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2030-12-31
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PERCEIVED FATIGUE AND FUNCTIONAL STATUS AFTER MILD SYMPTOMATIC AND ASYMPTOMATIC COVID-19
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Universidade Federal do Amazonas. Manaus, AM, Brasil.
Universidade Federal do Amazonas. Manaus, AM, Brasil.
Universidade Federal do Amazonas. Manaus, AM, Brasil.
Fundação Oswaldo Cruz. Instituto Leônidas & Maria Deane. Manaus, AM, Brasil.
Universidade Federal do Amazonas. Manaus, AM, Brasil.
Universidade Federal do Amazonas. Manaus, AM, Brasil.
Universidade Federal do Amazonas. Manaus, AM, Brasil.
Universidade Federal do Amazonas. Manaus, AM, Brasil.
Fundação Oswaldo Cruz. Instituto Leônidas & Maria Deane. Manaus, AM, Brasil.
Universidade Federal do Amazonas. Manaus, AM, Brasil.
Universidade Federal do Amazonas. Manaus, AM, Brasil.
Abstract
The aim of the present study was to assess functional performance and perceived fatigue post-COVID-19 in asymptomatic or mildly symptomatic patients. A cross-sectional prospective study was conducted of 1448 individuals who were evaluated for perceived fatigue, functional capacity, handgrip strength, physical activity level, pain and dyspnea. IgG anti-SARS-CoV-2 nucleocapsid serology results and self-declared symptoms were used to classify patients into three study groups: SARS-CoV-2 seronegative, asymptomatic SARS-CoV-2 seropositive and mild infection SARS-CoV-2 seropositive. Participants with a history of moderate or severe COVID-19 were excluded from the analysis. Chi-square test and Kruskal Wallis were used to test for associations between variables. Poisson regression with robust variance was performed for perceived fatigue outcome. Statistical significance was defined as p < 0.05. Measurements for physical performance, body pain or dyspnea between the three study groups were similar. However, a significant difference was observed in reported fatigue between the study groups. Poisson crude and adjusted models confirmed an association between SARS-CoV-2 exposure and presence of perceived fatigue among the asymptomatic and symptomatic mild COVID-19 groups (PR = 1.33 [95%CI:1.09,1.61], P = 0.004 and PR = 1.26 [95%CI:1.03,1.53], P = 0.026), respectively. Upon review, although seropositive SARS-CoV-2 individuals presented a higher prevalence of perceived fatigue, their physical performance was equal to that of the seronegative group.
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