Evidence map›Paper›PMID 41741603›Full record

ArticleScientific reports2026

A single bout of submaximal aerobic functional capacity test acutely promotes endothelial function in long COVID patients.

Aldair Darlan Santos-de-Araújo, Bárbara Rocha de Oliveira Garcia, Daniela Bassi-Dibai, Nelson Francisco Serrão Júnior, Paula Angélica Ricci, Patrícia Faria Camargo, Kamilla Tays Marrara Marmorato, Shane A Phillips, Ross Arena, Audrey Borghi-Silva

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Aldair Darlan Santos-de-AraújoCardiopulmonary Physical Therapy Laboratory, Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luiz, São Carlos, SP, 13565-905, Brazil.
Bárbara Rocha de Oliveira GarciaCardiopulmonary Physical Therapy Laboratory, Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luiz, São Carlos, SP, 13565-905, Brazil.
Daniela Bassi-DibaiDepartment of Dentistry, CEUMA University, São Luís, MA, Brazil.
Nelson Francisco Serrão JúniorCardiopulmonary Physical Therapy Laboratory, Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luiz, São Carlos, SP, 13565-905, Brazil.
Paula Angélica RicciCardiopulmonary Physical Therapy Laboratory, Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luiz, São Carlos, SP, 13565-905, Brazil.
Patrícia Faria CamargoCardiopulmonary Physical Therapy Laboratory, Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luiz, São Carlos, SP, 13565-905, Brazil.
Kamilla Tays Marrara MarmoratoCentral Paulista University Center, São Carlos, SP, Brazil.
Shane A PhillipsCollege of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL, USA.
Ross ArenaCollege of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL, USA.
Audrey Borghi-SilvaCardiopulmonary Physical Therapy Laboratory, Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luiz, São Carlos, SP, 13565-905, Brazil. audrey@ufscar.br.

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 24/22713-3
6 · The paper itself

Abstract

Persistent symptoms and vascular impairment are common among individuals recovering from COVID-19, yet little is known about acute interventions capable of improving endothelial function in this group. Submaximal functional tests, such as the six-minute step test (6MST), provoke marked cardiovascular activation and may provide a brief stimulus for vascular adaptation. This study examined whether performing a single 6MST session could trigger an immediate enhancement in brachial artery endothelial function in adults with long COVID. Forty-seven participants, symptomatic long COVID individuals and healthy controls, underwent evaluations of respiratory function, fatigue, dyspnoea, habitual physical activity, and functional capacity. Cardiorespiratory responses during the 6MST were measured with a portable metabolic system, and flow-mediated dilation (FMD) of the brachial artery was assessed before exercise and 10–15 min afterward. At baseline, the long COVID group demonstrated greater adiposity, a higher burden of comorbidities, reduced functional capacity, lower peak V̇O2, and attenuated FMD relative to controls. A single bout of submaximal test acutely improves brachial artery endothelial function in individuals with persistent symptoms following COVID-19. These participants also displayed reduced functional capacity and peak VO2, greater diastolic blood pressure response, and increased lower limb fatigue during the test. Although VO2 peak showed a modest association with the FMD% response in univariate analysis, this relationship did not persist after adjustment for confounders, indicating that the acute vascular improvement was not independently determined by cardiorespiratory fitness.

Indexed as

COVID-19Endothelium, VascularExerciseAdultBrachial ArteryExercise TestFemaleHumansMaleMiddle AgedOxygen ConsumptionPost-Acute COVID-19 SyndromeSARS-CoV-2VasodilationCOVID-19Functional capacityOxygen uptakeVascular responses

Identifiers

PMID41741603
PMCPMC13031956

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LicenceCC BY-NC-ND
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Registered trials

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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.