition, it can also be seen that, as a result of development in previously poor countries, the most frequently adopted habits or customs of consumption coming from affluent societies are those that tend to negatively affect the health status of the population. It is also characteristic of the developing countries that, with the exception of a relatively small elite, most members of the population cannot afford to have expenses beyond those that are absolutely necessary for direct subsistence []. Reyes [] summed up the most frequent reasons for the measurable differences in the field of physical activities, and his list included the factors of income-bracket differences and social status, in addition to qualification, gender, and age. Accordingly, the highest rates of physical activities can be measured in the circle of young males who belong to higher levels of social strata and who have relatively higher income and a better educational background. A less favorable financial situation, belonging to a lower social class, lower degrees of education, older age, and the female gender, are typically factors that, when applicable, decrease the chances of involvement in physical activities.
The relationship between physical activities and social standing is fairly well known: those who are in a more favorable social position typically do more sports than those who are not []. There is also quite an array of circumstances that substantially and significantly influence whether or not specific individuals can have access to opportunities to do sports or a chance to be involved in physical activities during the course of their lifetimes. Such circumstances include low income, long working hours, and difficulties of access, which in turn might comprise, in addition to geographical disadvantages, a number of factors: issues like racism, religious, or cultural prohibitions, and even language barriers []. Nevertheless, it makes sense to parallel the cultural and integrative role of sports with all of the above. What is sometimes called the passive consumption of sports, i.e., watching sport events on television, as well as reading and/or discussing sports news in the family or with friends, are considerably frequent activities. If we add to this the fact that, from a variety of sources, including either printed or electronic media, the proportion of items related to sports is impressive, we might consider it justifiable to state that the general interest in sports is fairly broad []. Kola-Bezka [], in her studies, focused on the role of sports in social integration. She contended that both active and passive participation in sports are able to remove the distinctions between social statuses. The reason for this is simply that, when involved in sports activities, people are equal to one another, regardless of their individual circumstances. In other words, they struggle shoulder to shoulder, together, to achieve the same objective while participating in various forms of physical activity. Meanwhile, a spirit of belonging and the affinity to form community both develop, in the same way as during passive sport consumption, such as when watching a football game. These real-life situations are completely fine for networking and establishing personal connections because of this shared and common interest, as a result of which, as time passes, these can also evolve into crucial events influencing social status []. These kinds of positive effects can be demonstrated, even cases where members of groups are on the periphery of society, such as refugees or immigrants [], who otherwise face numerous difficulties during the course of their integration [,,,,,,,]. Sport event volunteering can also be similarly effective for the purpose of increasing one’s social capital [], which can be attained by volunteers to span differences, even in social standing or status. However, this possibility often remains only theoretical because those who belong to a lower social class are oftentimes left out of the opportunity to volunteer [].
Children’s commitment to engage in sports activities tends to be largely dependent on the attitude of their parents, their relationship with sports, and their socio-economic situation. In a household where there is a larger amount of sports equipment, such as bicycles and balls, children will be more likely to persist in pursuing sports seriously than in cases where such pieces of sport equipment are not available in the household []. The relationship between the financial situation of families and the physical activities of children was also analyzed and described by Flintoff and Fitzgerald []. At the same time, a survey by Gatouillat et al. [] of French teenagers highlighted the fact that the role of the family in continuing to practice sports, or dropping out, is more often relevant only at a younger age for kids, and the role and importance of friends in maintaining commitment to the practice physical activities increases as they get older. However, it needs to be emphasized that the proportion of students focusing on their studies rather than on sports also grows as they get closer to their final exams at school, and their study workload increases. According to Sanatkhah [], the affinity to participate in sports and the activities of people (as these relate to their bodies), as well as their self-management of the body is also substantially dependent on what sort of media content they find on various platforms related to this topic. Media content accessed and preferred by young people is considerably diverse. Among these, in an ideal case, we can also find those that are connected to sustainability and health promotion []. However, young people born after 1995 increasingly tend to reject traditional media content, produced and compiled by the editorial staff of classic media sources. For them, it becomes more and more important to be able to select and choose from their own the circle of content that they are curious about or find interesting, and to be able to consume these when it is ideal for them to do so []. At the same time, this means that younger audiences also acquire knowledge concerning public issues from a variety of sources of new media [], and this also includes various forms physical activities and sports.
