Long COVID and Its Impacts: A Case–Control Study in Brazil

<b>Introduction:</b> Long COVID, or post-COVID-19 syndrome, refers to a set of persistent symptoms following SARS-CoV-2 infection without another identifiable cause. Studies indicate that symptoms can last for up to two years and affect multiple body systems. <b>Objective:</b>...

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Main Authors: Cristina M. Ruas, Maria Laura Silva, Ana L. G. F. Figueiredo, Amanda P. de Alencar, Samuel de S. Melo, Geovani F. de Castro, Natália V. Carobin, Melina A. Cordeiro, Janete F. R. Aguirre, Amanda F. M. de Oliveira, Adriano de P. Sabino
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/13/7/1615
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author Cristina M. Ruas
Maria Laura Silva
Ana L. G. F. Figueiredo
Amanda P. de Alencar
Samuel de S. Melo
Geovani F. de Castro
Natália V. Carobin
Melina A. Cordeiro
Janete F. R. Aguirre
Amanda F. M. de Oliveira
Adriano de P. Sabino
author_facet Cristina M. Ruas
Maria Laura Silva
Ana L. G. F. Figueiredo
Amanda P. de Alencar
Samuel de S. Melo
Geovani F. de Castro
Natália V. Carobin
Melina A. Cordeiro
Janete F. R. Aguirre
Amanda F. M. de Oliveira
Adriano de P. Sabino
author_sort Cristina M. Ruas
collection DOAJ
description <b>Introduction:</b> Long COVID, or post-COVID-19 syndrome, refers to a set of persistent symptoms following SARS-CoV-2 infection without another identifiable cause. Studies indicate that symptoms can last for up to two years and affect multiple body systems. <b>Objective:</b> The objective of this study is to compare symptom prevalence between infected individuals pre and post-COVID-19 and non-infected individuals in a population from Southeastern Brazil. Materials and <b>Methods</b>: A case–control study was conducted with participants from the MonitoraCovid program in a university in Brazil. The study included adults who responded to a questionnaire about long COVID symptoms. Data were collected virtually between October 2023 and May 2024. <b>Results</b>: Of the 2886 individuals eligible for analysis, 75.5% reported having been positive for COVID-19. Most participants were vaccinated, with 82.99% receiving two doses. In the pre and post comparison, individuals who had COVID-19 were more likely to report increased symptoms after infection, with 95.5% of assessed conditions worsening, particularly cognitive and respiratory issues. A comparison between those who had and had not been infected with COVID-19 showed that only 6.67% of symptoms were more prevalent in the infected group. The most significant post-COVID-19 symptoms included memory problems, fatigue, and shortness of breath, though some conditions, such as anxiety and sleep disturbances, were less common among those who had COVID-19. <b>Conclusions</b>: The findings reinforce that long COVID significantly impacts cognitive health, highlighting the importance of monitoring previously infected individuals. The study also emphasizes the need for further research in Global South contexts to better understand the long-term implications of COVID-19.
