{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:58:15Z","timestamp":1790614695644,"version":"4.1.0"},"reference-count":27,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2020,11,30]],"date-time":"2020-11-30T00:00:00Z","timestamp":1606694400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Netherlands Ministry of Health Welfare and Sports. Directorate of Long-Term Care","award":["321175 and 325889"],"award-info":[{"award-number":["321175 and 325889"]}]},{"name":"Netherlands Organization for Scientific Research (NWO) in the framework of the project \u201cNew Cohorts of young old in the 21st century\u201d","award":["file number 480-10-014"],"award-info":[{"award-number":["file number 480-10-014"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>The aim was to explore the self-reported impact of the COVID-19 pandemic on nutrition and physical activity behaviour in Dutch older adults and to identify subgroups most susceptible to this impact. Participants (N = 1119, aged 62\u201398 y, 52.8% female) of the Longitudinal Aging Study Amsterdam living independently completed a COVID-19 questionnaire. Questions on diagnosis, quarantine and hospitalization were asked, as well as impact of the pandemic on ten nutrition and physical activity behaviours. Associations of pre-COVID-19 assessed characteristics (age, sex, region, household composition, self-rated health, BMI, physical activity, functional limitations) with reported impact were tested using logistic regression analyses. About half of the sample (48.3\u201354.3%) reported a decrease in physical activity and exercise due to the pandemic. An impact on nutritional behaviour predisposing to overnutrition (e.g., snacking more) was reported by 20.3\u201332.4%. In contrast, 6.9\u201315.1% reported an impact on behaviour predisposing to undernutrition (e.g., skipping warm meals). Those who had been in quarantine (n = 123) more often reported a negative impact. Subgroups with higher risk of impact could be identified. This study shows a negative impact of the COVID-19 pandemic on nutrition and physical activity behaviour of many older adults, which may increase their risk of malnutrition, frailty, sarcopenia and disability.<\/jats:p>","DOI":"10.3390\/nu12123708","type":"journal-article","created":{"date-parts":[[2020,11,30]],"date-time":"2020-11-30T20:10:22Z","timestamp":1606767022000},"page":"3708","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":164,"title":["Self-Reported Impact of the COVID-19 Pandemic on Nutrition and Physical Activity Behaviour in Dutch Older Adults Living Independently"],"prefix":"10.3390","volume":"12","author":[{"given":"Marjolein","family":"Visser","sequence":"first","affiliation":[{"name":"Department of Health Sciences, Faculty of Science, Amsterdsam Public Health Research Institute, Vrije Universiteit Amsterdam, De Boelelaan 1085, 1081 HV Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura A.","family":"Schaap","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Science, Amsterdsam Public Health Research Institute, Vrije Universiteit Amsterdam, De Boelelaan 1085, 1081 HV Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanneke A. H.","family":"Wijnhoven","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Science, Amsterdsam Public Health Research Institute, Vrije Universiteit Amsterdam, De Boelelaan 1085, 1081 HV Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,11,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1177\/1359105320937053","article-title":"Health behaviour changes during COVID-19 and the potential consequences: A mini-review","volume":"25","author":"Arora","year":"2020","journal-title":"J. Health Psychol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1111\/jgs.16550","article-title":"Risk of increased physical inactivity during COVID-19 outbreak in older people: A call for actions","volume":"68","author":"Roschel","year":"2020","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Sidor, A., and Rzymski, P. (2020). Dietary choices and habits during COVID-19 lockdown: Experience from Poland. Nutrients, 12.","DOI":"10.3390\/nu12061657"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Cancello, R., Soranna, D., Zambra, G., Zambon, A., and Invitti, C. (2020). Determinants of the lifestyle changes during COVID-19 pandemic in the residents of Northern Italy. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17176287"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Ammar, A., Brach, M., Trabelsi, K., Chtourou, H., Boukhris, O., Masmoudi, L., Bouaziz, B., Bentlage, E., How, D., and Ahmed, M. (2020). Effects of COVID-19 home confinement on eating behaviour and physical activity: Results of the ECLB-COVID19 International Online Survey. Nutrients, 12.","DOI":"10.3390\/nu12061583"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1186\/s12967-020-02399-5","article-title":"Eating habits and lifestyle changes during COVID-19 lockdown: An Italian survey","volume":"18","author":"Gualtieri","year":"2020","journal-title":"J. Transl. Med."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"B\u0142aszczyk-B\u0119benek, E., Jagielski, P., Boles\u0142awska, I., Jagielska, A., Nitsch-Osuch, A., and Kawalec, P. (2020). Nutrition behaviors in Polish adults before and during covid-19 lockdown. Nutrients, 12.","DOI":"10.3390\/nu12103084"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Lesser, I.A., and Nienhuis, C.P. (2020). The Impact of COVID-19 on Physical Activity Behavior and Well-Being of Canadians. