Resumen
Among the people most affected by coronavirus disease 2019 (COVID-19) are those suffering from hypertension (HTN). However, pharmacological therapies for HTN are ineffective against COVID-19 progression and severity. It has been proposed that exercise training (EX) could be used as post-COVID treatment, which does not rule out the possible effects during hospitalization for COVID-19. Therefore, we aimed to determine the impact of supervised EX on HTN patients with COVID-19 during hospitalization. Among a total of 1,508 hospitalized patients with COVID-19 (confirmed by PCR), 439 subjects were classified as having HTN and were divided into two groups: EX (n = 201) and control (n = 238) groups. EX (3-4 times/wk during all hospitalizations) consisted of aerobic exercises (15-45 min; i.e., walking); breathing exercises (10-15 min) (i.e., diaphragmatic breathing, pursed-lip breathing, active abdominal contraction); and musculoskeletal exercises (8-10 sets of 12-15 repetitions/wk; lifting dumbbells, standing up and sitting, lumbar stabilization). Our data revealed that the EX (clinician: patient, 1:1 ratio) intervention was able to improve survival rates among controlled HTN patients with COVID-19 during their hospitalization when compared with the control group (chi-squared: 4.83; hazard ratio: 1.8; 95% CI: 1.117 to 2.899; P = 0.027). Multivariate logistic regression analysis revealed that EX was a prognostic marker (odds ratio: 0.449; 95% CI: 0.230-0.874; P = 0.018) along with sex and invasive and noninvasive mechanical ventilation. Our data showed that an intrahospital supervised EX program reduced the mortality rate among patients with HTN suffering from COVID-19 during their hospitalization.
Idioma original | Inglés |
---|---|
Páginas (desde-hasta) | 678-684 |
Número de páginas | 7 |
Publicación | Journal of Applied Physiology |
Volumen | 134 |
N.º | 3 |
DOI | |
Estado | Publicada - 2023 |
Nota bibliográfica
Funding Information:This study was supported by Minera Escondida Ltda. MEL2203; the “Agencia Nacional de Investigación y Desarrollo (ANID),” through Fondecyt de Iniciación #11220870 and Anillo ACT210083. M.I. was funded in part by grant from the Spanish Ministry of Economy, “Ministerio de Ciencia e Innovación” (PID2020-113098RB-I00).
Funding Information:
This study was supported by Minera Escondida Ltda. MEL2203; the "Agencia Nacional de Investigación y Desarrollo (ANID)," through Fondecyt de Iniciación #11220870 and Anillo ACT210083. M.I. was funded in part by grant from the Spanish Ministry of Economy, "Ministerio de Ciencia e Innovación" (PID2020- 113098RB-I00).
Publisher Copyright:
Copyright © 2023 the American Physiological Society.
Áreas temáticas de ASJC Scopus
- Fisiología
- Fisiología (médica)