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Introduction: After COVID-19 infection, symptoms last for weeks or months. In this study, it was aimed to examine the relationship between functional status and fatigue and the associated factors in patients with COVID-19. Method(s): Patients with COVID-19 infection who applied to 13 centers were included into the study according to the inclusion criteria. Age, gender, height, body weight, body mass index (BMI), marital status, smoking status and amount, presence, duration of chronic disease, Charlson comorbidity index, regular exercise habit, time of diagnosis with COVID-19, presence of hospitalization,length of hospital stay, intubation status, home oxygen therapy need, participation in PR program, presence of dyspnea, cough, sputum, mMRC score, post-COVID functional status scale, fatigue severity scale, EQ-5D-5L Questionnaire scores were recorded. Result(s): Of the 1095 patients, 603 (55%) were male and 492 (45%) were female. Their mean age was 50+/-14 years. The most common chronic lung disease was COPD (11%), while 266 patients (29%) had non-pulmonary systemic disease. The median time of COVID-19 diagonosis was 5 months ago with 47% hospitalization rate. The median value of post-COVID functional status scale was 1 (0:4), and fatigue severity scale score was 4.4 (1:7). There was a significant correlation between post-COVID functional status and fatigue severity scale (r=0.43, p <0.01). Conclusion(s): Functional status and fatigue were found to be related primarily to quality of life and then patients' age, BMI, presence of chronic and systemic lung disease, regular exercise habits before COVID-19, hospitalization and its duration, home oxygen therapy and symptoms.
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Background/Introduction: Hypertension is an important and common reason of cardiovascular diseases. Hypertension can prevent, delay and/or manage with lifestyle modifications like regular physical activity participiation, stress management. During COVID-19 pandemic physical inactivity, increased stress and anxiety levels impair disease management of hypertensive individuals and becomes a serious risk factor for healthy individuals. Purpose: We aimed to investigate and compare physical activity, anxiety and depression level of hypertensive and healthy individuals. Methods: Forty hypertensive and forty healthy individuals were included in the study (Mean age: 51,15±6,96 years and 49,75±8,41 years, respectively). Patients informed about the study and invited during their cardiology visit and called by a physiotherapist in lockdown periods. In phone call, working status, quarantina compliance, sociodemographic status were asked. Physical activity levels were assessed with International Physical Activity Questionnnaire-Long Version (IPAQ), anxiety and depression levels were examined with Hospital Anxiety and Depression Scale (HAD). Patients categorized as inactive, minimally active and active according to METs results of IPAQ and classified as increased depression and/or anxiety according to HAD results. Results: Working status, quarantina compliance and gender were similar between groups (p>0,05). Anxiety and depression scores were similar but number of people who had increased depression were higher in hypertensive group. Considering physical activity, transport, vigorous domestic activities, leisure time vigorous activities and total physical activity levels were statistically different between groups (p<0,01, p=0,002, p=0,002,respectively) and hypertensive individuals were less active. When we compared physical activity categorization, in hypertensive group 12,5% were active, 47,5% were minimally active and 40% were sedentary and in healthy group 32,5% were active, 50% were minimally active and 17,5% were sedentary and physical activity status were statistically significant (p=0,029). Conclusion(s): According to our results, hypertensives were more inactive and deprressed than healthy controls. Quarantine periods become very inactive periods for all populations but this is very crucial for especially risky populations. To prevent upcoming cardiovascular diseases and complications of hypertension physical activity and psychosocial support can implement by healthcare providers.
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Background/Introduction: Covid-19 disease, which affects more than 128 million people worldwide, has caused changes in lifestyle and physical activity habits in patients with cardiovascular disease due to lockdown restrictions. During the pandemic period, patients with chronic diseases (also patients with comorbidities) cannot participate in physical activity and exercise programs due to social isolation. Purpose: The aim of our study is to investigate the relationship between the comorbidities of heart rhythm disorder patients and their physical activity levels and kinesophobia in the Covid-19 pandemic. Methods: 105 individuals (54 healthy adults, 51 patients with heart rhythm disorders) were included in this study. Physical Activity Level: Physical activity level was evaluated using the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Fear of Movement: Fear of movement was evaluated using the Tampa Scale of Kinesiophobia for Heart. The Comorbid Conditions: The comorbid conditions of the patients were evaluated by the Charlson comorbidity index. Results: Table 1. In patients with heart rhythm disorders, there was a negative, moderate correlation between the Charlson comorbidity index and the number of daily steps (r=-402, p=0.03), while a positive, moderate relationship with the Charlson comorbidity index and Tampa score (r=391, p=0.05) has been found. Conclusion: While the Charlson comorbidity index value and Tampa Score were higher in patients with heart rhythm disorders than in the control group, the number of inactive patients among the subgroups of the IPAQSF scale was higher than the control group. While heart rhythm disorders patients with more comorbidities are more prone to develop kinesiophobia, the number of daily steps decreases in the same direction. Management of comorbidities of patients with heart rhythm disorders can be provided by physical activity counseling to these people.