Device-assessed sleep and physical activity in individuals recovering from a hospital admission for COVID-19: a multicentre study

PHOSP-COVID Collaborative Group; Tatiana Plekhanova; Alex V Rowlands; Rachael A Evans; Charlotte L Edwardson; Nicolette C Bishop; Charlotte E Bolton; James D Chalmers; Melanie J Davies; Enya Daynes; Paddy C Dempsey; Annemarie B Docherty; Omer Elneima; Neil J Greening; Sharlene A Greenwood; Andrew P Hall; Victoria C Harris; Ewen M Harrison; Joseph Henson; Ling-Pei Ho; Alex Horsley; Linzy Houchen-Wolloff; Kamlesh Khunti; Olivia C Leavy; Nazir I Lone; Michael Marks; Ben Maylor; Hamish J C McAuley; Claire M Nolan; Krisnah Poinasamy; Jennifer K Quint; Betty Raman; Matthew Richardson; Jack A Sargeant; Ruth M Saunders; Marco Sereno; Aarti Shikotra; Amisha Singapuri; Michael Steiner; David J Stensel; Louise V Wain; Julie Whitney; Dan G Wootton; Christopher E Brightling; William D-C Man; Sally J Singh; Tom Yates

doi:10.1186/s12966-022-01333-w

Device-assessed sleep and physical activity in individuals recovering from a hospital admission for COVID-19: a multicentre study

PHOSP-COVID Collaborative Group, Tatiana Plekhanova (Lead / Corresponding author), Alex V Rowlands (Lead / Corresponding author), Rachael A Evans, Charlotte L Edwardson (Lead / Corresponding author), Nicolette C Bishop, Charlotte E Bolton, James D Chalmers, Melanie J Davies, Enya Daynes, Paddy C Dempsey, Annemarie B Docherty, Omer Elneima, Neil J Greening, Sharlene A Greenwood, Andrew P Hall, Victoria C Harris, Ewen M Harrison, Joseph Henson, Ling-Pei HoAlex Horsley, Linzy Houchen-Wolloff, Kamlesh Khunti, Olivia C Leavy, Nazir I Lone, Michael Marks, Ben Maylor, Hamish J C McAuley, Claire M Nolan, Krisnah Poinasamy, Jennifer K Quint, Betty Raman, Matthew Richardson, Jack A Sargeant, Ruth M Saunders, Marco Sereno, Aarti Shikotra, Amisha Singapuri, Michael Steiner, David J Stensel, Louise V Wain, Julie Whitney, Dan G Wootton, Christopher E Brightling, William D-C Man, Sally J Singh, Tom Yates

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

54 Downloads (Pure)

Abstract

Background: The number of individuals recovering from severe COVID-19 is increasing rapidly. However, little is known about physical behaviours that make up the 24-h cycle within these individuals. This study aimed to describe physical behaviours following hospital admission for COVID-19 at eight months post-discharge including associations with acute illness severity and ongoing symptoms.

Methods: One thousand seventy-seven patients with COVID-19 discharged from hospital between March and November 2020 were recruited. Using a 14-day wear protocol, wrist-worn accelerometers were sent to participants after a five-month follow-up assessment. Acute illness severity was assessed by the WHO clinical progression scale, and the severity of ongoing symptoms was assessed using four previously reported data-driven clinical recovery clusters. Two existing control populations of office workers and individuals with type 2 diabetes were comparators.

Results: Valid accelerometer data from 253 women and 462 men were included. Women engaged in a mean ± SD of 14.9 ± 14.7 min/day of moderate-to-vigorous physical activity (MVPA), with 12.1 ± 1.7 h/day spent inactive and 7.2 ± 1.1 h/day asleep. The values for men were 21.0 ± 22.3 and 12.6 ± 1.7 h /day and 6.9 ± 1.1 h/day, respectively. Over 60% of women and men did not have any days containing a 30-min bout of MVPA. Variability in sleep timing was approximately 2 h in men and women. More severe acute illness was associated with lower total activity and MVPA in recovery. The very severe recovery cluster was associated with fewer days/week containing continuous bouts of MVPA, longer total sleep time, and higher variability in sleep timing. Patients post-hospitalisation with COVID-19 had lower levels of physical activity, greater sleep variability, and lower sleep efficiency than a similarly aged cohort of office workers or those with type 2 diabetes.

Conclusions: Those recovering from a hospital admission for COVID-19 have low levels of physical activity and disrupted patterns of sleep several months after discharge. Our comparative cohorts indicate that the long-term impact of COVID-19 on physical behaviours is significant.

