制定有效策略,优化长寿人群的体育锻炼和心肺功能--需要谨慎和客观的评估。

IF 5.6 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Mark A. Faghy , Rae Duncan , Emily Hume , Lewis Gough , Clare Roscoe , Deepika Laddu , Ross Arena , Ruth E.M. Asthon , Caroline Dalton
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引用次数: 0

摘要

世界卫生组织将 "Covid-19 后症状"(俗称 "Long Covid")定义为:可能或确诊感染过 SARS CoV 2 的患者,通常在急性 Covid-19 感染后 3 个月内出现症状,且症状持续至少两个月,其他诊断无法解释。长期 Covid 与两百多种公认的症状有关,影响着全球数千万人。广泛报道的生活质量(QoL)和功能状态的下降是由极其敏感和周期性的症状特征引起的,这些症状在受到身体、情绪、正压和认知刺激后会加重。这种表现使数百万人无法从事日常活动(ADL),并对健康和福祉、社会和经济产生重要影响。劳累后症状加重(PESE)(也称为劳累后乏力)是指在完成体力、情绪、正压和认知任务后,疲劳和其他症状的严重程度加剧。通常在 "过度劳累 "后 24-72 小时出现,可持续数天甚至数周。它是 Long Covid 的标志性症状,据报道发病率高达 86%。PESE 的衰弱性使患者无法从事体力活动,从而影响了功能状态和 QoL。在这篇综述中,作者介绍了有关长颈维德患者PESE的最新文献,并提出了以证据为基础的指南,以支持为长颈维德患者设计和实施安全的康复方法。本综述还考虑了客观监测的作用,即量化患者对外界刺激的反应,以支持对 Long Covid 的安全管理,并为与任何可能导致症状加重的刺激相关的决策提供依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Developing effective strategies to optimize physical activity and cardiorespiratory fitness in the long Covid population- The need for caution and objective assessment

The Post Covid-19 Condition (commonly known as Long Covid) has been defined by the World Health Organisation as occurring in individuals with a history of probable or confirmed SARS CoV 2 infection, usually within 3 months from the onset of acute Covid-19 infection with symptoms that last for at least two months which cannot be explained by an alternative diagnosis. Long Covid is associated with over two hundred recognised symptoms and affects tens of millions of people worldwide. Widely reported reductions in quality of life(QoL) and functional status are caused by extremely sensitive and cyclical symptom profiles that are augmented following exposure to physical, emotional, orthostatic, and cognitive stimuli. This manifestation prevents millions of people from engaging in routine activities of daily living (ADLs) and has important health and well-being, social and economic impacts. Post-exertional symptom exacerbation (PESE) (also known as post-exertional malaise) is an exacerbation in the severity of fatigue and other symptoms following physical, emotional, orthostatic and cognitive tasks. Typically, this will occur 24–72 h after “over-exertion” and can persist for several days and even weeks. It is a hallmark symptom of Long Covid with a reported prevalence of 86%. The debilitating nature of PESE prevents patients from engaging in physical activity which impacts functional status and QoL. In this review, the authors present an update to the literature relating to PESE in Long Covid and make the case for evidence-based guidelines that support the design and implementation of safe rehabilitation approaches for people with Long Covid. This review also considers the role of objective monitoring to quantify a patient's response to external stimuli which can be used to support the safe management of Long Covid and inform decisions relating to engagement with any stimuli that could prompt an exacerbation of symptoms.

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来源期刊
Progress in cardiovascular diseases
Progress in cardiovascular diseases 医学-心血管系统
CiteScore
10.90
自引率
6.60%
发文量
98
审稿时长
7 days
期刊介绍: Progress in Cardiovascular Diseases provides comprehensive coverage of a single topic related to heart and circulatory disorders in each issue. Some issues include special articles, definitive reviews that capture the state of the art in the management of particular clinical problems in cardiology.
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