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Physical condition and perceived fatigue in post-covid patients: An observational descriptive study.

Sport Sci, MSc, PhD. Professor, Department of Sports Sciences, Faculty of Sport Sciences, Universidad Europea de Madrid, Spain. Sport Sci, MSc, Professor. Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), Barcelona. MD, MSc, Physiatrist. Gregorio Marañón General University Hospital, Madrid, Spain. PT, MSc, PhD. Professor. Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Spain. Nutr Diet, MS, Professor. Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Spain. PT, MSc, PhD. Professor. Department of Nursing and Physiotherapy, Faculty of Health Science, Universidad de León, Ponferrada, Spain. MD, MSc, PhD. Physiatrist. Gregorio Marañón General University Hospital, Gregorio Marañón Health Research Institute, Madrid, Spain; Cardiologist. Division of Preventive Cardiology Department, Cardiovascular Medicine Mayo Clinic (MN), Madrid, Spain; Faculty of Physical Activity and Sport Sciences, Universidad Politécnica de Madrid, Madrid, Spain.. MD, MSc, PhD. Physiatrist. Gregorio Marañón General University Hospital, Gregorio Marañón Health Research Institute, Madrid, Spain. MD, MSc, PhD. Profesor Titular. Grupo ImFine. Departamento de Salud y Rendimiento Humano, Facultad de Ciencias de la Actividad Física y el Deporte (INEF), Universidad Politécnica de Madrid, Madrid, Spain.

Sao Paulo medical journal = Revista paulista de medicina. 2024;(4):e2023167
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Abstract

BACKGROUND Patients with severe coronavirus disease 2019 (COVID-19) often require hospital admission and experience sequelae such as chronic fatigue or low muscle mass. OBJECTIVE To analyze the functional capacity of a cohort of patients with severe acute respiratory syndrome coronavirus 2 who required hospitalization. DESIGN AND SETTING An observational descriptive study was conducted on post-COVID-19 patients referred to the Rehabilitation Department of Gregorio Marañón Hospital (Madrid, SPAIN). METHODS Cardiorespiratory fitness, muscle strength, body composition, and perception of fatigue and dyspnea were analyzed. Furthermore, the existing correlations between clinical variables and physical conditions were analyzed. RESULTS Forty-two patients who required hospital admission (80 ± 22.45 days) or intensive care unit (ICU) admission (58 ± 10.52 days) were analyzed. They presented with decreased strength, respiratory capacity, and moderate-to-severe perceived fatigue. Additionally, an inverse correlation was found between right-handgrip strength and days in the ICU, as well as the 6-minute walk test for women. Similarly, strength and fitness were negatively associated with perceived fatigue. CONCLUSIONS Post-COVID-19 patients showed low muscle function and low levels of physical fitness associated with high perceived fatigue.

Methodological quality

Publication Type : Observational Study

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