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COVID-19 and Physical Activity: Analyzing the Behaviour of Returning to

Gym and/or Recreation Facilities Among Regular Gym Users During the
COVID-19 Pandemic

Viviana Hu1, Helen Heacock2


1 Lead Author, B. Tech Student, School of Health Sciences, British Columbia Institute of Technology, 3700 Willingdon Ave, Burnaby, BC V5G 3H2
2 Supervisor, School of Health Sciences, British Columbia Institute of Technology, 3700 Willingdon Ave, Burnaby, BC V5G 3H2

Abstract

Background
Physical Activity (PA) is bodily movement that involves energy output from the muscles and is
associated with numerous health benefits. However, with the emergence of the COVID-19
pandemic on March 11, 2020, stay-at-home orders and public health measures led to a decreased
trend in PA levels throughout the Canadian population. As restrictions began to ease in British
Columbia (BC), gym and recreation facilities re-opened on May 19, 2020, under new public health
safety protocols. This study explored whether gym and/or recreational facility attendance among
regular users was impacted by public health safety or financial factors during COVID-19.

Methods
A self-administered online survey was distributed using an online forum website (Reddit) and
posted in a health clinic with a QR code. They survey included demographic questions as well as
questions regarding COVID-19 safety protocols in gyms and recreation facilities. Nominal data
was collected, and the Pearson’s Chi-Square test was used to determine if associations existed
between returning to fitness facilities during COVID-19 public health safety or financial factors.

Results
Among the 303 responses collected, up to 270 were suitable to be included in the analyses. A
statistically significant association was found between all three sub hypotheses for public health
safety factors (users disinfecting equipment before and after use, physical distancing, and mask
use) and returning to the gym and/or recreation facility (p= 0.00). Two of the five sub hypotheses
for financial factors revealed significant results; income loss (p= 0.02) and going to the gym as a
priority expense (p= 0.00). No significant results were found with the other three hypotheses;
employment status (p= 0.10), hourly wage (p= 0.13), and gym membership or drop in fee increase
(p= 0.15).

Conclusion
The results suggest that regular gym users’ decision to return to the gym and/or recreation facilities
was influenced by whether appropriate COVID-19 safety measures were implemented to provide
a safe exercise environment. The majority of regular gym users chose to return to the gym
regardless of having experienced a loss in income and indicated fitness as a priority expense,
revealing the importance of physical activity for their health. The results from this study can be
used to help support the current COVID-19 safety measures in gyms and recreation facilities and
to prevent the transmission of various diseases post pandemic. Furthermore, a gym membership

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or drop-in fee at a reduced rate can be introduced for the lower income individuals and families
experiencing financial stress due to COVID-19.

Keywords: COVID-19, physical activity, exercise, public health safety, financial

Introduction these new COVID-19 restrictions, barriers


Physical activity (PA) is the voluntary were placed on the public to achieve adequate
movement of the body that involves energy physical activity levels to promote a healthy
output (World Health Organization, 2020b). lifestyle. The aim of this literature review is
PA ranging from moderate to vigorous to explore the impact of COVID-19 protocols
intensity is associated with many health and how this affects the levels of PA in
benefits, such as the reduced risk of diabetes, various age groups.
heart disease, and cancer (CDC, 2020). On
March 11, 2020, a novel coronavirus, known Literature Review
as COVID-19 was declared as a global Benefits of Regular Exercise
pandemic (WHO, 2020a). COVID-19 is a According to Statistics Canada (2019), only
respiratory disease that is transmitted from 16% of adults are meeting the recommended
person to person through droplet spread or amounts of PA. Chronic diseases that arise
contact with contaminated objects (WHO, from a physically inactive population present
2020a). Governments began to implement with a heavy economic burden. It is estimated
isolation, quarantine, and physical distancing that physical inactivity costs the Canadian
measures to combat the spread of the virus healthcare system $10 billion per year
(WHO, 2020a). In Canada, non-essential (Krueger et al., 2014). Immediate health
services were required to shut down and stay benefits from PA involve its positive impact
at home advisories were implemented (Public on brain health, such as alleviating stress
Health Agency of Canada, 2020). The closure levels and reducing the risk of anxiety and
of many establishments led to job losses and depression (CDC, 2020). Further benefits of
changes in income and affected the staying active include minimizing the risk of
socioeconomic status of individuals and common cancers (eg. breast, colon, and lung
families. Moreover, gyms and recreation cancer) and cardiovascular diseases (CDC,
facilities were closed to control transmission 2020). Not only does PA improve physical
within the community (PHAC, 2020). With and mental health, but it also contributes to

