Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Impact of COVID-19 Infection on Cardiorespiratory Fitness, Sleep, and Psychology of Endurance Athletes– CAESAR Study

Version 1 : Received: 22 March 2023 / Approved: 24 March 2023 / Online: 24 March 2023 (12:23:44 CET)

A peer-reviewed article of this Preprint also exists.

Śliż, D.; Wiecha, S.; Gąsior, J.S.; Kasiak, P.S.; Ulaszewska, K.; Lewandowski, M.; Barylski, M.; Mamcarz, A. Impact of COVID-19 Infection on Cardiorespiratory Fitness, Sleep, and Psychology of Endurance Athletes—CAESAR Study. J. Clin. Med. 2023, 12, 3002. Śliż, D.; Wiecha, S.; Gąsior, J.S.; Kasiak, P.S.; Ulaszewska, K.; Lewandowski, M.; Barylski, M.; Mamcarz, A. Impact of COVID-19 Infection on Cardiorespiratory Fitness, Sleep, and Psychology of Endurance Athletes—CAESAR Study. J. Clin. Med. 2023, 12, 3002.

Abstract

COVID-19 has harmful impact on health. It is especially important for endurance athletes (EAs). Sleep and psychology influence sport performance. Aims of this study were: (1) investigation of the consequences of mild COVID-19 on sleep and psychology and (2) assessment of the conse-quences of the infection on cardiopulmonary exercise test (CPET) results. 49 EAs (males= 43; 87.76%, females= 6; 12.24%, age= 39.9±7.8 years, height= 178.4±6.8 cm, weight= 76.3±10.4 kg; BMI= 24.0±2.6 kg·m−2) underwent maximal cycling or running CPET pre- and post- COVID-19 and completed a survey. Exercise performance was deteriorated after COVID-19 (maximal oxy-gen uptake; VO2max= 47.81±7.81 vs 44.97±7.00 ml·kg·min−1 respectively pre- and post- infection; p<0.001). Waking up at night affected heart rate (HR) at the respiratory compensation point (RCP) (p=0.028). Sleep time influenced pulmonary ventilation (p=0.013), breathing frequency (p=0.010), and blood lactate concentration (Lac) (p=0.013) at RCP. Maximal power/speed (p=0.046) and HR (p=0.070) linked with the quality of sleep. Stress management and relaxation techniques linked with VO2max (p=0.046), maximal power/speed (p=0.033), and maximal Lac (p=0.045). Cardiorespiratory fitness was deteriorated after mild COVID-19 and was correlated with sleep and mental health. Medical Professionals should encourage EAs to maintain proper mental health and sleep after COVID-19 infection to facilitate recovery.

Keywords

COVID-19; Endurance athletes; mental health; sleep; cardiopulmonary exercise testing; cardiorespiratory fitness; exercise capacity; physical exercise; psychology

Subject

Medicine and Pharmacology, Orthopedics and Sports Medicine

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