Author:
Gil Saulo,Gualano Bruno,de Araújo Adriana Ladeira,de Oliveira Júnior Gersiel Nascimento,Damiano Rodolfo Furlan,Pinna Fabio,Imamura Marta,Rocha Vanderson,Kallas Esper,Batistella Linamara Rizzo,Forlenza Orestes V.,de Carvalho Carlos R. R.,Busatto Geraldo Filho,Roschel Hamilton,Utiyama Edivaldo,Segurado Aluisio,Perondi Beatriz,Morais Anna Miethke,Montal Amanda,Letaif Leila,Fusco Solange,da Silva Marjorie Fregonesi Rodrigues,Rocha Marcelo,Marcilio Izabel,Rios Izabel Cristina,Kawano Fabiane Yumi Ogihara,de Jesus Maria Amélia,Kallas Ésper Georges,Carmo Carolina,Tanaka Clarice,de Souza Heraldo Possolo,Marchini Julio F. M.,Carvalho Carlos,Ferreira Juliana Carvalho,de Oliveira Maura Salaroli,Guimarães Thaís,dos Santos Lázari Carolina,da Silva Duarte Alberto José,Sabino Ester,Magri Marcello Mihailenko Chaves,Barros-Filho Tarcisio E. P.,Francisco Maria Cristina Peres Braido,
Abstract
AbstractThe aim of this study was to determine whether Post-acute Sequelae of SARS-CoV-2 Infection (PASC) are associated with physical inactivity in COVID-19 survivors. This is a cohort study of COVID-19 survivors discharged from a tertiary hospital in Sao Paulo, Brazil. Patients admitted as inpatients due to laboratory-confirmed COVID-19 between March and August 2020 were consecutively invited for a follow-up in-person visit 6 to 11 months after hospitalization. Ten symptoms of PASC were assessed using standardized scales. Physical activity was assessed by questionnaire and participants were classified according to WHO Guidelines. 614 patients were analyzed (age: 56 ± 13 years; 53% male). Frequency of physical inactivity in patients exhibiting none, at least 1, 1–4, and 5 or more symptoms of PASC was 51%, 62%, 58%, and 71%, respectively. Adjusted models showed that patients with one or more persistent PASC symptoms have greater odds of being physically inactive than those without any persistent symptoms (OR: 1.57 [95% CI 1.04–2.39], P = 0.032). Dyspnea (OR: 2.22 [1.50–3.33], P < 0.001), fatigue (OR: 2.01 [1.40–2.90], P < 0.001), insomnia (OR: 1.69 [1.16–2.49], P = 0.007), post-traumatic stress (OR: 1.53 [1.05–2.23], P = 0.028), and severe muscle/joint pain (OR: 1.53 [95% CI 1.08–2.17], P = 0.011) were associated with greater odds of being physically inactive. This study suggests that PASC is associated with physical inactivity, which itself may be considered as a persistent symptom among COVID-19 survivors. This may help in the early identification of patients who could benefit from additional interventions tailored to combat inactivity (even after treatment of PASC), with potential beneficial impacts on overall morbidity/mortality and health systems worldwide.
Funder
Fundação de Amparo à Pesquisa do Estado de São Paulo
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Publisher
Springer Science and Business Media LLC