Associations between muscle strength, dyspnea and quality of life in post-COVID-19 patients
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Associação Médica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302022001201753 |
Resumo: | SUMMARY OBJECTIVE: Patients with severe coronavirus disease 2019 (COVID-19) develop high muscle weakness. The objective of this study was to analyze the physical fitness of post-COVID-19 patients and its relationship with dyspnea and health-related quality of life (HrQoL). METHODS: This observational, retrospective, cross-sectional study was conducted between October and November 2021 in the Universidad Europea de Madrid (Spain), with 32 post-COVID-19 patients aged 63.2 (14.1) years. Muscle strength, aerobic capacity, maximal respiratory mouth pressures, dyspnea, and HrQoL were analyzed 6–12 months after discharge for COVID-19. To analyze the relationship between continuous variables, Spearman’s correlation test and Pearson’s correlation test were performed. RESULTS: The participants had a mean handgrip strength of 22.1 (9.0) kg and very poor HrQoL. Negative moderate correlations were found between handgrip strength and length of hospital and intensive care unit stay (r=−0.37; p=0.002). In addition, muscle strength was negatively correlated with dyspnea (r=−0.37; p=0.008) and HrQoL, and moderate-large negative correlations were found between dyspnea and HrQoL. CONCLUSION: Higher handgrip strength was associated with lower COVID-19 severity and less sequelae. Therefore, either the patients with severe COVID-19 suffered greater muscle breakdown, or higher muscle strength acted as a mitigating factor for the disease. It is suggested that post-COVID-19 rehabilitation programs should focus on increasing muscle strength. Also, adequate physical fitness could mitigate the physical and mental post-COVID-19 sequelae. |
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Associations between muscle strength, dyspnea and quality of life in post-COVID-19 patientsCOVID-19SARS-CoV-2Muscle strengthHand strengthQuality of lifeSUMMARY OBJECTIVE: Patients with severe coronavirus disease 2019 (COVID-19) develop high muscle weakness. The objective of this study was to analyze the physical fitness of post-COVID-19 patients and its relationship with dyspnea and health-related quality of life (HrQoL). METHODS: This observational, retrospective, cross-sectional study was conducted between October and November 2021 in the Universidad Europea de Madrid (Spain), with 32 post-COVID-19 patients aged 63.2 (14.1) years. Muscle strength, aerobic capacity, maximal respiratory mouth pressures, dyspnea, and HrQoL were analyzed 6–12 months after discharge for COVID-19. To analyze the relationship between continuous variables, Spearman’s correlation test and Pearson’s correlation test were performed. RESULTS: The participants had a mean handgrip strength of 22.1 (9.0) kg and very poor HrQoL. Negative moderate correlations were found between handgrip strength and length of hospital and intensive care unit stay (r=−0.37; p=0.002). In addition, muscle strength was negatively correlated with dyspnea (r=−0.37; p=0.008) and HrQoL, and moderate-large negative correlations were found between dyspnea and HrQoL. CONCLUSION: Higher handgrip strength was associated with lower COVID-19 severity and less sequelae. Therefore, either the patients with severe COVID-19 suffered greater muscle breakdown, or higher muscle strength acted as a mitigating factor for the disease. It is suggested that post-COVID-19 rehabilitation programs should focus on increasing muscle strength. Also, adequate physical fitness could mitigate the physical and mental post-COVID-19 sequelae.Associação Médica Brasileira2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302022001201753Revista da Associação Médica Brasileira v.68 n.12 2022reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.20220974info:eu-repo/semantics/openAccessSevilla,Guillermo García Pérez deSánchez-Pinto,Beatrizeng2022-12-13T00:00:00Zoai:scielo:S0104-42302022001201753Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2022-12-13T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false |
dc.title.none.fl_str_mv |
Associations between muscle strength, dyspnea and quality of life in post-COVID-19 patients |
title |
Associations between muscle strength, dyspnea and quality of life in post-COVID-19 patients |
spellingShingle |
Associations between muscle strength, dyspnea and quality of life in post-COVID-19 patients Sevilla,Guillermo García Pérez de COVID-19 SARS-CoV-2 Muscle strength Hand strength Quality of life |
title_short |
Associations between muscle strength, dyspnea and quality of life in post-COVID-19 patients |
title_full |
Associations between muscle strength, dyspnea and quality of life in post-COVID-19 patients |
title_fullStr |
Associations between muscle strength, dyspnea and quality of life in post-COVID-19 patients |
title_full_unstemmed |
Associations between muscle strength, dyspnea and quality of life in post-COVID-19 patients |
title_sort |
Associations between muscle strength, dyspnea and quality of life in post-COVID-19 patients |
author |
Sevilla,Guillermo García Pérez de |
author_facet |
Sevilla,Guillermo García Pérez de Sánchez-Pinto,Beatriz |
author_role |
author |
author2 |
Sánchez-Pinto,Beatriz |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Sevilla,Guillermo García Pérez de Sánchez-Pinto,Beatriz |
dc.subject.por.fl_str_mv |
COVID-19 SARS-CoV-2 Muscle strength Hand strength Quality of life |
topic |
COVID-19 SARS-CoV-2 Muscle strength Hand strength Quality of life |
description |
SUMMARY OBJECTIVE: Patients with severe coronavirus disease 2019 (COVID-19) develop high muscle weakness. The objective of this study was to analyze the physical fitness of post-COVID-19 patients and its relationship with dyspnea and health-related quality of life (HrQoL). METHODS: This observational, retrospective, cross-sectional study was conducted between October and November 2021 in the Universidad Europea de Madrid (Spain), with 32 post-COVID-19 patients aged 63.2 (14.1) years. Muscle strength, aerobic capacity, maximal respiratory mouth pressures, dyspnea, and HrQoL were analyzed 6–12 months after discharge for COVID-19. To analyze the relationship between continuous variables, Spearman’s correlation test and Pearson’s correlation test were performed. RESULTS: The participants had a mean handgrip strength of 22.1 (9.0) kg and very poor HrQoL. Negative moderate correlations were found between handgrip strength and length of hospital and intensive care unit stay (r=−0.37; p=0.002). In addition, muscle strength was negatively correlated with dyspnea (r=−0.37; p=0.008) and HrQoL, and moderate-large negative correlations were found between dyspnea and HrQoL. CONCLUSION: Higher handgrip strength was associated with lower COVID-19 severity and less sequelae. Therefore, either the patients with severe COVID-19 suffered greater muscle breakdown, or higher muscle strength acted as a mitigating factor for the disease. It is suggested that post-COVID-19 rehabilitation programs should focus on increasing muscle strength. Also, adequate physical fitness could mitigate the physical and mental post-COVID-19 sequelae. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302022001201753 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302022001201753 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-9282.20220974 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Médica Brasileira |
publisher.none.fl_str_mv |
Associação Médica Brasileira |
dc.source.none.fl_str_mv |
Revista da Associação Médica Brasileira v.68 n.12 2022 reponame:Revista da Associação Médica Brasileira (Online) instname:Associação Médica Brasileira (AMB) instacron:AMB |
instname_str |
Associação Médica Brasileira (AMB) |
instacron_str |
AMB |
institution |
AMB |
reponame_str |
Revista da Associação Médica Brasileira (Online) |
collection |
Revista da Associação Médica Brasileira (Online) |
repository.name.fl_str_mv |
Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB) |
repository.mail.fl_str_mv |
||ramb@amb.org.br |
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1754212838497320960 |