{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T21:52:28Z","timestamp":1791841948815,"version":"4.3.4"},"reference-count":64,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T00:00:00Z","timestamp":1682380800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Post-acute COVID-19 syndrome is frequently observed in workers and has a substantial impact on work ability. We conducted a health promotion program to identify cases of post-COVID syndrome, analyze the distribution of symptoms and their association with work ability. Of the 1422 workers who underwent routine medical examination in 2021, 1378 agreed to participate. Among the latter, 164 had contracted SARS-CoV-2 and 115 (70% of those who were infected) had persistent symptoms. A cluster analysis showed that most of the post-COVID syndrome cases were characterized by sensory disturbances (anosmia and dysgeusia) and fatigue (weakness, fatigability, tiredness). In one-fifth of these cases, additional symptoms included dyspnea, tachycardia, headache, sleep disturbances, anxiety, and muscle aches. Workers with post-COVID were found to have poorer quality sleep, increased fatigue, anxiety, depression, and decreased work ability compared with workers whose symptoms had rapidly disappeared. It is important for the occupational physician to diagnose post-COVID syndrome in the workplace since this condition may require a temporary reduction in work tasks and supportive treatment.<\/jats:p>","DOI":"10.3390\/ijerph20095638","type":"journal-article","created":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T01:44:42Z","timestamp":1682473482000},"page":"5638","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Post-COVID Symptoms in Occupational Cohorts: Effects on Health and Work Ability"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0988-7344","authenticated-orcid":false,"given":"Nicola","family":"Magnavita","sequence":"first","affiliation":[{"name":"Post-Graduate School of Occupational Health, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"},{"name":"Department of Woman, Child and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy"},{"name":"Occupational Health Service, Local Health Unit Roma 4, 00053 Civitavecchia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8763-2761","authenticated-orcid":false,"given":"Gabriele","family":"Arnesano","sequence":"additional","affiliation":[{"name":"Post-Graduate School of Occupational Health, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5956-1038","authenticated-orcid":false,"given":"Reparata Rosa","family":"Di Prinzio","sequence":"additional","affiliation":[{"name":"Post-Graduate School of Occupational Health, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"},{"name":"Health Systems and Service Research, Post-Graduate School of Health Economics and Management, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Gasbarri","sequence":"additional","affiliation":[{"name":"Post-Graduate School of Occupational Health, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"},{"name":"Occupational Health Service, Local Health Unit Roma 4, 00053 Civitavecchia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Meraglia","sequence":"additional","affiliation":[{"name":"Post-Graduate School of Occupational Health, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Merella","sequence":"additional","affiliation":[{"name":"Post-Graduate School of Occupational Health, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Eugenia","family":"Vacca","sequence":"additional","affiliation":[{"name":"Post-Graduate School of Occupational Health, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1038\/s41591-021-01283-z","article-title":"Post-acute COVID-19 syndrome","volume":"27","author":"Nalbandian","year":"2021","journal-title":"Nat. Med."},{"key":"ref_2","unstructured":"Burrell, C.J., Howard, C.R., and Murphy, F.A. (2017). Fenner and White\u2019s Medical Virology, Academic Press. [5th ed.]."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1001\/jama.2020.12603","article-title":"Gemelli Against COVID-19 Post-Acute Care Study Group Persistent Symptoms in Patients After Acute COVID-19","volume":"324","author":"Bernabei","year":"2020","journal-title":"JAMA"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"20406223221076890","DOI":"10.1177\/20406223221076890","article-title":"Neurological manifestations of long-COVID syndrome: A narrative review","volume":"13","author":"Stefanou","year":"2022","journal-title":"Ther. Adv. Chronic Dis."