As life expectancy keeps growing globally and, as a consequence, the aging of societies in certain, typically developed, countries also becomes an acute problem, there is more and more attention being paid to the quality of life of aging and older individuals. A pertinent proposal also raises the issue of senior citizens’ own responsibilities in relation to their health status. There is increasing attention being paid to older adults who can actively take care of their health and age, thus sustaining a better quality of life, even at an advanced age, thanks to their prudence and due diligence []. Quality of life at old age is largely dependent on the prevention of diseases, e.g., if older people have had the opportunity to live a healthy life at a younger age. As long as health protection and the prevention of diseases prove to be successful in the long run, the growing number of elderly will not overburden the public health system []. Tokarski [] pointed out that, in later life, the elderly do not participate in sports because they get less and less interested physical exercise and are happy without sports. They tend to get involved in other hobbies, despite the fact that the positive effects of physical exercises on health are widely recognized. In their overview to summarize the results of datasets concerning sport participation and physical activity by the elderly, Tischer et al. [] contended that there were significant discrepancies in the databank, not only between countries, but also between individual surveys as well. In general, it seemed that the level of physical activity tended to decrease with age, and that the range in the kinds of sports being practiced changed. Moderate and more predictable exercises, such as gymnastics, hiking, or cycling, become more popular than games, such as ball games. Older people’s motivation towards physical activity also changed. While a significant proportion of younger people consider exercise and workout as a pastime or a kind of entertainment, this seemed to be much less true for older people. At the same time, social activities appear to be a motivating factor or an opportunity, which influence the level of openness to physical activities of elderly people who live alone. The extent of physical activity, and openness to it, are also influenced by health status and the social position of the elderly. The average level of physical activity in their case was also higher among the wealthy than among those who live in worse circumstances. However, when calculating or measuring the extent of physical activity, what belongs in this category also needs to be defined. If we regard certain forms of housekeeping, gardening, or transport, such as walking or cycling, as manifestations of physical activity, the activity rate among the elderly definitely improves. Gardening, for example, if it incorporates subsistence or backyard agricultural activities, can also be practiced by the elderly who live in rural areas and have only a limited access to sports. Thus, they do not only exercise, but also produce healthy food for themselves [,,]. However, the social physical activity missed and desired by lonely elderly people can be especially dangerous, especially during the COVID-19 pandemic. If they get infected, the mortality rate amongst the elderly is higher, not least of which because they are more likely to suffer from underlying conditions or disease [].
In times of economic crises, governments typically tend to introduce austerity measures, which may also decrease public spending on sports. This usually affects the members of different social layers to varying degrees. In general, however, it can be stated that the chances and opportunities for lower social status groups to participate in sports typically deteriorate as a result of these austerity measures. The negative influences affecting such groups can also occur indirectly; for example, through reductions in funding available to social organizations that would otherwise normally support them []. Nevertheless, Roberts [] found that more affluent people, such as members of the middle class, were able to outweigh the effects of this decline in public spending on sports by increasing their tailored individual expenditures, even during periods of economic crises. According to Parnell et al. [], economic crises also exert a direct influence on sports organizations, and not only due to cuts in state or government subsidies. In times of crises, even fundraising routines that were used successfully previously can only be applied to a limited extent. The reasons for this are that the funds available to organizations supporting sports activities shrink on the one hand, while, on the other hand, the scope for the financial involvement of private individuals narrows equally. Nevertheless, or even in spite of all this, the expectations aroused concerning said organizations oftentimes do not take the limited opportunities left available due to the shifting economic circumstances into account. As a consequence, not only grassroots sport organizations, but also national sport federations, are forced to reconsider and redesign their strategies. As Giannoulakis et al. [] also pointed out, for example, in Greece, as a result of the extreme economic slump after 2008 and the severe budgetary constraints following 2010, national sports federations also reported decreasing funding resources and, consequently, deteriorating conditions. In their view, due to declining state subsidies, they had to identify and introduce priorities in their operations and collect fees for services that used to be available free of charge to competitive athletes and they also needed to restructure their overall operation in general. As a result of these changes, the success ratio of Greece in several branches of sports declined.
