Exercise is a vital aspect of my daily life, and for nearly twenty years, I’ve seldom taken more than a few days off my routine. Typically, after dealing with a cold or minor illness, I bounce right back to my regular activities. In a world without COVID-19, health professionals generally recommend that if you’re accustomed to exercising, it’s perfectly fine to return to your usual level of activity post-illness. However, we are not living in a world free from COVID-19, and the standard guidelines for resuming exercise may no longer apply. In this context, exercising could be hazardous and, in some cases, even lead to fatal consequences.
In an article for a major publication, Dr. Alex Turner, a sports medicine expert, highlighted that his usual guidance—to return to exercise if it typically improves your mood—does not necessarily hold true in the case of COVID-19. He pointed out concerning cases of heart and clotting complications in “previously healthy and fit individuals who experienced mild COVID-19 symptoms and did not require hospitalization.”
Cardiac Complications
Research continues to reveal the association between COVID-19 and heart complications. Studies indicate that even those who had mild or no symptoms may experience heart damage, particularly if they engage in physical activity while still infected. One major concern is myocarditis, an inflammation of the heart muscle that can weaken the heart’s ability to pump blood effectively. Engaging in strenuous activity while the heart is compromised can lead to severe complications, including dizziness, shortness of breath, cardiac arrest, and even sudden death. A study published in a prominent cardiology journal found signs of myocarditis in 78% of 100 participants who had recovered from COVID-19, most of whom had no prior health issues. Alarmingly, 12 of these individuals had mild or asymptomatic cases. Another smaller investigation involving college athletes found that 15% showed indications of heart inflammation. Myocarditis was a significant factor in the decision by college conferences to postpone fall sports in 2020.
Blood Clots
The relationship between COVID-19 and blood clots remains somewhat enigmatic, although researchers are gradually uncovering the mechanisms behind this issue. We know that there is a risk—especially for those with severe COVID-19—but possibly even for others. Dr. Turner recounted a case of a cyclist in her 40s who experienced leg pain following COVID-19 symptoms. An ultrasound revealed significant blood clots obstructing blood flow in both legs. Fortunately, medical intervention occurred before the clots could travel to her lungs, which could have been fatal. Tragically, in Indiana, a 20-year-old college student perished from a blood clot in her lungs after experiencing COVID-19 symptoms.
How to Safely Resume Exercise After COVID-19
Dr. Turner and his colleagues have developed a set of evidence-based guidelines for safely returning to physical activity following a mild to moderate COVID-19 infection. His recommendations include:
- Avoid Exercise While Sick: If you are experiencing active symptoms like fever, cough, chest pain, shortness of breath at rest, or palpitations, it is crucial to refrain from exercising. Allowing your body to rest may help reduce myocarditis inflammation during your recovery.
- Gradual Return to Exercise: Wait at least a week after your symptoms have disappeared before starting to exercise again, and begin at half of your typical intensity. Dr. Sarah Collins, a cardiologist, also suggests taking several weeks off from exercise after testing positive for COVID-19 before progressively resuming your regular activities. Even asymptomatic athletes should refrain from exercise for at least two weeks after testing positive.
- Listen to Your Body: If you experience symptoms returning, particularly chest pain, heart palpitations, or breathing difficulties, stop exercising immediately and consult a doctor.
- Consult a Cardiologist: If you experienced chest pain, shortness of breath, or fatigue during your illness, it is advisable to see a cardiologist before resuming physical activity.
- Get Tested: If you exhibit cold or flu-like symptoms, obtaining a COVID-19 test is vital for making informed and safe decisions regarding your return to exercise.
Ultimately, the most crucial advice is to listen to your body. Since COVID-19 can affect individuals differently, taking the time to rest and recover is essential, especially for those who had severe infections or required hospitalization.
Vaccines are on the horizon, providing hope for a return to normalcy. Until then, remember to practice safety measures like wearing masks, maintaining social distancing, and washing your hands.
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Summary:
Exercise is essential, but returning to your routine after recovering from COVID-19 can be risky, even if you feel fine. Heart complications and blood clots have been linked to COVID-19, even in mild cases. It’s crucial to follow guidelines for safely resuming exercise, which include avoiding activity while symptomatic, gradually increasing intensity, and consulting a cardiologist if necessary. Listen to your body and take your recovery seriously.
