Evidence map›Paper›PMID 36477204›Full record

ArticlePloS one2022

Recovery of performance and persistent symptoms in athletes after COVID-19.

Shirin Vollrath, Daniel Alexander Bizjak, Jule Zorn, Lynn Matits, Achim Jerg, Moritz Munk, Sebastian Viktor Waldemar Schulz, Johannes Kirsten, Jana Schellenberg, Jürgen Michael Steinacker

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 25 citations in OpenAlex.

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  16. Former SARS-CoV-2 Infection Was Related to Decreased VODiagnostics (Basel, Switzerland) · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Shirin VollrathDivision of Sports and Rehabilitation Medicine, Department of Medicine, Ulm University Hospital, Ulm, Germany.ORCID 0000-0001-5678-9483
Daniel Alexander BizjakDivision of Sports and Rehabilitation Medicine, Department of Medicine, Ulm University Hospital, Ulm, Germany.
Jule ZornDivision of Sports and Rehabilitation Medicine, Department of Medicine, Ulm University Hospital, Ulm, Germany.
Lynn MatitsDivision of Sports and Rehabilitation Medicine, Department of Medicine, Ulm University Hospital, Ulm, Germany.
Achim JergDivision of Sports and Rehabilitation Medicine, Department of Medicine, Ulm University Hospital, Ulm, Germany.
Moritz MunkDivision of Sports and Rehabilitation Medicine, Department of Medicine, Ulm University Hospital, Ulm, Germany.
Sebastian Viktor Waldemar SchulzDivision of Sports and Rehabilitation Medicine, Department of Medicine, Ulm University Hospital, Ulm, Germany.
Johannes KirstenDivision of Sports and Rehabilitation Medicine, Department of Medicine, Ulm University Hospital, Ulm, Germany.
Jana SchellenbergDivision of Sports and Rehabilitation Medicine, Department of Medicine, Ulm University Hospital, Ulm, Germany.ORCID 0000-0002-7467-2614
Jürgen Michael SteinackerDivision of Sports and Rehabilitation Medicine, Department of Medicine, Ulm University Hospital, Ulm, Germany.ORCID 0000-0001-8901-9450
University Hospital Ulm · DEUniversität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAfter the acute Sars-CoV-2-infection, some athletes suffer from persistent, performance-impairing symptoms, although the course of the disease is often mild to moderate. The relation between cardiopulmonary performance and persistent symptoms after the acute period is still unclear. In addition, information about the development of this relationship is lacking.

objectiveTo assess the prevalence of persistent symptoms over time and their association with the performance capability of athletes.

methodsWe conducted two cardiopulmonary exercise tests (CPET) in a three months interval with 60 athletes (age: 35.2±12.1 years, 56.7% male) after infection with Sars-CoV-2 (t0: study inclusion; t1: three months post t0). At each examination, athletes were asked about their persistent symptoms. To evaluate the change of Peak VO2/BM (Body Mass) between the time before infection and the first examination, the VO2/BM (predVO2) before infection was predicted based on anthropometric data and exercise history of the athletes. For data analysis, athletes were grouped according to their symptom status (symptom-free, SF; persistent symptoms, PS) and its progression from the first to the second examination 1) SF-SF, 2) PS-SF and 3) PS-PS.

resultsComparing the SF and PS groups at t0, significant differences for Max Power/BM, Max Power/lbm (lean body mass), Peak VO2, Peak VO2/BM, Peak VO2/lbm, Peak VO2/HR, Peak VE, Peak Vt and VE/VCO2-Slope were observed. Regarding the progression over three months, an increase in Max Power/BM was shown in SF-SF and PS-SF (tendency). Max Power/lbm increased in SF-SF and PS-PS (tendency). A decrease of VE/VCO2-Slope in PS-PS was found.

conclusionCOVID-19 led to a decline in performance that was greater in PS than in SF. Additionally, PS had decreased ventilatory parameters compared to SF. Furthermore, an improvement over time was observed in some CPET parameters and a partial recovery was observed judging by the decrease in various symptoms.

Indexed as

COVID-19AdultData AnalysisFemaleHumansMaleMiddle AgedSARS-CoV-2Young Adult

Identifiers

PMID36477204
PMCPMC9728914
OpenAlexW4311844897

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.