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the overall well-being of an individual and to virtual learning. Online lectures and
their quality of life. schoolwork have led to a longer duration of
screen time and contributed to increased SB
PA Levels of Various Age Groups (Chen et al., 2020). The sedentary lifestyle
The WHO guidelines for recommended PA adopted during COVID-19 may have
in children and youth is a daily minimum of detrimental effects on health in the long term.
60 minutes at moderate to vigorous intensity Prolonged SB is linked to higher mortality
(WHO, 2020b). However, during the initial rates and cardiovascular health problems
period of COVID-19, the government (Celis-Morales et al., 2018). Overall trends
response to close schools led to Canadian and suggest that the young adult population is
American children not being able to achieve sitting, on average, three hours more during
these guidelines (Dunton et al., 2020; Moore COVID-19 compared to before the pandemic
et al., 2020). Education was delivered (Chen et al., 2020; Romero-Blanco et al.
through an online model or through home- 2020; Sañudo et al, 2020). Researchers have
schooling where children were unable to acknowledged that the increase in SB and
participate in activities such as recess, decrease in PA levels have resulted in this age
physical education class, and after-school group failing to meet the weekly
sports. The studies on Canadian and recommendation of 150-300 minutes of
American children each used online surveys moderate-intensity, 75-150 minutes of
completed by their parents, and both noted vigorous, or combined level of PA (WHO,
decreased levels of PA and increased levels 2020b). Even though the overall pattern of
of sedentary behaviour (SB) during the PA has declined during COVID-19, some
pandemic (Dunton et al., 2020; Moore et al., individuals may begin to exercise and engage
2020). in a more active lifestyle, thereby increasing
their PA levels. Researchers Karuc et al.
Before the COVID-19 pandemic was (2020) conducted a study looking at Croatian
declared, many young adults were attending young adults and found that there was a
in person lectures at university campuses. downturn in PA levels in both males and
However, the introduction of physical females; however, it was seen that previously
distancing measures prompted post- active individuals saw a drop in their PA
secondary institutions to close and transition

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levels, whereas individuals not previously health related quality of life contributed
active saw an increase in their PA levels. greatly to the drop in PA (Suzuki et al., 2020).

Prior to the pandemic, middle aged adults PA Levels and Financial Considerations
would spend a large proportion of their day at Studies have found that a major barrier to
work; however, abrupt changes to the work physical activity during COVID-19 is the
environment were introduced during closure or limitations on public facilities
COVID-19 to ensure employee safety. Daily (Knell et al., 2020; Qin et al., 2020). Given
routines have been disrupted as more adults COVID-19 workplace restrictions, adults
performed their work duties remotely from working from home may not have adequate
home and did not need to commute to work space to exercise as they may live in smaller
(Knell et al., 2020). Consistent with the houses or apartments where space is limited
findings with other age groups, it has been (Knell et al., 2020). Some studies have
shown that adults are also exhibiting less recognized that COVID-19 related financial
movement and increased sitting behaviours shifts throughout the course of the pandemic
while spending more time indoors (Constandt lockdown have led to decreased PA in
et al., 2020; Meyer et al. 2020; Qin et al., individuals (Carroll et al., 2020; Fearnbach et
2020; Smith et al., 2020). al., 2021). The economic instability from
employment loss or reduced income has
The elderly represent a vulnerable population pressured individuals to prioritize their
with an increased risk of complications from expenditures such as paying for housing or
COVID-19. Therefore, PA is important for food expenses, resulting in fewer funds
older adults to protect their physical health, towards fitness (Carroll et al., 2020).
cognitive function, and to lower their chances Similarities can be found in studies looking at
of becoming ill (CDC, 2020). A current study U.S. adults and Belgian adults where those
surveyed Japanese older adults before and who need to balance work duties from home
during COVID-19 and found that public and family responsibilities (eg. childcare)
health restrictions had reduced their overall have less time to exercise (Constandt et al.,
PA (Suzuki et al., 2020). It was also noted 2020; Knell et al., 2020). On the contrary,
decreased subjective well-being and a lower survey data from studies on UK adults
revealed that household income was