Because of the spread of the novel coronavirus disease, the financial situation of numerous families around the world has changed, resulting typically in an increase in uncertainty and a decrease in income. For example, the closing down of schools during the spring of 2020, almost all over the world, had a significant economic impact. The objective of governments and competent epidemiological authorities was to prevent further spread of the disease. Up to one and a half billion pupils and students around the world were forced to leave their desks behind and to continue to study from home, if they were lucky. While this was not a problem for the parents of high-school and college students, parents of grade-school kids had to find a way to supervise their children at home or stay home as well, at least some of the time. As a consequence, parents who could not work from home had to take paid holidays and, after a while, unpaid holidays, while the risk of losing their jobs grew substantially []. The number of those receiving various benefits and allowances among employees who could not work from home office rose, since one of the most effective apparent solutions introduced for preventing the spread of the virus was social distancing. Thus, quite a few employers had to suspend their operations if social distancing was not possible at the workplace []. Obviously, not all jobs were affected in the same way by the economic effects of the spread of the novel coronavirus. Yet, the chances of losing one’s job in the sectors of trade and commerce, tourism, and catering increased significantly []. The spread of the new coronavirus also put low-wage workers in a particularly difficult position. The kind of work they perform is typically monotonous manual activity, during the course of which physical contact between individuals is quite frequent. In addition, low-income workers typically work in poorer working conditions. In some countries, health insurance allows them to only access a much narrower range of benefits. It is also possible that wage-based health insurance is not even available to them at all. A significant portion of low-income work is paid on a piece-rate basis, which means that no income is earned if an employee is absent. This poses an very complex dilemma for employees: they cannot afford to stay at home and work from there, while going to work and, therefore, coming into physical contact with other members of the community represents a concrete health risk, while the expenses incurred after potential infection exceed their available financial means. In view of the circumstances listed above, it can even be assumed that the mental health of low-wage workers might be at greater risk due to COVID-19 []. Furthermore, the spread of the novel coronavirus may put older employees at greater risk if they cannot successfully adapt to changing demands, requiring increased IT skills []. All in all, the least amount of economic disadvantages for employees was represented by working from home but, at the same time, this kind of remote work, or teleworking, was accompanied by an increase in the proportion of sedentary work [], the health disadvantages of which are proven facts.
As a result of the spread of the novel coronavirus and of the measures taken to slow it down, the structure of household expenditures has also changed substantially. Individual households typically seek to reduce spending due to fears of uncertainty. There have been certain circumstances that have aided them in this endeavor: for example, a significant cut in transportation or commuting costs could be achieved because of working from home. The decrease in expenditures has also affected sports. On the one hand, levels of passive sport consumption went down as fans who purchased tickets to canceled games or games played behind closed doors only did so out of charity, with the intent of supporting their favorite sports clubs. In order to prevent the spread of the novel coronavirus, authorities and decision makers decided to close down sports clubs and sports venues in several locations, so the expenses of premium physical activities and workouts were also removed from household expenditures []. However, the specific way in which curfew hours and related restrictions were introduced in the United Kingdom during the spring of 2020 offered a chance for a relatively large proportion of the population to remain physically active, even during the pandemic. The regulations introduced there allowed non-quarantined citizens to leave their homes for 60 min every day in order to do some kind of physical exercise. During the course of being engaged in physical activity, they obviously had to comply with the epidemiological precautions and regulations, such as social distancing and public gathering restrictions, yet the opportunity to leave their homes legally prompted many people to exercise. Although physical activity was still low among people of lower social statuses, older adults, for example, were more willing to engage in exercise [].
According to a cross-sectional representative survey related to the first and second waves of the COVID-19 pandemic in Hungary, the number of those that never do sports increased significantly. The figure before the pandemic was 64.17%, while during the course of the first wave, it went up to 78.33% []; during the course of the second wave, it was 73.67%. Although the situation was somewhat more favorable during the second wave than during the first, the decline was still significant. Despite some increase in the number of those participating in online sports (2.9% of all the athletes), this kind of practice and training did not become widespread [].
Despite the fact that free exercise was available, even when curfew and confinement restrictions were in effect, a decrease in physical activity by the population was reported in quite a few places. In Hungary, as compared to the months prior to COVID-19, the physical activity of the population decreased by half an hour per week on average, which amounted to more than 30% (32%) [].
Parallel with this, and partly in order to alleviate the depression and the fears caused by the spread of the pandemic, many people got accustomed to consuming foods that contain sugar in large quantities. These processed food varieties contain little in the way of valuable nutrients but a lot of energy; however, the human body—especially because of this easily accessible energy—is “happy” to welcome the consumption of these foods. As a result of the changing dietary habits, the decrease in physical activity, confinement during curfew, and, indirectly, because of the spread of the coronavirus, the level of the obesity in the population increased at a number of places []. All this must also be examined in the light of the fact that Hall et al. [] went as far as describing the globally observable physical inactivity and the widespread sedentary way of life as another distinct epidemic, spreading in parallel with the novel coronavirus disease. This approach may be a bit exaggerated, although it is perhaps not without any grounds, given the risks and hazards of physical inactivity.
