Physical Activity, Sleeping Problems, Weight, Feelings of Social Isolation, and Quality of Life of Older Adults After Coronavirus Infection: A Longitudinal Cohort Study.

IF 4.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Epidemiology Pub Date : 2024-03-01 Epub Date: 2023-01-30 DOI:10.1097/EDE.0000000000001693
Thomas G Kuijpers, Maartje H Gerkema, Gwenda Engels, Maarten Schipper, Gerrie-Cor M Herber
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Abstract

Background: There is debate as to whether a coronavirus infection (SARS-CoV-2) affects older adults' physical activity, sleeping problems, weight, feelings of social isolation, and quality of life (QoL). We investigated differences in these outcomes between older adults with and without coronavirus infection over 180 days following infection.

Methods: We included 6789 older adults (65+) from the Lifelines COVID-19 cohort study who provided data between April 2020 and June 2021. Older adults (65+) with and without coronavirus infection were matched on sex, age, education, living situation, body mass index, smoking status, vulnerable health, time of infection, and precoronavirus health outcome. Weighted linear mixed models, adjusted for strictness of governmental policy measures, were used to compare health outcomes after infection between groups.

Results: In total, 309 participants were tested positive for coronavirus. Eight days after infection, older adults with a coronavirus infection engaged in less physical activity, had more sleeping problems, weighed less, felt more socially isolated, and had a lower QoL than those without an infection. Differences in weight, feelings of social isolation, and QoL were absent after 90 days. However, differences in physical activity were still present at 90 days following infection and sleeping problems were present at 180 days.

Conclusion: Our findings found negative associations of coronavirus infection with all the examined outcomes, which for physical activity persisted for 90 days and sleeping problems for 180 days. Magnitudes of estimated effects on physical activity and sleeping problems remain uncertain.

感染冠状病毒后老年人的体育活动、睡眠问题、体重、社会隔离感和生活质量:纵向队列研究
背景:关于冠状病毒感染(SARS-CoV-2)是否会影响老年人的体育活动、睡眠问题、体重、社会隔离感和生活质量(QoL),目前还存在争议。我们调查了感染冠状病毒和未感染冠状病毒的老年人在感染后 180 天内这些结果的差异:我们纳入了来自生命线 COVID-19 队列研究的 6789 名老年人(65 岁以上),他们在 2020 年 4 月至 2021 年 6 月期间提供了数据。感染冠状病毒的老年人(65 岁以上)与未感染冠状病毒的老年人在性别、年龄、教育程度、生活状况、体重指数、吸烟状况、健康状况脆弱程度、感染时间和感染前健康状况等方面进行了匹配。在对政府政策措施的严格程度进行调整后,采用加权线性混合模型对各组感染后的健康结果进行比较:结果:共有 309 名参与者的冠状病毒检测结果呈阳性。感染冠状病毒八天后,感染冠状病毒的老年人与未感染冠状病毒的老年人相比,运动量更少,睡眠问题更多,体重更轻,社会隔离感更强,生活质量更低。90 天后,体重、社会隔离感和 QoL 方面的差异消失了。然而,在感染后 90 天,体力活动方面的差异仍然存在,在 180 天时,睡眠问题仍然存在:结论:我们的研究结果表明,冠状病毒感染与所有研究结果均呈负相关,其中体力活动和睡眠问题分别持续了 90 天和 180 天。对体力活动和睡眠问题的估计影响程度仍不确定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Epidemiology
Epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.70
自引率
3.70%
发文量
177
审稿时长
6-12 weeks
期刊介绍: Epidemiology publishes original research from all fields of epidemiology. The journal also welcomes review articles and meta-analyses, novel hypotheses, descriptions and applications of new methods, and discussions of research theory or public health policy. We give special consideration to papers from developing countries.
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