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"686029","DOI":"10.3389\/fimmu.2021.686029","article-title":"Unraveling the Mystery Surrounding Post-Acute Sequelae of COVID-19","volume":"12","author":"Ramakrishnan","year":"2021","journal-title":"Front. Immunol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e2315","DOI":"10.1002\/rmv.2315","article-title":"Proposed subtypes of post-COVID-19 syndrome (or long-COVID) and their respective potential therapies","volume":"32","author":"Yong","year":"2022","journal-title":"Rev. Med. Virol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1097\/JOM.0000000000001984","article-title":"Safely Returning America to Work: Part I: General Guidance for Employers","volume":"62","author":"Taylor","year":"2020","journal-title":"J. Occup. Environ. Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"408","DOI":"10.5271\/sjweh.3960","article-title":"Return-to-work, disabilities and occupational health in the age of COVID-19","volume":"47","author":"Godeau","year":"2021","journal-title":"Scand. J. Work. Environ. Health"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"993","DOI":"10.15585\/mmwr.mm6930e1","article-title":"Symptom Duration and Risk Factors for Delayed Return to Usual Health Among Outpatients with COVID-19 in a Multistate Health Care Systems Network\u2014United States, March\u2013June 2020","volume":"69","author":"Tenforde","year":"2020","journal-title":"MMWR Morb. Mortal. Wkly. Rep."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"103268","DOI":"10.1016\/j.msard.2021.103268","article-title":"Long COVID or post COVID-19 syndrome","volume":"55","author":"Levy","year":"2021","journal-title":"Mult. Scler. Relat. Disord."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Tleyjeh, I.M., Saddik, B., AlSwaidan, N., AlAnazi, A., Ramakrishnan, R.K., Alhazmi, D., Aloufi, A., AlSumait, F., Berbari, E., and Halwani, R. (2021). Prevalence and predictors of Post-Acute COVID-19 Syndrome (PACS) after hospital discharge: A cohort study with 4 months median follow-up. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0260568"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/j.cmi.2022.01.014","article-title":"Prevalence of post-acute COVID-19 syndrome symptoms at different follow-up periods: A systematic review and meta-analysis","volume":"28","author":"Alkodaymi","year":"2022","journal-title":"Clin. Microbiol. Infect."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1093\/fampra\/cmab076","article-title":"Post-acute and long-COVID-19 symptoms in patients with mild diseases: A systematic review","volume":"39","author":"Lucassen","year":"2022","journal-title":"Fam. Pract."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1007\/s00408-021-00423-z","article-title":"Post-COVID-19 Symptom Burden: What is Long-COVID and How Should We Manage It?","volume":"199","author":"Sykes","year":"2021","journal-title":"Lung"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/S0140-6736(20)32656-8","article-title":"6-month consequences of COVID-19 in patients discharged from hospital: A cohort study","volume":"397","author":"Huang","year":"2021","journal-title":"Lancet"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.ejim.2021.06.009","article-title":"Prevalence of post-COVID-19 symptoms in hospitalized and non-hospitalized COVID-19 survivors: A systematic review and meta-analysis","volume":"92","author":"Florencio","year":"2021","journal-title":"Eur. J. Intern. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"576","DOI":"10.7326\/M20-5661","article-title":"Sixty-Day Outcomes Among Patients Hospitalized With COVID-19","volume":"174","author":"Chopra","year":"2021","journal-title":"Ann. Intern. Med."