Zoe Sirotiak, Duck-Chul Lee, Angelique G Brellenthin
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Linear regression analyses assessed the associations between PA and perceived physical and mental health, after accounting for sociodemographic, health behavior, and long COVID intensity variables, with <i>post-hoc</i> analyses comparing health across PA levels.</p><p><strong>Results: </strong>Increasing levels of PA were associated with increases in perceived physical health (<i>β</i> = 0.27, <i>p</i> < 0.001) and mental health (<i>β</i> = 0.19, <i>p</i> < 0.001) after accounting for sociodemographic and health behavior variables. PA remained significantly associated with perceived physical health (<i>β</i> = 0.15, <i>p</i> < 0.001) but not perceived mental health (<i>β</i> = 0.09, <i>p</i> = 0.067) after the adding long COVID intensity to the model. Insufficiently active and active groups reported significant better physical and mental health than the inactive group (<i>p</i>s < 0.05), while the highly active group did not significantly differ from any other group on perceived physical or mental health (<i>p</i>s > 0.05). Inactive individuals reported significantly greater long COVID symptom burden compared to each other PA level (<i>p</i>s < 0.05).</p><p><strong>Conclusion: </strong>Higher levels of PA may be associated with better physical health among individuals with long COVID, even after accounting for symptom intensity. However, long COVID symptom intensity may confound the relationship between PA and mental health among individuals with long COVID.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538967/pdf/","citationCount":"0","resultStr":"{\"title\":\"Associations between physical activity, long COVID symptom intensity, and perceived health among individuals with long COVID.\",\"authors\":\"Zoe Sirotiak, Duck-Chul Lee, Angelique G Brellenthin\",\"doi\":\"10.3389/fpsyg.2024.1498900\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Physical activity (PA) is associated with better perceived health among individuals with chronic conditions. However, PA's relationship with perceived health in people with long COVID is unclear and may be modified by long COVID symptom burden.</p><p><strong>Methods: </strong>Participants with self-reported long COVID (<i>N</i> = 379) responded to an online survey cross-sectionally assessing PA levels, perceived physical and mental health, and intensity of CDC-defined long COVID symptoms on a 0-100 scale. Linear regression analyses assessed the associations between PA and perceived physical and mental health, after accounting for sociodemographic, health behavior, and long COVID intensity variables, with <i>post-hoc</i> analyses comparing health across PA levels.</p><p><strong>Results: </strong>Increasing levels of PA were associated with increases in perceived physical health (<i>β</i> = 0.27, <i>p</i> < 0.001) and mental health (<i>β</i> = 0.19, <i>p</i> < 0.001) after accounting for sociodemographic and health behavior variables. PA remained significantly associated with perceived physical health (<i>β</i> = 0.15, <i>p</i> < 0.001) but not perceived mental health (<i>β</i> = 0.09, <i>p</i> = 0.067) after the adding long COVID intensity to the model. Insufficiently active and active groups reported significant better physical and mental health than the inactive group (<i>p</i>s < 0.05), while the highly active group did not significantly differ from any other group on perceived physical or mental health (<i>p</i>s > 0.05). Inactive individuals reported significantly greater long COVID symptom burden compared to each other PA level (<i>p</i>s < 0.05).</p><p><strong>Conclusion: </strong>Higher levels of PA may be associated with better physical health among individuals with long COVID, even after accounting for symptom intensity. However, long COVID symptom intensity may confound the relationship between PA and mental health among individuals with long COVID.</p>\",\"PeriodicalId\":12525,\"journal\":{\"name\":\"Frontiers in Psychology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2024-10-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538967/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in Psychology\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.3389/fpsyg.2024.1498900\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHOLOGY, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.3389/fpsyg.2024.1498900","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
摘要
介绍：体力活动（PA）与慢性病患者更好的健康感知相关。然而，在长期慢性病患者中，体育锻炼与健康感知之间的关系尚不明确，而且可能会受到长期慢性病症状负担的影响：方法：自我报告患有长期慢性阻塞性肺病的参与者（N = 379）回答了一项在线横截面调查，该调查评估了 PA 水平、感知的身体和心理健康以及 CDC 定义的长期慢性阻塞性肺病症状的强度（0-100 分）。在考虑了社会人口学、健康行为和长 COVID 强度变量后，线性回归分析评估了 PA 与感知的身心健康之间的关系，并对不同 PA 水平的健康状况进行了事后分析比较：结果：在将长 COVID 强度加入模型后，PA 水平的提高与身体健康感知的提高相关（β = 0.27，p β = 0.19，p β = 0.15，p β = 0.09，p = 0.067）。不够活跃组和活跃组的身心健康明显好于不活跃组（ps ps > 0.05）。与其他 PA 水平相比，不活跃人群报告的长 COVID 症状负担明显更重（ps 结论：PA 水平越高，症状负担越重；PA 水平越低，症状负担越重；PA 水平越高，症状负担越重：即使考虑到症状强度，较高水平的 PA 也可能与长期 COVID 患者较好的身体健康有关。然而，长期慢性阻塞性肺气肿症状强度可能会混淆长期慢性阻塞性肺气肿患者的业余爱好与心理健康之间的关系。
Associations between physical activity, long COVID symptom intensity, and perceived health among individuals with long COVID.
Introduction: Physical activity (PA) is associated with better perceived health among individuals with chronic conditions. However, PA's relationship with perceived health in people with long COVID is unclear and may be modified by long COVID symptom burden.
Methods: Participants with self-reported long COVID (N = 379) responded to an online survey cross-sectionally assessing PA levels, perceived physical and mental health, and intensity of CDC-defined long COVID symptoms on a 0-100 scale. Linear regression analyses assessed the associations between PA and perceived physical and mental health, after accounting for sociodemographic, health behavior, and long COVID intensity variables, with post-hoc analyses comparing health across PA levels.
Results: Increasing levels of PA were associated with increases in perceived physical health (β = 0.27, p < 0.001) and mental health (β = 0.19, p < 0.001) after accounting for sociodemographic and health behavior variables. PA remained significantly associated with perceived physical health (β = 0.15, p < 0.001) but not perceived mental health (β = 0.09, p = 0.067) after the adding long COVID intensity to the model. Insufficiently active and active groups reported significant better physical and mental health than the inactive group (ps < 0.05), while the highly active group did not significantly differ from any other group on perceived physical or mental health (ps > 0.05). Inactive individuals reported significantly greater long COVID symptom burden compared to each other PA level (ps < 0.05).
Conclusion: Higher levels of PA may be associated with better physical health among individuals with long COVID, even after accounting for symptom intensity. However, long COVID symptom intensity may confound the relationship between PA and mental health among individuals with long COVID.
期刊介绍：
Frontiers in Psychology is the largest journal in its field, publishing rigorously peer-reviewed research across the psychological sciences, from clinical research to cognitive science, from perception to consciousness, from imaging studies to human factors, and from animal cognition to social psychology. Field Chief Editor Axel Cleeremans at the Free University of Brussels is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal publishes the best research across the entire field of psychology. Today, psychological science is becoming increasingly important at all levels of society, from the treatment of clinical disorders to our basic understanding of how the mind works. It is highly interdisciplinary, borrowing questions from philosophy, methods from neuroscience and insights from clinical practice - all in the goal of furthering our grasp of human nature and society, as well as our ability to develop new intervention methods.
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