Cardiovascular, Respiratory, and Functional Effects of Home-Based Exercise Training after COVID-19 Hospitalization.

Autor:	Teixeira DO Amaral V; Exercise and Chronic Disease Research Laboratory (ECDR), Department of Physical Education, São Paulo State University (UNESP), School of Sciences, Bauru, BRAZIL., Viana AA; Exercise and Chronic Disease Research Laboratory (ECDR), Department of Physical Education, São Paulo State University (UNESP), School of Sciences, Bauru, BRAZIL., Heubel AD; Department of Physical Therapy, Federal University of São Carlos (UFSCar), São Carlos, BRAZIL., Linares SN; Department of Physical Therapy, Federal University of São Carlos (UFSCar), São Carlos, BRAZIL., Martinelli B; Department of Physical Therapy, Sacred Heart University Center (UNISAGRADO), Bauru, BRAZIL., Witzler PHC; Exercise and Chronic Disease Research Laboratory (ECDR), Department of Physical Education, São Paulo State University (UNESP), School of Sciences, Bauru, BRAZIL., Orikassa DE Oliveira GY; Exercise and Chronic Disease Research Laboratory (ECDR), Department of Physical Education, São Paulo State University (UNESP), School of Sciences, Bauru, BRAZIL., Zanini GS; Exercise and Chronic Disease Research Laboratory (ECDR), Department of Physical Education, São Paulo State University (UNESP), School of Sciences, Bauru, BRAZIL., Borghi Silva A; Department of Physical Therapy, Federal University of São Carlos (UFSCar), São Carlos, BRAZIL., Mendes RG; Department of Physical Therapy, Federal University of São Carlos (UFSCar), São Carlos, BRAZIL., Ciolac EG; Exercise and Chronic Disease Research Laboratory (ECDR), Department of Physical Education, São Paulo State University (UNESP), School of Sciences, Bauru, BRAZIL.
Jazyk:	angličtina
Zdroj:	Medicine and science in sports and exercise [Med Sci Sports Exerc] 2022 Nov 01; Vol. 54 (11), pp. 1795-1803. Date of Electronic Publication: 2022 Jun 17.
DOI:	10.1249/MSS.0000000000002977
Abstrakt:	Introduction: The present randomized, single-center, and single-blinded clinical trial tested the hypothesis that tele-supervised home-based exercise training (exercise) is an effective strategy for improving cardiovascular, respiratory, and functional capacity parameters in individuals who were hospitalized due to coronavirus disease 2019 (COVID-19). Methods: Thirty-two individuals (52 ± 10 yr; 17 were female) randomly assigned to exercise ( n = 12) or control groups ( n = 20) had their anthropometric (weight, body mass index), hemodynamic (brachial and central blood pressure), vascular (arterial stiffness), ventilatory (pulmonary function and respiratory muscle strength), and functional parameters (handgrip strength, five-time sit to stand, timed up and go test, and 6-min walking test) assessed at baseline (30-45 d of hospital discharged) and after 12 wk of follow-up. Results: Both groups similarly increased ( P < 0.001) forced vital capacity (absolute and percent of predicted), forced expiratory volume in the first second (absolute and percent of predicted), and handgrip strength during follow-up. However, only the exercise group reduced carotid-femoral pulse wave velocity (-2.0 ± 0.6 m·s -1 , P = 0.048) and increased ( P < 0.05) resting oxygen saturation (1.9% ± 0.6%), mean inspiratory pressure (24.7 ± 7.1 cm H 2 O), mean expiratory pressure (20.3 ± 5.8 cm H 2 O), and percent of predicted mean expiratory pressure (14% ± 22%) during follow-up. No significant changes were found in any other variable during follow-up. Conclusions: Present findings suggest that tele-supervised home-based exercise training can be a potential adjunct therapeutic to rehabilitate individuals who were hospitalized due to COVID-19. (Copyright © 2022 by the American College of Sports Medicine.)
Databáze:	MEDLINE
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