Original language	English
Article number	94
Number of pages	13
Journal	International Journal of Behavioral Nutrition and Physical Activity
Volume	19
DOIs	https://doi.org/10.1186/s12966-022-01333-w
Publication status	Published - 28 Jul 2022

Keywords

Accelerometer
Long COVID
MVPA
PHOSP-COVID
Sleep timing

ASJC Scopus subject areas

Medicine (miscellaneous)
Physical Therapy, Sports Therapy and Rehabilitation
Nutrition and Dietetics

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1186/s12966-022-01333-wLicence: CC BY

Final Published VersionFinal published version, 2.19 MBLicence: CC BY

PHOS-COVID (Joint with University of Leicester)
Chalmers, J. (Investigator) & Dicker, A. (Investigator)
Medical Research Council
1/04/21 → 31/03/26
Project: Research

Cite this

PHOSP-COVID Collaborative Group, Plekhanova, T., Rowlands, A. V., Evans, R. A., Edwardson, C. L., Bishop, N. C., Bolton, C. E., Chalmers, J. D., Davies, M. J., Daynes, E., Dempsey, P. C., Docherty, A. B., Elneima, O., Greening, N. J., Greenwood, S. A., Hall, A. P., Harris, V. C., Harrison, E. M., Henson, J., ... Yates, T. (2022). Device-assessed sleep and physical activity in individuals recovering from a hospital admission for COVID-19: a multicentre study. International Journal of Behavioral Nutrition and Physical Activity, 19, Article 94. https://doi.org/10.1186/s12966-022-01333-w

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title = "Device-assessed sleep and physical activity in individuals recovering from a hospital admission for COVID-19: a multicentre study",

abstract = "Background: The number of individuals recovering from severe COVID-19 is increasing rapidly. However, little is known about physical behaviours that make up the 24-h cycle within these individuals. This study aimed to describe physical behaviours following hospital admission for COVID-19 at eight months post-discharge including associations with acute illness severity and ongoing symptoms.Methods: One thousand seventy-seven patients with COVID-19 discharged from hospital between March and November 2020 were recruited. Using a 14-day wear protocol, wrist-worn accelerometers were sent to participants after a five-month follow-up assessment. Acute illness severity was assessed by the WHO clinical progression scale, and the severity of ongoing symptoms was assessed using four previously reported data-driven clinical recovery clusters. Two existing control populations of office workers and individuals with type 2 diabetes were comparators.Results: Valid accelerometer data from 253 women and 462 men were included. Women engaged in a mean ± SD of 14.9 ± 14.7 min/day of moderate-to-vigorous physical activity (MVPA), with 12.1 ± 1.7 h/day spent inactive and 7.2 ± 1.1 h/day asleep. The values for men were 21.0 ± 22.3 and 12.6 ± 1.7 h /day and 6.9 ± 1.1 h/day, respectively. Over 60% of women and men did not have any days containing a 30-min bout of MVPA. Variability in sleep timing was approximately 2 h in men and women. More severe acute illness was associated with lower total activity and MVPA in recovery. The very severe recovery cluster was associated with fewer days/week containing continuous bouts of MVPA, longer total sleep time, and higher variability in sleep timing. Patients post-hospitalisation with COVID-19 had lower levels of physical activity, greater sleep variability, and lower sleep efficiency than a similarly aged cohort of office workers or those with type 2 diabetes.Conclusions: Those recovering from a hospital admission for COVID-19 have low levels of physical activity and disrupted patterns of sleep several months after discharge. Our comparative cohorts indicate that the long-term impact of COVID-19 on physical behaviours is significant.",

keywords = "Accelerometer, Long COVID, MVPA, PHOSP-COVID, Sleep timing",

author = "{PHOSP-COVID Collaborative Group} and Tatiana Plekhanova and Rowlands, {Alex V} and Evans, {Rachael A} and Edwardson, {Charlotte L} and Bishop, {Nicolette C} and Bolton, {Charlotte E} and Chalmers, {James D} and Davies, {Melanie J} and Enya Daynes and Dempsey, {Paddy C} and Docherty, {Annemarie B} and Omer Elneima and Greening, {Neil J} and Greenwood, {Sharlene A} and Hall, {Andrew P} and Harris, {Victoria C} and Harrison, {Ewen M} and Joseph Henson and Ling-Pei Ho and Alex Horsley and Linzy Houchen-Wolloff and Kamlesh Khunti and Leavy, {Olivia C} and Lone, {Nazir I} and Michael Marks and Ben Maylor and McAuley, {Hamish J C} and Nolan, {Claire M} and Krisnah Poinasamy and Quint, {Jennifer K} and Betty Raman and Matthew Richardson and Sargeant, {Jack A} and Saunders, {Ruth M} and Marco Sereno and Aarti Shikotra and Amisha Singapuri and Michael Steiner and Stensel, {David J} and Wain, {Louise V} and Julie Whitney and Wootton, {Dan G} and Brightling, {Christopher E} and Man, {William D-C} and Singh, {Sally J} and Tom Yates and J George",

