tetano
Editor, Senior Moderator
Am J Phys Med Rehabil
. 2023 Jul 6.
doi: 10.1097/PHM.0000000000002314. Online ahead of print. Body composition and physical performance one year after COVID-19
Marina Peball[SUP] 1 [/SUP], Verena Rass[SUP] 1 [/SUP], Dora Valent[SUP] 1 [/SUP], Ronny Beer[SUP] 1 [/SUP], Alois Josef Schiefecker[SUP] 1 [/SUP], Victoria Limmert[SUP] 1 [/SUP], Lauma Putnina[SUP] 1 [/SUP], Beatrice Heim[SUP] 1 [/SUP], Philipp Ellmerer[SUP] 1 [/SUP], Federico Carbone[SUP] 1 [/SUP], Philipp Mahlknecht[SUP] 1 [/SUP], Mario Kofler[SUP] 1 [/SUP], Anna Lindner[SUP] 1 [/SUP], Philipp Kindl[SUP] 1 [/SUP], Sabina Sahanic[SUP] 2 [/SUP], Maximilian Coen[SUP] 2 [/SUP], Alex Pizzini[SUP] 2 [/SUP], Bettina Pfausler[SUP] 1 [/SUP], Stefan Kiechl[SUP] 1 [/SUP], Thomas Sonnweber[SUP] 2 [/SUP], Ivan Tancevski[SUP] 2 [/SUP], Judith Löffler-Ragg[SUP] 2 [/SUP], Atbin Djamshidian[SUP] 1 [/SUP], Raimund Helbok, Klaus Seppi
Affiliations
Objective: Long-term consequences after coronavirus-disease (COVID-19) include physical complaints which may impair physical recovery and quality of life.
Design: We assessed body composition and physical ability in patients twelve months after COVID-19. Consecutively recruited patients recovering from mild to severe COVID-19 were assessed using bioelectrical impedance analysis, 6-minute-walk-test, additional scales for physical performance, and health-related quality of life.
Results: Overall physical recovery was good (i.e., Glasgow Outcome Scale-Extended ≥7 in 96%, Modified Rankin Scale ≤1 in 87%, Eastern Cooperative Oncology Group ≤1 in 99%). Forty-four-% of the 69 patients experienced a significant BMI-increase in the year post-COVID-19 (≥1 kg/m2) whereas skeletal-muscle-mass-index was reduced in only 12%. Patients requiring intensive-care-treatment (n = 15, 22%) during acute COVID-19 more often had a BMI-increase (p = 0.002), worse 6-minute-walk-test-performance (p = 0.044), and higher body fat mass (p = 0.030) at the one-year-follow-up when compared to patients with mild (n = 22, 32%) and moderate (n = 32, 46%) acute COVID-19. BMI-increase was also more frequent in patients who had no professional rehabilitation (p = 0.014).
Conclusion: Although patients with severe COVID-19 had increased BMI and body fat and performed worse in physical outcome measures one year after COVID-19, overall physical recovery was satisfying. Translating these findings to variants beyond the alpha-strain of SARS-CoV-2-virus needs further studies.
. 2023 Jul 6.
doi: 10.1097/PHM.0000000000002314. Online ahead of print. Body composition and physical performance one year after COVID-19
Marina Peball[SUP] 1 [/SUP], Verena Rass[SUP] 1 [/SUP], Dora Valent[SUP] 1 [/SUP], Ronny Beer[SUP] 1 [/SUP], Alois Josef Schiefecker[SUP] 1 [/SUP], Victoria Limmert[SUP] 1 [/SUP], Lauma Putnina[SUP] 1 [/SUP], Beatrice Heim[SUP] 1 [/SUP], Philipp Ellmerer[SUP] 1 [/SUP], Federico Carbone[SUP] 1 [/SUP], Philipp Mahlknecht[SUP] 1 [/SUP], Mario Kofler[SUP] 1 [/SUP], Anna Lindner[SUP] 1 [/SUP], Philipp Kindl[SUP] 1 [/SUP], Sabina Sahanic[SUP] 2 [/SUP], Maximilian Coen[SUP] 2 [/SUP], Alex Pizzini[SUP] 2 [/SUP], Bettina Pfausler[SUP] 1 [/SUP], Stefan Kiechl[SUP] 1 [/SUP], Thomas Sonnweber[SUP] 2 [/SUP], Ivan Tancevski[SUP] 2 [/SUP], Judith Löffler-Ragg[SUP] 2 [/SUP], Atbin Djamshidian[SUP] 1 [/SUP], Raimund Helbok, Klaus Seppi
Affiliations
- PMID: 37408132
- DOI: 10.1097/PHM.0000000000002314
Objective: Long-term consequences after coronavirus-disease (COVID-19) include physical complaints which may impair physical recovery and quality of life.
Design: We assessed body composition and physical ability in patients twelve months after COVID-19. Consecutively recruited patients recovering from mild to severe COVID-19 were assessed using bioelectrical impedance analysis, 6-minute-walk-test, additional scales for physical performance, and health-related quality of life.
Results: Overall physical recovery was good (i.e., Glasgow Outcome Scale-Extended ≥7 in 96%, Modified Rankin Scale ≤1 in 87%, Eastern Cooperative Oncology Group ≤1 in 99%). Forty-four-% of the 69 patients experienced a significant BMI-increase in the year post-COVID-19 (≥1 kg/m2) whereas skeletal-muscle-mass-index was reduced in only 12%. Patients requiring intensive-care-treatment (n = 15, 22%) during acute COVID-19 more often had a BMI-increase (p = 0.002), worse 6-minute-walk-test-performance (p = 0.044), and higher body fat mass (p = 0.030) at the one-year-follow-up when compared to patients with mild (n = 22, 32%) and moderate (n = 32, 46%) acute COVID-19. BMI-increase was also more frequent in patients who had no professional rehabilitation (p = 0.014).
Conclusion: Although patients with severe COVID-19 had increased BMI and body fat and performed worse in physical outcome measures one year after COVID-19, overall physical recovery was satisfying. Translating these findings to variants beyond the alpha-strain of SARS-CoV-2-virus needs further studies.