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associated with PA levels; individuals with a whether the behaviour of returning to the
higher household income reported higher gym and/or recreation facility among regular
levels of PA compared to those with a lower users in BC was associated with public health
household income during COVID-19 safety factors or financial factors relating to
(Robinson et al., 2020; Smith et al., 2020). A COVID-19.
higher socioeconomic status provides more
access to resources such as online workout Methods and Materials
classes and fitness equipment (Knell et al., Materials
2020). The materials used for this project included a
laptop to perform the statistical analysis and
Purpose of the Study survey design. Microsoft Excel 365 was used
There has been considerable research done on to organize the raw data, and NCSS 2020 was
the initial period of COVID-19 in Canada, the statistical software used for the data
where stricter public health measures were in analysis (NCSS, 2020). The survey design
place and their impact on PA levels in various and distribution were completed through the
populations. However, there is currently SurveyMonkey software, with a Canadian
limited research looking at exercise habits server license. A $25 Amazon.ca eGift Card
during the period of loosened or modified was used for the prize draw.
restrictions in the pandemic. The re-opening
of gym and recreation facilities in British Methods
Columbia (BC) on May 19, 2020, has A self-administered online survey was
allowed users to return under new COVID-19 generated using SurveyMonkey, a secure
safety protocols. Given the uncertainty online survey platform used to create and
towards the modified exercise environment, distribute surveys (SurveyMonkey, 2020). A
and the ongoing financial stress caused by the Canadian server license was obtained to
pandemic, gym users may find it difficult to ensure that participant responses were kept
return to these facilities. The purpose of this confidential in Canada. The survey took three
study was to examine physical activity in to four minutes to complete and was made
regards to gym and/or recreation facility available through an online forum website,
attendance during COVID-19. More Reddit, as well as in a health clinic through a
specifically, the study aimed to determine QR code. The survey was made available for

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two weeks from January 12, 2021 to January collected dichotomous and multichotomous
26, 2021. The survey gathered information on nominal data and ordinal data. The COVID-
the participant demographics, as well as 19 Gym and Recreation Facility questions
attitudes of gym and recreation facility users collected only dichotomous nominal data.
under COVID-19 protocols.
Descriptive Statistics
Inclusion and Exclusion Criteria All demographic data from the study were
Individuals who were a current resident of presented in bar graphs. The distribution of
BC (living in BC for at least 12 continuous responses from each category were displayed
months), and a regular gym or recreation in percentages. A total of 303 individuals
facility user pre-COVID-19 (3-4 times per participated in the survey; however, the
week or more) were included in this study. analyses only included approximately 270
Any individual who was temporarily living in responses as participants who did not meet
BC for work or school was excluded, as well the eligibility criteria were redirected to the
as friends, family, and classmates of the end of the survey and marked as “Skipped”.
investigators. Participants who did not answer all the
questions were excluded from the study,
Ethical Considerations which contributed to the reduced number of
According to the British Columbia Institute responses used for analysis. Further, the
of Technology (BCIT) Research Ethics “prefer not to answer” responses were not
Board (REB), any research involving human included in the analysis. For gender, 57.20%
participants requires a review and approval (N= 155) of respondents identified as male,
process (BCIT Research Ethics Board, 2018). 42.44% (N=115) identified as female, and
Before distributing the survey for data 0.37% (N= 1) identified as other. In terms of
collection, BCIT REB reviewed and age, the majority of respondents, 68.75% (N=
approved the proposed study. 187), were in the 20-35 age group, while 5.15%
(N= 14) were 19 or younger, 22.43% (N= 61)
Results were 36-54, and 3.31% (N= 9) are 55 or older
Description of Data (Figure 1).
The data collected in this survey was all non-
numerical. The demographics section

