{"title":"通过多组分训练与巴西建议的体育锻炼相比，改善 COVID-19 后患者的生活质量、睡眠和心理健康：CORE 研究--随机对照试验","authors":"Maria Eduarda de Moraes Sirydakis , Angelica Danielevicz , Paulo Urubatan Gama de Melo , Juliane Bregalda , Marina Isolde Constantini , Guilherme Pelliciari , Suelen Katiê Sampaio , Cassiano Ricardo Rech , Rosemeri Maurici , Aline Mendes Gerage , Rodrigo Sudatti Delevatti","doi":"10.1016/j.mhpa.2024.100615","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and objectives</h3><p>To analyze the effects of multicomponent training on the quality of life (Qol), sleep quality (SQ), depressive symptoms (DS), and health perception (HP) in adults and elderly individuals post-COVID-19 infection.</p></div><div><h3>Methods</h3><p>Randomized controlled clinical trial, with an intervention group (IG) of multicomponent physical training lasting 11 weeks and a control group (CG). The participants were adults and elderly people, of both genders, who were infected with COVID-19 in its moderate to severe type. The study was carried out in Florianópolis, Santa Catarina, Brazil from November 2021 to April 2023. The training program consisted of balance, strength and aerobic exercises. QoL, DS, SQ and HP were evaluated at baseline and at the 12th week. Outcomes were analyzed by Protocol (PP) and by Intention to Treat (ITT). Generalized Estimating Equations were used, with Bonferroni post-hoc; α: 0.05.</p></div><div><h3>Results</h3><p>Thirty-nine subjects (19 women, 52.50 ± 12.97 years old) composed the sample. In the ITT analysis, an improvement in QoL was observed only in the intervention group (IG-pre: 10.70 ± 0.77, post: 8.83 ± 0.82, p < 0.001; CG-pre: 10.11 ± 0.81, post:11.00 ± 1.11, p = 0.408). In relation to SQ, improvement was also found only in the IG (IG-pre: 8.80 ± 0.94, post: 6.47 ± 0,88, p < 0.001; CG-pre: 7.00 ± 1,04, post: 7.21 ± 1.20, p = 0.768). In DS, improvement was observed (p < 0.001) in both groups (IG-pre: 8.89 ± 1.14, post: 4.71 ± 1.22; CG-pre: 9.06 ± 1.68, post: 6.92 ± 1.80). In the PP analysis, only SQ and DS improved in both groups. No significant improvements were observed in any of the analyses for the HP outcome.</p></div><div><h3>Conclusion</h3><p>Multicomponent training demonstrated superiority in enhancing QoL and SQ, and both approaches (multicomponent training and recommendations for physical activity) appear to mitigate depressive symptoms. Both approaches seem not to significantly improve HP.</p></div><div><h3>Brazilian clinical trials registry</h3><p>RBR-10y6jhr.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100615"},"PeriodicalIF":2.3000,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Improving quality of life, sleep and mental health through multicomponent training versus Brazilian recommendations of physical activity in post-COVID-19 patients: CORE-study–A randomized controlled trial\",\"authors\":\"Maria Eduarda de Moraes Sirydakis , Angelica Danielevicz , Paulo Urubatan Gama de Melo , Juliane Bregalda , Marina Isolde Constantini , Guilherme Pelliciari , Suelen Katiê Sampaio , Cassiano Ricardo Rech , Rosemeri Maurici , Aline Mendes Gerage , Rodrigo Sudatti Delevatti\",\"doi\":\"10.1016/j.mhpa.2024.100615\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background and objectives</h3><p>To analyze the effects of multicomponent training on the quality of life (Qol), sleep quality (SQ), depressive symptoms (DS), and health perception (HP) in adults and elderly individuals post-COVID-19 infection.</p></div><div><h3>Methods</h3><p>Randomized controlled clinical trial, with an intervention group (IG) of multicomponent physical training lasting 11 weeks and a control group (CG). The participants were adults and elderly people, of both genders, who were infected with COVID-19 in its moderate to severe type. The study was carried out in Florianópolis, Santa Catarina, Brazil from November 2021 to April 2023. The training program consisted of balance, strength and aerobic exercises. QoL, DS, SQ and HP were evaluated at baseline and at the 12th week. Outcomes were analyzed by Protocol (PP) and by Intention to Treat (ITT). Generalized Estimating Equations were used, with Bonferroni post-hoc; α: 0.05.