Returning to physical activity after covid-19

Salman, David; Vishnubala, Dane; Feuvre, Peter Le; Beaney, Thomas; Korgaonkar, Jonathan; Majeed, Azeem; McGregor, Alison H.

doi:10.1136/bmj.m4721

Cited by 113 publications

(126 citation statements)

References 33 publications

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“…Although encouraging patients to return to performing daily activities and to start low/moderate-intensity exercise at home is currently recommended for patients recovering from COVID-19 [ 36 , 37 ], Humphreys et al have described that patients experienced a lack of clear and consistent advice with regard to PA and refraining from PA after suffering a relapse in symptoms after PA or after seeing others relapse after PA [ 15 ]. In patients with persistent symptoms, it is recommended to perform a post-COVID-19 assessment and referring them to specialists or pulmonary rehabilitation based on the clinical findings [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Post-COVID-19 Syndrome on Self-Reported Physical Activity

Delbressine

Machado

Goërtz

et al. 2021

IJERPH

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Background: A subgroup of patients recovering from COVID-19 experience persistent symptoms, decreased quality of life, increased dependency on others for personal care and impaired performance of activities of daily living. However, the long-term effects of COVID-19 on physical activity (PA) in this subgroup of patients with persistent symptoms remain unclear. Methods: Demographics, self-reported average time spent walking per week, as well as participation in activities pre-COVID-19 and after three and six months of follow-up were assessed in members of online long-COVID-19 peer support groups. Results: Two hundred thirty-nine patients with a confirmed COVID-19 diagnosis were included (83% women, median (IQR) age: 50 (39–56) years). Patients reported a significantly decreased weekly walking time after three months of follow-up (three months: 60 (15–120) min. vs. pre-COVID-19: 120 (60–240) min./week; p < 0.05). Six months after the onset of symptoms walking time was still significantly lower compared to pre-COVID-19 but significantly increased compared to three months of follow-up (three months: 60 (15–120) min. vs. six months: 90 (30–150) min.; p < 0.05). Conclusions: Patients who experience persistent symptoms after COVID-19 may still demonstrate a significantly decreased walking time six months after the onset of symptoms. More research is needed to investigate long-term consequences and possible treatment options to guide patients during the recovery fromCOVID-19.

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Section: Discussionmentioning

confidence: 99%

The Impact of Post-COVID-19 Syndrome on Self-Reported Physical Activity

Delbressine

Machado

Goërtz

et al. 2021

IJERPH

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“…These lifestyle changes may have led to changes in health behaviours and the use of social media. Furthermore, a plethora of freely accessible health information (such as workouts and recipes) was shared through social media during COVID-19 lockdown periods, and this had the potential to improve individuals’ self-perceptions of their Quality of Life (QoL) through supporting their engagement with typical lifestyle behaviours, albeit online [ 30 , 31 ]. Evidence generated during COVID-19 lockdown periods of 2020 has reported on a general tendency for technology and social media use to increase [ 26 – 28 ], and overall physical activity levels and high quality nutritional intake to decline [ 23 , 29 , 32 , 33 ].…”

Section: Introductionmentioning

confidence: 99%

Social media use informing behaviours related to physical activity, diet and quality of life during COVID-19: a mixed methods study

et al. 2021

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Background This mixed methods study explored how social media use informed physical activity and diet-related behaviours, and self-perceived Quality of Life (QoL) during COVID-19, and assessed the contextual factors that drive social media use for health-related behaviour change in diverse groups. During the COVID-19 lockdown periods there were reported changes to social media use and health behaviours, and this gave an opportunity to investigate potential relationships. Methods An explanatory sequential research design of two parts was used: (1) An online survey that assessed social media use in relation to physical activity levels, diet quality and QoL (n = 786; Mage 45.1 ± 19.1 (range 16–88) years; Female =69%); (2) 20 purposive focus groups (n = 69; Mage = 52.88 ± 18.45 years, Female n = 68%) to understand the contextual factors that drive social media use for health-related behaviour change. Descriptive and thematic analysis were conducted. Results Participants in this study reported that social media facilitated the self-management of behaviours related to physical activity, diet and QoL, through access to information to inform workouts and dietary quality, and the opportunities for interaction with peers, family members and within social groups. Contextual factors including work, home and lifestyle arrangements, pre-existing health-related knowledge and behaviours, and the perceived value of social media for health influenced the relationship between social media use and self-reported outcomes. Social media influencers, peers/family members, and official organisations influenced the application of health-related information accessed via social media. Conclusions The evidence shows that participants were critical users of social media and were able to use social media to derive benefit for their health and wellbeing. Detailed guidance for those who use social media, as well as those who recommend and endorse social media content is required to maximise the potential of social media to support health behaviours. Future public health strategies and social media interventions should acknowledge diversity in contextual factors driving social media use for health behaviour change.

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“…More studies are needed regarding effective management of patients with post-COVID syndrome. Existing guidelines and rehabilitation programs are directed at adult survivors of COVID-19 and recommend multidisciplinary treatment approaches including pulmonary rehabilitation and physical therapy 19 . There are limited studies that report improvement in persistent symptoms following vaccination 20 , but so far there are no studies looking at the impact of vaccination in pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

Protracted Respiratory Findings in Children Post-COVID-19 Infection

Dobkin

Collaco

McGrath‐Morrow³

2021

Preprint

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Introduction: Although prolonged respiratory symptoms following SARS-CoV-2 infection have been reported in adults, there is a paucity of literature describing post-acute symptoms in pediatric patients following COVID-19. In this study we describe health data and respiratory findings in pediatric patients presenting with complaints of persistent respiratory symptoms following acute COVID-19 infection. Methods: This study included patients referred to Pulmonary Clinic at the Children’s Hospital of Philadelphia between December 2020 and April 2021 (n=29). Inclusion criteria included a history of SARS-CoV-2 RNA positivity or confirmed close household contact. A retrospective chart review was performed and demographic, clinical, imaging, and functional test data were collected. Results: The mean age at presentation to clinic was 13.1 years (range: 4-19 years). Patients had persistent respiratory symptoms ranging from 1.3 to 6.7 months post-acute infection. Persistent dyspnea and/or exertional dyspnea were present in nearly all (96.6%) of the patients at the time of clinic presentation. Other reported chronic symptoms included cough (51.7%) and exercise intolerance (48.3%). Fatigue was reported in 13.7% of subjects. Many subjects were overweight or obese (62.1%) and eleven subjects had a prior history of asthma. Lung function was normal in most patients. The six-minute walk test (6MWT) revealed exercise intolerance and significant tachycardia in two-thirds of children tested. Conclusion: Exertional dyspnea, cough and exercise intolerance were the most common respiratory symptoms in children with post-acute COVID-19 respiratory symptoms seen in an outpatient pulmonary clinic. Lung function, however, was mostly normal, and exertional intolerance was frequently demonstrated using the 6MWT.

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Returning to physical activity after covid-19

Cited by 113 publications

References 33 publications

The Impact of Post-COVID-19 Syndrome on Self-Reported Physical Activity

The Impact of Post-COVID-19 Syndrome on Self-Reported Physical Activity

Social media use informing behaviours related to physical activity, diet and quality of life during COVID-19: a mixed methods study

Protracted Respiratory Findings in Children Post-COVID-19 Infection

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