Meta-analysis of the impact of physical activity on the recovery of physical function in COVID-19 patients

Background: The decrease in physical function resulting from COVID-19 infection exerts a substantial negative influence on the quality of life of individuals. Physical activity plays a crucial and irreplaceable role in hastening the elimination of adverse effects on the body caused by acute and chro...

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Main Authors: Geng Yang, Zhigan Li, Zhenpeng Li, Linjie Huang, Peiyi Liang, Lining Liu, Dingge Li
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023065477
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author Geng Yang
Zhigan Li
Zhenpeng Li
Linjie Huang
Peiyi Liang
Lining Liu
Dingge Li
author_facet Geng Yang
Zhigan Li
Zhenpeng Li
Linjie Huang
Peiyi Liang
Lining Liu
Dingge Li
author_sort Geng Yang
collection DOAJ
description Background: The decrease in physical function resulting from COVID-19 infection exerts a substantial negative influence on the quality of life of individuals. Physical activity plays a crucial and irreplaceable role in hastening the elimination of adverse effects on the body caused by acute and chronic diseases. Nevertheless, there have been reports of unfavorable events following physical activity post-COVID-19 infection, sparking debate regarding the efficacy of physical activity as a rehabilitation method to enhance the physical function of COVID-19 patients. Objective: The aim of this study is to investigate the impact of physical activity on promoting the restoration of physical function among individuals with COVID-19, and to offer guidance for the advancement and consideration of physical activity in the rehabilitation treatment of COVID-19 patients. Methods: A search was conducted on the PubMed and Web of Science core collection databases, with the search period set from January 1, 2020, to February 6, 2023. The included literature was assessed for risk of bias and methodological quality according to the Cochrane Handbook for Systematic Reviews of Interventions, utilizing Review Manager 5.1 software. The outcome measures from the included studies were analyzed, and the quality of evidence for the outcome measures was graded using the GRADE classification criteria. Results: The effect of physical activity intervention on improving the 6-Minute Walk Test score in COVID-19 patients was better than that of conventional treatment [WMD = 69.19(95%CI = 39.38, 98.99), I2 = 57%(p = 0.03)]. The effect of physical activity on improving the 30-Second Sit-to-Stand Test score was better than that of conventional treatment [WMD = 2.98(95%CI = 1.91, 4.04), I2 = 0%(p = 0.56)]. There was no significant difference between physical activity and conventional treatment in improving Grip strength in COVID-19 patients [WMD = 2.35(95%CI = −0.49, 5.20), I2 = 0%(p = 0.80)]. The effect of physical activity on improving the Timed Up and Go test score in COVID-19 patients was better than that of conventional treatment [WMD = −1.16(95%CI = −1.98, −0.34), I2 = 4%(p = 0.35)]. The effect of physical activity on improving Forced Vital Capacity in COVID-19 patients was better than that of conventional treatment [WMD = 0.14(95%CI = 0.08, 0.21), I2 = 0%(p = 0.45)]. The effect of physical activity on improving Forced Expiratory Volume in the first second in COVID-19 patients was better than that of conventional treatment [WMD = 0.08(95%CI = 0.02, 0.15), I2 = 52%(p = 0.10)]. Conclusions: Physical activity plays a crucial role in facilitating the recovery of exercise capacity and pulmonary function in COVID-19 patients, helping to expedite the restoration of overall physical health. It is crucial for COVID-19 patients to undergo an accurate assessment of their physical condition before engaging in any physical activity.
