Qin, FeiSong, YiqingNassis, George P.Zhao, LinaDong, YananZhao, CuicuiFeng, YiweiZhao, Jiexiu2020-08-112020-08-112020-07-17Qin, F., Song, Y., Nassis, G. P., Zhao, L., Dong, Y., Zhao, C., Feng, Y., & Zhao, J. (2020). Physical Activity, Screen Time, and Emotional Well-Being during the 2019 Novel Coronavirus Outbreak in China. International Journal of Environmental Research and Public Health, 17(14). https://doi.org/10.3390/ijerph171451701660-4601https://hdl.handle.net/1805/23583We aimed to evaluate the effects of the COVID-19 lock down on lifestyle in China during the initial stage of the pandemic. A questionnaire was distributed to Chinese adults living in 31 provinces of China via the internet using a snowball sampling strategy. Information on 7-day physical activity recall, screen time, and emotional state were collected between January 24 and February 2, 2020. ANOVA, χ² test, and Spearman's correlation coefficients were used for statistical analysis. 12,107 participants aged 18-80 years were included. During the initial phase of the COVID-19 outbreak, nearly 60% of Chinese adults had inadequate physical activity (95% CI 56.6%-58.3%), which was more than twice the global prevalence (27.5%, 25.0%-32.2%). Their mean screen time was more than 4 hours per day while staying at home (261.3 ± 189.8 min per day), and the longest screen time was found in young adults (305.6 ± 217.5 min per day). We found a positive and significant correlation between provincial proportions of confirmed COVID-19 cases and negative affect scores (r = 0.501, p = 0.004). Individuals with vigorous physical activity appeared to have a better emotional state and less screen time than those with light physical activity. During this nationwide lockdown, more than half of Chinese adults temporarily adopted a sedentary lifestyle with insufficient physical activity, more screen time, and poor emotional state, which may carry considerable health risks. Promotion of home-based self-exercise can potentially help improve health and wellness.en-USIUPUI Open Access PolicyAttribution 4.0 InternationalCOVID-19LockdownPsychological ImpactPhysical ActivityScreen TimeQuestionnaireChinaArticle