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Bell, M.L., Catalfamo, C.J., Farland, L.V., Ernst, K.C., Jacobs, E.T., Klimentidis, Y.C., Jehn, M., and Pogreba-Brown, K. (2021). Post-acute sequelae of COVID-19 in a non-hospitalized cohort: Results from the Arizona CoVHORT. PLoS ONE, 16.","DOI":"10.1101\/2021.03.29.21254588"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"101762","DOI":"10.1016\/j.eclinm.2022.101762","article-title":"The prevalence and long-term health effects of Long Covid among hospitalised and non-hospitalised populations: A systematic review and meta-analysis","volume":"55","author":"Routen","year":"2023","journal-title":"EClinicalMedicine"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Global Burden of Disease Long COVID Collaborators, Wulf Hanson, S., Abbafati, C., Aerts, J.G., Al-Aly, Z., Ashbaugh, C., Ballouz, T., Blyuss, O., Bobkova, P., and Bonsel, G. (2022). Estimated Global Proportions of Individuals With Persistent Fatigue, Cognitive, and Respiratory Symptom Clusters Following Symptomatic COVID-19 in 2020 and 2021. JAMA, 328, 1604\u20131615.","DOI":"10.1001\/jama.2022.18931"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1080\/10408363.2020.1860895","article-title":"COVID-19: From an acute to chronic disease? Potential long-term health consequences","volume":"58","author":"Higgins","year":"2021","journal-title":"Crit. Rev. Clin. Lab. Sci."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"986743","DOI":"10.3389\/fpubh.2022.986743","article-title":"The first 2 years of COVID-19 in Italy: Incidence, lethality, and health policies","volume":"10","author":"Ferrante","year":"2022","journal-title":"Front. Public Health"},{"key":"ref_23","first-page":"667","article-title":"Two tools for health surveillance of job stress: The Karasek Job Content Questionnaire and the Siegrist Effort Reward Imbalance Questionnaire","volume":"29","author":"Magnavita","year":"2007","journal-title":"G. Ital. Med. Lav. Ergon."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"372852","DOI":"10.1100\/2012\/372852","article-title":"The use of parsimonious questionnaires in occupational health surveillance: Psychometric properties of the short Italian version of the effort\/reward imbalance questionnaire","volume":"2012","author":"Magnavita","year":"2012","journal-title":"Sci. World J."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1007\/s00420-008-0384-3","article-title":"A short generic measure of work stress in the era of globalization: Effort-reward imbalance","volume":"82","author":"Siegrist","year":"2009","journal-title":"Int. Arch. Occup. Environ. Health"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1007\/s10072-012-1085-y","article-title":"Validity of the Italian version of the Pittsburgh Sleep Quality Index (PSQI)","volume":"34","author":"Curcio","year":"2013","journal-title":"Neurol. Sci."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research","volume":"28","author":"Buysse","year":"1989","journal-title":"Psychiatry Res."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1093\/sleep\/14.6.540","article-title":"A new method for measuring daytime sleepiness: The Epworth sleepiness scale","volume":"14","author":"Johns","year":"1991","journal-title":"Sleep"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/S0022-3999(02)00392-6","article-title":"Psychometric qualities of a brief self-rated fatigue measure: The Fatigue Assessment Scale","volume":"54","author":"Michielsen","year":"2003","journal-title":"J. Psychosom. Res."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.jpsychores.2017.10.016","article-title":"Classifying post-stroke fatigue: Optimal cut-off on the Fatigue Assessment Scale","volume":"103","author":"Cumming","year":"2017","journal-title":"J. Psychosom. Res."},{"key":"ref_31","first-page":"670","article-title":"Anxiety and depression at work. the A\/D Goldberg Questionnaire","volume":"29","author":"Magnavita","year":"2007","journal-title":"G. Ital. Med. Lav. Ergon."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1136\/bmj.297.6653.897","article-title":"Detecting anxiety and depression in general medical settings","volume":"297","author":"Goldberg","year":"1988","journal-title":"BMJ"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"139","DOI":"10.2224\/sbp.2006.34.2.139","article-title":"Measuring Happiness with a Single-Item Scale","volume":"34","year":"2006","journal-title":"Soc. Behav. Personal. Int. J."},{"key":"ref_34","unstructured":"Tuomi, K., Ilmarinen, J., Jahkola, A., Katajarinne, L., and Tulkki, A. (1998). Work Ability Index, Finnish Institute of Occupational Health. [2nd ed.]."