- Research Article
30
- 10.1177/14799731211035822
Relationships between prolonged physical and social isolation duringthe COVID-19 pandemic, reduced physical activity and disability in activities ofdaily living among people with advanced respiratory disease
- Jan 01, 2021
- Chronic Respiratory Disease
- Lucy Fettes + 6 more +6
In people with advanced respiratory disease, we examined (i) the impact ofCOVID-19–related physical and social isolation on physical activity and (ii)relationships between time spent in isolation and disability in activities ofdaily living. Cross-sectional analysis was conducted in adults with advancednon-small cell lung cancer, chronic obstructive lung disease or interstitiallung disease. Measures included change in physical activity since physically andsocially isolating (Likert scale) and disability (Barthel Index and Lawton–BrodyIADL scale) or difficulty (World Health Organisation Disability AssessmentSchedule-2.0) in daily activities. Multiple logistic regression was used toexamine factors associated with disability in daily activities. 194/201participants were isolating for a median [IQR] 5 [3–8]-month period, oftenleading to lower levels of physical activity at home (n = 94,47%), and outside home (n = 129, 65%). 104 (52%) and 142 (71%)were not fully independent in basic and instrumental activities of daily living,respectively. 96% reported some degree of difficulty in undertaking dailyactivities. Prolonged physical and social isolation related to increaseddisability in basic (r = −0.28, p < 0.001) and instrumental(r = −0.24, p < 0.001) activities of daily living, andgreater difficulty in daily activities (r = 0.22, p = 0.002).Each month spent in physical or social isolation was independently related todisability in basic activities of daily living (odds ratio [OR], 1.17 [95% CI:1.03–1.33], p = 0.013). These findings suggest disability indaily activities is associated with prolonged physical or social isolation,which may present as difficulty in people who are fully independent.Post-isolation recovery and rehabilitation needs should be considered for allpeople deemed extremely clinically vulnerable.
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