Assessing the association of physical distancing to avoid COVID-19 with health-related quality of life in immunocompromised adolescents: results from the cross-sectional observational EAGLE study - Summary - MDSpire

Assessing the association of physical distancing to avoid COVID-19 with health-related quality of life in immunocompromised adolescents: results from the cross-sectional observational EAGLE study

  • By

  • Paul Williams

  • Timothy A. Herring

  • Renata T. C. Yokota

  • Sudhir Venkatesan

  • Klas Bergenheim

  • Johan L. Severens

  • Philip A. Powell

  • James C. Marcus

  • Stephanie Philpott

  • Sara Bestea

  • Jeffrey M. Rohay

  • Tiago Maia

  • Sylvia Taylor

  • Marieke Krol

  • James W. Varni

  • May 28, 2026

  • 0 min

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Objective:

To describe physical distancing behaviors to avoid COVID-19 and their associations with health-related quality of life (HRQoL) and related outcomes among immunocompromised adolescents aged 13 to 17 years.

Key Findings:
  • Among 405 immunocompromised adolescents, the mean T-score for physical distancing was 49.1, indicating moderate intensity.
  • 60.1% reported moderate physical distancing intensity, while 16.3% reported high/very high intensity.
  • The mean total score for HRQoL was 58.0, with moderate correlations between physical distancing and various outcomes (|r| = 0.4–0.5).
  • Stronger correlations were found for activity impairment, school presenteeism, and overall school impairment (|r|>0.6).
Interpretation:

Higher intensities of physical distancing were associated with worse HRQoL and greater school and activity impairment among immunocompromised adolescents, highlighting the need for tailored public health strategies.

Limitations:
  • The study is cross-sectional, limiting causal inferences.
  • Self-reported data may introduce bias.
  • Findings may not be generalizable to all immunocompromised adolescents.
Conclusion:

Most immunocompromised adolescents practiced moderate-to-high physical distancing to avoid COVID-19, which was associated with negative impacts on HRQoL and daily activities.

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