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1146\/annurev.publhealth.23.100901.140546","article-title":"The importance of the normality assumption in large public health data sets","volume":"23","author":"Lumley","year":"2002","journal-title":"Annu. Rev. Public Health"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1093\/aje\/kwaa191","article-title":"COVID-19 in Health-Care Workers: A Living Systematic Review and Meta-Analysis of Prevalence, Risk Factors, Clinical Characteristics, and Outcomes","volume":"190","author":"Franco","year":"2021","journal-title":"Am. J. Epidemiol."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Magnavita, N., Soave, P.M., and Antonelli, M. (2022). Treating Anti-Vax Patients, a New Occupational Stressor-Data from the 4th Wave of the Prospective Study of Intensivists and COVID-19 (PSIC). Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19105889"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1016\/j.ajem.2020.05.113","article-title":"COVID-19 in health care workers\u2014A systematic review and meta-analysis","volume":"38","author":"Sahu","year":"2020","journal-title":"Am. J. Emerg. Med."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/j.ijid.2021.01.013","article-title":"COVID-19 and healthcare workers: A systematic review and meta-analysis","volume":"104","author":"Gholami","year":"2021","journal-title":"Int. J. Infect. Dis."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"3401566","DOI":"10.1155\/2022\/3401566","article-title":"Estimating the Proportion of Asymptomatic COVID-19 Cases in an Italian Region with Intermediate Incidence during the First Pandemic Wave: An Observational Retrospective Study","volume":"2022","author":"Martinelli","year":"2022","journal-title":"Biomed. Res. Int."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Magnavita, N., Tripepi, G., and Di Prinzio, R.R. (2020). Symptoms in Health Care Workers during the COVID-19 Epidemic. A Cross-Sectional Survey. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17145218"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Lunt, J., Hemming, S., Burton, K., Elander, J., and Baraniak, A. (2022). What workers can tell us about post-COVID workability. Occup. Med., kqac086.","DOI":"10.1093\/occmed\/kqac086"},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"M\u00fcller, K., Poppele, I., Ottiger, M., Zwingmann, K., Berger, I., Thomas, A., Wastlhuber, A., Ortwein, F., Schultz, A.-L., and Weghofer, A. (2023). Impact of Rehabilitation on Physical and Neuropsychological Health of Patients Who Acquired COVID-19 in the Workplace. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20021468"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"3795","DOI":"10.1021\/acschemneuro.1c00477","article-title":"Mechanism of Anosmia Caused by Symptoms of COVID-19 and Emerging Treatments","volume":"12","author":"Najafloo","year":"2021","journal-title":"ACS Chem. Neurosci."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1177\/1073858420956905","article-title":"Anosmia in COVID-19: Underlying Mechanisms and Assessment of an Olfactory Route to Brain Infection","volume":"27","author":"Butowt","year":"2021","journal-title":"Neuroscientist"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1007\/s12028-020-01049-4","article-title":"Neurological Involvement in COVID-19 and Potential Mechanisms: A Review","volume":"34","author":"Aghagoli","year":"2021","journal-title":"Neurocrit. Care"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"9950","DOI":"10.1038\/s41598-022-13495-5","article-title":"Long-COVID in children and adolescents: A systematic review and meta-analyses","volume":"12","author":"Perelman","year":"2022","journal-title":"Sci. Rep."},{"key":"ref_48","first-page":"e29694","article-title":"Long-Term Neurological Sequelae Among Severe COVID-19 Patients: A Systematic Review and Meta-Analysis","volume":"14","author":"Patel","year":"2022","journal-title":"Cureus"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Rochmawati, E., Iskandar, A.C., and Kamilah, F. (J. Clin. Nurs., 2022). Persistent symptoms among post-COVID-19 survivors: A systematic review and meta-analysis, J. Clin. Nurs., Online ahead of print.","DOI":"10.1111\/jocn.16471"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1016\/j.jiph.2022.06.013","article-title":"Persistent neurological manifestations in long COVID-19 syndrome: A systematic review and meta-analysis","volume":"15","author":"Pinzon","year":"2022","journal-title":"J. Infect. Public Health"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"e69","DOI":"10.1017\/S1463423622000585","article-title":"COVID-19 disease severity to predict persistent symptoms: A systematic review and meta-analysis","volume":"23","author":"Dirican","year":"2022","journal-title":"Prim. Health Care Res. Dev."