(HealthDay News) — Higher prepandemic physical activity (PA) levels are associated with lower odds of developing and being hospitalized for COVID-19, according to a study published online Feb. 13 in JAMA Network Open.

Dennis Muñoz-Vergara, DVM, MPH, from Brigham and Women’s Hospital in Boston, and colleagues examined the association between self-reported prepandemic PA levels and the risk and severity of COVID-19 in older US adults. The analysis included data from three ongoing prospective randomized clinical trials of 61,557 US adults (aged 45 years and older). 

The researchers found that when controlling for demographics, body mass index, lifestyle factors, comorbidities and medications used, those insufficiently active had no significant reduction in infection (odds ratio [OR], 0.96; 95% confidence interval [CI], 0.86 to 1.06) or hospitalization (OR, 0.98; 95% CI, 0.76 to 1.28) versus inactive individuals. However, participants who were sufficiently active had a significant reduction in infection (OR, 0.90; 95% CI, 0.84 to 0.97) and hospitalization (OR, 0.73; 95% CI, 0.60 to 0.90). The association with PA showed differences by sex, with only sufficiently active women having decreased odds of SARS-CoV-2 infection (OR, 0.87; 95% CI, 0.79 to 0.95).

“Future studies including quantitative control of PA parameters, broader racial and ethnic diversity, and information from other potential confounders (e.g., sleep quality, dietary patterns, access to healthcare and preventive behaviors) are warranted,” the authors write.

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