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Returning to Physical Activity after Covid

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Ms Pooja Laungani a Certified Fitness Trainer, Sports Nutritionist, Cancer exercise specialist trainer, explains how one should slowly and gradually start with their workouts, listen to their body and perform exercises that are suitable for someone post covid. 

With the recent covid pandemic surge in Hong Kong, it is assumed over 70% of the entire population was taken by a sweep by the Omicron virus. Thankfully due to the good immunity of people, healthy eating habits and good hygiene level of the city, most of the population spent an average of 3-4 days with mild to high fevers that got treated with simple home-based medications and isolation. 

The majority of Hong Kong people are health conscious and believe in sports, hiking, running and general body fitness, but the past few months were terrible for everyone and a majority of us were locked inside our homes with the fear of bringing back home the deadly covid. Our fitness regime has gone for a big complete toss. 

Pooja Laungani,  being a fitness expert received many many messages from her friends, clients and relatives asking the same question, “how one should get back into their fitness routine after recovering from covid?”. 

A.Desiflava Magazine’s Neha Pathak took the opportunity to have a quick chat with Pooja discussing this big question on post covid fitness & health-related advice.

[Pooja Laungani, Certified Fitness Trainer, Sports Nutritionist & Cancer exercise specialist trainer]

How one should get back into their fitness routine after recovering from covid?

Many tend to immediately jump into working out and lifting heavy weights and many tend to take a very long break. You got sick. You got better! Now, how and when do you exercise after Covid? Getting back to your exercise routine after having Covid is often difficult and frustrating. But scientists are starting to develop some guidelines. The best approach, they say, is gentle and gradual—and guided by your doctor. Some people have post-Covid complications that can make exercise higher risk. And many Covid patients continue to experience symptoms for weeks or even months after their initial diagnosis, making even gentle activity arduous.

After a period of inactivity, you lose strength and your aerobic condition dwindles, plus, in the case of Covid, your whole body will be beaten down from battling the infection. If you jump back into your routine, you may be doing more bad than good.

Getting back to your exercise routine after Covid – or an injury or any illness – requires some careful planning, a certain amount of self-restraint to safely achieve optimal results, and more importantly, prevent serious negative outcomes. At first, you won’t be able to run as fast as usual or lift as much weight as before. With a bit of patience and determination, soon enough you’ll be back on track.

Active people typically have a hard time being relegated to the couch, so it’s important to accept the situation and tame the mental agony that comes with a period of inactivity. Your return to exercise after Covid will require some work to overcome both physical and mental demands.

Before I start my training and fitness routine, what do I need to take care of?

Patience will be your most important asset. Find the right headspace to bounce back because training at full speed again will take some time.

Planning when to return to exercise after Covid depends on the severity of the symptoms. When you’re itching to get back to your exercise routine, it’s easy to jump back right where you left off. Any symptoms, however, are reason enough to hold off and avoid training hard.

If you have mild symptoms, wait for a few days after all symptoms have resolved before resuming exercise. Overtaxing your body while you have an active viral infection or right after illness is risky and could lead to additional complications including myocarditis, an infection of the heart.

Even if you’re asymptomatic, it’s recommended you rest for two weeks after a positive test result. And in this case, rest means refraining from any physical activity that causes your heart rate to increase.

Would you advise we set new training goals post covid?

For elite athletes, it might take two or three weeks to return to their previous physical condition after they’ve run a fever for over one and a half days. Such a setback demands fine-tuning and adjusting their training plans and goals. You should do the same.

Before you got ill with Covid, you had goals. Maybe you planned to run a 10k or simply you wanted to stick with the yoga course you started this year. Now, when you’re returning to training after Covid-19, your body is weaker, you feel sluggish or is difficult to keep the habit. Re-evaluate your goals. If you missed a race, sign up for a new one.

What would you recommend as the best step by step way to get back into our fitness regime?

Once you’re symptom-free and you’ve rested enough, you should start slow and gradually up the intensity. Here are a few recommendations to exercise after Covid.

WALK BEFORE YOU RUN

On the first day, you start exercising after Covid, go for a brisk walk, maybe no longer than 20 or 30 minutes and keep your heart rate in zone 1. How does this stroll feel? A walk is a good way to gauge whether you’re ready to resume exercising.

You’d be surprised by how much a walk wears you down. It’s normal to feel tired and weaker than usual. Take the next day off and let your body go back to recovery mode. Just add some light stretching to keep your body active.

START WITH CARDIO

When you fall ill with a viral infection, your body becomes a battlefield in which white blood cells fight the virus. Like rubble after the battle, your muscles will be beaten down, weakened and unable to tolerate the pre-sick levels of effort. Your underused muscles will get sore a lot quicker. Use them too hard and you’ll risk a tear or a strain.

That’s why it’s a good idea to focus on easy cardiovascular exercises first and save weightlifting and strength work for later. Swimming, elliptical, cycling, or easy runs are good options as you’re easing back in – avoid exercise that puts much stress on your muscles.

LISTEN TO YOUR HEART

Monitoring your heart rate can help you keep the intensity down, ensuring you don’t exceed your limits. It is also a good way to see exactly where you are in terms of your previous fitness.

After illness, your training heart rates may have become a bit higher. Keep the intensity of your workouts down to avoid putting your body under pressure too early. You’ll need to do some base work before it’s time to start intensity training – ideally, you want to wait until training heart rate zones are back in line with your pre-sick workouts.

STICK TO THE 50% RULE

But even if you focus on cardio, don’t overdo it to compensate for the lack of strength work. Experts suggest doing about 50% of your usual volume. For your first cardio workouts after Covid go for shorter runs, rides, swims, or other cardio activities. If you used to spend 30 minutes on the elliptical, start with a 15 minutes session.

SLOWLY INCREASE WORKOUT INTENSITY

If your recovery is on track and your body responds well to low-intensity workouts for a couple of days, you may be tempted to jump up to 100%. Adding too much intensity too fast, too soon is never a good day – wait a bit until you do HIIT (high-intensity interval training.

Add more workout volume gradually: bump to 60% first, of for 75% in the next week.

DON’T TRY TO MAKE UP MISSED WORKOUTS

If you’re following a strict plan, like a marathon training plan, missing a few workouts can bring some negative energy and make you eager to make up for the lost time when you come back, planning an extra-long run or an additional interval workout.

In this case, remind yourself there isn’t a perfect training cycle. Move past the lost time and don’t try to make up missed workouts. You’ll be adding extra effort to the workflow, risking injury. Instead, scale down your plan so you gradually ease in.

LET FATIGUE (AND YOUR BODY) GUIDE YOU

This is as obvious as it gets. Whether you’re in recovery mode or in your peak form, always listen to your body. When you return to exercise after an illness like Covid, it’s extra important to pay attention to any signs of exhaustion.

One way to keep fatigued in check is to add extra recovery days to your training plan for several weeks. If you used to go for a run five days, go only four days and add some active recovery, like walking, instead.

Would you like to sum up the entire conversation with your last piece of greatest advice?

If you test positive for Covid and need to stop training, you safely come back to your training routine once all symptoms have disappeared. Keep in mind the following recommendation and when in doubt, reach out to a health professional. Wait for a few days until all symptoms have resolved. Start slow. A power walk is a great way to assess your condition. Gradually increase intensity & Listen to your heart.

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