Association of sedentary lifestyle with risk of acute and post-acute COVID-19 sequelae: A retrospective cohort study

Chen ZHENG, Wendy Ya-Jun HUANG, Fenghua SUN, Martin Chi Sang WONG, Parco Ming-Fai SIU, Xiang-Ke CHEN, Stephen Heung-Sang WONG

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1 Citation (Scopus)

Abstract

Background: Evidence suggests that coronavirus disease 2019 (COVID-19) survivors could experience COVID-19 sequelae. Although various risk factors for COVID-19 sequelae have been identified, little is known about whether a sedentary lifestyle is an independent risk factor. 

Methods: In this retrospective cohort study, 4850 participants self-reported their COVID-19 sequelae symptoms between June and August 2022. A sedentary lifestyle included physical inactivity (<150 min/week of moderate-to-vigorous intensity physical activity) and prolonged sedentary behavior (≥10 h/day) before the fifth COVID-19 wave was recorded. Logistic regression analysis was performed to determine the relationships between sedentary lifestyle and risk of acute and post-acute (lasting ≥2 months) COVID-19 sequelae. 

Results: A total of 1443 COVID-19 survivors and 2962 non-COVID-19 controls were included. Of the COVID-19 survivors, >80% and >40% self-reported acute and post-acute COVID-19 sequelae, respectively. In the post-acute phase, COVID-19 survivors who were physically inactive had a 37% lower risk of insomnia, whereas those with prolonged sedentary behavior had 25%, 67%, and 117% higher risks of at least one symptom, dizziness, and “pins and needles” sensation, respectively. For the acute phase, prolonged sedentary behavior was associated with a higher risk of fatigue, “brain fog,” dyspnea, muscle pain, joint pain, dizziness, and “pins and needles” sensation. Notably, sedentary behavior, rather than physical inactivity, was correlated with a higher risk of severe post-COVID-19 sequelae in both acute and post-acute phases. 

Conclusions: Prolonged sedentary behavior was independently associated with a higher risk of both acute and post-acute COVID-19 sequelae, whereas physical inactivity played contradictory roles in COVID-19 sequelae. Copyright © 2023 Elsevier Inc.

Original languageEnglish
JournalThe American Journal of Medicine
Early online dateDec 2023
DOIs
Publication statusE-pub ahead of print - Dec 2023

Citation

Zheng, C., Huang, W. Y.-J., Sun, F.-H., Wong, M. C.-S., Siu, P. M.-F., Chen, X.-K., & Wong, S. H.-S. (2023). Association of sedentary lifestyle with risk of acute and post-acute COVID-19 sequelae: A retrospective cohort study. The American Journal of Medicine. Advance online publication. https://doi.org/10.1016/j.amjmed.2023.12.002

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