Return to exercise post-COVID-19 infection: A pragmatic approach in mid-2022

Hughes, David; Orchard, John; Partridge, Emily M.; Gerche, André La; Broderick, Carolyn

doi:10.1016/j.jsams.2022.06.001

Cited by 21 publications

(25 citation statements)

References 25 publications

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“…However, in patients with post‐COVID‐19 conditions after mild forms of the disease, it is common to find a decreased exercise capacity even in the presence of a completely normal cardiac workout. 46 …”

Section: Discussionmentioning

confidence: 99%

“…A basic laboratory test (e.g., complete blood count, basic metabolic panel, cardiac markers, C‐reactive protein included) and considerations of ECG, echocardiogram, chest imaging (X‐ray and/or CT), and/or pulmonary function tests are recommended when patients have impediments on returning to amateur exercise practice. However, in patients with post‐COVID‐19 conditions after mild forms of the disease, it is common to find a decreased exercise capacity even in the presence of a completely normal cardiac workout 46 …”

Section: Discussionmentioning

confidence: 99%

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Rehabilitation for post‐COVID‐19 condition through a supervised exercise intervention: A randomized controlled trial

Jimeno-Almazán

Franco-López

Buendía-Romero

et al. 2022

Scandinavian Med Sci Sports

143

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Purpose The aim of the study was to compare the outcomes of patients with post‐COVID‐19 condition undergoing supervised therapeutic exercise intervention or following the self‐management WHO (World Health Organization) rehabilitation leaflet. Methods A randomized controlled trial was carried out that included 39 participants with post‐COVID‐19 condition who had a chronic symptomatic phase lasting >12 weeks. Comprehensive medical screening, patient‐reported symptoms, and cardiorespiratory fitness and muscular strength were assessed. Patients were randomly assigned to a tailored multicomponent exercise program based on concurrent training for 8 weeks (two supervised sessions per week comprised resistance training combined with aerobic training [moderate intensity variable training], plus a third day of monitored light intensity continuous training), or to a control group which followed the WHO guidelines for rehabilitation after COVID‐19. Results After follow‐up, there were changes in physical outcomes in both groups, however, the magnitude of the change pre–post intervention favored the exercise group in cardiovascular and strength markers: VO 2 max +5.7%, sit‐to‐stand −22.7% and load‐velocity profiles in bench press +6.3%, and half squat +16.9%, (p < 0.05). In addition, exercise intervention resulted in a significantly better quality of life, less fatigue, less depression, and improved functional status, as well as in superior cardiovascular fitness and muscle strength compared to controls ( p < 0.05). No adverse events were observed during the training sessions. Conclusion Compared to current WHO recommendations, a supervised, tailored concurrent training at low and moderate intensity for both resistance and endurance training is a more effective, safe, and well‐tolerated intervention in post‐COVID‐19 conditions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Rehabilitation for post‐COVID‐19 condition through a supervised exercise intervention: A randomized controlled trial

Jimeno-Almazán

Franco-López

Buendía-Romero

et al. 2022

Scandinavian Med Sci Sports

143

View full text Add to dashboard Cite

show abstract

“…According to guidelines, including omicron variants, routine medical investigation for athletes, including cardiac screening, is not recommended in those returning to exercise following COVID-19. The protocol for return to exercise for recreational and elite athletes assumes a stepwise (50%/75%/100%) every 3-days increase of training intensity [41].…”

Section: P R E P R I N Tmentioning

confidence: 99%

The effect of the COVID-19 pandemic on pro and advanced cycling athletes: A cross-sectional study in Poland

Rzymski

Burzyński

et al. 2022

Arch Med Sci

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IntroductionThe COVID-19 pandemic has affected different communities, yet the data on its impact on cyclists, is scarce.Material and methodsThe present study assessed the training patterns of pro and advanced amateur cycling athletes in Poland (n=130) during the COVID-19 pandemic compared with the pre-pandemic season and in relation to their epidemiological situation and quality of life factors.ResultsThe volume and weekly frequency of training was not decreased during the pandemic. However, their High-Intensity Interval Trainings (weekly 31.6 vs. 37.0 min, p=0.004) and maximum weekly Training Stress Score (660 vs. 715, p=0.001) decreased. Compared to uninfected cyclists, those who contracted the SARS-CoV-2 registered a higher score in the somatic, social and environmental domain of the WHO-QoL questionnaire (56.1 vs. 50.6, p=0.024; 74.1 vs. 63.6, p=0.032 and 72.5 vs. 65.9, p=0.018, respectively); no changes were observed in the psychologic domain Change in the weekly frequency of training, volume, time spent in >90% and 80-90% of HRmax (min) correlated positively only with the somatic domain of the WHO-QoL. The training pattern of cyclists who experienced death to COVID-19 among their relatives remained unaffected, but they presented a lower psychologic domain in the WHO-QoL (64.5 vs. 69.2, p=0.02).ConclusionsCycling pro and advanced amateurs maintained their volume and frequency of training but reduced its intensity during the pandemic compared to 2019. Changes were more likely to be affected by their physical status than by their psychogenic condition. The pandemic had a limited effect on the training pattern of cycling athletes.

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“…Most of international guidelines [21,22] suggest a gradual return to sport in subject who were tested positive to SARS-CoV-2 and who were mildly symptomatic or asymptomatic during infection, without a cardio-respiratory medical evaluation. Cardiac investigation is considered only when clinically indicated…”

Section: Resultsmentioning

confidence: 99%

Re-evaluation After 2 Years of COVID-19 Pandemic: Return to Play in Pediatric Population: What’s New?

et al. 2022

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An observational retrospective study was conducted on 180 young competitive athletes. These children were revaluated after a mild/moderate SARS-CoV-2 infection through 3 different kind of protocol aimed at recognizing any cardiorespiratory complications due to the infection. The aim of the present study was to evaluate the results of “return to play” Italian Protocols for readmission to competitive sport in pediatric population. All of the subjects analyzed were readmitted at competitive sport after revaluation. None of the young athletes showed cardiorespiratory compromises at first and/or second level evaluation, confirming that in young population there is low risk of hospitalization and life threatening complications after a mild/moderate infection. Italian simplified protocol for resuming sport have proved to be a valuable tool for health assessment both in adult and young athletes allowing them to resume their training in safety.

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Return to exercise post-COVID-19 infection: A pragmatic approach in mid-2022

Cited by 21 publications

References 25 publications

Rehabilitation for post‐COVID‐19 condition through a supervised exercise intervention: A randomized controlled trial

Rehabilitation for post‐COVID‐19 condition through a supervised exercise intervention: A randomized controlled trial

The effect of the COVID-19 pandemic on pro and advanced cycling athletes: A cross-sectional study in Poland

Re-evaluation After 2 Years of COVID-19 Pandemic: Return to Play in Pediatric Population: What’s New?

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