Exercise and COVID-19 can be a dangerous combination, new evidence shows
Trying to 바카라 게임 웹사이트work through it바카라 게임 웹사이트 can make it much worse and even lead to myocarditis in some patients.
Trying to 바카라 게임 웹사이트work through it바카라 게임 웹사이트 can make it much worse and even lead to myocarditis in some patients.
Whenever Cate O바카라 게임 웹사이트Shea Rivera feels a cold coming on, she typically goes for a run.
The activity, she says, seems to from her system.
바카라 게임 웹사이트I바카라 게임 웹사이트ll come back, I바카라 게임 웹사이트ll take a nice warm shower, and I바카라 게임 웹사이트ll be breathing through my nose better,바카라 게임 웹사이트 says the 43-year-old Chicago resident.
But this April, when O바카라 게임 웹사이트Shea Rivera and shortly after tested positive for COVID-19, exercise, it seemed, had the opposite effect. As O바카라 게임 웹사이트Shea Rivera quarantined in her bedroom and adjoining backyard for three weeks, she was determined to work out for 30 minutes a day 바카라 게임 웹사이트 even if it meant walking laps to and from the closet, or strolling circles in the yard.
Yet the 12-time marathoner soon found that just five minutes of 바카라 게임 웹사이트kicked my ass,바카라 게임 웹사이트 leaving her breathless and exhausted. Afterward, she바카라 게임 웹사이트d use an inhaler, crawl back into bed, and 바카라 게임 웹사이트just lay there for hours.바카라 게임 웹사이트
By week two, O바카라 게임 웹사이트Shea Rivera started feeling better, but just 10 to 15 minutes of walking or light movement continued to have the same effect: worsening symptoms, coughing, dizziness, and physical exhaustion.
O바카라 게임 웹사이트Shea Rivera knew she needed to rest, but also felt like if she kept moving, she바카라 게임 웹사이트d get stronger faster. Her internal medicine physician, however, told her to not to push it.
바카라 게임 웹사이트This isn바카라 게임 웹사이트t a cold or the flu,바카라 게임 웹사이트 O바카라 게임 웹사이트Shea Rivera recalls her doctor saying.
As it turns out, O바카라 게임 웹사이트Shea Rivera바카라 게임 웹사이트s physician was right to urge caution. According to new evidence, exercise can indeed make COVID-19 worse. For runners like O바카라 게임 웹사이트Shea Rivera and other active people who generally turn to physical activity to boost circulation and feel better faster when they바카라 게임 웹사이트re a little under the weather, this is new and urgent news, says Jordan Metzl, M.D., a sports medicine physician at Hospital for Special Surgery or (HSS) in New York City.
바카라 게임 웹사이트This goes against my personal exercise philosophy that burpees cure pretty much everything and the advice I have given for 20 years that it바카라 게임 웹사이트s okay to exercise through minor sickness symptoms,바카라 게임 웹사이트 Dr. Metzl says. 바카라 게임 웹사이트COVID-19 plays by different rules when it comes to sports and exercise.바카라 게임 웹사이트
Here바카라 게임 웹사이트s what you need to know.
Be vigilant about listening to your body right now.
Exercise is still very important for your health. Not only does moderate, regular activity keep your , but it also helps prevent the that might increase your risk of more severe coronavirus complications such as obesity, high blood pressure, and diabetes.
Specifically, research finds that regular exercise may reduce the , a potentially deadly complication that affects between 3 and 17% of people who come down with COVID-19.
So definitely keep moving, but pay attention to how you feel. As athletes, we all have a lot of experience with tuning into the cues our bodies send to us. Don바카라 게임 웹사이트t just blow off persistent fatigue as a bad day.
Related video: Ways to keep your muscles strong outside of the gym
바카라 게임 웹사이트You need to be a very good body listener right now,바카라 게임 웹사이트 Dr. Metzl says.
Be especially mindful of unusual symptoms, adds Sunal Makadia, M.D., LifeBridge Health Director of Sports Cardiology in Baltimore.
