dc.contributor.author | Lee, Seung Won | |
dc.contributor.author | Lee, Jinhee | |
dc.contributor.author | Moon, Sung Yong | |
dc.contributor.author | Jin, Hyun Young | |
dc.contributor.author | Yang, Jee Myung | |
dc.contributor.author | Ogino, Shuji | |
dc.contributor.author | Song, Mingyang | |
dc.contributor.author | Hong, Sung Hwi | |
dc.contributor.author | Ghayda, Ramy Abou | |
dc.contributor.author | Kronbichler, Andreas | |
dc.contributor.author | Koyanagi, Ai | |
dc.contributor.author | Jacob, Louis | |
dc.contributor.author | Dragioti, Elena | |
dc.contributor.author | Smith, Lee | |
dc.contributor.author | Giovannucci, Edward | |
dc.contributor.author | Lee, Dong Hoon | |
dc.contributor.author | Lee, Keum Hwa | |
dc.contributor.author | Shin, Youn Ho | |
dc.contributor.author | Kim, So Young | |
dc.contributor.author | Kim, Min Seo | |
dc.contributor.author | Won, Hong-Hee | |
dc.contributor.author | Ekelund, Ulf | |
dc.contributor.author | Shin, Jae Il | |
dc.contributor.author | Yon, Dong Keon | |
dc.contributor.author | Lee, I.-Min | |
dc.date.accessioned | 2021-12-10T09:27:09Z | |
dc.date.available | 2021-12-10T09:27:09Z | |
dc.date.created | 2021-08-06T09:08:24Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | British Journal of Sports Medicine. 2021, Artikkel 104203. | en_US |
dc.identifier.issn | 0306-3674 | |
dc.identifier.uri | https://hdl.handle.net/11250/2833722 | |
dc.description | Free BMJ article. This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained. | en_US |
dc.description.abstract | 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. | en_US |
dc.language.iso | eng | en_US |
dc.subject | COVID-19 | en_US |
dc.subject | physical activity | en_US |
dc.title | 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 | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © Author(s) (or their employer(s)) 2021 | en_US |
dc.source.pagenumber | 13 | en_US |
dc.source.journal | British Journal of Sports Medicine | en_US |
dc.identifier.doi | 10.1136/bjsports-2021-104203 | |
dc.identifier.cristin | 1924300 | |
dc.description.localcode | Institutt for idrettsmedisinske fag / Department of Sports Medicine | en_US |
dc.source.articlenumber | 104203 | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 2 | |