</p></div><div><h3>Results</h3><p>Thirty-nine subjects (19 women, 52.50 ± 12.97 years old) composed the sample. In the ITT analysis, an improvement in QoL was observed only in the intervention group (IG-pre: 10.70 ± 0.77, post: 8.83 ± 0.82, p < 0.001; CG-pre: 10.11 ± 0.81, post:11.00 ± 1.11, p = 0.408). In relation to SQ, improvement was also found only in the IG (IG-pre: 8.80 ± 0.94, post: 6.47 ± 0,88, p < 0.001; CG-pre: 7.00 ± 1,04, post: 7.21 ± 1.20, p = 0.768). In DS, improvement was observed (p < 0.001) in both groups (IG-pre: 8.89 ± 1.14, post: 4.71 ± 1.22; CG-pre: 9.06 ± 1.68, post: 6.92 ± 1.80). In the PP analysis, only SQ and DS improved in both groups. No significant improvements were observed in any of the analyses for the HP outcome.</p></div><div><h3>Conclusion</h3><p>Multicomponent training demonstrated superiority in enhancing QoL and SQ, and both approaches (multicomponent training and recommendations for physical activity) appear to mitigate depressive symptoms. Both approaches seem not to significantly improve HP.</p></div><div><h3>Brazilian clinical trials registry</h3><p>RBR-10y6jhr.</p></div>\",\"PeriodicalId\":51589,\"journal\":{\"name\":\"Mental Health and Physical Activity\",\"volume\":\"27 \",\"pages\":\"Article 100615\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-06-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Mental Health and Physical Activity\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1755296624000413\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Mental Health and Physical Activity","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1755296624000413","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Improving quality of life, sleep and mental health through multicomponent training versus Brazilian recommendations of physical activity in post-COVID-19 patients: CORE-study–A randomized controlled trial
Background and objectives
To analyze the effects of multicomponent training on the quality of life (Qol), sleep quality (SQ), depressive symptoms (DS), and health perception (HP) in adults and elderly individuals post-COVID-19 infection.
Methods
Randomized controlled clinical trial, with an intervention group (IG) of multicomponent physical training lasting 11 weeks and a control group (CG). The participants were adults and elderly people, of both genders, who were infected with COVID-19 in its moderate to severe type. The study was carried out in Florianópolis, Santa Catarina, Brazil from November 2021 to April 2023. The training program consisted of balance, strength and aerobic exercises. QoL, DS, SQ and HP were evaluated at baseline and at the 12th week. Outcomes were analyzed by Protocol (PP) and by Intention to Treat (ITT). Generalized Estimating Equations were used, with Bonferroni post-hoc; α: 0.05.
Results
Thirty-nine subjects (19 women, 52.50 ± 12.97 years old) composed the sample. In the ITT analysis, an improvement in QoL was observed only in the intervention group (IG-pre: 10.70 ± 0.77, post: 8.83 ± 0.82, p < 0.001; CG-pre: 10.11 ± 0.81, post:11.00 ± 1.11, p = 0.408). In relation to SQ, improvement was also found only in the IG (IG-pre: 8.80 ± 0.94, post: 6.47 ± 0,88, p < 0.001; CG-pre: 7.00 ± 1,04, post: 7.21 ± 1.20, p = 0.768). In DS, improvement was observed (p < 0.001) in both groups (IG-pre: 8.89 ± 1.14, post: 4.71 ± 1.22; CG-pre: 9.06 ± 1.68, post: 6.92 ± 1.80). In the PP analysis, only SQ and DS improved in both groups. No significant improvements were observed in any of the analyses for the HP outcome.
Conclusion
Multicomponent training demonstrated superiority in enhancing QoL and SQ, and both approaches (multicomponent training and recommendations for physical activity) appear to mitigate depressive symptoms. Both approaches seem not to significantly improve HP.
期刊介绍：
The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;
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