Effects of Aerobic Exercise Therapy through Nordic Walking Program in Lactate Concentrations, Fatigue and Quality-of-Life in Patients with Long-COVID Syndrome: A Non-Randomized Parallel Controlled Trial

Background: Long-COVID syndrome comprises a variety of signs and symptoms that develop during or after infection with COVID-19 which may affect the physical capabilities. However, there is a lack of studies investigating the effects of Long-COVID syndrome in sport capabilities after suffering from C...

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Main Authors: Sofía Laguarta-Val, David Varillas-Delgado, Ángel Lizcano-Álvarez, Alberto Molero-Sánchez, Alberto Melian-Ortiz, Roberto Cano-de-la-Cuerda, Carmen Jiménez-Antona
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Journal of Clinical Medicine
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Online Access:https://www.mdpi.com/2077-0383/13/4/1035
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author Sofía Laguarta-Val
David Varillas-Delgado
Ángel Lizcano-Álvarez
Alberto Molero-Sánchez
Alberto Melian-Ortiz
Roberto Cano-de-la-Cuerda
Carmen Jiménez-Antona
author_facet Sofía Laguarta-Val
David Varillas-Delgado
Ángel Lizcano-Álvarez
Alberto Molero-Sánchez
Alberto Melian-Ortiz
Roberto Cano-de-la-Cuerda
Carmen Jiménez-Antona
author_sort Sofía Laguarta-Val
collection DOAJ
description Background: Long-COVID syndrome comprises a variety of signs and symptoms that develop during or after infection with COVID-19 which may affect the physical capabilities. However, there is a lack of studies investigating the effects of Long-COVID syndrome in sport capabilities after suffering from COVID-19 infection. The purpose of the study was to evaluate and compare lactate concentration and quality of life (QoL) in patients with Long-COVID with those who have not developed non-Long-COVID during Nordic walking exercise therapy. Methods: Twenty-nine patients (25.5 ± 7.1 years) took part in a non-randomized controlled trial, divided into two groups: a Long-COVID group (<i>n</i> = 16) and a non-Long-COVID control (<i>n</i> = 13). Patients were confirmed as having Long-COVID syndrome if they experienced fatigue or tiredness when performing daily activities and worsening of symptoms after vigorous physical or mental activity. All participants underwent a 12-week Nordic Walking program. Lactate concentration after exercise and distance covered during all sessions were measured. Pre- and Long-Nordic Walking program, the Modified Fatigue Impact Scale (MFIS), the Short Form 36 Health Survey (SF-36), and EURO QoL-5D (EQ-ED) were administered to assess fatigue and quality of life, respectively. Results: There was a lactate concentration effect between groups (F = 5.604; <i>p</i> = 0.024). However, there was no significant effect as a result of the session (F = 3.521; <i>p</i> = 0.121) with no interaction of group × session (F = 1.345; <i>p</i> = 0.414). The group main effect (F = 23.088; <i>p</i> < 0.001), time effect (F = 6.625; <i>p</i> = 0.026), and group × time (F = 4.632; <i>p</i> = 0.002) interaction on the SF-36 scale were noted. Also, there were a significant group main effect (F = 38.372; <i>p</i> < 0.001), time effect (F = 12.424; <i>p</i> = 0.005), and group × time interaction (F = 4.340; <i>p</i> = 0.014) on EQ-5D. However, there was only a significant group main effect (F = 26.235; <i>p</i> < 0.001) with no effect on time (F = 2.265; <i>p</i> = 0.160) and group × time (F = 1.584; <i>p</i> = 0.234) interaction on the MFIS scale. Conclusions: The Long-COVID group showed higher lactate concentration compared with the control group during the 12 weeks of the Nordic Walking program. The Long-COVID group presented a decrease in fatigue with respect to the control group according to the MFIS scale, as well as improvement in quality of life after aerobic exercise therapy.
