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The effect of SARS-CoV2 disease on fatigue, sleep, physical activity, and kinesiophobia in patients with systemic hypertension

Year 2023, Volume: 62 Issue: 3, 346 - 354, 18.09.2023

Fatih Özden , Zahide Yuvakgil , Mehmet Özkeskin , Zeynep Altın

https://doi.org/10.19161/etd.1360285

Abstract

Aim: No other studies investigated fatigue, sleep, physical activity, and kinesiophobia in individuals with hypertension. The present study aimed to investigate the effect of SARS-CoV2 disease on fatigue, sleep, physical activity, and kinesiophobia in individuals with systemic hypertension.
Materials and Methods: A prospective cross-sectional study was carried out with a total of 99 people with hypertension, including 53 of them with SARS-CoV2 disease history. Patients were evaluated with the “International Physical Activity Questionnaire Short Form (IPAQ-SF), Fatigue Severity Scale (FSS), Tampa Scale of Kinesiophobia for Heart (TSK Heart), and Pittsburgh Sleep Quality Index (PSQI)”.
Results: People with hypertension in the SARS-CoV2 positive group had a significantly higher moderate PA sub score of the IPAQ (Metabolic Equivalent of Task (MET) minutes per week) (p=0.014). Besides, the FSS scores of SARS-CoV2 positive patients were significantly higher (p=0.019). FSS was moderately associated with TSK Heart and PSQI (r1=0.575, r2=0.654, respectively). TSK Heart was moderately correlated with moderate PA sub score of the IPAQ and IPAQ-Total score (r1=-0.394, r2=-0.436, respectively).
Conclusion: SARS-CoV2 was found to be responsible for fatigue in people with hypertension. Kinesiophobia was related with both total and moderate PA in COVID-19 positive hypertension patients. Besides, fatigue was correlated with kinesiophobia and sleep quality.

