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新冠后综合征所致运动后不适患者的身体活动和久坐水平

Physical activity and sedentariness levels in patients with post-exertional malaise resulting from post-COVID-19 syndrome.

作者信息

Elkebir Kamel-Eddine, Gilbert Jo-Anne, Kugathasan Thiffya Arabi, Cazeneuve Camille, Chouchou Florian, Mathieu Marie-Eve

机构信息

School of Kinesiology and Physical Activity Sciences, Université de Montréal, Montréal, Canada.

Diabète Athérothrombose Réunion Océan Indien (DéTROI), INSERM UMR 1188, Campus Santé de Terre Sainte, Université de La Réunion, Saint-Pierre, France.

出版信息

Work. 2025 Aug;81(4):3162-3169. doi: 10.1177/10519815251329231. Epub 2025 Apr 28.

Abstract

BackgroundPost-exertional malaise (PEM) is a complex phenomenon characterized by extreme fatigue, reduced endurance, and muscular and joint pains. Physical activity (PA) has recognized health benefits, including reducing the risks of chronic diseases and mortality. During the pandemic, a general decline in PA was measured, but the profile of the various components of PA and sedentariness in patients with PEM resulting from post-COVID-19 syndrome (PCS-19) remains scarce. It is relevant to observe the impact of these discomforts on PQ after their occurrence.ObjectiveThis study examines the detailed PA and sedentary profile of individuals affected by PEM associated with PCS-19.MethodsAn online questionnaire disseminated via social media platform evaluated PA and sedentariness before and after COVID-19 diagnostic.ResultsIndividuals with PEM (n = 154) became more sedentary and inactive post-COVID-19. Specifically, PA at work decreased in women and those whose last infection occurred over a year ago. Walk decreased for women but increased for men. Bike journeys generally decreased after COVID-19. The severity of PEM, the pace of recovery, and fear of malaise influenced PA changes.ConclusionsThe PCS-19 leads to increased sedentary behavior and a decline in PA, particularly at work, and is more pronounced among women and those more severely affected by PEM. These findings are critical for post-COVID PA resumption, including for workers who go back to work and who regain normal duties while being potentially deconditioned.

摘要

背景

运动后不适(PEM)是一种复杂的现象,其特征为极度疲劳、耐力下降以及肌肉和关节疼痛。体育活动(PA)已被公认对健康有益,包括降低慢性病风险和死亡率。在疫情期间,人们测量到体育活动普遍减少,但由新冠后综合征(PCS - 19)导致的PEM患者中体育活动各组成部分和久坐行为的情况仍然缺乏。观察这些不适发生后对生活质量(PQ)的影响很有意义。

目的

本研究调查了受与PCS - 19相关的PEM影响的个体的详细体育活动和久坐情况。

方法

通过社交媒体平台发放的在线问卷评估了新冠诊断前后的体育活动和久坐情况。

结果

患有PEM的个体(n = 154)在新冠感染后变得更加久坐且活动减少。具体而言,工作中的体育活动在女性以及最后一次感染发生在一年多以前的人群中减少。步行在女性中减少,但在男性中增加。新冠感染后自行车出行总体减少。PEM的严重程度、恢复速度以及对不适的恐惧影响了体育活动的变化。

结论

PCS - 19导致久坐行为增加和体育活动减少,尤其是在工作中,并且在女性和受PEM影响更严重的人群中更为明显。这些发现对于新冠后体育活动的恢复至关重要,包括对于那些重返工作岗位并在可能身体状况不佳的情况下恢复正常职责的工人。

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