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spelling doaj.art-9f2fd1a7f68145d194d7bca5e78128e32024-02-23T15:22:06ZengMDPI AGJournal of Clinical Medicine2077-03832024-02-01134103510.3390/jcm13041035Effects of Aerobic Exercise Therapy through Nordic Walking Program in Lactate Concentrations, Fatigue and Quality-of-Life in Patients with Long-COVID Syndrome: A Non-Randomized Parallel Controlled TrialSofía Laguarta-Val0David Varillas-Delgado1Ángel Lizcano-Álvarez2Alberto Molero-Sánchez3Alberto Melian-Ortiz4Roberto Cano-de-la-Cuerda5Carmen Jiménez-Antona6Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Universidad Rey Juan Carlos, Alcorcon, 28922 Madrid, SpainDepartment of Exercise and Sport Science, Faculty of Health Sciences, Universidad Francisco de Vitoria, 28223 Pozuelo, SpainDepartment of Nursing and Stomatology, Faculty of Health Sciences, Universidad Rey Juan Carlos, Alcorcon, 28922 Madrid, SpainDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Universidad Rey Juan Carlos, Alcorcon, 28922 Madrid, SpainFaculty of Nursing and Physiotherapy, Universidad Pontificia de Salamanca, 28015 Madrid, SpainDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Universidad Rey Juan Carlos, Alcorcon, 28922 Madrid, SpainDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Universidad Rey Juan Carlos, Alcorcon, 28922 Madrid, SpainBackground: Long-COVID syndrome comprises a variety of signs and symptoms that develop during or after infection with COVID-19 which may affect the physical capabilities. However, there is a lack of studies investigating the effects of Long-COVID syndrome in sport capabilities after suffering from COVID-19 infection. The purpose of the study was to evaluate and compare lactate concentration and quality of life (QoL) in patients with Long-COVID with those who have not developed non-Long-COVID during Nordic walking exercise therapy. Methods: Twenty-nine patients (25.5 ± 7.1 years) took part in a non-randomized controlled trial, divided into two groups: a Long-COVID group (<i>n</i> = 16) and a non-Long-COVID control (<i>n</i> = 13). Patients were confirmed as having Long-COVID syndrome if they experienced fatigue or tiredness when performing daily activities and worsening of symptoms after vigorous physical or mental activity. All participants underwent a 12-week Nordic Walking program. Lactate concentration after exercise and distance covered during all sessions were measured. Pre- and Long-Nordic Walking program, the Modified Fatigue Impact Scale (MFIS), the Short Form 36 Health Survey (SF-36), and EURO QoL-5D (EQ-ED) were administered to assess fatigue and quality of life, respectively. Results: There was a lactate concentration effect between groups (F = 5.604; <i>p</i> = 0.024). However, there was no significant effect as a result of the session (F = 3.521; <i>p</i> = 0.121) with no interaction of group × session (F = 1.345; <i>p</i> = 0.414). The group main effect (F = 23.088; <i>p</i> < 0.001), time effect (F = 6.625; <i>p</i> = 0.026), and group × time (F = 4.632; <i>p</i> = 0.002) interaction on the SF-36 scale were noted. Also, there were a significant group main effect (F = 38.372; <i>p</i> < 0.001), time effect (F = 12.424; <i>p</i> = 0.005), and group × time interaction (F = 4.340; <i>p</i> = 0.014) on EQ-5D. However, there was only a significant group main effect (F = 26.235; <i>p</i> < 0.001) with no effect on time (F = 2.265; <i>p</i> = 0.160) and group × time (F = 1.584; <i>p</i> = 0.234) interaction on the MFIS scale. Conclusions: The Long-COVID group showed higher lactate concentration compared with the control group during the 12 weeks of the Nordic Walking program. The Long-COVID group presented a decrease in fatigue with respect to the control group according to the MFIS scale, as well as improvement in quality of life after aerobic exercise therapy.https://www.mdpi.com/2077-0383/13/4/1035Long-COVIDCOVID-19fatiguequality of lifelactate concentrationaerobic exercise
spellingShingle Sofía Laguarta-Val
David Varillas-Delgado
Ángel Lizcano-Álvarez
Alberto Molero-Sánchez
Alberto Melian-Ortiz
Roberto Cano-de-la-Cuerda
Carmen Jiménez-Antona
Effects of Aerobic Exercise Therapy through Nordic Walking Program in Lactate Concentrations, Fatigue and Quality-of-Life in Patients with Long-COVID Syndrome: A Non-Randomized Parallel Controlled Trial
Journal of Clinical Medicine
Long-COVID
COVID-19
fatigue
quality of life
lactate concentration
aerobic exercise
title Effects of Aerobic Exercise Therapy through Nordic Walking Program in Lactate Concentrations, Fatigue and Quality-of-Life in Patients with Long-COVID Syndrome: A Non-Randomized Parallel Controlled Trial
title_full Effects of Aerobic Exercise Therapy through Nordic Walking Program in Lactate Concentrations, Fatigue and Quality-of-Life in Patients with Long-COVID Syndrome: A Non-Randomized Parallel Controlled Trial
title_fullStr Effects of Aerobic Exercise Therapy through Nordic Walking Program in Lactate Concentrations, Fatigue and Quality-of-Life in Patients with Long-COVID Syndrome: A Non-Randomized Parallel Controlled Trial
title_full_unstemmed Effects of Aerobic Exercise Therapy through Nordic Walking Program in Lactate Concentrations, Fatigue and Quality-of-Life in Patients with Long-COVID Syndrome: A Non-Randomized Parallel Controlled Trial
title_short Effects of Aerobic Exercise Therapy through Nordic Walking Program in Lactate Concentrations, Fatigue and Quality-of-Life in Patients with Long-COVID Syndrome: A Non-Randomized Parallel Controlled Trial
title_sort effects of aerobic exercise therapy through nordic walking program in lactate concentrations fatigue and quality of life in patients with long covid syndrome a non randomized parallel controlled trial
topic Long-COVID
COVID-19
fatigue
quality of life
lactate concentration
aerobic exercise
url https://www.mdpi.com/2077-0383/13/4/1035
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