tetano
Editor, Senior Moderator
Sports Med Open
. 2023 Feb 2;9(1):7.
doi: 10.1186/s40798-023-00552-0.
Cardiopulmonary, Functional, Cognitive and Mental Health Outcomes Post-COVID-19, Across the Range of Severity of Acute Illness, in a Physically Active, Working-Age Population
Oliver O'Sullivan[SUP] #[/SUP][SUP] 1 2 [/SUP], David A Holdsworth[SUP] #[/SUP][SUP] 3 4 [/SUP], Peter Ladlow[SUP] 1 5 [/SUP], Robert M Barker-Davies[SUP] 1 6 [/SUP], Rebecca Chamley[SUP] 3 4 [/SUP], Andrew Houston[SUP] 1 [/SUP], Samantha May[SUP] 1 [/SUP], Dominic Dewson[SUP] 1 [/SUP], Daniel Mills[SUP] 1 [/SUP], Kayleigh Pierce[SUP] 4 7 [/SUP], James Mitchell[SUP] 1 8 [/SUP], Cheng Xie[SUP] 4 [/SUP], Edward Sellon[SUP] 4 [/SUP], Jon Naylor[SUP] 7 [/SUP], Joseph Mulae[SUP] 7 [/SUP], Mark Cranley[SUP] 9 [/SUP], Nick P Talbot[SUP] 4 10 [/SUP], Oliver J Rider[SUP] 11 12 [/SUP], Edward D Nicol[SUP] 3 13 [/SUP], Alexander N Bennett[SUP] 14 15 [/SUP]
Affiliations
Abstract
Background: The COVID-19 pandemic has led to significant morbidity and mortality, with the former impacting and limiting individuals requiring high physical fitness, including sportspeople and emergency services.
Methods: Observational cohort study of 4 groups: hospitalised, community illness with on-going symptoms (community-symptomatic), community illness now recovered (community-recovered) and comparison. A total of 113 participants (aged 39 ± 9, 86% male) were recruited: hospitalised (n = 35), community-symptomatic (n = 34), community-recovered (n = 18) and comparison (n = 26), approximately five months following acute illness. Participant outcome measures included cardiopulmonary imaging, submaximal and maximal exercise testing, pulmonary function, cognitive assessment, blood tests and questionnaires on mental health and function.
Results: Hospitalised and community-symptomatic groups were older (43 ± 9 and 37 ± 10, P = 0.003), with a higher body mass index (31 ± 4 and 29 ± 4, P < 0.001), and had worse mental health (anxiety, depression and post-traumatic stress), fatigue and quality of life scores. Hospitalised and community-symptomatic participants performed less well on sub-maximal and maximal exercise testing. Hospitalised individuals had impaired ventilatory efficiency (higher VE/V̇CO[SUB]2[/SUB] slope, 29.6 ± 5.1, P < 0.001), achieved less work at anaerobic threshold (70 ± 15, P < 0.001) and peak (231 ± 35, P < 0.001), and had a reduced forced vital capacity (4.7 ± 0.9, P = 0.004). Clinically significant abnormal cardiopulmonary imaging findings were present in 6% of hospitalised participants. Community-recovered individuals had no significant differences in outcomes to the comparison group.
Conclusion: Symptomatically recovered individuals who suffered mild-moderate acute COVID-19 do not differ from an age-, sex- and job-role-matched comparison population five months post-illness. Individuals who were hospitalised or continue to suffer symptoms may require a specific comprehensive assessment prior to return to full physical activity.
Keywords: Cardiopulmonary exercise testing; Coronavirus disease 2019; Long Covid; Outcomes; Post-COVID-19 syndrome.
. 2023 Feb 2;9(1):7.
doi: 10.1186/s40798-023-00552-0.
Cardiopulmonary, Functional, Cognitive and Mental Health Outcomes Post-COVID-19, Across the Range of Severity of Acute Illness, in a Physically Active, Working-Age Population
Oliver O'Sullivan[SUP] #[/SUP][SUP] 1 2 [/SUP], David A Holdsworth[SUP] #[/SUP][SUP] 3 4 [/SUP], Peter Ladlow[SUP] 1 5 [/SUP], Robert M Barker-Davies[SUP] 1 6 [/SUP], Rebecca Chamley[SUP] 3 4 [/SUP], Andrew Houston[SUP] 1 [/SUP], Samantha May[SUP] 1 [/SUP], Dominic Dewson[SUP] 1 [/SUP], Daniel Mills[SUP] 1 [/SUP], Kayleigh Pierce[SUP] 4 7 [/SUP], James Mitchell[SUP] 1 8 [/SUP], Cheng Xie[SUP] 4 [/SUP], Edward Sellon[SUP] 4 [/SUP], Jon Naylor[SUP] 7 [/SUP], Joseph Mulae[SUP] 7 [/SUP], Mark Cranley[SUP] 9 [/SUP], Nick P Talbot[SUP] 4 10 [/SUP], Oliver J Rider[SUP] 11 12 [/SUP], Edward D Nicol[SUP] 3 13 [/SUP], Alexander N Bennett[SUP] 14 15 [/SUP]
Affiliations
- PMID: 36729302
- DOI: 10.1186/s40798-023-00552-0
Abstract
Background: The COVID-19 pandemic has led to significant morbidity and mortality, with the former impacting and limiting individuals requiring high physical fitness, including sportspeople and emergency services.
Methods: Observational cohort study of 4 groups: hospitalised, community illness with on-going symptoms (community-symptomatic), community illness now recovered (community-recovered) and comparison. A total of 113 participants (aged 39 ± 9, 86% male) were recruited: hospitalised (n = 35), community-symptomatic (n = 34), community-recovered (n = 18) and comparison (n = 26), approximately five months following acute illness. Participant outcome measures included cardiopulmonary imaging, submaximal and maximal exercise testing, pulmonary function, cognitive assessment, blood tests and questionnaires on mental health and function.
Results: Hospitalised and community-symptomatic groups were older (43 ± 9 and 37 ± 10, P = 0.003), with a higher body mass index (31 ± 4 and 29 ± 4, P < 0.001), and had worse mental health (anxiety, depression and post-traumatic stress), fatigue and quality of life scores. Hospitalised and community-symptomatic participants performed less well on sub-maximal and maximal exercise testing. Hospitalised individuals had impaired ventilatory efficiency (higher VE/V̇CO[SUB]2[/SUB] slope, 29.6 ± 5.1, P < 0.001), achieved less work at anaerobic threshold (70 ± 15, P < 0.001) and peak (231 ± 35, P < 0.001), and had a reduced forced vital capacity (4.7 ± 0.9, P = 0.004). Clinically significant abnormal cardiopulmonary imaging findings were present in 6% of hospitalised participants. Community-recovered individuals had no significant differences in outcomes to the comparison group.
Conclusion: Symptomatically recovered individuals who suffered mild-moderate acute COVID-19 do not differ from an age-, sex- and job-role-matched comparison population five months post-illness. Individuals who were hospitalised or continue to suffer symptoms may require a specific comprehensive assessment prior to return to full physical activity.
Keywords: Cardiopulmonary exercise testing; Coronavirus disease 2019; Long Covid; Outcomes; Post-COVID-19 syndrome.