Searching for Factors Influencing the Severity of the Symptoms of Long COVID

Int J Environ Res Public Health. 2022 Jun 30;19(13):8013. doi: 10.3390/ijerph19138013.

Abstract

COVID-19 is a highly contagious respiratory disease. Infection with the virus can occur with differing symptom severity, from mild and moderate to severe cases, but the long-term consequences of infection have not been fully identified or studied. Long COVID is defined as occurring in individuals with a history of probable or confirmed SARS-CoV-2 infection, and symptoms persisting for at least two months within three months of onset that cannot be explained by an alternative diagnosis. The purpose of this study was to look for factors that influence the type and severity of Long COVID symptoms. In total, 932 individuals with a history of COVID-19 were qualified for the study using an original questionnaire based on the COVID-19 Yorkshire Rehab Screen (C19-YRS) questionnaire. Older adults were more likely to report problems with mobility (p < 0.001) and in performing daily activities (p = 0.014). Those with a higher BMI showed significantly more symptoms such as dyspnea at rest (p < 0.001) and on exertion (p < 0.001), feelings of chronic fatigue (p = 0.023), problems with mobility (p < 0.001), and in performing daily activities (p = 0.002). The data show that those with Long COVID should receive multidisciplinary help including additional medical and psychological support. Particular attention should be paid to elderly and obese persons, who should be included in rehabilitation programs after COVID-19 in the first place.

Keywords: BMI; COVID-19; Long COVID; SARS-CoV-2.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • COVID-19* / complications
  • COVID-19* / epidemiology
  • Delivery of Health Care
  • Humans
  • Post-Acute COVID-19 Syndrome
  • SARS-CoV-2

Grants and funding

This research received no external funding and the APC was funded by the Pomeranian Medical University in Szczecin (WNoZ-321-01/S/20/2022).