Physical Activity and Stress of Children and Adolescents during the COVID-19 Pandemic in Germany-A Cross-Sectional Study in Rural Areas

Although infection with SARS-CoV-2 appears to be less dangerous for children and adolescents, research indicates that the measures to contain the COVID-19 pandemic have had and continue to have negative effects on children's and adolescents' mental health and physical activity (PA). Due to the different health policies, country-specific studies as well as studies in different phases of the pandemic are important to obtain a differentiated picture of the effects of the pandemic. This study set out to investigate children's and adolescents' PA, stress, and well-being as well as the associations between these two variables during a phase of a gradual decline in measure to contain the pandemic in Germany. For this purpose, 1293 children and adolescents in a rural area of a federal state in Germany were investigated. The results indicated that children and adolescents felt sadder and less well during this period than children and adolescents before the pandemic. Results also revealed that they were more physically active than children and adolescents before the pandemic as well as in the second lockdown but less active than in the first lockdown. Both well-being and sadness were positively associated with the PA. The study contributes to a more comprehensive understanding of the situation of children and adolescents during the COVID-19 pandemic.