Physical condition and perceived fatigue in post-covid patients: an observational descriptive study

Autores

Palavras-chave:

COVID-19, Rehabilitation, Muscle Strength, SAR-Cov-2, Muscle mass, Fatigue syndrome

Resumo

BACKGROUND: Patients with severe coronavirus disease 2019 (COVID-19) often require hospital admission and experience sequelae such as chronic fatigue or low muscle mass.
OBJECTIVE: To analyze the functional capacity of a cohort of patients with severe acute respiratory syndrome coronavirus 2 who required hospitalization.
DESIGN AND SETTING: An observational descriptive study was conducted on post-COVID-19 patients referred to the Rehabilitation Department of Gregorio Marañón Hospital (Madrid, SPAIN).
METHODS: Cardiorespiratory fitness, muscle strength, body composition, and perception of fatigue and dyspnea were analyzed. Furthermore, the existing correlations between clinical variables and physical conditions were analyzed.
RESULTS: Forty-two patients who required hospital admission (80 ± 22.45 days) or intensive care unit (ICU) admission (58 ± 10.52 days) were analyzed. They presented with decreased strength, respiratory capacity, and moderate-to-severe perceived fatigue. Additionally, an inverse correlation was found between right-handgrip strength and days in the ICU, as well as the 6-minute walk test for women. Similarly, strength and fitness were negatively associated with perceived fatigue.
CONCLUSIONS: Post-COVID-19 patients showed low muscle function and low levels of physical fitness associated with high perceived fatigue.

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Biografia do Autor

Tamara Iturriaga, Universidad Europea de Madrid, Madrid, Spain

Sport Sci, MSc, PhD. Professor, Department of Sports Sciences, Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain.

Fernanda Salazar-Pérez, Universitat Internacional de Catalunya, Barcelona, Spain

Sport Sci, MSc, Professor. Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), Barcelona, Spain.

Marta Casallo-Cerezo, Gregorio Marañón General University Hospital, Madrid, Spain

MD, MSc, Physiatrist. Gregorio Marañón General University Hospital, Madrid, Spain.

Guillermo García-Pérez-de-Sevilla, Universidad Europea de Madrid, Madrid, Spain

PT, MSc, PhD. Professor. Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain.

Alicia Sosa-Pedreschi, Universidad Europea de Madrid, Madrid, Spain

Nutr Diet, MS, Professor. Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain.

Ignacio Diez-Vega, Universidad de León, Ponferrada, Spain

PT, MSc, PhD. Professor. Department of Nursing and Physiotherapy, Faculty of Health Science, Universidad de León, Ponferrada, Spain

Marta Supervia, Universidad Politécnica de Madrid, Madrid, Spain

MD, MSc, PhD. Physiatrist. Gregorio Marañón General University Hospital, Gregorio Marañón Health Research Institute, Madrid, Spain; Cardiologist. Division of Preventive Cardiology Department, Cardiovascular Medicine Mayo Clinic (MN), Madrid, Spain; Faculty of Physical Activity and Sport Sciences, Universidad Politécnica de Madrid, Madrid, Spain.

Olga Arroyo, Gregorio Marañón Health Research Institute, Madrid, Spain

MD, MSc, PhD. Physiatrist. Gregorio Marañón General University Hospital, Gregorio Marañón Health Research Institute, Madrid, Spain.

Margarita Pérez-Ruiz, Universidad Politécnica de Madrid, Madrid, Spain

MD, MSc, PhD. Profesor Titular. Grupo ImFine. Departamento de Salud y Rendimiento Humano, Facultad de Ciencias de la Actividad Física y el Deporte (INEF), Universidad Politécnica de Madrid, Madrid, Spain.

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Publicado

2025-04-07

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1.
Iturriaga T, Salazar-Pérez F, Casallo-Cerezo M, García-Pérez-de-Sevilla G, Sosa-Pedreschi A, Diez-Vega I, Supervia M, Arroyo O, Pérez-Ruiz M. Physical condition and perceived fatigue in post-covid patients: an observational descriptive study. Sao Paulo Med J [Internet]. 7º de abril de 2025 [citado 15º de outubro de 2025];142(4):1-8. Disponível em: https://periodicosapm.emnuvens.com.br/spmj/article/view/3064

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