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Abstract
Background
No previous research has investigated the direct effects of exercise interventions on COVID-19 outcomes. The aim is to investigate the effect of 8 weeks of home-based moderate-intensity continuous training (MICT), resistance training (RT), and combined aerobic and resistance training (CET) on biochemical and hematologic markers associated with COVID-19 symptoms and severity in COVID-19 survivors.
Methods
A total of 547 male and female COVID-19 survivors were screened, and 296 (aged 20–93 years) were randomly assigned in a 1:1:1:1 ratio to one of four groups: MICT (n = 74), RT (n = 74), CET (n = 74), or non-exercise (NON-EX, n = 74). Blood samples were taken at baseline, at week 4, and week 8 after training.
Results
After the intervention, compared with the NON-EX group, all 3 MICT, RT, and CET interventions caused significant improvements in the levels of creatine kinase (CK), lactate dehydrogenase (LDH), C-reactive protein (CRP), troponin-I, d-dimer, creatinine, urea, potassium (K), sodium (Na), white blood cell (WBC), neutrophils, lymphocytes, red blood cells (RBC), platelets, hemoglobin, and hematocrit concentrations (P < 0.05). CET was effectively superior to MICT and RT in the improvements in the biochemical and hematological variables studied (P < 0.05).
Conclusions
Overall, the present study demonstrates that long-term MICT plus RT interventions have a synergistic effect in accelerating and enhancing the recovery in patients surviving COVID-19.
Trial registration IRCT20160605028270N3, 6 September 2020.
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Details

1 Allameh Tabataba’i University, Department of Exercise Physiology, Faculty of Physical Education and Sport Sciences, Tehran, Iran (GRID:grid.444893.6) (ISNI:0000 0001 0701 9423)
2 Urmia University, Department of Exercise Physiology, Faculty of Physical Education and Sport Science, Urmia, Iran (GRID:grid.412763.5) (ISNI:0000 0004 0442 8645)
3 Justus-Liebig-University, Department of Exercise Physiology and Sports Therapy, Giessen, Germany (GRID:grid.8664.c) (ISNI:0000 0001 2165 8627)
4 Babol University of Medical Sciences, Department of Biostatistics and Epidemiology School of Public Health, Babol, Iran (GRID:grid.411495.c) (ISNI:0000 0004 0421 4102)