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Rating of Perceived Exertion associated with acute symptoms in athletes with recent SARS-CoV-2 infection: AWARE VI
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Rating of Perceived Exertion associated with acute symptoms in athletes with recent SARS-CoV-2 infection: AWARE VI
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Rating of Perceived Exertion associated with acute symptoms in athletes with recent SARS-CoV-2 infection: AWARE VI
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Journal Article
Rating of Perceived Exertion associated with acute symptoms in athletes with recent SARS-CoV-2 infection: AWARE VI
2023
Overview
ContextSARS-CoV-2 infection can affect the exercise response in athletes. Factors associated with the exercise response have not been reported.ObjectiveThis study aimed to: 1) describe heart rate (HR), systolic blood pressure (SBP), and rating of perceived exertion (RPE) responses to exercise in athletes with recent SARS-CoV-2 infection, and 2) identify factors affecting exercise responses.DesignThis was a cross-sectional, experimental study.Patients or Other ParticipantsMale and female athletes (age 24.2 ± 6.3 years) with recent (<28 days) SARS-CoV-2 infection (n=72).SettingA ‘COVID-19 Recovery Clinic' for athletes.Main outcome measure(s)HR, SBP and RPE were measured during submaximal exercise (Modified Bruce protocol) at 10–28 days after SARS-CoV-2 symptom onset. Selected factors (demographics, sport, co-morbidities, pre-infection training variables and symptoms during the acute phase of the infection) affecting the exercise response were analyzed using random coefficient (linear mixed) models.ResultsHR, SBP, and RPE increased progressively from rest to stage 5 of the exercise test (p=0.0001). At stage 5 (10.1 METs), a higher HR and SBP during exercise was associated with younger age (p=0.0007) and increased body mass index (BMI) (p=0.009) respectively. Higher RPE during exercise was significantly associated with greater number of whole body (p=0.006) and total number (p=0.004) of symptoms during the acute phase of infection.ConclusionGreater number of symptoms during the acute infection was associated with a higher RPE during exercise in athletes with 10–28 days after SARS-CoV-2 infection. We recommend measuring RPE during the first exercise challenge after infection as this may indicate disease severity and be valuable to track progress, recovery, and return-to-sport.
Publisher
National Athletic Trainers Association
