Home-Based Exercise Tele-Rehabilitation in High-Risk Veterans: Impact of COVID-19 Exposure and Socioeconomic Factors
VA Office of Research and Development
Summary
The Coronavirus Disease 2019 (COVID-19) pandemic has resulted in catastrophic infections and fatalities across the nation. Many older Veterans with comorbidities are especially vulnerable to complications and poor recovery. This award will investigate the effect of a novel, home-based, supervised, group exercise tele-rehabilitation in Veterans recovered from COVID-19 on cardiopulmonary and physical function.
Description
There is an urgent need to understand the lasting impact of COVID-19 on the cardiopulmonary system to improve physical function and prevent long-lasting disability. Pertinent knowledge gaps regarding the post-recovery physiology driving any impairments need to be addressed to improve the quality of life in Veterans with prior SARS-CoV-2 infection. Further, it is important to devise successful rehabilitation strategies that can be safely conducted in a Veteran's home. Hence, the investigators propose to utilize VA Video Connect to deliver a home based, supervised group exercise program to Veter…
Eligibility
- Age range
- 50–85 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Veteran * documented COVID-19 \> 90 days ago * diagnosis of 2 of following conditions: hypertension, diabetes, cardiovascular disease, chronic kidney disease, chronic obstructive pulmonary disease OR 1 condition and BMI \> 30 kg/m2 Exclusion Criteria: * myocardial infarction (within 3 months) * exertional or unstable angina (chest pain that limits activity) * severe congestive heart failure (EF \< 20% in last year or NYHA Classification III or IV) * uncontrolled hypertension (SBP \>180 \&/or DBP \> 110 mm Hg at screening) * screening EKG with ischemia, complex arrhythm…
Interventions
- OtherTele-exercise
Exercise training 2x/week at home. Sessions include circuit exercises of aerobic and resistive training stations which are led remotely.
Location
- Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MDBaltimore, Maryland