바카라 게임 웹사이트Check in with your doctor if you have shortness of breath, chest pain, heart palpitations like a fluttering or rapid heartbeat, lightheadedness, leg swelling, muscle pains, and/or unexplainable fatigue,바카라 게임 웹사이트 Dr. Makadia says. 바카라 게임 웹사이트Even if you find yourself suddenly unable to keep up with your usual exercise partners, that바카라 게임 웹사이트s a red flag to stop and get tested.바카라 게임 웹사이트
You also want to check your heart rate monitor, if you use one, Dr. Makadia adds. 바카라 게임 웹사이트If you바카라 게임 웹사이트re hitting your peak heart rate unusually early in your [run] or having a hard time bringing your heart rate down, that바카라 게임 웹사이트s a sign you should check in with your doctor.바카라 게임 웹사이트
Even mild cases of COVID-19 can hurt your heart.
Being healthy, fit, and strong may help you avoid some of the more severe symptoms of , but it doesn바카라 게임 웹사이트t make you immune from some of the more insidious effects of the disease. And even if you only come down with a mild to moderate case, you are still at risk for myocarditis, inflammation of the middle layer of the heart wall, which can weaken the heart and lead to heart failure, abnormal heartbeat, or even sudden death.
This can happen even if you have no symptoms at all. In a recent study published in , German researchers performed cardiac MRI testing on 100 adults who had recovered from COVID-19.
About half of them had mild to moderate symptoms and 18% never had any symptoms. Though the testing was performed two to three months after their diagnosis and none of them had experienced heart symptoms related to the new coronavirus, 78 of them had structural changes to their hearts, and 60 had myocarditis.
Ironically, athletes might be at particular risk for this complication because intense activity during active infection바카라 게임 웹사이트even if you바카라 게임 웹사이트re showing no symptoms바카라 게임 웹사이트may cause the virus to replicate at a faster rate, Dr. Makadia says.
바카라 게임 웹사이트During training, you increase your cardiac output. If you바카라 게임 웹사이트re infected, this could in theory increase the viral replication in the heart muscle. If that happens the higher viral load may increase your risk of cardiac harm in the form of myocarditis, arrhythmias, and ,바카라 게임 웹사이트 he says.
It바카라 게임 웹사이트s important to stop exercising immediately at the first sign of potential cardiac symptoms and get checked out by your doctor, advises Dr. Makadia.
Dr. Metzl agrees. 바카라 게임 웹사이트We had a dedicated athlete and CrossFit enthusiast in her early 30s come down with COVID-19 when the pandemic struck New York. She had and thought she would go out for a run to feel better. She died of a heart attack. She was young and healthy and had no pre-existing cardiac history. It바카라 게임 웹사이트s very important to be conservative with COVID-19,바카라 게임 웹사이트 he says.
Related video: COVID-19 is causing blood clots and strokes in some patients
Blood clots are a risk
An equally scary COVID-19-related cardiovascular concern is like deep vein thrombosis (DVT)바카라 게임 웹사이트something active people may also be more likely to develop in part because of our low resting heart rates, which can cause blood to pool in our calves if we sit for prolonged periods of time, like a long car ride. Dehydration and injuries also raise the risk.
바카라 게임 웹사이트We know that very intense exercise increases inflammation and affects clotting even if you don바카라 게임 웹사이트t have other risk factors, which may be why some people who travel to marathons and other races and sit in cars for several hours afterward have a higher rate of blood clots, Dr. Makadia says.
COVID-19 also causes an increase in clotting and inflammation, he says.
바카라 게임 웹사이트The athletic population should be concerned about clotting as it relates to COVID. Hydration is key, as is early testing if you have , so that doctors can monitor clotting proteins in the blood.바카라 게임 웹사이트
Though you want to take it easy and avoid working out if you바카라 게임 웹사이트re COVID-19 positive, low-intensity activity like easy walking, or at least avoiding prolonged sitting, can provide some protection against DVT.
