Small steps, strong shield: directly measured, moderate physical activity in 65 361 adults is associated with significant protective effects from severe COVID-19 outcomes Article Swipe
Lizelle Steenkamp
,
Robin Saggers
,
Rossella M. Bandini
,
Saverio Stranges
,
Yun‐Hee Choi
,
Jane S Thornton
,
Simon Hendrie
,
Deepak S. Patel
,
Shannon Rabinowitz
,
Jon Patricios
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1136/bjsports-2021-105159
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1136/bjsports-2021-105159
Objective To determine the association between directly measured physical activity and hospitalisation, intensive care unit (ICU) admission, ventilation and mortality rates in patients with a confirmed diagnosis of COVID-19. Methods Directly measured physical activity data from 65 361 adult patients with a COVID-19 diagnosis from 19 March 2020 to 30 June 2021, were grouped by activity level: low (<60 min/week), moderate (60–149 min/week) and high activity (≥150 min/week). The association of physical activity levels and the risk of adverse outcomes was analysed using modified Poisson regression. We accounted for demographics and comorbidities including conditions known to influence COVID-19 outcomes, as well as patient complexity as measured by the Johns Hopkins Adjusted Clinical Group system. The regression approach was further validated with a Bayesian network model built off a directed acyclic graph. Results High physical activity was associated with lower rates of hospitalisation (risk ratio, RR 0.66, 95% CI 0.63 to 0.70), ICU admission (RR 0.59, 95% CI 0.52 to 0.66), ventilation (RR 0.55, 95% CI 0.47 to 0.64) and death (RR 0.58, 95% CI 0.50 to 0.68) due to COVID-19 than those who engaged in low physical activity. Moderate physical activity also was associated with lower rates of hospitalisation (RR 0.87, 95% CI 0.82 to 0.91), admission to ICU (RR 0.80, 95% CI 0.71 to 0.89), ventilation (RR 0.73, 95% CI 0.62 to 0.84) and death (RR 0.79, 95% CI 0.69 to 0.91). Conclusions Adults with high and moderate physical activity levels had significantly better outcomes than those with low activity when contracting COVID-19. The apparent protective effects of regular physical activity extended to those with concomitant chronic medical conditions.
Related Topics
Concepts
Medicine
Poisson regression
Intensive care unit
Mechanical ventilation
Relative risk
Physical activity
Coronavirus disease 2019 (COVID-19)
Internal medicine
Rate ratio
Emergency medicine
Confidence interval
Physical therapy
Population
Disease
Infectious disease (medical specialty)
Environmental health
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/bjsports-2021-105159
- https://bjsm.bmj.com/content/bjsports/56/10/568.full.pdf
- OA Status
- hybrid
- Cited By
- 63
- References
- 31
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4210909333
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4210909333Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1136/bjsports-2021-105159Digital Object Identifier
- Title
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Small steps, strong shield: directly measured, moderate physical activity in 65 361 adults is associated with significant protective effects from severe COVID-19 outcomesWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-02-09Full publication date if available
- Authors
-
Lizelle Steenkamp, Robin Saggers, Rossella M. Bandini, Saverio Stranges, Yun‐Hee Choi, Jane S Thornton, Simon Hendrie, Deepak S. Patel, Shannon Rabinowitz, Jon PatriciosList of authors in order
- Landing page
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https://doi.org/10.1136/bjsports-2021-105159Publisher landing page
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https://bjsm.bmj.com/content/bjsports/56/10/568.full.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
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https://bjsm.bmj.com/content/bjsports/56/10/568.full.pdfDirect OA link when available
- Concepts
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Medicine, Poisson regression, Intensive care unit, Mechanical ventilation, Relative risk, Physical activity, Coronavirus disease 2019 (COVID-19), Internal medicine, Rate ratio, Emergency medicine, Confidence interval, Physical therapy, Population, Disease, Infectious disease (medical specialty), Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
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63Total citation count in OpenAlex
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2025: 8, 2024: 17, 2023: 18, 2022: 20Per-year citation counts (last 5 years)
- References (count)
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31Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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