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Physical activity status prevents symptoms of long covid: Sulcovid-19 survey

Rocha et al., BMC Sports Science, Medicine and Rehabilitation, doi:10.1186/s13102-023-00782-5
Dec 2023  
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PASC 20% Improvement Relative Risk PASC, musculoskeletal 30% PASC, neurological 39% PASC, respiratory 42% PASC, sensory 5% PASC, digestive 73% Exercise  Rocha et al.  Prophylaxis  LONG COVID Does physical activity reduce the risk of long COVID (PASC)? Retrospective 2,919 patients in Brazil (December 2020 - March 2021) Lower PASC with higher activity levels (p=0.05) c19early.org Rocha et al., BMC Sports Science, Medi.., Dec 2023 Favorsexercise Favorsinactivity 0 0.5 1 1.5 2+
Exercise for COVID-19
9th treatment shown to reduce risk in October 2020, now with p < 0.00000000001 from 68 studies.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 112 treatments. c19early.org
Retrospective 2,919 non-hospitalized COVID-19 patients in Brazil showing remaining physically active before and after COVID-19 infection reduces the probability of experiencing long COVID symptoms, particularly those affecting the musculoskeletal, neurological and respiratory systems.
risk of PASC, 20.0% lower, OR 0.80, p = 0.05, high activity levels 388, low activity levels 2,096, RR approximated with OR.
risk of PASC, 30.0% lower, OR 0.70, p = 0.046, high activity levels 388, low activity levels 2,096, musculoskeletal, RR approximated with OR.
risk of PASC, 39.0% lower, OR 0.61, p = 0.007, high activity levels 388, low activity levels 2,096, neurological, RR approximated with OR.
risk of PASC, 42.0% lower, OR 0.58, p = 0.03, high activity levels 388, low activity levels 2,096, respiratory, RR approximated with OR.
risk of PASC, 5.0% lower, OR 0.95, p = 0.79, high activity levels 388, low activity levels 2,096, sensory, RR approximated with OR.
risk of PASC, 73.0% lower, OR 0.27, p = 0.19, high activity levels 388, low activity levels 2,096, digestive, RR approximated with OR.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Rocha et al., 14 Dec 2023, retrospective, Brazil, peer-reviewed, 6 authors, study period December 2020 - March 2021. Contact: julianaqrocha2@gmail.com.
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Physical activity status prevents symptoms of long covid: Sulcovid-19 survey
Juliana Quadros Santos Rocha, Eduardo Lucia Caputo, Yohana Pereira Vieira, Max Dos Santos Afonso, Suele Manjourany Silva Duro, Mirelle De Oliveira Saes
BMC Sports Science, Medicine and Rehabilitation, doi:10.1186/s13102-023-00782-5
the number of cases has exceeded 36.4 million, with over 694 thousand deaths [2] . Long COVID refers to the persistence of symptoms for a minimum of three months, lasting at least two months without an alternative diagnosis [3, 4] .This condition can affect individuals who experienced mild or severe forms of the disease [5]. Among non-hospitalized individuals, the prevalence of Long COVID can reach as high as 34.0% [6] . Physical activity (PA) is widely recognized as an effective non-pharmacological approach to prevent and treat several chronic physical and mental diseases [7] . Previous research suggested an association between physical inactivity and COVID-19, demonstrating that
