长期COVID患者的身体活动和久坐行为:在出院后12至18个月的随访
Nicola S Diciolla1,2,3, Ana Ampuero-López4, Alda Marques2,3
1Physiotherapy in Women's Health Research Group-FPSM, Department of Nursing and Physiotherapy, University of Alcalá, Alcalá de Henares, 28805 Madrid, Spain.
Journal of clinical medicine
|June 13, 2025
概括
长期COVID显著改变了体力活动 (PA) 和久坐行为,受影响的个体采用较低的活动水平. 这些变化与呼吸障碍和肌肉衰弱等持续症状有关,影响长期康复.
科学领域:
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在COVID-19感染后的长期健康结果仍然不完全理解.
- 身体活动 (PA) 和久坐不动的行为模式对于恢复和整体健康至关重要.
- 对于有针对性的干预措施来说,研究长期COVID和没有长期COVID的个体中的这些行为是必不可少的.
研究的目的:
- 在COVID-19后12-18个月评估身体活动和久坐行为的变化.
- 探索影响这些行为变化的因素,在个人和没有长期COVID.
- 为了将身体和心理健康结果与行为变化相关联.
主要方法:
- 未来的队列研究设计.
- 包括在各种环境 (家庭,病房,ICU) 中接受COVID-19治疗的参与者.
- 评估PA (LPA,MVPA,步骤),久坐时间,功能能力 (6MWT),肌肉力量 (QMVC),呼吸障碍 (mMRC),疲劳,焦虑,抑郁和HRQoL.
主要成果:
- 在148名参与者中,有101人患有长期COVID;所有人都保持身体不活跃.
- 长期COVID组显示轻度PA (LPA) 增加,中度至强度PA (MVPA) 减少和久坐.
- 在长期COVID组,18个月后,受损6MWT,降低QMVC,呼吸障碍,疲劳,焦虑,抑郁和HRQoL差的患病率更高.
结论:
- 在COVID-19感染后很长时间,身体活动和久坐不动的行为仍然发生了显著的变化.
- 长期COVID患者似乎适应较低的PA水平,可能是由身体限制和症状驱动的.
- 呼吸不良和肌肉衰弱被确定为影响PA和COVID-19后久坐行为的关键因素.
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