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facilities, 75.09% (N= 202) indicated ‘yes’,
and 24.91% (N= 67) indicated ‘no’ to
participation.

Inferential Statistics
The statistical test used to analyze the
Figure 1. Age Profile of Respondents nominal survey data was the Pearson’s Chi-
Square test. There are two main hypotheses
In regard to highest level of education
for this study:
completed, most respondents had a
 H01: There is no association between
bachelor’s degree (37.87%; N=103), and it
public health safety factors and
was relatively even for those who had a high
returning to the gym and/or recreation
school diploma (20.59%; N= 56) and a trade
facilities among regular users during
school or college diploma (24.26%; N= 66).
COVID-19.
Whereas fewer respondents have a graduate
 Ha1: There is an association between
degree (14.34%; N= 39), and only a few
public health safety factors and
completed some high school or earlier grades
returning to the gym and/or recreation
(1.84%; N= 5) (Figure 2).
facilities among regular users during
COVID-19.
 H02: There is no association between
financial factors and returning to the
gym and/or recreation facilities
among regular users during COVID-
19.
Figure 2. Education Profile of Respondents
 Ha2: There is an association between
Among the participants, 66.17% (N=178) financial factors and returning to the
indicated ‘yes’, and 33.83% (N= 91) gym and/or recreation facilities
indicated ‘no’ to having returned to a gym among regular users during COVID-
and/or recreation facility. In regard to 19.
participating in alternate forms of PA since
the re-opening of gyms and recreation

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Each main hypothesis had sub hypotheses distancing measures, and mask wearing
that were used as a measure to represent the requirements. Financial factors and returning
overall association between public health to the gym were represented by income loss,
safety factors or financial factors and going to the gym and/or recreation facility as
respondents’ decision to return to the gym. a priority expense, employment status, hourly
Public health safety factors and returning to wage, and a fee increase in attendance prices
the gym were represented by whether users during COVID-19.
were disinfecting equipment, physical

# H0 and Ha Statistical Result Conclusion


Test
1a H0: There is no Chi-square P= 0.00 Reject H0 and conclude that there is a statistically
association between test significant association between users disinfecting
users disinfecting equipment and returning to the gym and/or recreation
equipment and returning facilities among regular users during COVID-19.
to the gym and/or
recreation facilities It appears that proportionately more individuals were
among regular users likely to return to the gym and/or recreation facilities if
during COVID-19. users disinfected equipment before and after use. If
users did not disinfect equipment before and after use,
Ha: There is an proportionately fewer individuals returned to the gym
association between and/or recreation facilities.
users disinfecting
equipment and returning
to the gym and/or
recreation facilities
among regular users
during COVID-19.
1b H0: There is no Chi-square P= 0.00 Reject H0 and conclude that there is a statistically
association between test significant association between physical distancing and
physical distancing and returning to the gym and/or recreation facilities among
returning to the gym regular users during COVID-19.
and/or recreation
It appears that proportionately more individuals were
facilities among regular
likely to return to the gym and/or recreation facilities if
users during COVID-19.
physical distancing measures were in place. If physical
distancing measures were not in place, proportionately
Ha: There is an
fewer individuals returned to the gym and/or recreation
association between
facilities.
physical distancing and
returning to the gym