Abbreviations Supplementary Information The online version contains supplementary material available at https://doi. org/10.1186/s13102-023-00782-5. Supplementary Material 1 Supplementary Material 2 Author contributions J.Q.S.R, E.L.C, and M.O.S planned and conducted the analyses, Y.P.V,J.Q.S.R and M.S.A prepared the manuscript and performed the data collection, M.O.S and S.M.S.D developed the questionnaire and performed the reviews. All the authors contributed to the writing of the article, reviewed and approved the content of the manuscript. Declarations Ethics approval and consent to participate This research involves human participants and was carried out in accordance with the relevant guidelines and regulations of the Declaration of Helsinki and this study protocol was approved by the Ethics Committee in Health Research of the Federal University of Rio Grande (Certificate of Submission for Ethical Evaluation nº 39081120.0 0.0000.5324). This research complied with the specific resolution of the National Health Council (466/2012) and informed consent was obtained from all subjects in accordance with the resolution of the Free and Informed Consent Term of the National Health Council. Consent for publication Not applicable. Competing interests The authors declare that they have no competing interests. Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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This study aimed to investigate the relationship between physical ' 'activity (PA) before and after acute SARS-Cov-2 infection and the presence of Long COVID ' 'symptoms in adults.</jats:p>\n' ' </jats:sec><jats:sec>\n' ' <jats:title>Methods</jats:title>\n' ' <jats:p>We used data from the Sulcovid-19, a longitudinal study carried out ' 'with individuals who were infected by SARS-Cov-2 between December/2020 and March/2021. ' 'Participants were asked about 19 symptoms commonly associated with long COVID. Three PA ' 'variables were built, as follows: (1) remained inactive; (2) became inactive; (3) remained ' 'active.</jats:p>\n' ' </jats:sec><jats:sec>\n' ' <jats:title>Results</jats:title>\n' ' <jats:p>2.919 people were interviewed. The prevalence of individuals who had ' 'at least one symptom of Long COVID is 48.3% (95%CI 46.5–51.1). Our results showed that 71.8% ' '(95%CI 70.1–73.4) of the individuals remained inactive, 14.9% (95%CI 13.6–16.2) became ' 'inactive and 13.3% (95% CI 12.1–14.6) remained active. The likelihood of experiencing long ' 'COVID symptoms was reduced in the musculoskeletal (PR 0.70; 95%CI 0.49–0.99), neurological ' '(PR 0.61; 95%CI 0.43–0.88), and respiratory (PR 0.58; 95%CI 0.35–0.96) systems in those who ' 'remained active. In addition, the likelihood of experiencing Long COVID symptoms was 7% less ' 'in those who remained active.</jats:p>\n' ' </jats:sec><jats:sec>\n' ' <jats:title>Conclusions</jats:title>\n' ' <jats:p>Continuous PA practice showed important protection effect for Long ' 'COVID symptoms in adults.</jats:p>\n' ' </jats:sec>', 'DOI': '10.1186/s13102-023-00782-5', 'type': 'journal-article', 'created': { 'date-parts': [[2023, 12, 14]], 'date-time': '2023-12-14T15:02:36Z', 'timestamp': 1702566156000}, 'update-policy': 'http://dx.doi.org/10.1007/springer_crossmark_policy', 'source': 'Crossref', 'is-referenced-by-count': 2, 'title': 'Physical activity status prevents symptoms of long covid: Sulcovid-19 survey', 'prefix': '10.1186', 'volume': '15', 'author': [ {'given': 'Juliana Quadros Santos', 'family': 'Rocha', 'sequence': 'first', 'affiliation': []}, {'given': 'Eduardo Lucia', 'family': 'Caputo', 'sequence': 'additional', 'affiliation': []}, {'given': 'Yohana Pereira', 'family': 'Vieira', 'sequence': 'additional', 'affiliation': []}, {'given': 'Max dos Santos', 'family': 'Afonso', 'sequence': 'additional', 'affiliation': []}, { 'given': 'Suele Manjourany Silva', 'family': 'Duro', 'sequence': 'additional', 'affiliation': []}, { 'given': 'Mirelle', 'family': 'de Oliveira Saes', 'sequence': 'additional', 'affiliation': []}], 'member': '297', 'published-online': {'date-parts': [[2023, 12, 14]]}, 'reference': [ { 'issue': '2', 'key': '782_CR1', 'doi-asserted-by': 'publisher', 'first-page': '1', 'DOI': '10.1177/00368504211019854', 'volume': '104', 'author': 'H Onyeaka', 'year': '2021', 'unstructured': 'Onyeaka H, Anumudu CK, Al-sharify ZT, Egele-godswill E. 