Health
Long COVID symptoms may depend on the variant a person contracted
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Completely different variants of SARS-CoV-2, the virus that causes COVID, could give rise to totally different lengthy COVID signs, in response to a examine that shall be introduced at the European Congress of Medical Microbiology & Infectious Illnesses (ECCMID 2022) in Lisbon subsequent month.
Italian researchers instructed that people who had been contaminated with the alpha variant of the virus displayed totally different emotional and neurological signs in comparison with those that had been contaminated with the unique type of SARS-CoV-2, an early launch from the ECCMID relating to the examine.
The examine led by Dr. Michele Spinicci and colleagues from the College of Florence and Careggi College Hospital in Italy carried out a retrospective observational examine of 428 sufferers who had been handled on the Careggi College Hospital’s post-COVID outpatient service between June 2020 and June 2021. In response to the discharge, that was the interval when the unique type of SARS-CoV-2 and the Alpha variant had been affecting the inhabitants.
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In response to the report, not less than three-quarters 325/428 (76%) of sufferers reported not less than one persistent symptom. The commonest signs reported by the group of lengthy COVID sufferers had been shortness of breath (37%) and persistent fatigue (36%). These had been adopted by sleep issues (16%), mind fog (13%) and visible issues (13%), in response to the discharge.
The researchers’ evaluation instructed that people with extreme instances, who required immunosuppressant medicine reminiscent of tocilizumab, had been six occasions as prone to report lengthy COVID signs and people who had been handled with excessive movement oxygen help had been 40 p.c extra prone to expertise lengthy hauler signs.
The discharge additionally famous that ladies in comparison with males, had been virtually twice as prone to report lengthy COVID signs. The authors famous that sufferers with sort 2 diabetes appeared to have a decrease threat of creating lengthy COVID signs and mentioned additional research are wanted to higher perceive this discovering.
Upon additional analysis of the lengthy COVID signs, the researchers found a considerable change within the sample of neurological and cognitive/emotional issues reported by sufferers contaminated through the interval between March and December 2020, when the unique SARS-COV-2 was dominant, in comparison with these reported by sufferers contaminated between January and April 2021 when alpha was the dominant variant.
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The discharge said that the researchers discovered when the alpha variant was the dominant pressure, the prevalence of muscle aches and ache, insomnia, mind fog and anxiousness/melancholy considerably elevated, whereas lack of odor, dysgeusia (a distorted sense of style), and impaired listening to had been much less frequent.
“Most of the signs reported on this examine have been measured, however that is the primary time they’ve been linked to totally different COVID-19 variants”, Dr. Spinicci mentioned within the launch. “The lengthy period and broad vary of signs reminds us that the issue shouldn’t be going away, and we have to do extra to help and shield these sufferers in the long run. Future analysis ought to deal with the potential impacts of variants of concern and vaccination standing on ongoing signs.”
Information for the examine was obtained from digital medical information of sufferers who had been hospitalized with COVID-19 and discharged 4-12 weeks earlier than being seen for outpatient service. The info for the examine included a questionnaire on persistent signs accomplished by the people on common 53 days after hospital discharge. Extra information included affected person demographics, medical historical past, and microbiological and medical COVID-19 course, the discharge mentioned.
Dr. Aaron Glatt, chief of infectious ailments at Mount Sinai South Nassau in New York, was not a part of the examine however instructed Fox Information that it might be stunning if there weren’t such variations.
Glatt, who can also be a spokesperson for the Infectious Illnesses Society of America additionally mentioned, “It’s eminently clear that the totally different variants have totally different capabilities. Clearly, a few of them are extra contagious, and a few of them are in a position to trigger extra extreme sickness. Likewise, some variants have a larger predilection for various age teams. Subsequently, it’s no shock that there could also be variations in “lengthy COVID” between the variants as nicely.”
The discharge additionally said that the authors acknowledged, “The examine was observational and doesn’t show trigger and impact, they usually couldn’t affirm which variant of the virus brought about the an infection in several sufferers—which can restrict the conclusions that may be drawn.”
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Health
Sleepy during the day? It could be an early warning sign of dementia, study suggests
Feeling sleepy during the day could signal a more serious issue for some groups.
A new study published in the journal Neurology revealed a possible connection between daytime sleepiness in older people and dementia risk.
People who lack enthusiasm for activities and feel sleepy during the day were found to have a higher risk of developing a condition called motoric cognitive risk syndrome (MCR).
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MCR can cause people to walk at slower speeds and experience memory issues – and it can occur before dementia develops.
The study, led by Albert Einstein College of Medicine in the Bronx, New York, included 445 participants averaging 76 years of age who did not have dementia.
Participants were asked about memory issues and walked on treadmills to assess their walking speeds. This was repeated once a year for an average of three years.
The group also completed a sleep assessment to gauge sleeping problems, patterns and medications.
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The researchers also tracked how often people had trouble staying awake while driving, eating or being social, as well as their issues maintaining enthusiasm for daily tasks.
At the start, 42 people had MCR, while another 36 developed the condition during the study.
After adjusting for factors like age, depression and other health conditions, researchers found that people with a lack of enthusiasm and daytime sleepiness were more than three times as likely to develop MCR.
“Our findings suggest that sleep issues affecting daytime wakefulness are most strongly associated with later cognitive risk,” study author Victoire Leroy, MD, PhD, of Albert Einstein College of Medicine in New York, told Fox News Digital.
“This supports the hypothesis that sleep-related problems, particularly daytime sleepiness, are connected to cognitive impairment in older adults.”
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“More research needs to be done to look at the relationship between sleep issues and cognitive decline and the role played by motoric cognitive risk syndrome,” Leroy added.
The study did have some limitations, the researchers noted.
It did not prove that sleep-related issues cause MCR, but only showed an association. Participants also self-reported their own sleep information, which left some room for bias.
“These results should be interpreted with caution due to several limitations in the study, and the association is not shown to be causal,” Leroy told Fox News Digital.
“Further research is needed to validate this relationship and its underlying mechanisms.”
Sleep expert Dr. Wendy Troxel, RAND Corporation senior behavioral specialist and licensed clinical psychologist in Utah, commented on the study in a conversation with Fox News Digital.
“Our findings suggest that sleep issues affecting daytime wakefulness are most strongly associated with later cognitive risk.”
As sleep problems and depression are “highly related,” it’s “important to disentangle whether their sleep problems uniquely contribute to MCR, over and above the effects of depression,” said Troxel, who was not involved in the study.
“Results showed that people with poor sleep quality had a higher chance of developing MCR, but this link was no longer significant when accounting for depression,” she added.
Sleep-related daytime impairment remained a significant risk factor for MCR even after adjusting for depression, according to Troxel.
“These findings add to a growing body of evidence suggesting that promoting sleep health may be an important strategy to reduce the risk of dementia and emphasize the need for better screening and diagnosis for sleep disorders, such as insomnia and sleep apnea,” she said.
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These disorders are “prevalent and treatable” in both men and women, Troxel noted, but they remain “under-diagnosed and under-treated.”
The study was supported by the National Institute on Aging.
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