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spelling doaj.art-0bb36c6aeaed4ff79cded771e0e9bff32023-10-01T05:59:14ZengElsevierHeliyon2405-84402023-09-0199e19339Meta-analysis of the impact of physical activity on the recovery of physical function in COVID-19 patientsGeng Yang0Zhigan Li1Zhenpeng Li2Linjie Huang3Peiyi Liang4Lining Liu5Dingge Li6Graduate School, Guangzhou Sport University, Guangzhou, 510500, Guangdong, ChinaSchool of Sports and Health, Guangzhou Sport University, Guangzhou, 510500, Guangdong, China; Corresponding author. 1268 Guangzhou Avenue Middle, Guangzhou, Guangdong, China.Sports Group, Zhongshan Yangxianyi Middle School, Zhongshan, 528403, Guangdong, ChinaGraduate School, Guangzhou Sport University, Guangzhou, 510500, Guangdong, ChinaGraduate School, Guangzhou Sport University, Guangzhou, 510500, Guangdong, ChinaGraduate School, Guangzhou Sport University, Guangzhou, 510500, Guangdong, ChinaGraduate School, Guangzhou Sport University, Guangzhou, 510500, Guangdong, ChinaBackground: The decrease in physical function resulting from COVID-19 infection exerts a substantial negative influence on the quality of life of individuals. Physical activity plays a crucial and irreplaceable role in hastening the elimination of adverse effects on the body caused by acute and chronic diseases. Nevertheless, there have been reports of unfavorable events following physical activity post-COVID-19 infection, sparking debate regarding the efficacy of physical activity as a rehabilitation method to enhance the physical function of COVID-19 patients. Objective: The aim of this study is to investigate the impact of physical activity on promoting the restoration of physical function among individuals with COVID-19, and to offer guidance for the advancement and consideration of physical activity in the rehabilitation treatment of COVID-19 patients. Methods: A search was conducted on the PubMed and Web of Science core collection databases, with the search period set from January 1, 2020, to February 6, 2023. The included literature was assessed for risk of bias and methodological quality according to the Cochrane Handbook for Systematic Reviews of Interventions, utilizing Review Manager 5.1 software. The outcome measures from the included studies were analyzed, and the quality of evidence for the outcome measures was graded using the GRADE classification criteria. Results: The effect of physical activity intervention on improving the 6-Minute Walk Test score in COVID-19 patients was better than that of conventional treatment [WMD = 69.19(95%CI = 39.38, 98.99), I2 = 57%(p = 0.03)]. The effect of physical activity on improving the 30-Second Sit-to-Stand Test score was better than that of conventional treatment [WMD = 2.98(95%CI = 1.91, 4.04), I2 = 0%(p = 0.56)]. There was no significant difference between physical activity and conventional treatment in improving Grip strength in COVID-19 patients [WMD = 2.35(95%CI = −0.49, 5.20), I2 = 0%(p = 0.80)]. The effect of physical activity on improving the Timed Up and Go test score in COVID-19 patients was better than that of conventional treatment [WMD = −1.16(95%CI = −1.98, −0.34), I2 = 4%(p = 0.35)]. The effect of physical activity on improving Forced Vital Capacity in COVID-19 patients was better than that of conventional treatment [WMD = 0.14(95%CI = 0.08, 0.21), I2 = 0%(p = 0.45)]. The effect of physical activity on improving Forced Expiratory Volume in the first second in COVID-19 patients was better than that of conventional treatment [WMD = 0.08(95%CI = 0.02, 0.15), I2 = 52%(p = 0.10)]. Conclusions: Physical activity plays a crucial role in facilitating the recovery of exercise capacity and pulmonary function in COVID-19 patients, helping to expedite the restoration of overall physical health. It is crucial for COVID-19 patients to undergo an accurate assessment of their physical condition before engaging in any physical activity.http://www.sciencedirect.com/science/article/pii/S2405844023065477Physical activityCOVID-19Physical functionMeta-analysis
spellingShingle Geng Yang
Zhigan Li
Zhenpeng Li
Linjie Huang
Peiyi Liang
Lining Liu
Dingge Li
Meta-analysis of the impact of physical activity on the recovery of physical function in COVID-19 patients
Heliyon
Physical activity
COVID-19
Physical function
Meta-analysis
title Meta-analysis of the impact of physical activity on the recovery of physical function in COVID-19 patients
title_full Meta-analysis of the impact of physical activity on the recovery of physical function in COVID-19 patients
title_fullStr Meta-analysis of the impact of physical activity on the recovery of physical function in COVID-19 patients
title_full_unstemmed Meta-analysis of the impact of physical activity on the recovery of physical function in COVID-19 patients
title_short Meta-analysis of the impact of physical activity on the recovery of physical function in COVID-19 patients
title_sort meta analysis of the impact of physical activity on the recovery of physical function in covid 19 patients
topic Physical activity
COVID-19
Physical function
Meta-analysis
url http://www.sciencedirect.com/science/article/pii/S2405844023065477
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