The association between underlying conditions, risk factors, risk markers, and post-COVID conditions ≥6 months after COVID-19: A systematic review

Introduction: While various demographic factors and underlying medical conditions are associated with the development of post-COVID conditions within a month after SARS-CoV-2 infection, less is known about factors associated with post-COVID symptoms that persist for 6 months or more. The aim of this...

Full description

Saved in:
Bibliographic Details
Main Authors: Aisha Hill, Madelon Morford, Sharon Saydah, Pamela Logan, Danielle Raso, Erin C. Stone, Joanna Taliano, Emilia H. Koumans, Olga Varechtchouk
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:https://journals.lww.com/10.4103/jfmpc.jfmpc_247_24
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841545796763254784
author Aisha Hill
Madelon Morford
Sharon Saydah
Pamela Logan
Danielle Raso
Erin C. Stone
Joanna Taliano
Emilia H. Koumans
Olga Varechtchouk
author_facet Aisha Hill
Madelon Morford
Sharon Saydah
Pamela Logan
Danielle Raso
Erin C. Stone
Joanna Taliano
Emilia H. Koumans
Olga Varechtchouk
author_sort Aisha Hill
collection DOAJ
description Introduction: While various demographic factors and underlying medical conditions are associated with the development of post-COVID conditions within a month after SARS-CoV-2 infection, less is known about factors associated with post-COVID symptoms that persist for 6 months or more. The aim of this review was to determine the association between underlying conditions, other risk factors, health behaviors, and the presence of symptoms ≥6 months after COVID-19. Methods: Studies reporting on post-COVID symptoms were searched in databases, including Medline, EMBASE, Global Health, PsycInfo, Scopus, CINAHL, Proquest, and WHO COVID-19 literature, from the beginning of the pandemic until November 2022. Studies were included if they reported on symptoms ≥6 months after COVID-19 and a relevant measure of association (adjusted or unadjusted odds or risk ratio). Results: A total of 17 studies with 109,293 participants met the inclusion criteria; they were conducted in China (3), Italy (3), Spain (3), Russia (2), France (1), Germany (1), Sweden (1), Scotland (1), United Kingdom (1), and the United States (1). When compared to males, female participants were at an increased risk of post-COVID-19 symptoms (risk ratio (RR): 1.24; adjusted odds ratio (aOR): 3.08). Underlying conditions, including COPD/lung disease, overweight status or obesity, hypertension, cardiovascular disease, and asthma, were identified as possibly being associated with an increased risk of post-COVID symptoms. Conclusion: Female gender and certain underlying medical conditions were associated with an increased risk of post-COVID symptoms ≥6 months after COVID-19. Further research is needed to better understand some of these associations and identify groups that are at increased risk for persistent post-COVID conditions.
format Article
id doaj-art-088cdc70de8145a58d43567565440c45
institution Kabale University
issn 2249-4863
2278-7135
language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Family Medicine and Primary Care
spelling doaj-art-088cdc70de8145a58d43567565440c452025-01-11T10:12:46ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352024-12-0113125868588410.4103/jfmpc.jfmpc_247_24The association between underlying conditions, risk factors, risk markers, and post-COVID conditions ≥6 months after COVID-19: A systematic reviewAisha HillMadelon MorfordSharon SaydahPamela LoganDanielle RasoErin C. StoneJoanna TalianoEmilia H. KoumansOlga VarechtchoukIntroduction: While various demographic factors and underlying medical conditions are associated with the development of post-COVID conditions within a month after SARS-CoV-2 infection, less is known about factors associated with post-COVID symptoms that persist for 6 months or more. The aim of this review was to determine the association between underlying conditions, other risk factors, health behaviors, and the presence of symptoms ≥6 months after COVID-19. Methods: Studies reporting on post-COVID symptoms were searched in databases, including Medline, EMBASE, Global Health, PsycInfo, Scopus, CINAHL, Proquest, and WHO COVID-19 literature, from the beginning of the pandemic until November 2022. Studies were included if they reported on symptoms ≥6 months after COVID-19 and a relevant measure of association (adjusted or unadjusted odds or risk ratio). Results: A total of 17 studies with 109,293 participants met the inclusion criteria; they were conducted in China (3), Italy (3), Spain (3), Russia (2), France (1), Germany (1), Sweden (1), Scotland (1), United Kingdom (1), and the United States (1). When compared to males, female participants were at an increased risk of post-COVID-19 symptoms (risk ratio (RR): 1.24; adjusted odds ratio (aOR): 3.08). Underlying conditions, including COPD/lung disease, overweight status or obesity, hypertension, cardiovascular disease, and asthma, were identified as possibly being associated with an increased risk of post-COVID symptoms. Conclusion: Female gender and certain underlying medical conditions were associated with an increased risk of post-COVID symptoms ≥6 months after COVID-19. Further research is needed to better understand some of these associations and identify groups that are at increased risk for persistent post-COVID conditions.https://journals.lww.com/10.4103/jfmpc.jfmpc_247_24covid-19genderpost-covid conditionspost-covid symptomsunderlying conditions
spellingShingle Aisha Hill
Madelon Morford
Sharon Saydah
Pamela Logan
Danielle Raso
Erin C. Stone
Joanna Taliano
Emilia H. Koumans
Olga Varechtchouk
The association between underlying conditions, risk factors, risk markers, and post-COVID conditions ≥6 months after COVID-19: A systematic review
Journal of Family Medicine and Primary Care
covid-19
gender
post-covid conditions
post-covid symptoms
underlying conditions
title The association between underlying conditions, risk factors, risk markers, and post-COVID conditions ≥6 months after COVID-19: A systematic review
title_full The association between underlying conditions, risk factors, risk markers, and post-COVID conditions ≥6 months after COVID-19: A systematic review
title_fullStr The association between underlying conditions, risk factors, risk markers, and post-COVID conditions ≥6 months after COVID-19: A systematic review
title_full_unstemmed The association between underlying conditions, risk factors, risk markers, and post-COVID conditions ≥6 months after COVID-19: A systematic review
title_short The association between underlying conditions, risk factors, risk markers, and post-COVID conditions ≥6 months after COVID-19: A systematic review
title_sort association between underlying conditions risk factors risk markers and post covid conditions ≥6 months after covid 19 a systematic review
topic covid-19
gender
post-covid conditions
post-covid symptoms
underlying conditions
url https://journals.lww.com/10.4103/jfmpc.jfmpc_247_24
work_keys_str_mv AT aishahill theassociationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT madelonmorford theassociationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT sharonsaydah theassociationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT pamelalogan theassociationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT danielleraso theassociationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT erincstone theassociationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT joannataliano theassociationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT emiliahkoumans theassociationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT olgavarechtchouk theassociationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT aishahill associationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT madelonmorford associationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT sharonsaydah associationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT pamelalogan associationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT danielleraso associationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT erincstone associationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT joannataliano associationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT emiliahkoumans associationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview
AT olgavarechtchouk associationbetweenunderlyingconditionsriskfactorsriskmarkersandpostcovidconditions6monthsaftercovid19asystematicreview