在COVID-19后的个人中,不同运动训练模式的影响:随机对照试验的系统审查
Filipe Ferrari1,2, Cássia da Luz Goulart3, Leandro Tolfo Franzoni1,2
1Graduate Program in Cardiology and Cardiovascular Sciences, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Disability and rehabilitation
|February 2, 2026
概括
结构化的运动训练 (ET) 有助于COVID-19后的恢复,改善功能能力和肌肉力量. 包括高强度间歇训练 (HIIT) 在内的各种ET模式显示出好处,表明方法灵活而不是单一的最佳方法.
科学领域:
- 运动生理学 运动生理学
- 康复医学 康复医学 康复医学
- 传染病的恢复 传染病的恢复
背景情况:
- 尽管COVID-19的长期影响已经结束,但它仍然存在.
- 运动训练 (ET) 被认为有助于恢复.
- 对于COVID-19后的个人来说,最佳的ET模式需要进一步的证据.
研究的目的:
- 评估不同运动训练 (ET) 模式对从COVID-19中恢复过来的个体的影响.
- 为了比较有氧训练,高强度间歇训练 (HIIT) 和联合训练与通常的护理.
主要方法:
- 随机对照试验 (RCT) 的系统搜索到2025年9月.
- 包括的研究涉及患有COVID-19的成年人接受≥4周的ET干预.
- 使用RoB 2.0和GRADE框架评估的偏见风险和证据确定性.
主要成果:
- 十八个RCT (N=1171) 显示ET模式改善了功能能力 (VO2峰值,6分钟步行距离) 和肌肉力量.
- 高强度间歇训练 (HIIT) 产生了最大的VO2峰值增长 (MD:6.17ml.kg-1.min-1).
- 对生活质量,焦虑和抑郁的影响是不一致的;心肺参数显示混合结果.
结论:
- 结构化的运动训练 (ET) 似乎对COVID-19后的恢复有益.
- 多种ET方法可能是有效的,挑战单一最佳方法的概念.
- 由于异质的协议,证据的确定性较低,需要谨慎的解释.
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