COVID-19 Alters Respiratory Function Associations in High-Level Athletes

Background and Objectives: Coronavirus disease 2019 (COVID-19) has affected multiple physiological systems, including respiratory function, which is critical for athletic performance. Although alterations in pulmonary dynamics have been observed in high-level athletes recovering from COVID-19, the effects on respiratory function remain unclear. In this context, the present study aimed to examine the impact of COVID-19 on the interrelationships among respiratory function parameters in high-level athletes. Materials and Methods: Sixty-eight high-level athletes participated in the present study, including 34 with a history of COVID-19 and 34 controls without prior infection. Respiratory function and respiratory muscle strength were assessed using a digital spirometer (Pony FX, Cosmed, Italy). Key variables included Forced Vital Capacity (FVC), Peak Expiratory Flow (PEF), Maximum Voluntary Ventilation (MVV), Forced Expiratory Volume in one second (FEV₁), and Maximum Inspiratory/Expiratory Pressure (MIP/MEP). Results: High-level athletes with prior COVID-19 infection exhibited significant differences in the correlations (p < 0.05) between FVC and PEF, FVC and MVV, FEV₁ and FEV₁/FVC, and MIP and MVV compared to controls. Conclusions: These findings suggest that COVID-19 can disrupt the interrelationships among respiratory function parameters in high-level athletes, highlighting the need for further longitudinal investigations.