Effects of aerobic training on cardiopulmonary fitness in patients with long COVID-19: a randomized controlled trial.

Trials

School of Biomedical Sciences and Engineering, South China University of Technology, Guangzhou International Campus, Guangzhou, 511442, People's Republic of China.

Published: October 2024

AI Article Synopsis

  • Long COVID-19 causes serious physical and mental health issues, and exercise may help alleviate these symptoms.
  • A study involving 24 patients compared a 4-week supervised aerobic training program to an attention control group, with results showing significant symptom reduction in the exercise group (67.8% vs. 16.7%).
  • The training improved various measures of cardiopulmonary fitness, suggesting that aerobic exercise could be a beneficial intervention for long COVID-19, although further research is needed.

Article Abstract

Background: Long COVID-19 is characterized by systemic deterioration of the entire body, leading to significant physical and mental disorders. Exercise training has the potential to improve persistent symptoms and cardiopulmonary functions.

Method: This was a single-center, randomized, controlled trial. Twenty-four patients aged 18 to 75 years who had a history of SARS-CoV-2 infection and long COVID symptoms. Patients were randomly allocated in a 1:1 ratio to receive either a 4-week exercise training program or an attention control group. The training group participated in 12 supervised aerobic sessions on a cycling ergometer over 4 weeks. The outcomes were to assess the impact of a 4-week aerobic exercise on the persistent symptoms and cardiopulmonary fitness, the surrogate endpoints of COVID-19 recovery and cardiopulmonary health.

Results: After the 4-week intervention, significant reductions were observed in the total number of symptoms in the training group. Specifically, 67.8% of patients in the training group exhibited reduced or completely resolved symptoms, in comparison to 16.7% in the control group (P = 0.013). After adjusting for gender, significant improvements in the training group were observed for exercise time (P = 0.028), maximum load (P = 0.01), and peak VO (P = 0.001), as well as O pulse (P = 0.042) and maximum heart rate (P = 0.007). The score of Short Form-12, depression, anxiety, perceived stress, and insomnia did not show significant changes between groups (P > 0.05).

Conclusion: A supervised aerobic training program has the potential to alleviate persistent symptoms and improve exercise tolerance in patients with long COVID-19. Further research is necessary to confirm these effects in a large population. This intervention could be easily implemented in non-hospital settings, potentially benefiting a broader range of individuals.

Trial Registration Number: ClinicalTrials.gov NCT05961462. Registered on July 25, 2023.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11448255PMC
http://dx.doi.org/10.1186/s13063-024-08473-3DOI Listing

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