note = "Jointly funded by UK Research and Innovation and National Institute of Health Research (grant references: MR/V027859/1 and COV0319). {\textcopyright} 2022. The Author(s).",

year = "2022",

month = jul,

day = "28",

doi = "10.1186/s12966-022-01333-w",

language = "English",

volume = "19",

journal = "International Journal of Behavioral Nutrition and Physical Activity",

issn = "1479-5868",

publisher = "Springer Verlag",

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PHOSP-COVID Collaborative Group, Plekhanova, T, Rowlands, AV, Evans, RA, Edwardson, CL, Bishop, NC, Bolton, CE, Chalmers, JD, Davies, MJ, Daynes, E, Dempsey, PC, Docherty, AB, Elneima, O, Greening, NJ, Greenwood, SA, Hall, AP, Harris, VC, Harrison, EM, Henson, J, Ho, L-P, Horsley, A, Houchen-Wolloff, L, Khunti, K, Leavy, OC, Lone, NI, Marks, M, Maylor, B, McAuley, HJC, Nolan, CM, Poinasamy, K, Quint, JK, Raman, B, Richardson, M, Sargeant, JA, Saunders, RM, Sereno, M, Shikotra, A, Singapuri, A, Steiner, M, Stensel, DJ, Wain, LV, Whitney, J, Wootton, DG, Brightling, CE, Man, WD-C, Singh, SJ & Yates, T 2022, 'Device-assessed sleep and physical activity in individuals recovering from a hospital admission for COVID-19: a multicentre study', International Journal of Behavioral Nutrition and Physical Activity, vol. 19, 94. https://doi.org/10.1186/s12966-022-01333-w

Device-assessed sleep and physical activity in individuals recovering from a hospital admission for COVID-19: a multicentre study. / PHOSP-COVID Collaborative Group; Plekhanova, Tatiana (Lead / Corresponding author); Rowlands, Alex V (Lead / Corresponding author) et al.
In: International Journal of Behavioral Nutrition and Physical Activity, Vol. 19, 94, 28.07.2022.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Device-assessed sleep and physical activity in individuals recovering from a hospital admission for COVID-19

