Evidence map›Paper›PMID 42506836›Full record

ArticleSports (Basel, Switzerland)2026

Associations Between Pre-Quarantine Exercise and Persistent Symptoms After SARS-CoV-2 Infection.

Nikola Schmidt, Kira Engl, Barbara Grüne, Annelene Kossow, Johannes Nießen, Stefanie Wessely, Luis Haberstock, Susanne Rost, Christine Joisten

Abstract read
In one paragraph

Article in Sports (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Nikola SchmidtDepartment for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University Cologne, 50933 Cologne, Germany.ORCID 0000-0001-8739-8354
Kira EnglDepartment of Infection Control and Environmental Hygiene, Cologne Health Authority, 50667 Cologne, Germany.ORCID 0009-0006-8038-0200
Barbara GrüneDepartment of Infection Control and Environmental Hygiene, Cologne Health Authority, 50667 Cologne, Germany.ORCID 0000-0003-4393-333X
Annelene KossowDepartment of Infection Control and Environmental Hygiene, Cologne Health Authority, 50667 Cologne, Germany.
Johannes NießenDepartment of Infection Control and Environmental Hygiene, Cologne Health Authority, 50667 Cologne, Germany.
Stefanie WesselyDepartment for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University Cologne, 50933 Cologne, Germany.ORCID 0000-0001-5409-2885
Luis HaberstockAugsburg County Health Authority, 86150 Augsburg, Germany.ORCID 0009-0004-3582-5755
Susanne RostAugsburg County Health Authority, 86150 Augsburg, Germany.
Christine JoistenDepartment for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University Cologne, 50933 Cologne, Germany.ORCID 0000-0002-2455-8901

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term symptoms after SARS-CoV-2 infection such as fatigue, shortness of breath and cognitive impairment represent a major burden on society. Risk factors include female sex, smoking, comorbidities and socioeconomic deprivation. Physical activity (PA) has been suggested as a potential protective factor, although all population groups, including athletes, were affected. Therefore, this study aimed to investigate the influence of PA duration and intensity on the odds of the presence of long-term symptoms.

methodsThis cross-sectional study included 5413 individuals following acute COVID-19 within the CoCo-Fakt online monitoring study. The type, duration and intensity of exercise in the four weeks before quarantine were recorded, and the odds of the presence of long-term symptoms beyond 12 weeks after infection were determined, adjusted for demographics, health status and acute COVID-19 outcomes.

resultsAmong participants, 561 (10.4%) reported long-term symptoms. Those with long-term symptoms reported a longer duration (

conclusionsCurrent data suggests that PA has a protective effect on post-COVID-19 condition when performed at a moderate level. In our study, however, neither PA intensity nor duration emerged as a predictor of long-term symptoms. Future studies must clarify which intensities and types of exercise can help to maintain overall physical and mental health and to prevent or improve the long-term outcomes following SARS-CoV-2 infection, considering individual circumstances.

Indexed as

exerciselong COVIDlong-term symptomspersistent symptomsphysical activitypost-COVID-19 conditionpredictors

Identifiers

PMID42506836
PMCPMC13417650

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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.