Calf pain, swelling, and/or tenderness are red flags to get checked. 바카라 게임 웹사이트Again, you need to pay attention to anything unusual,바카라 게임 웹사이트 Dr. Metzl says. 바카라 게임 웹사이트I cared for a cyclist who developed blood clots in both of her legs because of COVID-19 and nearly had to have one of her legs amputated. Now is the time to be extra careful and not blow off symptoms.바카라 게임 웹사이트
Stop exercising completely for at least two weeks.
If you바카라 게임 웹사이트ve been diagnosed with COVID-19, whether or not you have symptoms, you should not exercise for at least two weeks after receiving your positive test, Dr. Makadia says.
바카라 게임 웹사이트If you do have symptoms, you should avoid exercise for two weeks after your symptoms subside.바카라 게임 웹사이트
바카라 게임 웹사이트The real concern is that people can have a biphasic response,바카라 게임 웹사이트 Dr. Makadia explains. 바카라 게임 웹사이트You can get symptoms and then after a few days feel that you바카라 게임 웹사이트ve recovered. But then a lot of people have a resurgence of symptoms, and it바카라 게임 웹사이트s that second bout that can be really troublesome. That바카라 게임 웹사이트s when they get significantly worse. We want to avoid that second bout. That바카라 게임 웹사이트s where that two-week recommendation comes from.바카라 게임 웹사이트
After that two-week period, you may need additional testing as you look to resume your usual activity, Dr. Makadia says. 바카라 게임 웹사이트Your doctor may want to do follow up tests like blood work to check if your heart has been affected by the virus, as well as other tests like an EKG, an echocardiogram, and possibly a stress test.바카라 게임 웹사이트
Ease back into activity slowly after COVID-19.
Nobody wants people to stop exercising for good. Everyone wants people who have had COVID-19 to start exercising again safely. That바카라 게임 웹사이트s why doctors like Dr. Metzl have started creating guidelines for the medical community to follow as we work our way through the pandemic.
바카라 게임 웹사이트Everyone is unique and this disease affects everyone uniquely and can affect the whole body in many ways, so there is no absolute algorithm for resuming activity as there is for a sprained ankle,바카라 게임 웹사이트 says Dr. Metzl, who authored a recently published review article titled .
바카라 게임 웹사이트We just need to help people return to activity in a gradual stepwise manner.바카라 게임 웹사이트
As a general rule, people who have had COVID-19 should be followed closely, especially in the first three to six months as they return to exercise programs, Dr. Metzl and his co-authors conclude in the study. 바카라 게임 웹사이트This is true for athletes who have had COVID-19 to any degree,바카라 게임 웹사이트 Dr. Metzl writes.
If you바카라 게임 웹사이트ve had a mild case, then Dr. Metzl and his coauthors recommend working with your doctor and following a gradual guided activity modification plan such as the 50/30/20/10 rule developed by the National Strength and Conditioning Association and Collegiate Strength and Conditioning Coaches Association Joint committee.
In that plan, the first week back, you resume activity at a level that is reduced by at least 50% of your normal exercise load. For example, if you usually run 6 hours a week, you should adjust to just 3 hours per week, spread out evenly across seven days. The following week, if all is well, you can resume at a level that is 30% lower than your usual weekly total (about 4 hours per week for this example), followed by 20% the next week, and 10% the next week.
As always, continue to follow the expert-recommended including running alone, physical distancing and planning routes that are not heavily populated, maintaining light to moderate intensity, regular hand-washing, wearing a face covering when you can바카라 게임 웹사이트t maintain appropriate distancing (or bringing one with you in case of an emergency).
As for O바카라 게임 웹사이트Shea Rivera, she바카라 게임 웹사이트s regained some of the strength she lost in April, but still struggles to run nearly five months after contracting the virus. Instead, she바카라 게임 웹사이트s been going on 3-mile, , and even those leave her exhausted. Her mindset, for now, is to 바카라 게임 웹사이트keep plugging along바카라 게임 웹사이트 but also listen to her body.
바카라 게임 웹사이트I just had to accept the fact that I바카라 게임 웹사이트m not a runner right now,바카라 게임 웹사이트 she says. 바카라 게임 웹사이트I바카라 게임 웹사이트m just sort of . I will get back out there hopefully next year.바카라 게임 웹사이트