T2 - a multicentre study

AU - PHOSP-COVID Collaborative Group

AU - Plekhanova, Tatiana

AU - Rowlands, Alex V

AU - Evans, Rachael A

AU - Edwardson, Charlotte L

AU - Bishop, Nicolette C

AU - Bolton, Charlotte E

AU - Chalmers, James D

AU - Davies, Melanie J

AU - Daynes, Enya

AU - Dempsey, Paddy C

AU - Docherty, Annemarie B

AU - Elneima, Omer

AU - Greening, Neil J

AU - Greenwood, Sharlene A

AU - Hall, Andrew P

AU - Harris, Victoria C

AU - Harrison, Ewen M

AU - Henson, Joseph

AU - Ho, Ling-Pei

AU - Horsley, Alex

AU - Houchen-Wolloff, Linzy

AU - Khunti, Kamlesh

AU - Leavy, Olivia C

AU - Lone, Nazir I

AU - Marks, Michael

AU - Maylor, Ben

AU - McAuley, Hamish J C

AU - Nolan, Claire M

AU - Poinasamy, Krisnah

AU - Quint, Jennifer K

AU - Raman, Betty

AU - Richardson, Matthew

AU - Sargeant, Jack A

AU - Saunders, Ruth M

AU - Sereno, Marco

AU - Shikotra, Aarti

AU - Singapuri, Amisha

AU - Steiner, Michael

AU - Stensel, David J

AU - Wain, Louise V

AU - Whitney, Julie

AU - Wootton, Dan G

AU - Brightling, Christopher E

AU - Man, William D-C

AU - Singh, Sally J

AU - Yates, Tom

AU - George, J

PY - 2022/7/28

Y1 - 2022/7/28

N2 - Background: The number of individuals recovering from severe COVID-19 is increasing rapidly. However, little is known about physical behaviours that make up the 24-h cycle within these individuals. This study aimed to describe physical behaviours following hospital admission for COVID-19 at eight months post-discharge including associations with acute illness severity and ongoing symptoms.Methods: One thousand seventy-seven patients with COVID-19 discharged from hospital between March and November 2020 were recruited. Using a 14-day wear protocol, wrist-worn accelerometers were sent to participants after a five-month follow-up assessment. Acute illness severity was assessed by the WHO clinical progression scale, and the severity of ongoing symptoms was assessed using four previously reported data-driven clinical recovery clusters. Two existing control populations of office workers and individuals with type 2 diabetes were comparators.Results: Valid accelerometer data from 253 women and 462 men were included. Women engaged in a mean ± SD of 14.9 ± 14.7 min/day of moderate-to-vigorous physical activity (MVPA), with 12.1 ± 1.7 h/day spent inactive and 7.2 ± 1.1 h/day asleep. The values for men were 21.0 ± 22.3 and 12.6 ± 1.7 h /day and 6.9 ± 1.1 h/day, respectively. Over 60% of women and men did not have any days containing a 30-min bout of MVPA. Variability in sleep timing was approximately 2 h in men and women. More severe acute illness was associated with lower total activity and MVPA in recovery. The very severe recovery cluster was associated with fewer days/week containing continuous bouts of MVPA, longer total sleep time, and higher variability in sleep timing. Patients post-hospitalisation with COVID-19 had lower levels of physical activity, greater sleep variability, and lower sleep efficiency than a similarly aged cohort of office workers or those with type 2 diabetes.Conclusions: Those recovering from a hospital admission for COVID-19 have low levels of physical activity and disrupted patterns of sleep several months after discharge. Our comparative cohorts indicate that the long-term impact of COVID-19 on physical behaviours is significant.

AB - Background: The number of individuals recovering from severe COVID-19 is increasing rapidly. However, little is known about physical behaviours that make up the 24-h cycle within these individuals. This study aimed to describe physical behaviours following hospital admission for COVID-19 at eight months post-discharge including associations with acute illness severity and ongoing symptoms.Methods: One thousand seventy-seven patients with COVID-19 discharged from hospital between March and November 2020 were recruited. Using a 14-day wear protocol, wrist-worn accelerometers were sent to participants after a five-month follow-up assessment. Acute illness severity was assessed by the WHO clinical progression scale, and the severity of ongoing symptoms was assessed using four previously reported data-driven clinical recovery clusters. Two existing control populations of office workers and individuals with type 2 diabetes were comparators.Results: Valid accelerometer data from 253 women and 462 men were included. Women engaged in a mean ± SD of 14.9 ± 14.7 min/day of moderate-to-vigorous physical activity (MVPA), with 12.1 ± 1.7 h/day spent inactive and 7.2 ± 1.1 h/day asleep. The values for men were 21.0 ± 22.3 and 12.6 ± 1.7 h /day and 6.9 ± 1.1 h/day, respectively. Over 60% of women and men did not have any days containing a 30-min bout of MVPA. Variability in sleep timing was approximately 2 h in men and women. More severe acute illness was associated with lower total activity and MVPA in recovery. The very severe recovery cluster was associated with fewer days/week containing continuous bouts of MVPA, longer total sleep time, and higher variability in sleep timing. Patients post-hospitalisation with COVID-19 had lower levels of physical activity, greater sleep variability, and lower sleep efficiency than a similarly aged cohort of office workers or those with type 2 diabetes.Conclusions: Those recovering from a hospital admission for COVID-19 have low levels of physical activity and disrupted patterns of sleep several months after discharge. Our comparative cohorts indicate that the long-term impact of COVID-19 on physical behaviours is significant.

KW - Accelerometer

KW - Long COVID

KW - MVPA

KW - PHOSP-COVID

KW - Sleep timing

U2 - 10.1186/s12966-022-01333-w

DO - 10.1186/s12966-022-01333-w

M3 - Article

C2 - 35902858

SN - 1479-5868

VL - 19

JO - International Journal of Behavioral Nutrition and Physical Activity

JF - International Journal of Behavioral Nutrition and Physical Activity

M1 - 94

ER -

Device-assessed sleep and physical activity in individuals recovering from a hospital admission for COVID-19: a multicentre study

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Fingerprint

Projects

PHOS-COVID (Joint with University of Leicester)

Cite this