身体活动的模式和SARS-CoV-2严重肺炎:一个病例控制研究
Fortunato José Cardoso1, Carla Adriane Fonseca Leal de Araújo2, José Roberto da Silva Junior3
1Department of Gastroenterology, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Brazil.
概括
定期体育活动可能会降低患重症COVID-19肺炎的风险. 这项研究发现,身体活动水平较低的人患严重的SARS-CoV-2肺炎的风险明显更高.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在身体活跃的人群中,社区感染的严重程度通常较小.
- 身体不活动和严重的COVID-19,特别是肺炎之间的联系需要进一步确认.
- 了解严重COVID-19的风险因素对于公共卫生战略至关重要.
研究的目的:
- 调查和确认身体活动模式与患有严重SARS-CoV-2肺炎的风险之间的关系.
- 为了确定久坐不动行为是否是严重COVID-19结果的重要风险因素.
主要方法:
- 采用了一种病例控制研究设计.
- 307名患有严重的SARS-CoV-2肺炎需要重症监护的患者与307名患有轻度至中度COVID-19的对照患者进行了比较.
- 使用国际体育活动问卷来评估体育活动.
主要成果:
- 与对照组 (2438 MET-min/week) 相比,重症肺炎组 (1576 MET-min/week) 的平均体力活动水平明显较低.
- 患有严重SARS-CoV-2肺炎 (p<0.001) 的患者中较低的体力活动更为普遍.
- 较低的体力活动独立预测了严重的SARS-CoV-2肺炎的更高风险 (CI 3.7; 2.24-5.99,p<0.001).
结论:
- 较高的体力活动水平与严重的SARS-CoV-2肺炎风险降低有关.
- 促进体育活动可能是减轻COVID-19严重性的策略.
- 身体不活动是严重COVID-19肺炎的重要危险因素,独立于营养状况.
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