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ABSTRACT: Background and aim
Physical activity (PA) can modulate the immune response, but its impact on infectious disease severity is unknown. We assess if the PA level impacts the severity of COVID-19.Methods
Prospective, cohort study for adults hospitalized due to COVID-19, who filled out the International Physical Activity Questionnaire (IPAQ). Disease severity was expressed as death, transfer to intensive care unit (ICU), oxygen therapy (OxTh), hospitalization length, complications, C-reactive protein, and procalcitonin level.Results
Out of 326 individuals, 131 (57; 43.51% women) were analyzed: age: median-70; range: 20-95; BMI: mean-27.18 kg/m²; and SD: ±4.77. During hospitalization: 117 (83.31%) individuals recovered, nine (6.87%) were transferred to ICU, five (3.82%) died, and 83 (63.36%) needed OxTh. The median for the hospital stay was 11 (range: 3-49) for discharged patients, and mean hospitalization length was 14 (SD: ±5.8312) for deaths and 14.22 days (SD: ±6.92) for ICU-transferred patients. The median for MET-min/week was 660 (range: 0-19,200). Sufficient or high PA was found in recovered patients but insufficient PA was observed in dead or ICU-transferred patients (p = 0.03). The individuals with poor PA had a higher risk of death (HR = 2.63; ±95%CI 0.58-11.93; p = 0.037). OxTh was used more often in the less active individuals (p = 0.03). The principal component analysis confirmed a relationship between insufficient PA and an unfavorable course of the disease.Conclusion
A higher level of PA is associated with a milder course of COVID-19.
SUBMITTER: Sutkowska E
PROVIDER: S-EPMC10299429 | biostudies-literature | 2023 Jun
REPOSITORIES: biostudies-literature
Sutkowska Edyta E Stanek Agata A Madziarska Katarzyna K Jakubiak Grzegorz K GK Sokołowski Janusz J Madziarski Marcin M Sutkowska-Stępień Karolina K Biernat Karolina K Mazurek Justyna J Borowkow-Bulek Adrianna A Czyżewski Jakub J Wilk Gabriela G Jagasyk Arkadiusz A Marciniak Dominik D
Journal of clinical medicine 20230614 12
<h4>Background and aim</h4>Physical activity (PA) can modulate the immune response, but its impact on infectious disease severity is unknown. We assess if the PA level impacts the severity of COVID-19.<h4>Methods</h4>Prospective, cohort study for adults hospitalized due to COVID-19, who filled out the International Physical Activity Questionnaire (IPAQ). Disease severity was expressed as death, transfer to intensive care unit (ICU), oxygen therapy (OxTh), hospitalization length, complications, C ...[more]