{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T21:33:11Z","timestamp":1769117591101,"version":"3.49.0"},"reference-count":58,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"crossref","award":["001\/2023"],"award-info":[{"award-number":["001\/2023"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"crossref"}]},{"name":"FCT (Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia), I.P.","award":["UID\/05704\/2025"],"award-info":[{"award-number":["UID\/05704\/2025"]}]},{"name":"Scientific Employment Stimulus\u2014Institutional Call"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["COVID"],"abstract":"<jats:p>One of the challenges post-COVID-19 is reducing the negative impacts on quality of life, performance, and independence in activities of daily living. Assessing functional dependence in adults one year after acute infection can help to understand the long-term consequences, evaluate the impact on quality of life, plan rehabilitation and healthcare, identify the most vulnerable groups, measure the socioeconomic impact, and support public policies and clinical decisions. Objectives: The objectives of this study are as follows: (a) to assess the prevalence of functional dependence in Brazilian adults with COVID-19; (b) to analyze the association between the study variables; and (c) to determine the factors associated with functional dependence. Methods: This was an observational, cross-sectional study with 987 adults (18 to 59 years old) living in the State of Paran\u00e1 (Brazil) hospitalized for COVID-19 between March and December 2020. Data were collected by telephone 12 months after the acute infection using an instrument to retrieve sociodemographic and health information, and a functional dependence scale to assess dependence before COVID-19 retrospectively (using participant recall information) and at the time of the interview. Data were analyzed using penalized logistic regression after imputing missing data. Data were analyzed using penalized logistic regression after imputing missing data. Results: Functional dependence after COVID-19 was 5.0% and was associated with low levels of education, not having a partner, living with someone, not owning a home, experiencing job changes, requiring care, obesity, smoking, multimorbidity, ICU admission in the acute phase, use of invasive ventilation, or having Long COVID. Individuals who required care or used invasive ventilation support were, respectively, 9.3 and 6.5 times more likely to develop dependence after COVID-19. Despite adjustment for multiple factors, the magnitude of the observed effects warrants cautious interpretation, as unmeasured or residual confounding effects may still be present. Sample recall bias due to collection after 12 months and the presence of the alpha variant without COVID-19 vaccination coverage may limit data generalization. Conclusions: The results highlight the need to emphasize the public health implications of identifying functional dependence. In this vein, it is necessary to implement preventive measures, identify and monitor more vulnerable groups, plan rehabilitation programs, and develop public health policies.<\/jats:p>","DOI":"10.3390\/covid6010023","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T11:27:58Z","timestamp":1768908478000},"page":"23","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Functional Dependence in Brazilian Adults One Year After COVID-19 Infection: Prevalence and Risk Factors in a Cross-Sectional Study"],"prefix":"10.3390","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3021-2904","authenticated-orcid":false,"given":"Nat\u00e1lia","family":"Milan","sequence":"first","affiliation":[{"name":"Department of Postgraduate Nursing, State University of Maring\u00e1, Avenida Colombo, 5790-Campus Universit\u00e1rio, Maring\u00e1 87020-900, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1080-9535","authenticated-orcid":false,"given":"Carlos","family":"Laranjeira","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic University of Leiria, Campus 5, Rua das Olhalvas, 2414-016 Leiria, Portugal"},{"name":"Comprehensive Health Research Centre (CHRC), University of \u00c9vora, 7000-801 \u00c9vora, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1906-1203","authenticated-orcid":false,"given":"St\u00e9fane Lele","family":"Rossoni","sequence":"additional","affiliation":[{"name":"Postgraduate Department of Health Sciences, State University of Maring\u00e1, Avenida Colombo, 5790-Campus Universit\u00e1rio, Maring\u00e1 87020-900, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6448-8282","authenticated-orcid":false,"given":"Amira Mohammed","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, Smouha, Alexandria 21527, Egypt"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2569-8017","authenticated-orcid":false,"given":"Feten","family":"Fekih-Romdhane","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of Tunis, Tunis El Manar University, Tunis 2092, Tunisia"},{"name":"The Tunisian Center of Early Intervention in Psychosis, Department of Psychiatry, Ibn Omrane, Razi Hospital, Tunis 2010, Tunisia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9750-3576","authenticated-orcid":false,"given":"Wanessa","family":"Baccon","sequence":"additional","affiliation":[{"name":"Department of Postgraduate Nursing, State University of Maring\u00e1, Avenida Colombo, 5790-Campus Universit\u00e1rio, Maring\u00e1 87020-900, Brazil"}]},{"given":"L\u00edgia","family":"Carreira","sequence":"additional","affiliation":[{"name":"Department of Postgraduate Nursing, State University of Maring\u00e1, Avenida Colombo, 5790-Campus Universit\u00e1rio, Maring\u00e1 87020-900, Brazil"}]},{"given":"Maria Aparecida","family":"Salci","sequence":"additional","affiliation":[{"name":"Department of Postgraduate Nursing, State University of Maring\u00e1, Avenida Colombo, 5790-Campus Universit\u00e1rio, Maring\u00e1 87020-900, Brazil"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"ref_1","first-page":"e00027423","article-title":"Post-COVID-19 syndrome among hospitalized COVID-19 patients: A cohort study assessing patients 6 and 12 months after hospital discharge","volume":"40","author":"Rocha","year":"2024","journal-title":"Cad. 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