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and/or recreation
facilities among regular
users during COVID-19.
1c H0: There is no Chi-square P= 0.00 Reject H0 and conclude that there is a statistically
association between test significant association between mask use requirement
mask use requirements and returning to the gym and/or recreation facilities
and returning to the gym among regular users during COVID-19.
and/or recreation
facilities among regular It appears that proportionately more individuals were
users during COVID-19. likely to return to the gym and/or recreation facilities if
users were required to wear a mask. If users were not
Ha: There is an required to wear a mask, proportionately fewer
association between individuals returned to the gym and/or recreation
mask use requirements facilities.
and returning to the gym
and/or recreation
facilities among regular
users during COVID-19.
2a H0: There is no Chi-square P= 0.02 Reject H0 and conclude that there is a statistically
association between test significant association between income loss and
income loss and returning to the gym and/or recreation facilities among
returning to the gym regular users during COVID-19. Potential alpha
and/or recreation error, therefore, by setting the p-value cutoff at 0.01
facilities among regular would minimize this error.
users during COVID-19.
It appears that proportionately more individuals were
Ha: There is an likely to return to the gym and/or recreation facilities if
association between they experienced income loss. Proportionately fewer
income loss and individuals returned to the gym and/or recreation
returning to the gym facilities if they did not experience income loss.
and/or recreation
facilities among regular
users during COVID-19.
2b H0: There is no Chi-square P= 0.00 Reject H0 and conclude that there is a statistically
association between test significant association between gyms being a priority
gyms being a priority expense and returning to the gym and/or recreation
expense and returning to facilities among regular users during COVID-19.
the gym and/or recreation
facilities among regular It appears that proportionately more individuals were
users during COVID-19. likely to return to the gym and/or recreation facilities if
it was a priority expense. If it was not a priority
Ha: There is an expense, proportionately fewer individuals returned to
association between the gym and/or recreational facilities.
gyms being a priority
expense and returning to
the gym and/or recreation

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facilities among regular
users during COVID-19.
2c H0: There is no Chi-square P= 0.10 Do not reject H0 and conclude that there is no
association between test statistically significant association between
employment status and employment status and returning to the gym and/or
returning to the gym recreation facilities among regular users during
and/or recreation COVID-19.
facilities among regular
users during COVID-19. It appears that employment status did not increase or
decrease the probability of individuals returning to the
Ha: There is an gym and/or recreation facilities.
association between
employment status and
returning to the gym
and/or recreation
facilities among regular
users during COVID-19.
2d H0: There is no Chi-square P= 0.13 Do not reject H0 and conclude that there is no
association between test statistically significant association between hourly
hourly wage and wage and returning to the gym and/or recreation
returning to the gym facilities among regular users during COVID-19.
and/or recreation
facilities among regular It appears that hourly wage did not increase or
users during COVID-19. decrease the probability of individuals returning to the
gym and/or recreation facilities.
Ha: There is an
association between
hourly wage and
returning to the gym
and/or recreation
facilities among regular
users during COVID-19.
2e H0: There is no Chi-square P= 0.15 Do not reject H0 and conclude that there is no
association between gym test statistically significant association between gym
membership or drop-in membership or drop-in fee and returning to the gym
fee increase and and/or recreation facilities among regular users during
returning to the gym COVID-19.
and/or recreation
It appears that an increase in gym membership or drop-
facilities among regular
in fee did not increase or decrease the probability of
users during COVID-19.
individuals returning to the gym and/or recreation
Ha: There is an facilities.
association between gym
membership or drop-in
fee increase and
returning to the gym

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and/or recreation
facilities among regular
users during COVID-19.