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Delgado-Alonso, C., Cuevas, C., Oliver-Mas, S., D\u00edez-Cirarda, M., Delgado-\u00c1lvarez, A., Gil-Moreno, M.J., Mat\u00edas-Guiu, J., and Matias-Guiu, J.A. (2022). Fatigue and Cognitive Dysfunction Are Associated with Occupational Status in Post-COVID Syndrome. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192013368"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"n1648","DOI":"10.1136\/bmj.n1648","article-title":"Long covid-mechanisms, risk factors, and management","volume":"374","author":"Crook","year":"2021","journal-title":"BMJ"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1002\/jmv.27309","article-title":"Post-acute COVID-19 syndrome (PCS) and health-related quality of life (HRQoL)-A systematic review and meta-analysis","volume":"94","author":"Malik","year":"2022","journal-title":"J. Med. Virol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.neubiorev.2021.03.024","article-title":"Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis","volume":"126","author":"Marvaldi","year":"2021","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Grazzini, M., Lulli, L.G., Mucci, N., Paolini, D., Baldassarre, A., Gallinoro, V., Chiarelli, A., Niccolini, F., and Arcangeli, G. (2022). Return to Work of Healthcare Workers after SARS-CoV-2 Infection: Determinants of Physical and Mental Health. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19116811"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1093\/occmed\/kqab043","article-title":"Persistent post-covid symptoms in healthcare workers","volume":"71","author":"Gaber","year":"2021","journal-title":"Occup. Med."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"2015","DOI":"10.1001\/jama.2021.5612","article-title":"Symptoms and Functional Impairment Assessed 8 Months After Mild COVID-19 Among Health Care Workers","volume":"325","author":"Havervall","year":"2021","journal-title":"JAMA"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"e1011","DOI":"10.1093\/cid\/ciac054","article-title":"Symptoms Compatible With Long Coronavirus Disease (COVID) in Healthcare Workers With and Without Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection-Results of a Prospective Multicenter Cohort","volume":"75","author":"Strahm","year":"2022","journal-title":"Clin. Infect. Dis."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.clnesp.2022.08.029","article-title":"Fatigue in COVID-19 survivors: The potential impact of a nutritional supplement on muscle strength and function","volume":"51","author":"Galluzzo","year":"2022","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"947973","DOI":"10.3389\/fpsyt.2022.947973","article-title":"Post-COVID-19 fatigue: A systematic review","volume":"13","author":"Joli","year":"2022","journal-title":"Front. Psychiatry"},{"key":"ref_62","first-page":"CD013876","article-title":"Interventions for the treatment of persistent post-COVID-19 olfactory dysfunction","volume":"9","author":"Webster","year":"2022","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1016\/j.cger.2022.04.004","article-title":"Nutraceuticals and Dietary Supplements for Older Adults with Long COVID-19","volume":"38","author":"Tosato","year":"2022","journal-title":"Clin. Geriatr. Med."},{"key":"ref_64","doi-asserted-by":"crossref","unstructured":"Fugazzaro, S., Contri, A., Esseroukh, O., Kaleci, S., Croci, S., Massari, M., Facciolongo, N.C., Besutti, G., Iori, M., and Salvarani, C. (2022). Rehabilitation Interventions for Post-Acute COVID-19 Syndrome: A Systematic Review. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19095185"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/9\/5638\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:23:11Z","timestamp":1760124191000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/9\/5638"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,25]]},"references-count":64,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2023,5]]}},"alternative-id":["ijerph20095638"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20095638","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,25]]}}}