习惯性的体力活动和COVID-19
Beth W Glace1, Ian J Kremenic2, Daniel E Hogan2
1Nicholas Institute of Sports Medicine and Athletic Trauma, Department of Orthopedic Surgery, Lenox Hill Hospital, Northwell Health, New York, NY, USA - lb@nismat.org.
The Journal of sports medicine and physical fitness
|June 25, 2024
概括
在COVID-19之前的定期体育活动 (PA) 降低了住院风险,但不是长期COVID (LC). 许多人很难恢复感染前的血压水平,这突出了公共卫生问题.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 运动科学 运动科学
背景情况:
- 身体活动 (PA) 与COVID-19风险因素降低和病毒感染症状减弱有关.
- 在COVID-19后,个人经常报告运动困难和疲劳.
- 感染前习惯性PA对COVID-19结果和恢复时间的影响尚不清楚.
研究的目的:
- 调查感染前习惯性身体活动与COVID-19结果之间的关联.
- 为了确定COVID-19感染后身体活动恢复的时间过程.
- 确定影响COVID-19后身体活动恢复的因素.
主要方法:
- 2020年3月至2021年2月期间感染SARS-CoV-2的21,933名成年人被邀请参加.
- 参与者完成了基线调查,包括体力活动史 (PAH) 问卷和每月的后续调查,长达23个月.
- 长期COVID (LC) 被定义为诊断后9个月持续或反复出现的症状. 计算了中度和重度的PA分数.
主要成果:
- 在993名参与者中,28%的人被住院治疗;更高的预诊断PA与住院几率降低有关 (P<0.05),但不是LC.
- 感染后9个月,三分之一的参与者恢复到感染前的PA水平,一年后增加到65%,两年后增加到90%.
- 预测PA恢复不良的因素包括更高的诊断前PA,呼吸短促以及急性疾病和慢性疾病期间的疲劳. 持续的症状与较差的PA恢复相关.
结论:
- 在COVID-19感染之前的习惯性体力活动与住院的风险较低有关,但不能预防长期COVID.
- 很大一部分人 (35%) 在一年内没有恢复到COVID-19前的PA水平,这表明存在重大公共卫生问题.
- 持续的疲劳和其他慢性症状显著阻碍了COVID-19后的身体活动恢复.
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