Effectiveness of tele-exercise training on physical fitness, functional capacity, and health-related quality of life in non-hospitalized individuals with COVID-19: The COFIT-HK study

IF 2.4 2区 医学 Q2 SPORT SCIENCES Journal of Exercise Science & Fitness Pub Date : 2024-02-01 DOI:10.1016/j.jesf.2024.01.003
Eric Tsz-Chun Poon , Fenghua Sun , Andy Choi-Yeung Tse , Jaclyn Hei Tsang , Aaron Yiu-Huen Chung , Yannis Yuet-Yan Lai , Sam Wing-Sum Wong
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Abstract

Background

The use of tele-exercise programs as an option for post-COVID-19 rehabilitation has been suggested, but its effectiveness in non-hospitalized individuals is not well understood.

Objective

This study aimed to determine the effectiveness of an 8-week tele-exercise training program (COFIT-HK) on physical fitness, functional capacity, and health-related quality of life (HRQoL) in non-hospitalized post-COVID-19 individuals.

Methods

Forty-one non-hospitalized individuals (age:47.4 ± 7.8 yrs) who had COVID-19 history were divided into two groups: the tele-exercise training group (TELE; n = 21) and the non-intervention control group (CON; n = 20). TELE engaged in online supervised multicomponent low-to-moderate intensity exercise training (including respiratory muscle, aerobic, and resistance training) three times per week, whereas CON received standardized educational leaflets based on World Health Organization (WHO) guidelines for post-COVID-19-related illness rehabilitation only. Various components of physical fitness, functional capacity, and HRQoL were assessed at baseline and after the 8-week intervention.

Results

TELE showed significant improvements in handgrip strength, arm flexibility, functional lower extremity endurance, and HRQoL after the 8-week intervention (all p < 0.05, ES = 0.50–1.10). When comparing the groups, TELE demonstrated significantly greater improvements in both the physical and mental component summary scores of HRQoL compared to CON (both p < 0.05). Other outcomes did not reveal significant group differences.

Conclusion

Our tele-exercise intervention was effective in improving physical fitness, functional capacity and HRQoL among non-hospitalized post-COVID-19 individuals. Further research is needed to explore the utility and limitations of tele-exercise programs for post-COVID-19 rehabilitation and beyond.

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远程运动训练对 COVID-19 非住院患者的体能、功能和健康相关生活质量的影响:COFIT-HK 研究
本研究旨在确定为期 8 周的远程运动训练计划(COFIT-HK)对 COVID-19 后非住院患者的体能、功能和健康相关生活质量(HRQoL)的影响。方法将 41 名有 COVID-19 病史的非住院患者(年龄:47.4 ± 7.8 岁)分为两组:远程锻炼训练组(TELE;n = 21)和非干预对照组(CON;n = 20)。远程运动训练组每周进行三次在线指导的多成分中低强度运动训练(包括呼吸肌、有氧运动和阻力训练),而对照组只接受基于世界卫生组织(WHO)COVID-19相关疾病后康复指南的标准化教育传单。结果经过 8 周的干预后,TELE 在手握力量、手臂柔韧性、下肢功能耐力和 HRQoL 方面均有显著改善(均为 p < 0.05,ES = 0.50-1.10)。在对各组进行比较时,TELE 在 HRQoL 的身体和精神部分的总分上都比 CON 有明显的提高(均为 p < 0.05)。结论:我们的远程锻炼干预能有效改善 19 岁后非住院患者的体能、功能和 HRQoL。还需要进一步研究探讨远程锻炼计划在 COVID-19 后康复及其他方面的实用性和局限性。
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来源期刊
CiteScore
5.10
自引率
3.60%
发文量
54
审稿时长
31 days
期刊介绍: The Journal of Exercise Science and Fitness is the official peer-reviewed journal of The Society of Chinese Scholars on Exercise Physiology and Fitness (SCSEPF), the Physical Fitness Association of Hong Kong, China (HKPFA), and the Hong Kong Association of Sports Medicine and Sports Science (HKASMSS). It is published twice a year, in June and December, by Elsevier. The Journal accepts original investigations, comprehensive reviews, case studies and short communications on current topics in exercise science, physical fitness and physical education.
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