For public health safety factors, all three sub (2 meters), disinfection of equipment by
hypotheses (users disinfecting equipment, patrons before and after use, and a mask
physical distancing, and mask use requirement during the workout were
requirement) were statistically significant at necessary to prevent the spread of COVID-19
a p-value of 0.00. For financial factors, during their visit. This reveals that they
statistically significant associations were perceive the health and safety in fitness
found for two out of the five hypotheses facilities to be important in their decision for
representing financial factors. Income loss returning. Since the re-opening of gyms and
(p= 0.02) and going to the gym and/or recreation facilities on May 19, 2020, under
recreation facility as a priority expense (p= COVID-19 safety protocols, twice as many
0.00) were significantly associated with respondents have indicated that they have
regular gym users returning to the gym and/or returned. This demonstrates their satisfaction
recreation facility. The remaining three sub with the current safety measures
hypotheses on employment status (p= 0.10), implemented in these facilities. Regular gym
hourly wage (p=0.13), and an increase in gym users are not only returning to the gym and/or
membership or drop-in fee (p= 0.15) revealed recreation facility, but they are also
no significant results. participating in alternate forms of physical
activity, implying increased PA levels during
Discussion the period of loosened COVID-19 provincial
Public Health Safety Factors restrictions. These results refute previous
All results regarding public health safety research studies (Karuc et al., 2020; Suzuki et
factors were statistically significant. Based al., 2020) which have observed a decline in
on the results from the study, it is evident that overall PA levels during the initial period of
regular users were willing to return to the COVID-19 when fitness facilities were
gym and/or recreation facility provided that ordered to close. There is a clear pattern that
adequate COVID-19 safety measures were in public health safety measures are strongly
place. The majority of regular gym users associated with determining whether regular
indicated that appropriate physical distancing gym users decide to return to fitness facilities,

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and directly impacting the health and fitness increased in respondents as returning to the
of this population. gym takes precedence over other expenses.
This is inconsistent with previous research
Financial Factors conducted by Carroll et al. (2020) and
There were significant associations between Fearnbach et al. (2020) which revealed that
income loss and attending the gym as a financial barriers such a loss in employment
priority expense. Despite experiencing a loss has resulted in the decreased likelihood of
in person income, most of the gym users attending a gym and/or recreation facility.
reported that they returned to a fitness facility.
This may suggest that gym users recognize No significant results were obtained for
the importance of regular physical activity employment status, hourly wage, and a fee
and exercise for their health. However, increase in gym membership or drop-in fees.
individuals may simply have more time to A probable explanation could be due to the
visit the gym and/or recreation facility as survey questions containing multiple
many people are currently working from response categories. As a result, responses for
home. Likewise, the respondents also these questions were distributed across
indicated that in terms of where their multiple categories. A larger sample size
expenses go during COVID-19, attending the could have provided significant results for
gym was a top priority. Nearly three times the these sub hypotheses or it could have
number of respondents who considered the confirmed that no association exists.
gym as a priority expense returned compared Additional studies need to be conducted to
to those who did not prioritize it. In contrast further examine the association between
to the study by Carroll et al. (2020) which these three financial factors and gym users’
found that individuals experiencing financial decision to return to these facilities.
instability due to COVID-19 were not
prioritizing their expenses towards fitness. Overall, the findings from this study were
These results demonstrate that gym users will internally valid as it was able to correctly
ensure that there are sufficient funds measure factors that helped analyze the
allocated to attending the gym, despite regular gym users’ behaviour towards gym
sacrificing other expenses (eg. transportation, attendance during COVID-19. These
entertainment). PA levels appear to have findings can be extrapolated to other