Keywords

COVID-19 fear of movement primary hypertension psychological status

References

  • Wadhera RK, Shen C, Gondi S, Chen S, Kazi DS, Yeh RW. Cardiovascular deaths during the COVID-19 pandemic in the United States. Journal of the J Am Coll Cardiol 2021;77(2):159-69.
  • Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020;395(10229):1054-62.
  • Wu C, Chen X, Cai Y, et al. Risk factors associated with acute respiratory distress syndrome and death in patients with coronavirus disease 2019 pneumonia in Wuhan, China. JAMA Intern Med 2020;180(7):934-43.
  • Bozkurt B, Kovacs R, Harrington B. Joint HFSA/ACC/AHA statement addresses concerns re: using RAAS antagonists in COVID-19. J Card Fail 2020;26(5):370.
  • Yang J, Zheng Y, Gou X, et al. Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis. Int J Infect Dis 2020;94(1):91-5.
  • Drager LF, Pio-Abreu A, Lopes RD, Bortolotto LA. Is hypertension a real risk factor for poor prognosis in the COVID-19 pandemic? Curr Hypertens Rep 2020;22(6):1-6.
  • Yang X, Yu Y, Xu J, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet 2020;8(5):475-81.
  • Zekavat SM, Honigberg M, Pirruccello JP, et al. Elevated blood pressure increases pneumonia risk: epidemiological association and mendelian randomization in the UK Biobank. Med 2021;2(2):137-48.
  • Wang S, Zhang Q, Wang P, et al. Clinical features of hypertensive patients with COVID-19 compared with a normotensive group: Single-center experience in China. Open Med 2021;16(1):367-74.
  • Lima MG, Malta DC, de Oliveira Werneck A, et al. Effect of chronic non-communicable diseases (CNCDs) on the sleep of Brazilians during the COVID-19 pandemic. Sleep Med 2022;91:205-10.
  • Fernández-de-Las-Peñas C, Torres-Macho J, Velasco-Arribas M, et al. Preexisting hypertension is associated with a greater number of long-term post-COVID symptoms and poor sleep quality: a case–control study. J Hum Hypertens 2022;1(1):1-3.
  • Bhat S, Chokroverty S. Sleep disorders and COVID-19. Sleep Med 2022;91(1):253-61.
  • Perrin R, Riste L, Hann M, Walther A, Mukherjee A, Heald A. Into the looking glass: Post-viral syndrome post COVID-19. Med Hypotheses 2020;144(1):110055.
  • Nigro E, Polito R, Alfieri A, et al. Molecular mechanisms involved in the positive effects of physical activity on coping with COVID-19. Eur J Appl Physiol 2020;120(12):2569-82.
  • Browne RA, Macêdo GA, Cabral LL, et al. Initial impact of the COVID-19 pandemic on physical activity and sedentary behavior in hypertensive older adults: An accelerometer-based analysis. Exp Gerontol. 2020;142(1):111121.
  • Ghozy S, Abdelaal A, Shah J, Parker KE, Islam SMS. COVID-19 and physical inactivity: Teetering on the edge of a deadlier pandemic? J Glob Health 2021;1(1):11.
  • Valenzuela PL, Carrera-Bastos P, Galvez BG, et al. Lifestyle interventions for the prevention and treatment of hypertension. Nat Rev Cardiol 2021;18(4):251-75.
  • Durukan BN, Yagli NV, Kutukcu EC, Sener YZ, Tokgozoglu L. Health related behaviours and physical activity level of hypertensive individuals during COVID-19 pandemic. Int J Rehabil Res 2022;45(2):176.
  • Kocjan J. Impact of kinesiophobia (fear before movement) to physical activity level in patients with artery hypertension. J Educ Health Sport 2015;5(4):309-18.
  • Vlaeyen JW, Kole-Snijders AM, Boeren RG, Van Eek H. Fear of movement/(re) injury in chronic low back pain and its relation to behavioral performance. Pain 1995;62(3):363-72.
  • Nair SP, SSG FI. Impact of kinesiophobia on physical activity in patients with arterial hypertension. J Res Health Sci 2017;7(5):170-5.
  • Alterovitz SS, Mendelsohn GA. Relationship goals of middle-aged, young-old, and old-old internet daters: An analysis of online personal ads. J Aging Stud 2013;27(2):159-65.
  • Egerton T. Self-reported aging-related fatigue: A concept description and its relevance to physical therapist practice. Physical therapy. 2013;93(10):1403-13.
  • Beenakker KG, Ling CH, Meskers CG, et al. Patterns of muscle strength loss with age in the general population and patients with a chronic inflammatory state. Ageing Res Rev 2010;9(4):431-6.
  • . Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills 2010;111(1):278-84.
  • Anton HA, Miller WC, Townson AF. Measuring fatigue in persons with spinal cord injury. Arch Phys Med Rehabil 2008;89(3):538-42.
  • Armutlu K, Korkmaz NC, Keser I, et al. The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. Int J Rehabil Res 2007;30(1):81-5.
  • Acar S, Savci S, Keskinoğlu P, et al. Tampa Scale of Kinesiophobia for Heart Turkish Version Study: cross-cultural adaptation, exploratory factor analysis, and reliability. J Pain Res 2016;9(1):445.
  • Agargun M, Kara H, Anlar O. The reliability and validity of Turkish version of Pittsburgh Sleep Quality Index. Turk Psyco J. 1996;7(1):107-15.
  • Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Beh Res Methods 2009;41(4):1149-60.
  • Gignac GE, Szodorai ET. Effect size guidelines for individual differences researchers. Pers Individ Dif 2016;102(1):74-8.
  • Frith J, Zalewski P, Klawe J, et al. Impaired blood pressure variability in chronic fatigue syndrome—a potential biomarker. QJM 2012;105(9):831-8.
  • Scalco AZ, Scalco MZ, Azul JBS, Lotufo Neto F. Hypertension and depression. Clinics 2005;60(3):241-50.
  • Raveendran A, Jayadevan R, Sashidharan S. Long COVID: an overview. Diabetes Metab Syndr 2021;15(3):869-75.
  • Wostyn P. COVID-19 and chronic fatigue syndrome: Is the worst yet to come? Med Hypotheses 2021;146(1):110469.
  • Bouzid D, Visseaux B, Kassasseya C, et al. Comparison of Patients Infected With Delta Versus Omicron COVID-19 Variants Presenting to Paris Emergency Departments: A Retrospective Cohort Study. Ann Intern Med 2022;175(6):831-7.
  • Dunton GF, Wang SD, Do B, Courtney J. Early effects of the COVID-19 pandemic on physical activity locations and behaviors in adults living in the United States. Prev Med Rep 2020;20(1):101241.
  • Woods JA, Hutchinson NT, Powers SK, et al. The COVID-19 pandemic and physical activity. J Sport Health Sci 2020;2(2):55-64.
  • Crook H, Raza S, Nowell J, Young M, Edison P. Long covid—mechanisms, risk factors, and management. BMJ 2021;1(1):374.
  • Kilincel O, Muratdagi G, Aydin A, et al. The anxiety and loneliness levels of geriatric population in-home quarantine during COVID-19 pandemic in Turkey. Turk J Clin Psych 2020;23 (Supp 1):7-14.
  • Dobler CL, Krüger B, Strahler J, et al. Physical activity and mental health of patients with pulmonary hypertension during the COVID-19 pandemic. J Clin Med 2020;9(12):4023.
  • Krousel-Wood MA, Muntner P, He J, Whelton PK. Primary prevention of essential hypertension. Med Clin 2004;88(1):223-38.

