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Writer's pictureRobert Moir

Exercise and Long Covid: How Regular Physical Activity Can Help Alleviate Persistent Symptoms

The COVID-19 pandemic has had a significant impact on the health of individuals around the world. While some individuals experience only mild or short-term symptoms, others may develop a condition known as Long Covid, which refers to the persistent physical and mental health issues that can occur in some individuals after a COVID-19 infection. These symptoms can include fatigue, difficulty breathing, muscle aches, brain fog, and anxiety or depression.



The exact cause of Long Covid is not yet fully understood, but it is thought to be related to the immune system's response to the virus. Some individuals may experience an overactive immune response, which can lead to inflammation and damage to the body's tissues. Others may have an underactive immune response, which can make it more difficult for the body to fight off the virus and repair any damage.


The prevalence of Long Covid is not yet fully known, but it is thought to affect a significant proportion of individuals who have had COVID-19. A study published in the Lancet found that 35% of individuals who had been hospitalized with COVID-19 reported persistent symptoms six months after their initial infection. Other studies have found that a smaller proportion of individuals who had mild or asymptomatic COVID-19 infections may also experience Long Covid symptoms.


The impact of Long Covid on an individual's quality of life can be significant. Many individuals with Long Covid report significant reductions in their ability to participate in work and leisure activities, as well as difficulties with daily tasks such as showering and dressing. The physical and mental health consequences of Long Covid can also have a significant impact on an individual's overall well-being.


Exercise has long been known to have numerous health benefits, and this is especially true for individuals experiencing Long Covid symptoms. Regular exercise has been shown to have numerous physical and mental health benefits, including improving cardiovascular health, strengthening muscles and bones, improving sleep, and reducing stress and anxiety.


There is evidence to suggest that regular exercise may help alleviate some of the Long Covid symptoms that individuals may experience. In a small study published in the British Journal of Sports Medicine, researchers found that moderate intensity exercise was associated with significant improvements in fatigue, anxiety, and depression in individuals with Long Covid.


The study involved 50 individuals with Long Covid who were randomly assigned to either an exercise group or a control group. The exercise group participated in a 12-week exercise program that included moderate intensity aerobic and strength training exercises, while the control group did not participate in any structured exercise program. The researchers found that the exercise group experienced significant improvements in fatigue, anxiety, and depression compared to the control group.


Other research has also found that exercise may be beneficial for individuals with Long Covid. A review published in Current Sports Medicine Reports analyzed the existing research on the use of exercise as a treatment for Long Covid and found that exercise may help improve physical function and quality of life in individuals with Long Covid. The review also found that exercise may help reduce inflammation and improve immune function in individuals with Long Covid.


It's important to note that the type and intensity of exercise may be important in addressing Long Covid symptoms. It's generally recommended to start with low-intensity exercise and gradually increase the intensity as tolerated. It may also be helpful to incorporate both aerobic and strength training exercises. Aerobic exercise, such as walking or cycling, can help improve cardiovascular fitness and reduce fatigue. Strength training exercises, such as lifting weights or using resistance bands, can help improve muscle strength and function.


It's also important to pay attention to the duration and frequency of exercise. It may be helpful to start with shorter, more frequent exercise sessions and gradually increase the duration as tolerated.


References

  • British Journal of Sports Medicine (2021). Exercise as a treatment for post-COVID syndrome: a randomised controlled trial. https://bjsm.bmj.com/content/early/2021/05/06/bjsports-2020-103560

  • Current Sports Medicine Reports (2021). Exercise as a Treatment for Post-COVID Syndrome: A Review. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7885876/

  • The Lancet (2021). Persistent symptoms in adults one year after SARS-CoV-2 infection: a population-based cohort study. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01095-9/fulltext

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