Impact of high-intensity interval training on cardiac structure and function after COVID-19: an investigator-blinded randomized controlled trial
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Impact of high-intensity interval training on cardiac structure and function after COVID-19 : an investigator-blinded randomized controlled trial. / Rasmussen, Iben Elmerdahl; Løk, Mathilde; Durrer, Cody Garett; Foged, Frederik; Schelde, Vera Graungaard; Budde, Josephine Bjørn; Rasmussen, Rasmus Syberg; Høvighoff, Emma Fredskild; Rasmussen, Villads; Lyngbæk, Mark; Jønck, Simon; Krogh-Madsen, Rikke; Lindegaard, Birgitte; Jørgensen, Peter Godsk; Køber, Lars; Vejlstrup, Niels; Klarlund Pedersen, Bente; Ried-Larsen, Mathias; Lund, Morten Asp Vonsild; Christensen, Regitse Højgaard; Berg, Ronan M G.
In: Journal of applied physiology (Bethesda, Md. : 1985), Vol. 135, No. 2, 2023, p. s239-488.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Impact of high-intensity interval training on cardiac structure and function after COVID-19
T2 - an investigator-blinded randomized controlled trial
AU - Rasmussen, Iben Elmerdahl
AU - Løk, Mathilde
AU - Durrer, Cody Garett
AU - Foged, Frederik
AU - Schelde, Vera Graungaard
AU - Budde, Josephine Bjørn
AU - Rasmussen, Rasmus Syberg
AU - Høvighoff, Emma Fredskild
AU - Rasmussen, Villads
AU - Lyngbæk, Mark
AU - Jønck, Simon
AU - Krogh-Madsen, Rikke
AU - Lindegaard, Birgitte
AU - Jørgensen, Peter Godsk
AU - Køber, Lars
AU - Vejlstrup, Niels
AU - Klarlund Pedersen, Bente
AU - Ried-Larsen, Mathias
AU - Lund, Morten Asp Vonsild
AU - Christensen, Regitse Højgaard
AU - Berg, Ronan M G
PY - 2023
Y1 - 2023
N2 - A large proportion of patients suffer from a persistent reduction in cardiorespiratory fitness after recovery from COVID-19, of which the effects on the heart may potentially be reversed through the effect of high-intensity interval training (HIIT). In the present study, we hypothesized that HIIT would increase left ventricular mass (LVM) and improve functional status and health-related quality of life (HRQoL) in individuals previously hospitalized for COVID-19. In this investigator-blinded, randomized controlled trial, 12 weeks of supervised HIIT (4x4 minutes, three times a week) was compared to standard care (control) in individuals recently discharged from hospital due to COVID-19. LVM was assessed by cardiac magnetic resonance imaging (cMRI, primary outcome), while the pulmonary diffusing capacity (DLCOc, secondary outcome) was examined by the single-breath method. Functional status and HRQoL was assessed by Post-COVID-19 Functional Scale (PCFS) and King's brief interstitial lung disease (KBILD) questionnaire, respectively. A total of 28 participants were included (age 57±10, 9 females; HIIT: 58±11, 4 females; standard care: 57±9, 5 females), LVM increased in the HIIT vs. standard care group with a between-group difference of 6.8 [mean, 95%CI: 0.8; 12.8] g; p=0.029. There were no between-group differences in DLCOc or any other lung function metric, which gradually resolved in both groups. Desriptively, PCFS suggested fewer functional limitations in the HIIT group. KBILD improved similarly in the two groups. HIIT is an efficacious exercise intervention for increasing LVM in individuals previously hospitalized for COVID-19.
AB - A large proportion of patients suffer from a persistent reduction in cardiorespiratory fitness after recovery from COVID-19, of which the effects on the heart may potentially be reversed through the effect of high-intensity interval training (HIIT). In the present study, we hypothesized that HIIT would increase left ventricular mass (LVM) and improve functional status and health-related quality of life (HRQoL) in individuals previously hospitalized for COVID-19. In this investigator-blinded, randomized controlled trial, 12 weeks of supervised HIIT (4x4 minutes, three times a week) was compared to standard care (control) in individuals recently discharged from hospital due to COVID-19. LVM was assessed by cardiac magnetic resonance imaging (cMRI, primary outcome), while the pulmonary diffusing capacity (DLCOc, secondary outcome) was examined by the single-breath method. Functional status and HRQoL was assessed by Post-COVID-19 Functional Scale (PCFS) and King's brief interstitial lung disease (KBILD) questionnaire, respectively. A total of 28 participants were included (age 57±10, 9 females; HIIT: 58±11, 4 females; standard care: 57±9, 5 females), LVM increased in the HIIT vs. standard care group with a between-group difference of 6.8 [mean, 95%CI: 0.8; 12.8] g; p=0.029. There were no between-group differences in DLCOc or any other lung function metric, which gradually resolved in both groups. Desriptively, PCFS suggested fewer functional limitations in the HIIT group. KBILD improved similarly in the two groups. HIIT is an efficacious exercise intervention for increasing LVM in individuals previously hospitalized for COVID-19.
U2 - 10.1152/japplphysiol.00078.2023
DO - 10.1152/japplphysiol.00078.2023
M3 - Journal article
C2 - 37391888
VL - 135
SP - s239-488
JO - Journal of Applied Physiology
JF - Journal of Applied Physiology
SN - 8750-7587
IS - 2
ER -
ID: 360609375