Produção Nacional
Revisado por pares
Cardiovascular, Respiratory, and Functional Effects of Home-Based Exercise Training after COVID-19 Hospitalization
2022; Lippincott Williams & Wilkins; Volume: 54; Issue: 11 Linguagem: Inglês
10.1249/mss.0000000000002977
ISSN1530-0315
AutoresVanessa Teixeira do Amaral, Ariane Aparecida Viana, Alessandro Domingues Heubel, Stephanie Nogueira Linares, Bruno Martinelli, Pedro Henrique Camprigher Witzler, Gustavo Yudi Orikassa de Oliveira, Gabriel de Souza Zanini, Audrey Borghi‐Silva, Renata Gonçalves Mendes, Emmanuel Gomes Ciolac,
Tópico(s)Chronic Obstructive Pulmonary Disease (COPD) Research
ResumoABSTRACT 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.
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