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Eur Rev Med Pharmacol Sci . Association between COVID-19 exposure and autonomic nervous system dysfunction in apparently healthy adults: an observat

tetano

Editor, Senior Moderator
Eur Rev Med Pharmacol Sci


. 2024 May;28(9):3420-3429.
doi: 10.26355/eurrev_202405_36187. Association between COVID-19 exposure and autonomic nervous system dysfunction in apparently healthy adults: an observational study

A M Osailan[SUP] 1 [/SUP], M Batarfa, Z Aldosari, A Alghamdi, F Alqahtani, M Alabdullah, R K Elnaggar



Affiliations
Abstract

Objective: Coronavirus disease (COVID-19) is a respiratory disease caused by SARS-CoV-2, which complicates the functioning of multiple systems, including the autonomic nervous system (ANS), causing dysautonomia. Investigation of dysautonomia and its association with exposure to COVID-19 is limited in healthy people. Therefore, the study aimed to investigate the relationship between ANS dysautonomia and coronavirus exposure and compare the ANS function between exposed and non-exposed to COVID-19.
Subjects and methods: The study involved 141 participants, with a mean age of 18-24.5 years, 83% male (49.6% exposed to COVID-19). The ANS was measured using a composite autonomic symptom scale (COMPASS-31) questionnaire and heart rate variability (HRV) using photoplethysmography. Exposure to COVID-19 was investigated using two national health-status tracking and COVID-19 exposure applications, "Sehhaty" and "Twakkalna".
Results: A significantly inverse weak correlation between COMPASS-31 scores and COVID-19 exposure (r=-0.2, p=0.04). No significant association was found between HRV and COVID-19 exposure. COMPASS-31 scores for the exposed group (median=15, n=70) were significantly higher than those for the non-exposed group (median=12, n=71), U=1,913.5, p=0.03. Height (r=-0.4, p=0.002) and gender (r=0.3, p=0.001) were moderately correlated with COMPASS-31 among the exposed group.
Conclusions: These findings indicated that exposure to COVID-19 was associated with poorer ANS scores measured via COMPASS-31. Additionally, exposure to COVID-19 resulted in higher dysautonomia symptoms than non-exposed. Height and gender differences contribute to the severity of dysautonomia among exposed people.


 
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