Journal Article DZNE-2025-00380

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Factors associated with reduction in quality of life after SARS-CoV-2 infection.

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2025
Springer Nature [London]

Scientific reports 15(1), 6833 () [10.1038/s41598-025-91388-z]

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Abstract: Long-term changes in health-related quality of life (HrQoL) after SARS-CoV-2 infection are common, but their causes and consequences are poorly understood. This prospective, population-based study examined associations between HrQoL and 49 demographic and clinical variables. HrQoL was assessed using the European Quality-of-Life-5-Dimensions-5-Level-Version in 3,475 participants (56% female; aged 18-88 years) approximately 9 months (baseline) and 26 months (follow-up) after their initial infection. Results were compared with the demographic and clinical variables using recursive feature elimination and random forest regression analyses. A statistically significant improvement in HrQoL was observed during the observation period. At baseline, 39% of the variance in HrQoL was explained by fatigue, muscle pain, number of remaining symptoms (RS), perceived stress, and age. At follow-up, fatigue, RS, perceived stress, muscle and joint pain, and age explained 54% of the variance in HrQoL. Changes in HrQoL were associated with changes in fatigue, RS, and perceived stress, meaning that if these decreased from baseline to follow-up, then HrQoL was improved. However, it was not possible to predict whether an individual's HrQoL would improve or worsen 1 year later based on baseline variable scores. The aforementioned symptoms are specifically associated with impairment in the population's usual activities.

Keyword(s): Humans (MeSH) ; Quality of Life (MeSH) ; COVID-19: psychology (MeSH) ; COVID-19: epidemiology (MeSH) ; Female (MeSH) ; Middle Aged (MeSH) ; Adult (MeSH) ; Male (MeSH) ; Aged (MeSH) ; Aged, 80 and over (MeSH) ; Adolescent (MeSH) ; SARS-CoV-2: isolation & purification (MeSH) ; Young Adult (MeSH) ; Fatigue (MeSH) ; Prospective Studies (MeSH) ; Stress, Psychological (MeSH) ; Age ; COVID-19 ; EQ-5D-5L ; Fatigue ; Post-acute COVID-19 syndrome ; Quality of life

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Contributing Institute(s):
  1. Interdisciplinary Dementia Research (AG Endres)
Research Program(s):
  1. 353 - Clinical and Health Care Research (POF4-353) (POF4-353)

Appears in the scientific report 2025
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Correction: How pain intensity and mental disorders shape chronic pain sick leave and quality of life in the general Spanish population.
Scientific reports 16(1), 18865 () [10.1038/s41598-026-58304-5] DBCoverage  Download fulltext Files BibTeX | EndNote: XML, Text | RIS


 Record created 2025-02-26, last modified 2026-01-05


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