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The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This research is funded by the Spanish Ministry of Science and Innovation MICINN/AEI/10.13039/501100011033, as a pilot study for the analysis of ADLs with technology, integrated within the Multisensory Analysis of Human Activity EYEFUL.

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Use of wearables to measure the effects of long COVID on activities of daily living and their relationship to perceived exertion, occupational performance, and quality of life

Publicated to:Frontiers In Public Health. 13 1519204- - 2025-02-19 13(), DOI: 10.3389/fpubh.2025.1519204

Authors: Hernandez-Hernandez, Lucia; Obeso-Benitez, Paula; Serrada-Tejeda, Sergio; Sanchez-Herrera-Baeza, Patricia; Rodriguez-Perez, Ma Pilar; Perez-de-Heredia-Torres, Marta; Martinez-Piedrola, Rosa Maria; Martin-Hernandez, Jorge

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Abstract

Introduction This study introduces a novel approach to understanding the impact of long COVID symptoms on daily life by integrating wearable devices to assess their influence on physical and mental quality of life, as well as perceived performance and satisfaction in daily activities.Methods By leveraging technology such as accelerometers and pulse oximeters alongside assessment tools like the SF-12 Health Survey, the Canadian Occupational Performance Measure, and the Borg Scale, this research provides a comprehensive analysis that advances the field of occupational therapy.Results An analytical observational study with 10 participants with long COVID and 10 healthy controls revealed that individuals with long COVID took significantly longer to complete tasks such as setting the table, sweeping, and climbing stairs, compared to the control group. Participants with long COVID also reported higher perceived exertion during all activities, as well as significantly worse physical health-related quality of life and lower satisfaction and performance in daily activities. Notably, perceived exertion correlated with reduced physical quality of life and diminished satisfaction and accomplishment in occupational tasks.Discussion These findings emphasize the critical need for occupational therapy interventions to reduce perceived exertion, which could improve physical quality of life and enhance performance and satisfaction in daily activities for individuals with long COVID.

Keywords

Activities of daily livingAdultAgedCanadaCovid-19FemaleHumansLong covidMaleMiddle agedOccupational performanceOccupational therapPerceived exertionPhysical exertionPost-acute covid-19 syndromeQuality of lifeSars-cov-2Wearable electronic devicesWearablesWearables, occupational therapyWork performance

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Frontiers In Public Health due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2025, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category .

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-04:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 4.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 4 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 2.75.
  • The number of mentions on the social network X (formerly Twitter): 2 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author () .

the author responsible for correspondence tasks has been Obeso Benítez, Paula.