Pre-pandemic physical activity as a predictor of infection and mortality associated with COVID-19: Evidence from the National Health Insurance Service
Park et al.,
Pre-pandemic physical activity as a predictor of infection and mortality associated with COVID-19: Evidence..,
Frontiers in Public Health, doi:10.3389/fpubh.2023.1072198
Retrospective 4,363 COVID-19 patients and 67,125 controls in South Korea, showing higher risk of mortality and cases with insufficient physical activity.
risk of death, 25.6% lower, OR 0.74, p = 0.08, inverted to make OR<1 favor high activity levels, sufficient vs. insufficient PA, model 3, RR approximated with OR.
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risk of death, 38.4% lower, OR 0.62, p = 0.02, inverted to make OR<1 favor high activity levels, sufficient vs. insufficient PA, model 2, RR approximated with OR.
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risk of case, 7.2% lower, OR 0.93, p = 0.02, inverted to make OR<1 favor high activity levels, sufficient vs. insufficient PA, model 3, RR approximated with OR.
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risk of case, 10.4% lower, OR 0.90, p < 0.001, inverted to make OR<1 favor high activity levels, sufficient vs. insufficient PA, model 2, RR approximated with OR.
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Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
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Park et al., 14 Feb 2023, retrospective, South Korea, peer-reviewed, survey, 4 authors, study period 1 January, 2020 - 14 August, 2020.
Contact:
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Abstract: TYPE Original Research
PUBLISHED 14 February 2023
DOI 10.3389/fpubh.2023.1072198
OPEN ACCESS
EDITED BY
Yanan Zhao,
Nanjing Normal University, China
REVIEWED BY
Jennifer Hale-Gallardo,
United States Department of Veterans Affairs,
United States
WenSheng Zhou,
Nanjing Xiaozhuang University, China
*CORRESPONDENCE
In-Hwan Oh
parenchyme@gmail.com
SPECIALTY SECTION
This article was submitted to
Public Health Education and Promotion,
a section of the journal
Frontiers in Public Health
RECEIVED 17 October 2022
ACCEPTED 17 January 2023
PUBLISHED 14 February 2023
CITATION
Park S, Kim H, Park S-Y and Oh I-H (2023)
Pre-pandemic physical activity as a predictor of
infection and mortality associated with
COVID-19: Evidence from the National Health
Insurance Service.
Front. Public Health 11:1072198.
doi: 10.3389/fpubh.2023.1072198
COPYRIGHT
© 2023 Park, Kim, Park and Oh. This is an
open-access article distributed under the terms
of the Creative Commons Attribution License
(CC BY). The use, distribution or reproduction
in other forums is permitted, provided the
original author(s) and the copyright owner(s)
are credited and that the original publication in
this journal is cited, in accordance with
accepted academic practice. No use,
distribution or reproduction is permitted which
does not comply with these terms.
Pre-pandemic physical activity as a
predictor of infection and mortality
associated with COVID-19:
Evidence from the National Health
Insurance Service
Saengryeol Park1 , Hyeseong Kim1 , So-Youn Park2 and In-Hwan Oh3*
1
Department of Physical Education, College of Education, Chonnam National University, Gwangju, Republic
of Korea, 2 Department of Medical Education and Humanities, School of Medicine, Kyung Hee University,
Seoul, Republic of Korea, 3 Preventive Medicine (AgeTech-Service Convergence Major), College of Medicine,
Kyung Hee University, Seoul, Republic of Korea
Introduction: During the coronavirus disease 2019 (COVID-19) pandemic, many
populations have experienced reduced physical activity (PA) levels, weight gain, and
increased anxiety and depression. However, according to a previous study, engaging
in PA has a positive effect on damages caused by COVID-19. Therefore, this study
aimed to investigate the association between PA and COVID-19 using the National
Health Insurance Sharing Service Database in South Korea.
Methods: Logistic regression analysis was used to analyze the association of PA with
COVID-19 and mortality. The analysis was adjusted for body mass index, sex, age,
insurance type, comorbidity, and region of residence at baseline. Disability and lifestyle
(weight, smoking, and drinking status) were adjusted consecutively.
Results: The results indicated that engaging in insufficient PA as per the WHO
guidelines predicts a higher risk of COVID-19 when controlling for personal
characteristics, comorbidity, lifestyle, disability, and mortality.
Discussion: This study revealed the need to engage in PA and manage weight
to reduce the risk of infection and mortality associated with COVID-19. Because
engaging in PA is an important component of weight management and can help
restore physical and mental health after the COVID-19 pandemic, it should be
emphasized as a pillar of recovery after COVID-19.
KEYWORDS
physical activity, COVID-19, quarantine, lifestyle, COVID-19-associated mortality
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