Hospital and intensive care unit stay associated with body mass index affect cardiorespiratory fitness in patients with COVID-19.
Chron Respir Dis
; 21: 14799731241259749, 2024.
Article
in En
| MEDLINE
| ID: mdl-38863283
ABSTRACT
BACKGROUND:
The effects of coronavirus disease 2019 (COVID-19) on the cardiorespiratory fitness of hospitalized and obese patients are of utmost relevance. This study aimed to analyze how hospital and intensive care unit (ICU) stay together with body mass index affect cardiorespiratory fitness in patients with COVID-19.METHODS:
251 participants (males, n = 118; females, n = 133) were assigned to four groups non-hospitalized COVID-19 patients (n = 65, age 45.3 years), hospitalized COVID-19 patients (n = 63, age 57.6 years), COVID-19 patients admitted to the ICU (n = 61, age 56.9 years), and control group (n = 62, age 49.8 years). An incremental cardiopulmonary exercise test was performed between 3 and 6 weeks after medical discharge from hospital.RESULTS:
Higher peak oxygen uptake (VO2peak), ventilatory efficiency and power output were found in ICU patients with normal weight (NW) than in overweight (OW) (Mean difference 0.1 L·min-1, -5.5, 29.0 W, respectively) and obese (OB) ICU patients (Mean difference 0.1 L·min-1, -5.0, 26.2 W, respectively) (p < .05). In NW, OW and OB participants, higher VO2peak and power output were observed in control group compared with non-hospitalized (Mean difference NW 0.2 L·min-1, 83.3 W; OW 0.2 L·min-1, 60.0 W; OB 0.2 L·min-1, 70.9 W, respectively), hospitalized (Mean difference NW 0.2 L·min-1, 72.9 W; OW 0.1 L·min-1, 58.3 W; OB 0.2 Lâ¢min-1, 91.1 W, respectively) and ICU patients (Mean difference NW 0.1 L·min-1, 70.9 W; OW 0.2 L·min-1, 91.1 W; OB 0.3 L·min-1; 65.0 W, respectively) (p < .05).CONCLUSIONS:
The degree of severity of COVID-19, especially identified by hospitalization and ICU stay, together with obesity and overweight were key factors in reducing cardiorespiratory fitness in patients with COVID-19.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Body Mass Index
/
Cardiorespiratory Fitness
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COVID-19
/
Intensive Care Units
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Length of Stay
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Obesity
Limits:
Adult
/
Aged
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Female
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Humans
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Male
/
Middle aged
Language:
En
Journal:
Chron Respir Dis
Year:
2024
Document type:
Article
Affiliation country: