Covid-19 hastalık şiddetini belirleyici faktörler olarak fiziksel aktivite düzeyi ve besin takviyesi kullanımının değerlendirilmesi
Özet
The aim of this study is to evaluate the level of physical activity and the use of
nutritional supplements as factors determining the severity of Covid-19 disease. The study
included 955 individuals (77,7% of whom were women) between the ages of 18 and 64 with
positive Covid-19 test results. The data collection form developed by the researchers and the
International Physical Activity Questionnaire-Short Form (IPAQ-SF) were used to collect
the data. Volunteers participated in the study through the research link created via Google e-
forms. In data analysis, numerical variables were compared with the significance test of the
difference between two means or the Mann-Whitney U test, and categorical variables were
compared with the Chi-Square test, Fisher's exact test, or Fisher-Freeman-Halton test. A
logistic regression analysis was used to assess the factors influencing hospitalization due to
Covid-19. Physical activity energy expenditure (MET- min/wk) was found to be lower in
individuals hospitalized due to Covid-19 compared to those who were not hospitalized
(p<0,001). Hospitalized patients (%87,5) had higher levels of low physical activity (<600
MET- min/wk) than non-hospitalized patients (%53,6) (p<0,001). Furthermore, low physical
activity level increased hospitalization due to Covid-19 by 5.31 times compared to moderate
and high physical activity levels (p<0,05). No significant difference was observed between
the hospitalization rates of those who participated in moderate to vigorous physical activity
for less than 150 minutes per week and those who had 150 minutes or more per week
(p>0,05). Hospitalization rates due to Covid-19 differed significantly between the frequency
categories of low to moderate physical activity participation (p<0,05). The percentage of
those who "rarely or never" participated in low-to-moderate activities was higher in
hospitalized patients (40%) than in non- hospitalized patients (19.7%). There was no
significant difference between the frequency of participation in high-intensity physical
activities in terms of hospitalization rate (p>0,05). There was no significant difference
between the hospitalization rates of those who used nutritional supplements before or during
the Covid-19 disease and those who did not (p>0,05). In conclusion, the findings of this
study indicated that individuals with higher levels and frequencies of physical activity may
have lower hospitalization rates due to Covid-19 disease, whereas nutritional supplement use
had no significant effect on the severity of the disease.