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Available from: ' 'https://linkinghub.elsevier.com/retrieve/pii/S1198743X21002810.', 'DOI': '10.1016/j.cmi.2021.05.033'}, { 'key': '782_CR7', 'doi-asserted-by': 'crossref', 'unstructured': 'Luan X, Tian X, Zhang H, Huang R, Li N, Chen P et al. Exercise as a ' 'prescription for patients with various diseases. J Sport Heal Sci ' '[Internet]. 2019;8(5):422–41. Available from: ' 'https://www.sciencedirect.com/science/article/pii/S2095254619300493.', 'DOI': '10.1016/j.jshs.2019.04.002'}, { 'key': '782_CR8', 'doi-asserted-by': 'crossref', 'unstructured': 'Zhang X, Li X, Sun Z, He Y, Xu W, Campbell H et al. Physical activity ' 'and COVID-19: an observational and mendelian randomisation study. 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Available from: ' 'https://www.mdpi.com/2073-4409/10/7/1829.', 'DOI': '10.3390/cells10071829'}, { 'key': '782_CR25', 'doi-asserted-by': 'crossref', 'unstructured': 'Granholm A-C. Long-Term effects of SARS-CoV-2 in the brain: clinical ' 'consequences and Molecular mechanisms. J Clin Med. 2023;12(9).', 'DOI': '10.3390/jcm12093190'}, { 'key': '782_CR26', 'unstructured': 'Junior SSD, Guarnier2 GFF, Rodrigues IB et al. Cardoso3, Felicio4 F de ' 'C, Pereira5 JS,. Recuperação De Déficit De Memória Pós-Covid-19: Uma ' 'Revisão Recovery From Post Covid-19 Memory Deficit: a Review. Rev ' 'Ciências Biológicas e da Saúde. 2021;1–10.'}, { 'key': '782_CR27', 'doi-asserted-by': 'crossref', 'unstructured': 'Han Q, Zheng B, Daines L, Sheikh A. Long-term sequelae of COVID-19: a ' 'systematic review and Meta-analysis of one-year Follow-Up studies on ' 'Post-COVID symptoms. Pathogens. 2022;11(2).', 'DOI': '10.3390/pathogens11020269'}, { 'issue': '30', 'key': '782_CR28', 'doi-asserted-by': 'publisher', 'first-page': 'e2209130119', 'DOI': '10.1073/pnas.2209130119', 'volume': '119', 'author': 'S Huang', 'year': '2022', 'unstructured': 'Huang S, Fishell G. In SARS-CoV-2, astrocytes are in it for the long ' 'haul. Proc Natl Acad Sci U S A. 2022;119(30):e2209130119.', 'journal-title': 'Proc Natl Acad Sci U S A'}, { 'key': '782_CR29', 'doi-asserted-by': 'publisher', 'unstructured': 'Rogers JP, Chesney E, Oliver D, Pollak TA, McGuire P, Fusar-Poli P et ' 'al. Psychiatric and neuropsychiatric presentations associated with ' 'severe coronavirus infections: a systematic review and meta-analysis ' 'with comparison to the COVID-19 pandemic. The Lancet Psychiatry ' '[Internet]. 2020;7(7):611–27. ' 'https://doi.org/10.1016/S2215-0366(20)30203-0.', 'DOI': '10.1016/S2215-0366(20)30203-0'}, { 'issue': '10', 'key': '782_CR30', 'doi-asserted-by': 'publisher', 'first-page': '3478', 'DOI': '10.1111/ene.14727', 'volume': '28', 'author': 'T Baldini', 'year': '2021', 'unstructured': 'Baldini T, Asioli GM, Romoli M, Carvalho Dias M, Schulte EC, Hauer L, et ' 'al. Cerebral venous Thrombosis and severe acute respiratory syndrome ' 'coronavirus-2 Infection: a systematic review and meta-analysis. Eur J ' 'Neurol. 2021;28(10):3478–90.', 'journal-title': 'Eur J Neurol'}, { 'key': '782_CR31', 'doi-asserted-by': 'crossref', 'unstructured': 'Feter N, Alt R, Dias MG, Rombaldi AJ. How do different physical exercise ' 'parameters modulate brain-derived neurotrophic factor in healthy and ' 'non-healthy adults? A systematic review, meta-analysis and ' 'meta-regression. Sci Sports [Internet]. 