Factors Influencing Physical Activity and Exercise in Older Adults during COVID-19 in South Korea

Physical activity and exercise participation among older adults have decreased dramatically because of the physical distancing measures implemented to prevent the spread of COVID-19. However, even in the face of unforeseen environmental changes, physical activity and exercise for older adults must be sustainable. This study aimed to identify the influencing physical activity and exercise participation among older adults in 2020 when varying levels of quarantine were in place as a protective measure against the COVID-19 pandemic to build a foundation for sustainable older adult health strategies. We utilized a large-scale dataset from the 2020 National Survey of Older Koreans conducted in 2020. Twenty survey questions were used as predictors, and logistic regression and decision tree analyses were utilized to identify influencing factors. Through a logistic regression analysis, 16 factors influencing exercise participation were identified. Additionally, through a decision tree analysis, 7 factors that influence exercise participation and 8 rules were derived through a combination of these factors. According to the results of this study, the use of ICT technologies, such as 'smartphone or tablet PC', can be a useful tool to maintain or promote physical activity and exercise by older adults in a situation like the COVID-19 pandemic. In conclusion, physical activity and exercise intervention strategies should be developed with comprehensive consideration of the influencing factors to ensure that physical activity and exercise among older adults can be sustained uninterrupted in the face of unforeseen circumstances, such as the COVID-19 pandemic.