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Physical activity, sedentary time, and associated factors in post-COVID-19 condition: a cross-sectional study
Anna Törnberg1, Anna Svensson-Raskh2, Lucian Bezuidenhout3
1Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden; Medical Unit Allied Health Professionals, Karolinska University Hospital, Stockholm, Sweden. anna.tornberg@ki.se.
Journal of Rehabilitation Medicine
|October 23, 2025
Summary
Many adults with post-COVID-19 condition have low physical activity and high sedentary time. Associated factors like POTS and palpitations highlight the need for personalized interventions.
Area of Science:
- Exercise Science
- Public Health
- Post-COVID-19 Research
Background:
- Post-COVID-19 condition is associated with significant health challenges.
- Understanding physical activity and sedentary behavior is crucial for recovery and long-term health in this population.
Purpose of the Study:
- To investigate physical activity levels and sedentary time in adults diagnosed with post-COVID-19 condition.
- To identify factors associated with physical activity and sedentary behavior in this cohort.
Main Methods:
- A cross-sectional, observational study was conducted.
- 159 adults with post-COVID-19 condition were enrolled.
- Activity monitors were used to measure physical activity and sedentary time, alongside assessments of potential influencing factors.
Main Results:
- A significant portion of participants exhibited low physical activity (36% <5,000 steps/day) and prolonged sedentary time (57% ≥8 hours/day).
- Specific conditions like postural orthostatic tachycardia syndrome (POTS) and palpitations were linked to reduced physical activity and increased sedentary time.
- Factors such as paraesthesia, 6-minute walk test distance, previous activity levels, self-rated health, and lung function were associated with varying levels of physical activity.
Conclusions:
- A substantial number of individuals with post-COVID-19 condition demonstrate insufficient physical activity and excessive sedentary behavior, indicating potential health risks.
- The identified associated factors emphasize the necessity for thorough patient assessments to guide the development of tailored and safe intervention strategies.

