Evaluation of the Relationship Between Daily Physical Activity Level and Laboratory Factors and the Length of Hospitalization in Patients with COVID-19
Fatemeh Ehsani, Sara Reshadat, Noushin Masoudian, Rasool Bagheri
Middle East Journal of Rehabilitation and Health Studies, doi:10.5812/mejrh.114607
Background: Different degrees of disorders are reported in the respiratory, physical, and psychological functions of patients with corona virus disease 2019 . With the experience of improved and discharged COVID-19 patients, physical activity and sports are considered as one of the factors in controlling chronic mental and physical illnesses. Objectives: This study was aimed at investigating the impact of the level of physical activity on some important clinical parameters and convalescence. Methods: Overall, 71 patients with COVID-19 under the age of 65 years admitted to the hospital with positive PCR were included in the study. Based on Beck's questionnaire, patients were divided into two groups of (1) low and (2) moderate to high physical activity. The duration of hospitalization and some important clinical tests were examined at the time of hospitalization and discharge. The patients were then monitored until discharge. Results: Statistical analyses showed that people with moderate to high physical activity were discharged earlier than the group with low physical activity (P < 0.01). Moreover, patients with moderate to high physical activity had lower erythrocyte sedimentation rate than the group with low physical activity at discharge (P = 0.01). Conclusions: Moderate to high physical activity can significantly reduce the length of hospitalization by improving the immune system to fight COVID-19. However, the factors that can be examined in expressing the reason for this finding need further studies.
Conflict of Interests: The authors do not have any conflicts of interest.
Ethical Approval: This study was approved by the Human Ethics Committee of the Semnan University of Medical Sciences (IR.SEMUMS.REC.1399.039), and was performed in accordance to the ethical standards laid down by the Helsinki declaration. Link for ethical code: ethics.research.ac.ir/EthicsProposalView.php?id=135715 Funding/Support: The authors have not received any funding for writing this manuscript.
Informed Consent: The authors received informed consent from the participants.
References
Cdc, Team, Severe outcomes among patients with Coronavirus disease 2019 (COVID-19) -United States, MMWR Morb Mortal Wkly Rep,
doi:10.15585/mmwr.mm6912e2
Guan, Ni, Hu, Liang, Ou et al., Clinical characteristics of Coronavirus disease 2019 in China, N Engl J Med,
doi:10.1056/NEJMoa2002032
Halabchi, Ahmadinejad, Selk-Ghaffari, COVID-19 epidemic: Exercise or not to exercise; that is the question!, Asian J Sports Med,
doi:10.5812/asjsm.102630
Lapic, Rogic, Plebani, Erythrocyte sedimentation rate is associated with severe coronavirus disease 2019 (COVID-19): A pooled analysis, Clin Chem Lab Med,
doi:10.1515/cclm-2020-0620
Liu, Chen, Lin, Han, Clinical features of COVID-19 in elderly patients: A comparison with young and middle-aged patients, J Infect,
doi:10.1016/j.jinf.2020.03.005
Sohrabi, Alsafi, Neill, Khan, Kerwan et al., World Health Organization declares global emergency: A review of the 2019 novel Coronavirus (COVID-19), Int J Surg,
doi:10.1016/j.ijsu.2020.02.034
Van Doremalen, Bushmaker, Morris, Holbrook, Gamble et al., Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1, N Engl J Med,
doi:10.1056/NEJMc2004973
Woods, Hutchinson, Powers, Roberts, Gomez-Cabrera et al., The COVID-19 pandemic and physical activity, Sports Med Health Sci,
doi:10.1016/j.smhs.2020.05.006
Yoon, Lee, Kim, Lee, Ko et al., Chest radiographic and CT findings of the 2019 novel Coronavirus disease (COVID-19): Analysis of nine patients treated in Korea, Korean J Radiol,
doi:10.3348/kjr.2020.0132
Zhao, Yao, Wang, Zheng, Gao et al., A comparative study on the clinical features of Coronavirus 2019 (COVID-19) pneumonia with other pneumonias, Clin Infect Dis,
doi:10.1093/cid/ciaa247
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'and psychological functions of patients with corona virus disease 2019 (COVID-19). With the '
'experience of improved and discharged COVID-19 patients, physical activity and sports are '
'considered as one of the factors in controlling chronic mental and physical illnesses. '
'Objectives: This study was aimed at investigating the impact of the level of physical '
'activity on some important clinical parameters and convalescence. Methods: Overall, 71 '
'patients with COVID-19 under the age of 65 years admitted to the hospital with positive PCR '
'were included in the study. Based on Beck’s questionnaire, patients were divided into two '
'groups of (1) low and (2) moderate to high physical activity. The duration of hospitalization '
'and some important clinical tests were examined at the time of hospitalization and discharge. '
'The patients were then monitored until discharge. Results: Statistical analyses showed that '
'people with moderate to high physical activity were discharged earlier than the group with '
'low physical activity (P < 0.01). Moreover, patients with moderate to high physical '
'activity had lower erythrocyte sedimentation rate than the group with low physical activity '
'at discharge (P = 0.01). Conclusions: Moderate to high physical activity can significantly '
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