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17113899"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"101638","DOI":"10.1016\/j.tmaid.2020.101638","article-title":"COVID-19: Active measures to support community-dwelling older adults","volume":"36","author":"Kuwahara","year":"2020","journal-title":"Travel Med. Infect. Dis."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"403","DOI":"10.3389\/fpubh.2020.00403","article-title":"Combatting Social Isolation among Older Adults in a Time of Physical Distancing: The COVID-19 Social Connectivity Paradox","volume":"8","author":"Smith","year":"2020","journal-title":"Front Public Health"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1007\/s12603-020-1400-x","article-title":"Nutritional Considerations in Frail Older Patients with COVID-19","volume":"24","author":"Azzolino","year":"2020","journal-title":"J. Nutr. Health Aging"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1001\/jamainternmed.2020.1661","article-title":"Meeting the care needs of older adults isolated at home during the COVID-19 pandemic","volume":"180","author":"Steinman","year":"2020","journal-title":"JAMA Intern. Med."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Kirwan, R., McCullough, D., Butler, T., Perez de Heredia, F., Davies, I.G., and Stewart, C. (2020). Sarcopenia during COVID-19 lockdown restrictions: Long-term health effects of short-term muscle loss. Geroscience, 1\u201332.","DOI":"10.1007\/s11357-020-00272-3"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1038\/s41430-020-0647-y","article-title":"Editorial: Nutrition and COVID-19","volume":"74","author":"Soares","year":"2020","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1038\/s41430-020-0642-3","article-title":"Prevalence of malnutrition and analysis of related factors in elderly patients with COVID-19 in Wuhan, China","volume":"74","author":"Li","year":"2020","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Suzuki, Y., Maeda, N., Hirado, D., Shirakawa, T., and Urabe, Y. (2020). Physical Activity Changes and Its Risk Factors among Community-Dwelling Japanese Older Adults during the COVID-19 Epidemic: Associations with Subjective Well-Being and Health-Related Quality of Life. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17186591"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1093\/ije\/dyq219","article-title":"Cohort profile: The Longitudinal Aging Study Amsterdam","volume":"40","author":"Huisman","year":"2011","journal-title":"Int. J. Epidemiol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1007\/s10654-016-0192-0","article-title":"The Longitudinal Aging Study Amsterdam: Cohort update 2016 and major findings","volume":"31","author":"Hoogendijk","year":"2016","journal-title":"Eur. J. Epidemiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.clnu.2018.08.002","article-title":"GLIM Core Leadership Committee; GLIM Working Group","volume":"38","author":"Cederholm","year":"2019","journal-title":"Clin. Nutr."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1827","DOI":"10.1038\/oby.2007.217","article-title":"Morbidity and mortality risk associated with an overweight BMI in older men and women","volume":"15","author":"Janssen","year":"2007","journal-title":"Obesity"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1016\/S0140-6736(16)30175-1","article-title":"Body-mass index and all-cause mortality: Individual-participant-data meta-analysis of 239 prospective studies in four continents","volume":"388","author":"Bhupathiraju","year":"2016","journal-title":"Lancet"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.jclinepi.2003.07.008","article-title":"Comparison of the LASA Physical Activity Questionnaire with a 7-day diary and pedometer","volume":"57","author":"Stel","year":"2004","journal-title":"J. Clin. Epidemiol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1186\/s12966-018-0661-9","article-title":"The 2017 Dutch Physical Activity Guidelines","volume":"15","author":"Weggemans","year":"2018","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/s40520-016-0709-0","article-title":"Nutrition, frailty and sarcopenia","volume":"29","author":"Kiesswetter","year":"2017","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1654.e11","DOI":"10.1016\/j.jamda.2019.04.029","article-title":"Two-year weight loss but not body mass index predicts mortality and disability in an older Japanese community-dwelling population","volume":"20","author":"Nishida","year":"2019","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"De Labra, C., Guimaraes-Pinheiro, C., Maseda, A., Lorenzo, T., and Mill\u00e1n-Calenti, J.C. (2015). Effects of physical exercise interventions in frail older adults: A systematic review of randomized controlled trials. BMC Geriatr., 15.","DOI":"10.1186\/s12877-015-0155-4"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"2387","DOI":"10.1001\/jama.2014.5616","article-title":"Effect of structured physical activity on prevention of major mobility disability in older adults: The LIFE study randomized clinical trial","volume":"311","author":"Pahor","year":"2014","journal-title":"JAMA"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/12\/12\/3708\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:39:49Z","timestamp":1760179189000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/12\/12\/3708"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,30]]},"references-count":27,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020,12]]}},"alternative-id":["nu12123708"],"URL":"https:\/\/doi.org\/10.3390\/nu12123708","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,30]]}}}