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The substance-specific influence of SUM on PAL before and during the lockdown points to evident social and cultural aspects of SUM behaviors in adolescents. Further studies evidencing the cumulative effects of PAL decline during the lockdown are warranted. Int J Occup Med Environ Health. 2021;34(2)151-63. This study confirmed the importance of sports participation in maintaining PAL during challenging situations, such as the COVID‑19 lockdown. The substance-specific influence of SUM on PAL before and during the lockdown points to eviden
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