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Physical activity and the risk of SARS-CoV-2 infection, severe COVID-19 illness and COVID-19 related mortality in South Korea: a nationwide cohort study
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- Lee, Seung Won (författare)
- Sejong Univ, South Korea
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- Lee, Jinhee (författare)
- Yonsei Univ, South Korea
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- Moon, Sung Yong (författare)
- Sejong Univ, South Korea
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- Jin, Hyun Young (författare)
- Sejong Univ, South Korea
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- Yang, Jee Myung (författare)
- Univ Ulsan, South Korea
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- Ogino, Shuji (författare)
- Harvard TH Chan Sch Publ Hlth, MA USA; Brigham & Womens Hosp, MA 02115 USA; Harvard Med Sch, MA 02115 USA
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- Song, Mingyang (författare)
- Harvard TH Chan Sch Publ Hlth, MA USA
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- Hong, Sung Hwi (författare)
- Yonsei Univ, South Korea
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- Abou Ghayda, Ramy (författare)
- Case Western Reserve Univ, OH 44106 USA
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- Kronbichler, Andreas (författare)
- Univ Cambridge, England
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- Koyanagi, Ai (författare)
- Parc Sanitari St Joan de Deu, Spain; Catalan Inst Res & Adv Studies ICREA, Spain
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- Jacob, Louis (författare)
- Parc Sanitari St Joan de Deu, Spain; Ctr Invest Biomed Red Salud Mental CIBERSAM, Spain; Univ Versailles St Quentin En Yvelines, France
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- Dragioti, Elena (författare)
- Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum
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- Smith, Lee (författare)
- Anglia Ruskin Univ, England
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- Giovannucci, Edward (författare)
- Harvard TH Chan Sch Publ Hlth, MA USA; Harvard Med Sch, MA 02115 USA; Brigham & Womens Hosp, MA 02115 USA; Harvard TH Chan Sch Publ Hlth, MA USA
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- Lee, I-Min (författare)
- Harvard TH Chan Sch Publ Hlth, MA USA; Harvard Med Sch, MA 02115 USA
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- Lee, Dong Hoon (författare)
- Harvard TH Chan Sch Publ Hlth, MA USA
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- Lee, Keum Hwa (författare)
- Yonsei Univ, South Korea
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- Shin, Youn Ho (författare)
- CHA Univ, South Korea
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- Kim, So Young (författare)
- CHA Univ, South Korea
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- Kim, Min Seo (författare)
- Sungkyunkwan Univ, South Korea
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- Won, Hong-Hee (författare)
- Sungkyunkwan Univ, South Korea
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- Ekelund, Ulf (författare)
- Norwegian Sch Sports Sci, Norway; Norwegian Inst Publ Hlth, Norway
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- Shin, Jae Il (författare)
- Yonsei Univ, South Korea
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- Yon, Dong Keon (författare)
- Seoul Natl Univ, South Korea
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(creator_code:org_t)
- 2021-07-22
- 2022
- Engelska.
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Ingår i: British Journal of Sports Medicine. - : BMJ PUBLISHING GROUP. - 0306-3674 .- 1473-0480. ; 56:16, s. 901-912
- Relaterad länk:
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https://bjsm.bmj.com...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Purpose To determine the potential associations between physical activity and risk of SARS-CoV-2 infection, severe illness from COVID-19 and COVID-19 related death using a nationwide cohort from South Korea. Methods Data regarding 212 768 Korean adults (age >= 20 years), who tested for SARS-CoV-2, from 1 January 2020 to 30 May 2020, were obtained from the National Health Insurance Service of South Korea and further linked with the national general health examination from 1 January 2018 to 31 December 2019 to assess physical activity levels. SARS-CoV-2 positivity, severe COVID-19 illness and COVID-19 related death were the main outcomes. The observation period was between 1 January 2020 and 31 July 2020. Results Out of 76 395 participants who completed the general health examination and were tested for SARS-CoV-2, 2295 (3.0%) were positive for SARS-CoV-2, 446 (0.58%) had severe illness from COVID-19 and 45 (0.059%) died from COVID-19. Adults who engaged in both aerobic and muscle strengthening activities according to the 2018 physical activity guidelines had a lower risk of SARS-CoV-2 infection (2.6% vs 3.1%; adjusted relative risk (aRR), 0.85; 95% CI 0.72 to 0.96), severe COVID-19 illness (0.35% vs 0.66%; aRR 0.42; 95% CI 0.19 to 0.91) and COVID-19 related death (0.02% vs 0.08%; aRR 0.24; 95% CI 0.05 to 0.99) than those who engaged in insufficient aerobic and muscle strengthening activities. Furthermore, the recommended range of metabolic equivalent task (MET; 500-1000 MET min/week) was associated with the maximum beneficial effect size for reduced risk of SARS-CoV-2 infection (aRR 0.78; 95% CI 0.66 to 0.92), severe COVID-19 illness (aRR 0.62; 95% CI 0.43 to 0.90) and COVID-19 related death (aRR 0.17; 95% CI 0.07 to 0.98). Similar patterns of association were observed in different sensitivity analyses. Conclusion Adults who engaged in the recommended levels of physical activity were associated with a decreased likelihood of SARS-CoV-2 infection, severe COVID-19 illness and COVID-19 related death. Our findings suggest that engaging in physical activity has substantial public health value and demonstrates potential benefits to combat COVID-19.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- COVID-19; physical activity
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Lee, Seung Won
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Lee, Jinhee
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Moon, Sung Yong
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Jin, Hyun Young
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Yang, Jee Myung
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Ogino, Shuji
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Song, Mingyang
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Hong, Sung Hwi
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Abou Ghayda, Ram ...
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Kronbichler, And ...
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Koyanagi, Ai
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Jacob, Louis
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Dragioti, Elena
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Smith, Lee
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Giovannucci, Edw ...
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Lee, I-Min
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Lee, Dong Hoon
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Lee, Keum Hwa
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Shin, Youn Ho
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Kim, So Young
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Kim, Min Seo
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Won, Hong-Hee
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Ekelund, Ulf
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Shin, Jae Il
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Yon, Dong Keon
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