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Tolerability and safety of high-intensity continuous and intermittent exercise in COVID-19

G Steinhilber, I Vogiatzis, B Salvi, L Bertacchini, I Favero, M Venturelli, M Paneroni, M Vitacca
European Respiratory Journal 2022 60: 2472; DOI: 10.1183/13993003.congress-2022.2472
G Steinhilber
1respiratory unit ICS Maugeri, Lumezzane, Brescia, Italy
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I Vogiatzis
2northumbria University, Northumbria, United Kingdom
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B Salvi
3respiratory unit ICS Maugeri, Lumezzane, Brescia, Italy
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L Bertacchini
3respiratory unit ICS Maugeri, Lumezzane, Brescia, Italy
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I Favero
3respiratory unit ICS Maugeri, Lumezzane, Brescia, Italy
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M Venturelli
4university Verona, Verona, Italy
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M Paneroni
3respiratory unit ICS Maugeri, Lumezzane, Brescia, Italy
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M Vitacca
1respiratory unit ICS Maugeri, Lumezzane, Brescia, Italy
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Abstract

Aim: We assessed safety of high-intensity [IV1] constant-load exercise (CLE) and intermittent exercise (HIIT) in 14 post-severe-COVID-19 patients (63±13 years; 78.6% male; BMI: 28±5, without comorbidities) between July 2020 and April 2021 after 55±22 days of COVID-induced acute respiratory failure.

Methods: The crossover study balanced exercise intensity between CLE at 70% of peak work rate (WRpeak) to the limit of tolerance (Tlim) and HIIT including 1 min exercise at 100% WRpeak, alternated with 1 min at 40% WRpeak to Tlim. Gas exchange, ventilation, electrocardiography and symptoms were assessed.

Results: Exercise endurance time and total work output were not different between HITT and CLE (Table 1). At Tlim, none of the ventilatory or cardiovascular responses differed between HITT and CLE and there was no difference in the intensity of symptoms (Table 1).

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Conclusions: Individuals with ongoing symptomatic COVID-19 could safely undertake high intensity exercise performed continuously or intermittently.

  • Covid-19
  • ARDS (Acute Respiratory Distress Syndrome)
  • Skeletal muscle

Footnotes

Cite this article as Eur Respir J 2022; 60: Suppl. 66, 2472.

This article was presented at the 2022 ERS International Congress, in session “-”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2022
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Tolerability and safety of high-intensity continuous and intermittent exercise in COVID-19
G Steinhilber, I Vogiatzis, B Salvi, L Bertacchini, I Favero, M Venturelli, M Paneroni, M Vitacca
European Respiratory Journal Sep 2022, 60 (suppl 66) 2472; DOI: 10.1183/13993003.congress-2022.2472

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Tolerability and safety of high-intensity continuous and intermittent exercise in COVID-19
G Steinhilber, I Vogiatzis, B Salvi, L Bertacchini, I Favero, M Venturelli, M Paneroni, M Vitacca
European Respiratory Journal Sep 2022, 60 (suppl 66) 2472; DOI: 10.1183/13993003.congress-2022.2472
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