Sistemik hipertansiyonu olan bireylerde SARS-CoV2 hastalığının yorgunluk, uyku, fiziksel aktivite ve kinezyofobi üzerine etkisi

Year 2023, Volume: 62 Issue: 3, 346 - 354, 18.09.2023

Fatih Özden , Zahide Yuvakgil , Mehmet Özkeskin , Zeynep Altın

https://doi.org/10.19161/etd.1360285

Abstract

Amaç: Hipertansiyonlu bireylerde yorgunluk, uyku, fiziksel aktivite ve kinezyofobiyi araştıran başka bir çalışmaya rastlanmamıştır. Bu çalışma, sistemik hipertansiyonu olan bireylerde SARS-CoV2 hastalığının yorgunluk, uyku, fiziksel aktivite ve kinezyofobi üzerindeki etkisini araştırmayı amaçlamıştır.
Gereç ve Yöntem: 53'ü SARS-CoV2 hastalık öyküsü olan hipertansiyonlu toplam 99 kişi ile prospektif kesitsel bir çalışma yapıldı. Hastalar “Uluslararası Fiziksel Aktivite Anketi Kısa Formu (UFAA-KF), Yorgunluk Şiddet Ölçeği (YŞÖ), Tampa Kalp için Kinezyofobi Skalası (TKKS) ve Pittsburgh Uyku Kalitesi İndeksi (PUKİ)” ile değerlendirildi.
Bulgular: SARS-CoV2 pozitif gruptaki bireyler, UFAA-KF'nin orta-şiddetli fiziksel aktivite skorunda anlamlı derecede daha az puana sahipti (p=0,014). Ayrıca SARS-CoV2 pozitif hastaların YŞÖ skorları anlamlı olarak daha yüksekti (p=0,019). YŞÖ, TKKS ve PUKİ ile orta derecede ilişkiliydi (r1=0,575, r2=0,654). TKKS, UFAA-KF'nin orta dereceli fiziksel aktivite ve UFAA-Toplam puanı ile orta derecede korele idi (r1=-0,394, r2=-0,436).
Sonuç: SARS-CoV2'nin hipertansiyonlu kişilerde yorgunluktan sorumlu olduğu sonucuna varıldı. Kinezyofobi, COVID-19'lu hipertansiyon hastalarında fiziksel aktivite (orta şiddetli ve toplam skor için) ile ilişkiliydi. Ayrıca yorgunluk, kinezyofobi ve uyku kalitesi ile ilişkiliydi.

