4.5 Review

Exercise as a Moderator of Persistent Neuroendocrine Symptoms of COVID-19

Journal

EXERCISE AND SPORT SCIENCES REVIEWS
Volume 50, Issue 2, Pages 65-72

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1249/JES.0000000000000284

Keywords

exercise; COVID-19; psychological stress; immune dysregulation; hyperinflammation

Funding

  1. National Institute on Aging [1K99AG065419-02]
  2. National Institute of General Medical Sciences of the National Institutes of Health [U54 GM104940]

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This passage discusses the sequelae of long COVID-19, including depression and diabetes, and proposes the hypothesis that exercise can counter these sequelae by releasing circulating factors.
Precipitated by chronic psychological stress, immune system dysregulation, and a hyperinflammatory state, the sequelae of postacute COVID-19 (long COVID) include depression and new-onset diabetes. We hypothesize that exercise counters the neuropsychiatric and endocrine sequelae of long COVID by inducing the release of circulating factors that mediate the anti-inflammatory response, support brain homeostasis, and increase insulin sensitivity.

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