Exercise Interventions in Post-acute Sequelae of Covid-19
COVID-19
About this trial
This is an interventional supportive care trial for COVID-19
Eligibility Criteria
Inclusion Criteria: 18-50 years of age Diagnosed with Post Acute Sequelae of COVID-19 Physician clearance to undergo exercise training (see section titled cardiorespiratory fitness testing for details; page 6) Complete COVID-19 vaccination status Exclusion Criteria: Unstable angina or myocardial infarction in the past 4 weeks Uncompensated heart failure NYHA class IV symptoms Complex ventricular arrhythmias Musculoskeletal contraindications to stationary bicycling exercise Symptomatic severe aortic stenosis Acute pulmonary embolus Acute myocarditis Uncontrolled Hypertension as defined as systolic blood pressure > 180 mm Hg or diastolic blood pressure > 120 mm Hg Medication non-compliance Pregnant women-self reported COPD GOLD stage D Malignancy currently actively being treated Uncontrolled Asthma Uncompensated Cirrhosis of the Liver Chronic Kidney disease requiring dialysis therapy Symptomatic Anemia Hemoglobin <7g/dL Poorly controlled diabetes or A1c>9% BMI >35kg/m2 Pulmonary Hypertension stage IV Any condition requiring supplemental oxygen Multiple Sclerosis
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Exercise
Control
Patients will perform 5 days of supervised stationary cycling exercise (with EKG telemetry) per week over a period of 4 weeks. Training heart rates will be determined based on the pre-testing VO2peak and peak heart rate (PHR). Of the 5 sessions, 3 will be HIIT sessions and 2 will be MOD sessions. Subjects exercising on the HIIT day will start with eight intervals of 2-min duration at 80-85% of PHR, separated by 2 min of recovery at 50% of PHR, progressing to four, 4-min intervals at 90-95% PHR, separated by 3 min at 50% PHR by the end of week 2. Subjects exercising on the MOD days will perform uninterrupted for 40 minutes duration at 60-65% of PHR progressing to 40 minutes duration at 70-75% of PHR by the end of week 2. Each training session will begin with a 10-min warm-up at 50% PHR and end with a 5-min cool down at 50% PHR. Exercise progression may have to be modified according to individual subject exercise tolerance.
The control protocol will include a combination of light stretching and controlled breathing.