Keywords

COVID-19 hareket korkusu primer hipertansiyon psikolojik durum

References

  • Wadhera RK, Shen C, Gondi S, Chen S, Kazi DS, Yeh RW. Cardiovascular deaths during the COVID-19 pandemic in the United States. Journal of the J Am Coll Cardiol 2021;77(2):159-69.
  • Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020;395(10229):1054-62.
  • Wu C, Chen X, Cai Y, et al. Risk factors associated with acute respiratory distress syndrome and death in patients with coronavirus disease 2019 pneumonia in Wuhan, China. JAMA Intern Med 2020;180(7):934-43.
  • Bozkurt B, Kovacs R, Harrington B. Joint HFSA/ACC/AHA statement addresses concerns re: using RAAS antagonists in COVID-19. J Card Fail 2020;26(5):370.
  • Yang J, Zheng Y, Gou X, et al. Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis. Int J Infect Dis 2020;94(1):91-5.
  • Drager LF, Pio-Abreu A, Lopes RD, Bortolotto LA. Is hypertension a real risk factor for poor prognosis in the COVID-19 pandemic? Curr Hypertens Rep 2020;22(6):1-6.
  • Yang X, Yu Y, Xu J, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet 2020;8(5):475-81.
  • Zekavat SM, Honigberg M, Pirruccello JP, et al. Elevated blood pressure increases pneumonia risk: epidemiological association and mendelian randomization in the UK Biobank. Med 2021;2(2):137-48.
  • Wang S, Zhang Q, Wang P, et al. Clinical features of hypertensive patients with COVID-19 compared with a normotensive group: Single-center experience in China. Open Med 2021;16(1):367-74.
  • Lima MG, Malta DC, de Oliveira Werneck A, et al. Effect of chronic non-communicable diseases (CNCDs) on the sleep of Brazilians during the COVID-19 pandemic. Sleep Med 2022;91:205-10.
  • Fernández-de-Las-Peñas C, Torres-Macho J, Velasco-Arribas M, et al. Preexisting hypertension is associated with a greater number of long-term post-COVID symptoms and poor sleep quality: a case–control study. J Hum Hypertens 2022;1(1):1-3.
  • Bhat S, Chokroverty S. Sleep disorders and COVID-19. Sleep Med 2022;91(1):253-61.
  • Perrin R, Riste L, Hann M, Walther A, Mukherjee A, Heald A. Into the looking glass: Post-viral syndrome post COVID-19. Med Hypotheses 2020;144(1):110055.
  • Nigro E, Polito R, Alfieri A, et al. Molecular mechanisms involved in the positive effects of physical activity on coping with COVID-19. Eur J Appl Physiol 2020;120(12):2569-82.
  • Browne RA, Macêdo GA, Cabral LL, et al. Initial impact of the COVID-19 pandemic on physical activity and sedentary behavior in hypertensive older adults: An accelerometer-based analysis. Exp Gerontol. 2020;142(1):111121.
  • Ghozy S, Abdelaal A, Shah J, Parker KE, Islam SMS. COVID-19 and physical inactivity: Teetering on the edge of a deadlier pandemic? J Glob Health 2021;1(1):11.
  • Valenzuela PL, Carrera-Bastos P, Galvez BG, et al. Lifestyle interventions for the prevention and treatment of hypertension. Nat Rev Cardiol 2021;18(4):251-75.
  • Durukan BN, Yagli NV, Kutukcu EC, Sener YZ, Tokgozoglu L. Health related behaviours and physical activity level of hypertensive individuals during COVID-19 pandemic. Int J Rehabil Res 2022;45(2):176.
  • Kocjan J. Impact of kinesiophobia (fear before movement) to physical activity level in patients with artery hypertension. J Educ Health Sport 2015;5(4):309-18.
  • Vlaeyen JW, Kole-Snijders AM, Boeren RG, Van Eek H. Fear of movement/(re) injury in chronic low back pain and its relation to behavioral performance. Pain 1995;62(3):363-72.
  • Nair SP, SSG FI. Impact of kinesiophobia on physical activity in patients with arterial hypertension. J Res Health Sci 2017;7(5):170-5.
