International Journal of Behavioral Nutrition and Physical Activity (Jul 2022)
Device-assessed sleep and physical activity in individuals recovering from a hospital admission for COVID-19: a multicentre study
- Tatiana Plekhanova,
- Alex V. Rowlands,
- Rachael A. Evans,
- Charlotte L. Edwardson,
- Nicolette C. Bishop,
- Charlotte E. Bolton,
- James D. Chalmers,
- Melanie J. Davies,
- Enya Daynes,
- Paddy C. Dempsey,
- Annemarie B. Docherty,
- Omer Elneima,
- Neil J. Greening,
- Sharlene A. Greenwood,
- Andrew P. Hall,
- Victoria C. Harris,
- Ewen M. Harrison,
- Joseph Henson,
- Ling-Pei Ho,
- Alex Horsley,
- Linzy Houchen-Wolloff,
- Kamlesh Khunti,
- Olivia C. Leavy,
- Nazir I. Lone,
- Michael Marks,
- Ben Maylor,
- Hamish J. C. McAuley,
- Claire M. Nolan,
- Krisnah Poinasamy,
- Jennifer K. Quint,
- Betty Raman,
- Matthew Richardson,
- Jack A. Sargeant,
- Ruth M. Saunders,
- Marco Sereno,
- Aarti Shikotra,
- Amisha Singapuri,
- Michael Steiner,
- David J. Stensel,
- Louise V. Wain,
- Julie Whitney,
- Dan G. Wootton,
- Christopher E. Brightling,
- William D-C. Man,
- Sally J. Singh,
- Tom Yates,
- Writing group (on behalf of the PHOSP-COVID Collaborative Group)
Affiliations
- Tatiana Plekhanova
- Diabetes Research Centre, University of Leicester, Leicester General Hospital
- Alex V. Rowlands
- Diabetes Research Centre, University of Leicester, Leicester General Hospital
- Rachael A. Evans
- NIHR Leicester Biomedical Research Centre, The Institute for Lung Health, University of Leicester
- Charlotte L. Edwardson
- Diabetes Research Centre, University of Leicester, Leicester General Hospital
- Nicolette C. Bishop
- School of Sport, Exercise and Health Sciences, Loughborough University
- Charlotte E. Bolton
- University of Nottingham
- James D. Chalmers
- University of Dundee, Ninewells Hospital and Medical School
- Melanie J. Davies
- Diabetes Research Centre, University of Leicester, Leicester General Hospital
- Enya Daynes
- NIHR Leicester Biomedical Research Centre, University of Leicester
- Paddy C. Dempsey
- Diabetes Research Centre, University of Leicester, Leicester General Hospital
- Annemarie B. Docherty
- Centre for Medical Informatics, The Usher Institute, University of Edinburgh
- Omer Elneima
- NIHR Leicester Biomedical Research Centre, The Institute for Lung Health, University of Leicester
- Neil J. Greening
- NIHR Leicester Biomedical Research Centre, The Institute for Lung Health, University of Leicester
- Sharlene A. Greenwood
- Department of Physiotherapy and Renal Medicine, King’s College Hospital
- Andrew P. Hall
- University Hospitals of Leicester NHS Trust
- Victoria C. Harris
- NIHR Leicester Biomedical Research Centre, The Institute for Lung Health, University of Leicester
- Ewen M. Harrison
- Centre for Medical Informatics, The Usher Institute, University of Edinburgh
- Joseph Henson
- Diabetes Research Centre, University of Leicester, Leicester General Hospital
- Ling-Pei Ho
- MRC Human Immunology Unit, University of Oxford
- Alex Horsley
- Division of Infection, Immunity & Respiratory Medicine, Faculty of Biology, Medicine and Health, University of Manchester
- Linzy Houchen-Wolloff
- Department of Respiratory Sciences, University of Leicester
- Kamlesh Khunti
- Diabetes Research Centre, University of Leicester, Leicester General Hospital
- Olivia C. Leavy
- Department of Health Sciences, University of Leicester
- Nazir I. Lone
- Centre for Medical Informatics, The Usher Institute, University of Edinburgh
- Michael Marks
- Department of Clinical Research, London School of Hygiene & Tropical Medicine
- Ben Maylor
- Diabetes Research Centre, University of Leicester, Leicester General Hospital
- Hamish J. C. McAuley
- NIHR Leicester Biomedical Research Centre, The Institute for Lung Health, University of Leicester
- Claire M. Nolan
- Harefield Respiratory Research Group, Royal Brompton and Harefield Clinical Group, Guy’s and St, Thomas’ NHS Foundation Trust
- Krisnah Poinasamy
- Asthma UK and British Lung Foundation
- Jennifer K. Quint
- NHLI, Imperial College London
- Betty Raman
- Radcliffe Department of Medicine, University of Oxford
- Matthew Richardson
- NIHR Leicester Biomedical Research Centre, The Institute for Lung Health, University of Leicester
- Jack A. Sargeant
- Diabetes Research Centre, University of Leicester, Leicester General Hospital
- Ruth M. Saunders
- NIHR Leicester Biomedical Research Centre, The Institute for Lung Health, University of Leicester
- Marco Sereno
- NIHR Leicester Biomedical Research Centre, The Institute for Lung Health, University of Leicester
- Aarti Shikotra
- NIHR Leicester Biomedical Research Centre, University of Leicester
- Amisha Singapuri
- NIHR Leicester Biomedical Research Centre, The Institute for Lung Health, University of Leicester
- Michael Steiner
- NIHR Leicester Biomedical Research Centre, The Institute for Lung Health, University of Leicester
- David J. Stensel
- NIHR Leicester Biomedical Research Centre, University of Leicester
- Louise V. Wain
- NIHR Leicester Biomedical Research Centre, The Institute for Lung Health, University of Leicester
- Julie Whitney
- School of Life Course & Population Sciences, King’s College London
- Dan G. Wootton
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool
- Christopher E. Brightling
- NIHR Leicester Biomedical Research Centre, The Institute for Lung Health, University of Leicester
- William D-C. Man
- Royal Brompton and Harefield Clinical Group, Guys and St Thomas NHS Foundation Trust
- Sally J. Singh
- NIHR Leicester Biomedical Research Centre, The Institute for Lung Health, University of Leicester
- Tom Yates
- Diabetes Research Centre, University of Leicester, Leicester General Hospital
- Writing group (on behalf of the PHOSP-COVID Collaborative Group)
- DOI
- https://doi.org/10.1186/s12966-022-01333-w
- Journal volume & issue
-
Vol. 19,
no. 1
pp. 1 – 13
Abstract
Abstract 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 sleep several months after discharge. Our comparative cohorts indicate that the long-term impact of COVID-19 on physical behaviours is significant.
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