2019;34(5):293–304. Available ' 'from: ' 'https://www.sciencedirect.com/science/article/pii/S0765159719300309.', 'DOI': '10.1016/j.scispo.2019.02.001'}, { 'key': '782_CR32', 'doi-asserted-by': 'crossref', 'unstructured': 'Jimeno-Almazán A, Pallarés JG, Buendía-Romero Á, Martínez-Cava A, ' 'Franco-López F et al. Sánchez-Alcaraz Martínez BJ,. Post-COVID-19 ' 'Syndrome and the Potential Benefits of Exercise. Int J Environ Res ' 'Public Health. 2021;18(10).', 'DOI': '10.3390/ijerph18105329'}, { 'key': '782_CR33', 'doi-asserted-by': 'crossref', 'unstructured': 'Becker RC. Covid-19 treatment update: follow the scientific evidence. ' 'Vol.\xa050, Journal of thrombosis and thrombolysis. Netherlands; 2020. ' 'p.\xa043–53.', 'DOI': '10.1007/s11239-020-02120-9'}], 'container-title': 'BMC Sports Science, Medicine and Rehabilitation', 'original-title': [], 'language': 'en', 'link': [ { 'URL': 'https://link.springer.com/content/pdf/10.1186/s13102-023-00782-5.pdf', 'content-type': 'application/pdf', 'content-version': 'vor', 'intended-application': 'text-mining'}, { 'URL': 'https://link.springer.com/article/10.1186/s13102-023-00782-5/fulltext.html', 'content-type': 'text/html', 'content-version': 'vor', 'intended-application': 'text-mining'}, { 'URL': 'https://link.springer.com/content/pdf/10.1186/s13102-023-00782-5.pdf', 'content-type': 'application/pdf', 'content-version': 'vor', 'intended-application': 'similarity-checking'}], 'deposited': { 'date-parts': [[2023, 12, 14]], 'date-time': '2023-12-14T15:05:54Z', 'timestamp': 1702566354000}, 'score': 1, 'resource': { 'primary': { 'URL': 'https://bmcsportsscimedrehabil.biomedcentral.com/articles/10.1186/s13102-023-00782-5'}}, 'subtitle': [], 'short-title': [], 'issued': {'date-parts': [[2023, 12, 14]]}, 'references-count': 33, 'journal-issue': {'issue': '1', 'published-online': {'date-parts': [[2023, 12]]}}, 'alternative-id': ['782'], 'URL': 'http://dx.doi.org/10.1186/s13102-023-00782-5', 'relation': {}, 'ISSN': ['2052-1847'], 'subject': [], 'container-title-short': 'BMC Sports Sci Med Rehabil', 'published': {'date-parts': [[2023, 12, 14]]}, 'assertion': [ { 'value': '1 August 2023', 'order': 1, 'name': 'received', 'label': 'Received', 'group': {'name': 'ArticleHistory', 'label': 'Article History'}}, { 'value': '4 December 2023', 'order': 2, 'name': 'accepted', 'label': 'Accepted', 'group': {'name': 'ArticleHistory', 'label': 'Article History'}}, { 'value': '14 December 2023', 'order': 3, 'name': 'first_online', 'label': 'First Online', 'group': {'name': 'ArticleHistory', 'label': 'Article History'}}, {'order': 1, 'name': 'Ethics', 'group': {'name': 'EthicsHeading', 'label': 'Declarations'}}, { 'value': 'This research involves human participants and was carried out in accordance ' 'with the relevant guidelines and regulations of the Declaration of Helsinki and ' 'this study protocol was approved by the Ethics Committee in Health Research of ' 'the Federal University of Rio Grande (Certificate of Submission for Ethical ' 'Evaluation nº 39081120.0 0.0000.5324). This research complied with the specific ' 'resolution of the National Health Council (466/2012) and informed consent was ' 'obtained from all subjects in accordance with the resolution of the Free and ' 'Informed Consent Term of the National Health Council.', 'order': 2, 'name': 'Ethics', 'group': {'name': 'EthicsHeading', 'label': 'Ethics approval and consent to participate'}}, { 'value': 'Not applicable.', 'order': 3, 'name': 'Ethics', 'group': {'name': 'EthicsHeading', 'label': 'Consent for publication'}}, { 'value': 'The authors declare that they have no competing interests.', 'order': 4, 'name': 'Ethics', 'group': {'name': 'EthicsHeading', 'label': 'Competing interests'}}], 'article-number': '170'}
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