  • Alterovitz SS, Mendelsohn GA. Relationship goals of middle-aged, young-old, and old-old internet daters: An analysis of online personal ads. J Aging Stud 2013;27(2):159-65.
  • Egerton T. Self-reported aging-related fatigue: A concept description and its relevance to physical therapist practice. Physical therapy. 2013;93(10):1403-13.
  • Beenakker KG, Ling CH, Meskers CG, et al. Patterns of muscle strength loss with age in the general population and patients with a chronic inflammatory state. Ageing Res Rev 2010;9(4):431-6.
  • . Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills 2010;111(1):278-84.
  • Anton HA, Miller WC, Townson AF. Measuring fatigue in persons with spinal cord injury. Arch Phys Med Rehabil 2008;89(3):538-42.
  • Armutlu K, Korkmaz NC, Keser I, et al. The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. Int J Rehabil Res 2007;30(1):81-5.
  • Acar S, Savci S, Keskinoğlu P, et al. Tampa Scale of Kinesiophobia for Heart Turkish Version Study: cross-cultural adaptation, exploratory factor analysis, and reliability. J Pain Res 2016;9(1):445.
  • Agargun M, Kara H, Anlar O. The reliability and validity of Turkish version of Pittsburgh Sleep Quality Index. Turk Psyco J. 1996;7(1):107-15.
  • Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Beh Res Methods 2009;41(4):1149-60.
  • Gignac GE, Szodorai ET. Effect size guidelines for individual differences researchers. Pers Individ Dif 2016;102(1):74-8.
  • Frith J, Zalewski P, Klawe J, et al. Impaired blood pressure variability in chronic fatigue syndrome—a potential biomarker. QJM 2012;105(9):831-8.
  • Scalco AZ, Scalco MZ, Azul JBS, Lotufo Neto F. Hypertension and depression. Clinics 2005;60(3):241-50.
  • Raveendran A, Jayadevan R, Sashidharan S. Long COVID: an overview. Diabetes Metab Syndr 2021;15(3):869-75.
  • Wostyn P. COVID-19 and chronic fatigue syndrome: Is the worst yet to come? Med Hypotheses 2021;146(1):110469.
  • Bouzid D, Visseaux B, Kassasseya C, et al. Comparison of Patients Infected With Delta Versus Omicron COVID-19 Variants Presenting to Paris Emergency Departments: A Retrospective Cohort Study. Ann Intern Med 2022;175(6):831-7.
  • Dunton GF, Wang SD, Do B, Courtney J. Early effects of the COVID-19 pandemic on physical activity locations and behaviors in adults living in the United States. Prev Med Rep 2020;20(1):101241.
  • Woods JA, Hutchinson NT, Powers SK, et al. The COVID-19 pandemic and physical activity. J Sport Health Sci 2020;2(2):55-64.
  • Crook H, Raza S, Nowell J, Young M, Edison P. Long covid—mechanisms, risk factors, and management. BMJ 2021;1(1):374.
  • Kilincel O, Muratdagi G, Aydin A, et al. The anxiety and loneliness levels of geriatric population in-home quarantine during COVID-19 pandemic in Turkey. Turk J Clin Psych 2020;23 (Supp 1):7-14.
  • Dobler CL, Krüger B, Strahler J, et al. Physical activity and mental health of patients with pulmonary hypertension during the COVID-19 pandemic. J Clin Med 2020;9(12):4023.
  • Krousel-Wood MA, Muntner P, He J, Whelton PK. Primary prevention of essential hypertension. Med Clin 2004;88(1):223-38.
There are 42 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Articles
Authors

Fatih Özden 0000-0001-6593-3758

Zahide Yuvakgil 0000-0003-1795-2705

Mehmet Özkeskin 0000-0002-6892-0108

Zeynep Altın 0000-0003-3682-1479

Publication Date September 18, 2023
Submission Date September 3, 2022
Published in Issue Year 2023Volume: 62 Issue: 3

Cite

Vancouver Özden F, Yuvakgil Z, Özkeskin M, Altın Z. The effect of SARS-CoV2 disease on fatigue, sleep, physical activity, and kinesiophobia in patients with systemic hypertension. EJM. 2023;62(3):346-54.
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