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provinces across Canada where gym and/or eligible participants can easily be accessed. A
recreation facilities have re-opened under wider range of participants could be captured,
COVID-19 prevention and control measures. making the results more generalizable,
therefore, increasing external validity.
Limitations
One of the major limitations in the Knowledge Translation
methodology of this study was the time The results obtained from this study where
constraint as the survey was only made regular gym users appear to strongly value
available for two weeks due to the project’s public health safety factors when returning to
timeline. A longer time frame where the the gym and/or recreation facilities can be
survey is open to the public may have yielded used to reinforce these facilities’ existing
a higher response rate and improved the COVID-19 safety plans (eg. ensuring
internal validity of the study. Money was also machines/equipment have adequate spacing).
a limitation in this study, which may have It is important to note that the protocols
impacted the number of respondents. A larger implemented during the pandemic are not
prize draw amount may have served as a only effective against the transmission of
higher incentive for increased participation, COVID-19 but have also been successful in
which can increase the sample size and reducing incidences of seasonal influenza
overall internal validity. Due to COVID-19 (Olsen et al., 2020). Therefore, certain safety
safety measures, the distribution of the measures in fitness facilities that resulted
survey restricted to online platforms. This from the pandemic can be carried forward in
limitation was apparent in the results as most the future. By continuing to limit the number
respondent where from younger age groups, of occupants in a fitness facility at one time,
making them more likely to use the survey maintain appropriate physical distancing
distribution methods (Reddit & QR code) in between users, or frequent disinfection of
contrast with older age groups who may lack equipment and common touch surfaces will
the technology knowledge, or prefer in- minimize the spread of infectious diseases
person surveys. An improved method would and create a healthier and safer indoor
be to distribute the survey both in-person and environment for physical activities. The
online. An in-person survey could be results where individuals have returned to the
conducted outside a recreation facility where gym and/or recreation facility regardless of

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income loss can be used to encourage fitness  Survey on whether virtual exercise
facilities to introduce a membership or drop- classes remain or if gym users prefer
in fee targeted towards lower income families a mix of virtual and in person
or individuals during COVID-19. A reduced methods to stay fit.
gym and/or recreation facility entrance fee
can assist those who have been impacted Conclusion
most by lost wages and provide them equal In conclusion, the results for this study
access to maintain an active lifestyle. suggest that public health safety factors and
financial factors play a significant role in
Future Research determining attendance to gym and/or
Recommended future studies are as follows: recreational facilities during the COVID-19
 Repeat study only examining pandemic. Regular gym users were more
financial factors with large sample likely to return to the gym if proper physical
size, and a different target population distancing measures, mask use, and adequate
(eg. other parts of Canada). disinfection from other users were
 Survey exploring how much income implemented. A loss in personal income
loss (eg. 10%, 20-30%, >50%, etc.) increased the likelihood of gym users
regular gym users experienced during returning to gyms and/or recreation facilities,
COVID-19 and its impact on along with it being a priority expense The
returning to fitness facilities. information obtained form this study can be

 Survey on other potential barriers that used to help enhance or modify existing

affect regular users to return to the policies and guidelines in gyms and creation

gym (eg. online appointment booking facilities to create a safe environment for

system, alternative forms of exercise, patrons to exercise and achieve their weekly

etc.). recommended PA levels and promote a

 Survey on post pandemic public healthy lifestyle. Implementing public heath

health safety protocols within fitness safety protocols should be maintained even

facilities For example, exploring after the COVID-19 pandemic ends as these

whether current physical distancing measures are relevant to disease prevention in

measures and disinfection general and, therefore, will contribute to a

frequencies remain. healthier population.

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Acknowledgements Welsh, P., Yates, T., Pell, J. P.,
The author would like to thank the faculty Sattar, N., & Gill, J. M. R. (2018).
supervisor, Helen Heacock, for her support Associations of discretionary screen
and guidance throughout this research project. time with mortality, cardiovascular
As well as a special thanks to all the disease and cancer are attenuated
individuals who participated in this study. by strength, fitness and physical
activity: findings from the UK

Competing Interests Biobank study. BMC Medicine,

The authors declare that they have no 16(1), 77.

competing interests while conducting this https://doi.org/10.1186/s12916-

study. 018-1063-1
Center for Disease Control and Prevention.
(2020, September 17). Physical
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