If we also take into account the fact that the spread of the novel coronavirus led to closures and lockdowns, which caused an economic recession that, in turn, increased unemployment and forced a great number of employees to take unpaid leave from work, it becomes clear that household expenditures are dominated by absolutely essential items. In situations when, even in developed countries, the ability of masses of people to cover basic expenses, such as rent, becomes questionable, the consideration of unnecessary items may easily disappear from family budgets []. Expenditures related to sports and physical activities decreased significantly with the advent of the novel coronavirus []. Nevertheless, lack of exercise due to confinement and the loneliness caused by isolation motivated quite a few people to find and apply alternative solutions to take care of their physical activity needs. Today, thanks to advancements in technology, there are numerous solutions available, not only for keeping in touch, but also for self-education in the field of physical exercise. In the next part of our study, we will present several versions of these possibilities, bearing in mind specifically the opinions of Oren et al. [], who believe that the number of patients diagnosed with cardio-metabolic diseases may increase in the long run as a consequence of the restrictions on free movement due to the novel coronavirus, as well as from the lack of physical exercise and from the stress caused by the pandemic.
5. Conclusions
In 2020, with the global spread of the novel coronavirus, humankind experienced an emergency situation. The protection of human life and health suddenly became an overriding priority, while this inscrutable disease appeared in more and more places around the world.
Medical research on COVID-19 has revealed a wide variety of symptoms and potential courses of the disease. A significant portion of those infected can be asymptomatic during the entire course of infection, while others may very easily die as a consequence of it. Neither the onset of symptoms, nor the asymptomatic condition, have any correlation with infectivity, which means that asymptomatic individuals can also infect others involuntarily. For nearly a year, there was no vaccine available for the disease, so the best solution to slow the spread was the introduction of confinement restrictions and curfews. Patients contracting the disease were quarantined, while healthy individuals were encouraged to practice voluntary isolation.
As a result of the measures listed above, a global economic slump ensued, which severely affected national economies, employers, and masses of employees alike. In jobs where remote working was possible, working from home was allowed for a considerable number of employees around the world. However, workplaces where this was not a feasible solution were often forced to suspend their operations. Going to work was also hindered for employees by school closures that were implemented worldwide. At least one of the parents had to stay home to mind younger kids, oftentimes in the framework of unpaid leave. In this extraordinary situation, not even the grandparents were able to contribute to the supervision of their grandchildren, since the chances of a fatal outcome are more likely in cases when elderly people contract the virus. Therefore, a relatively stricter isolation of older adults and senior citizens was proposed all over the world.
The emerging economic crisis has pushed a huge number of families into varying degrees of existential crisis, which may end in another negative result in the form of a decrease in the level of physical activity. Restrictions on leaving the home, online work, and confinement have brought about an increase in the number of individuals who are physically inactive and lead a sedentary lifestyle, in addition to enhancing psychological problems, such as anxiety and depression. The latter effects would also be intensified in people simply because of the fear of disease. However, physical inactivity deteriorates human health, which increases the chances for a more serious course of disease in the case of infection. For certain groups, specifically including older adults, a decrease in the level of physical activity may lead to a sharp deterioration of health condition, resulting in fatigue or even the strengthening of mental problems as examples.
Nonetheless, the present development of information-communication technologies can alleviate or solve several of the related problems. With the help of telecommunication apps and software that are already available, people can stay in touch, which means that they can even do workouts together. It is also possible for coaches, athletes, and instructors of physical education to keep in touch with their clients and students in person, although virtually. As regards the results of practice, these can be shared on social media platforms, which may further strengthen motivation for keeping up with the activities. Applications available in the framework of gamification, as well as exergame applications, may multiply the number of positive experiences, making users more willing to exercise. Most of the available applications can be easily customized, which makes them perfect for individual target groups according to their health conditions or levels of fitness. Various liaison and contact management programs, such as conference systems, can also be used for the purposes of group-based physical activity.
Overall, maintaining physical activity may effectively contribute to reducing the negative effects of COVID-19. As long as people exercise or work out in compliance with the various regulations and restrictions, such as those regarding social distancing, they can be fitter and healthier and they can also break free of the monotonous routine of everyday life. All it takes is determination, and everyone can perform a variety of different exercises that are appropriate to their state of health.
Author Contributions
Conceptualization, M.H.-R. and É.B.B.; methodology, B.A.B.; formal analysis, B.A.B.; investigation, C.P. and P.M.K.; resources, C.P. and B.A.B.; writing—original draft preparation, M.H.-R. and P.M.K.; writing—review and editing, É.B.B. and C.P.; supervision, M.H.-R. and P.M.K.; project administration, C.P.; funding acquisition, É.B.B. All authors have read and agreed to the published version of the manuscript.
Funding
This publication was supported by the GINOP-2.3.2-15-2016-00062 project. The project is co-financed by the European Union under the European Regional Development Fund.
Conflicts of Interest
The authors declare no conflict of interest.
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