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针对感染SARS-CoV-2后仍有持续症状的参与者开展无监督有氧运动训练计划的可行性。

Feasibility of an unsupervised aerobic exercise training program for participants with persistent symptoms after SARS-CoV-2 infection.

作者信息

Emmel Carina, Bruder Oliver, Keller Niklas, Schipper Lukas, Schneider Christoph, Ferrauti Alexander, Frank Mirjam, Brinkmann Marcus, Eißmann Mareike, Wiewelhove Thimo, Schmidt Börge

机构信息

Institute for Medical Informatics, Biometry and Epidemiology, University Hospital of Essen, University of Duisburg-Essen, Hufelandstraße 55, 45122, Essen, Germany.

Department of Cardiology and Angiology, Elisabeth-Krankenhaus, Essen, Germany.

出版信息

Sci Rep. 2025 Aug 6;15(1):28827. doi: 10.1038/s41598-025-13905-4.


DOI:10.1038/s41598-025-13905-4
PMID:40770036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12328756/
Abstract

Aim of the randomized controlled pilot study was to investigate general feasibility in terms of adherence to a 12-week unsupervised aerobic exercise training program in participants with persistent symptoms (fatigue, concentration problems, breathing problems or headache) > 12 months after SARS-CoV-2 infection. Multiple symptom-related, psychosocial, spiroergometric and body composition parameters were collected at baseline and follow-up examination. The intervention group underwent a 12-week unsupervised aerobic exercise training program. The control group kept their regular physical activity. Both groups maintained an online training diary. Data was evaluated descriptively using intention-to-treat, per protocol and as-treated analysis. Feasibility of an unsupervised aerobic exercise training intervention was limited, as a large number of participants in the intervention group did not strictly adhere to the training plan. Therefore, statements about the efficacy were restricted. However, there was some weak indication for efficacy of the intervention to reduce self-rated severity of symptoms and to improve overall wellbeing. In the present study, an unsupervised aerobic exercise training intervention can be recommended only to a limited extend. The study results can be used to inform future studies designed to evaluate the efficacy of unsupervised aerobic exercise training programs in participants with persistent symptoms after SARS-CoV-2 infection.

摘要

这项随机对照试验性研究的目的是,调查感染新冠病毒12个月后仍有持续症状(疲劳、注意力不集中、呼吸问题或头痛)的参与者,坚持一项为期12周的无监督有氧运动训练计划的总体可行性。在基线和随访检查时收集了多个与症状相关、心理社会、运动心肺功能和身体成分参数。干预组接受了一项为期12周的无监督有氧运动训练计划。对照组保持其常规体育活动。两组都维持一份在线训练日记。使用意向性分析、符合方案分析和实际治疗分析对数据进行描述性评估。无监督有氧运动训练干预的可行性有限,因为干预组中的大量参与者没有严格遵守训练计划。因此,关于疗效的陈述受到限制。然而,有一些微弱迹象表明该干预措施在降低自我评定的症状严重程度和改善总体幸福感方面有疗效。在本研究中,无监督有氧运动训练干预仅在有限程度上可被推荐。研究结果可用于为未来旨在评估无监督有氧运动训练计划对新冠病毒感染后有持续症状的参与者疗效的研究提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81d7/12328756/9537679c326f/41598_2025_13905_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81d7/12328756/9537679c326f/41598_2025_13905_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81d7/12328756/9537679c326f/41598_2025_13905_Fig1_HTML.jpg

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[1]
Feasibility of an unsupervised aerobic exercise training program for participants with persistent symptoms after SARS-CoV-2 infection.

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本文引用的文献

[1]
Rehabilitation Interventions for Physical Capacity and Quality of Life in Adults With Post-COVID-19 Condition: A Systematic Review and Meta-Analysis.

JAMA Netw Open. 2023-9-5

[2]
The quality and pattern of rehabilitation interventions prescribed for post-COVID-19 infection patients: A systematic review and -analysis.

Prev Med Rep. 2023-9-2

[3]
Impact of high-intensity interval training on cardiac structure and function after COVID-19: an investigator-blinded randomized controlled trial.

J Appl Physiol (1985). 2023-8-1

[4]
[German S1 Guideline Long-/Post-COVID].

Pneumologie. 2022-12

[5]
Rehabilitation for post-COVID-19 condition through a supervised exercise intervention: A randomized controlled trial.

Scand J Med Sci Sports. 2022-12

[6]
Severity, predictors and clinical correlates of Post-COVID syndrome (PCS) in Germany: A prospective, multi-centre, population-based cohort study.

EClinicalMedicine. 2022-7-18

[7]
Rehabilitation Interventions for Post-Acute COVID-19 Syndrome: A Systematic Review.

Int J Environ Res Public Health. 2022-4-24

[8]
If exercise is medicine, why don't we know the dose? An overview of systematic reviews assessing reporting quality of exercise interventions in health and disease.

Br J Sports Med. 2022-6

[9]
Prevalence of post-acute COVID-19 syndrome symptoms at different follow-up periods: a systematic review and meta-analysis.

Clin Microbiol Infect. 2022-5

[10]
Defining Training and Performance Caliber: A Participant Classification Framework.

Int J Sports Physiol Perform. 2022-2-1

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