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spelling doaj-art-4b97a9f6e0504948b1a39e12e88c93bb2025-08-20T04:00:49ZengMDPI AGBiomedicines2227-90592025-07-01137161510.3390/biomedicines13071615Long COVID and Its Impacts: A Case–Control Study in BrazilCristina M. Ruas0Maria Laura Silva1Ana L. G. F. Figueiredo2Amanda P. de Alencar3Samuel de S. Melo4Geovani F. de Castro5Natália V. Carobin6Melina A. Cordeiro7Janete F. R. Aguirre8Amanda F. M. de Oliveira9Adriano de P. Sabino10Social Pharmacy Department, Pharmacy Faculty, Federal University of Minas Gerais, Belo Horizonte 31270-901, BrazilSchool of Pharmacy, University of Bordeaux, 33000 Bordeaux, FranceClinical Analysis and Toxicological Analysis, Pharmacy Faculty, Federal University of Minas Gerais, Belo Horizonte 31270-901, BrazilClinical Analysis and Toxicological Analysis, Pharmacy Faculty, Federal University of Minas Gerais, Belo Horizonte 31270-901, BrazilClinical Analysis and Toxicological Analysis, Pharmacy Faculty, Federal University of Minas Gerais, Belo Horizonte 31270-901, BrazilSocial Pharmacy Department, Pharmacy Faculty, Federal University of Minas Gerais, Belo Horizonte 31270-901, BrazilClinical Analysis and Toxicological Analysis, Pharmacy Faculty, Federal University of Minas Gerais, Belo Horizonte 31270-901, BrazilClinical Analysis and Toxicological Analysis, Pharmacy Faculty, Federal University of Minas Gerais, Belo Horizonte 31270-901, BrazilSocial Pharmacy Department, Pharmacy Faculty, Federal University of Minas Gerais, Belo Horizonte 31270-901, BrazilSocial Pharmacy Department, Pharmacy Faculty, Federal University of Minas Gerais, Belo Horizonte 31270-901, BrazilClinical Analysis and Toxicological Analysis, Pharmacy Faculty, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil<b>Introduction:</b> Long COVID, or post-COVID-19 syndrome, refers to a set of persistent symptoms following SARS-CoV-2 infection without another identifiable cause. Studies indicate that symptoms can last for up to two years and affect multiple body systems. <b>Objective:</b> The objective of this study is to compare symptom prevalence between infected individuals pre and post-COVID-19 and non-infected individuals in a population from Southeastern Brazil. Materials and <b>Methods</b>: A case–control study was conducted with participants from the MonitoraCovid program in a university in Brazil. The study included adults who responded to a questionnaire about long COVID symptoms. Data were collected virtually between October 2023 and May 2024. <b>Results</b>: Of the 2886 individuals eligible for analysis, 75.5% reported having been positive for COVID-19. Most participants were vaccinated, with 82.99% receiving two doses. In the pre and post comparison, individuals who had COVID-19 were more likely to report increased symptoms after infection, with 95.5% of assessed conditions worsening, particularly cognitive and respiratory issues. A comparison between those who had and had not been infected with COVID-19 showed that only 6.67% of symptoms were more prevalent in the infected group. The most significant post-COVID-19 symptoms included memory problems, fatigue, and shortness of breath, though some conditions, such as anxiety and sleep disturbances, were less common among those who had COVID-19. <b>Conclusions</b>: The findings reinforce that long COVID significantly impacts cognitive health, highlighting the importance of monitoring previously infected individuals. The study also emphasizes the need for further research in Global South contexts to better understand the long-term implications of COVID-19.https://www.mdpi.com/2227-9059/13/7/1615post-acute COVID-19 syndromeCOVID-19case–control studies
spellingShingle Cristina M. Ruas
Maria Laura Silva
Ana L. G. F. Figueiredo
Amanda P. de Alencar
Samuel de S. Melo
Geovani F. de Castro
Natália V. Carobin
Melina A. Cordeiro
Janete F. R. Aguirre
Amanda F. M. de Oliveira
Adriano de P. Sabino
Long COVID and Its Impacts: A Case–Control Study in Brazil
Biomedicines
post-acute COVID-19 syndrome
COVID-19
case–control studies
title Long COVID and Its Impacts: A Case–Control Study in Brazil
title_full Long COVID and Its Impacts: A Case–Control Study in Brazil
title_fullStr Long COVID and Its Impacts: A Case–Control Study in Brazil
title_full_unstemmed Long COVID and Its Impacts: A Case–Control Study in Brazil
title_short Long COVID and Its Impacts: A Case–Control Study in Brazil
title_sort long covid and its impacts a case control study in brazil
topic post-acute COVID-19 syndrome
COVID-19
case–control studies
url https://www.mdpi.com/2227-9059/13/7/1615
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