| Title: |
Device-assessed sleep and physical activity in individuals recovering from a hospital admission for COVID-19: a multicentre study |
| Authors: |
Plekhanova, T; Rowlands, AV; Evans, RA; Edwardson, CL; Bishop, NC; Bolton, CE; Chalmers, JD; Davies, MJ; Daynes, E; Dempsey, PC; Docherty, AB; Elneima, O; Greening, NJ; Greenwood, SA; Hall, AP; Harris, VC; Harrison, EM; Henson, J; Ho, L-P; Horsley, A; Houchen-Wolloff, L; Khunti, K; Leavy, OC; Lone, NI; Marks, M; Maylor, B; McAuley, HJC; Nolan, CM; Poinasamy, K; Quint, JK; Raman, B; Richardson, M; Sargeant, JA; Saunders, RM; Sereno, M; Shikotra, A; Singapuri, A; Steiner, M; Stensel, DJ; Wain, LV; Whitney, J; Wootton, DG; Brightling, CE; Man, WD-C; Singh, SJ; Yates, T |
| Contributors: |
Group), Writing group (on behalf of the PHOSP-COVID Collaborative; Sigfrid, LA |
| Publisher Information: |
BioMed Central |
| Publication Year: |
2024 |
| Collection: |
Oxford University Research Archive (ORA) |
| Description: |
Background: The number of individuals recovering from severe COVID-19 is increasing rapidly. However, little is known about physical behaviours that make up the 24-h cycle within these individuals. This study aimed to describe physical behaviours following hospital admission for COVID-19 at eight months post-discharge including associations with acute illness severity and ongoing symptoms. Methods: One thousand seventy-seven patients with COVID-19 discharged from hospital between March and November 2020 were recruited. Using a 14-day wear protocol, wrist-worn accelerometers were sent to participants after a five-month follow-up assessment. Acute illness severity was assessed by the WHO clinical progression scale, and the severity of ongoing symptoms was assessed using four previously reported data-driven clinical recovery clusters. Two existing control populations of office workers and individuals with type 2 diabetes were comparators. Results: Valid accelerometer data from 253 women and 462 men were included. Women engaged in a mean ± SD of 14.9 ± 14.7 min/day of moderate-to-vigorous physical activity (MVPA), with 12.1 ± 1.7 h/day spent inactive and 7.2 ± 1.1 h/day asleep. The values for men were 21.0 ± 22.3 and 12.6 ± 1.7 h /day and 6.9 ± 1.1 h/day, respectively. Over 60% of women and men did not have any days containing a 30-min bout of MVPA. Variability in sleep timing was approximately 2 h in men and women. More severe acute illness was associated with lower total activity and MVPA in recovery. The very severe recovery cluster was associated with fewer days/week containing continuous bouts of MVPA, longer total sleep time, and higher variability in sleep timing. Patients post-hospitalisation with COVID-19 had lower levels of physical activity, greater sleep variability, and lower sleep efficiency than a similarly aged cohort of office workers or those with type 2 diabetes. Conclusions: Those recovering from a hospital admission for COVID-19 have low levels of physical activity and disrupted patterns of ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1186/s12966-022-01333-w |
| Availability: |
https://doi.org/10.1186/s12966-022-01333-w; https://ora.ox.ac.uk/objects/uuid:5a0c1139-d815-4a5d-b989-2e5793fa3bb4 |
| Rights: |
info:eu-repo/semantics/openAccess ; CC Attribution (CC BY) |
| Accession Number: |
edsbas.CF3B8897 |
| Database: |
BASE |