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The long-term impact of COVID-19 on the physical activity, motor fitness, and maximum heart rate values of female university students Cover

The long-term impact of COVID-19 on the physical activity, motor fitness, and maximum heart rate values of female university students

Open Access
|Mar 2026

References

  1. Ács, P., Prémusz, V., Morvay-Sey, K., Pálvölgyi, A., Trpkovici, M., Elbert, G., et al. (2020). Effects of COVID-19 on physical activity behavior among university students: Results of a Hungarian online survey. Health Problems of Civilization, 14(3), 174–182. doi: 10.5114/hpc.2020.98472.
  2. Alahmari, A., Krishna, G., Jose, A. M., Qoutah, R., Hejazi, A., Abumossabeh, H., et al. (2023). The long-term effects of COVID-19 on pulmonary status and quality of life. Peer J, 11, e16694. doi: 10.7717/peerj.16694.
  3. Alföldi, Z., Borysławski, K., Ihasz, F., Soos, I., & Podstawski, R. S. (2021). Differences in the anthropometric and physiological profiles of Hungarian male rowers of various age categories. Rankings and career lengths: Selection problems. Frontiers in Physiology, 12, e747781. doi: 10.3389/fphys.2021.747781.
  4. Alwan, N. A. (2020). Track COVID-19 sickness, not just positive tests and deaths. Nature, 584(7820), 170. doi: 10.1038/d41586-020-02335-z.
  5. Arshad, S. A., Baloch, M., Ahmed, N., Arshad, A. A., & Iqbal, A. (2020). The outbreak of Coronavirus Disease 2019 (COVID-19) – An emerging global health threat. Journal of Infection and Public Health, 13, 644–646. doi: 10.1016/j.jiph.2020.02.033.
  6. Baldini, T., Asioli, G. M., Romoli, M., Carvalho Dias, M., Schulte, E. C., Hauer, L., et al. (2021). Cerebral venous thrombosis and severe acute respiratory syndrome coronavirus-2 infection: A systematic review and meta-analysis. European Journal of Neurology, 28(10), 3478–3490. doi: 10.1111/ene.14727.
  7. Barron, E., Bakhai, C., Kar, P., Weaver, A., Bradley, D., Ismail, H., et al. (2020). Associations of type 1 and type 2 diabetes with COVID-19-related mortality in England: A whole-population study. Lancet Diabetes Endocrinology, 8(10), 813–822. doi: 10.1016/S2213-8587(20)30272-2.
  8. Biernat, E., Stupnicki, R., & Gajewski, A. K. (2007). International physical activity questionnaire (IPAQ) - Polish version. Physical Education and Sport, 51, 47–54.
  9. Czartoryski, P., Garcia, J., Manimaleth, R., Napolitano, P., Watters, H., Weber, C., Alvarez-Beaton, A., Nieto A. C., Patel, A., Peacock, C., Banks, J., Tartar, J., & Antonio, J. (2020). Body composition assessment: A comparison of the DXA, InBody 270, and Omron. Journal of Exercise and Nutrition, 3(1), https://journalofexerciseandnutrition.com/index.php/JEN/article/view/57.
  10. Das, C. (2020). Covid-19: A review about one of the worst known pandemics of the century. Archives of Clinical Microbiology, 11(4), 121. doi: 10.36648/1989-8436.11.4.121.
  11. Durstenfeld, M. S., Peluso, M. J., Kaveti, P., Hill, C., Li, D., Sander, E., et al. (2023). Reduced exercise capacity, chronotropic incompetence, and early systemic inflammation in cardiopulmonary phenotype long COVID. medRxiv [Preprint]. 21, 2022.05.17.22275235. doi: 10.1101/2022.05.17.22275235.
  12. Elorduy-Terrado, A., Torres-Luque, G., Radesca, K., Muñoz-Andradas, G., Saenz-Bravo, M., & Domínguez-Balmaseda, D. (2025). Evaluation the impact of hormonal fluctuations during the menstrual cycle on the performance of female athletes-systematic review. Muscles. 4(2), 15. doi: 10.3390/muscles4020015.
  13. Faraji, S., Ghayour Najafabadi, M., Rostad, M., & Anastasio, A. T. (2020). The effect of COVID-19 quarantine on physical and social parameters of physical education providers and youth sport coaches. Work, 67(4), 767–769. doi: 10.3233/WOR-203329.
  14. Fox 3rd, S. M., Naughton, J. P., Haskell, W. L. (1971). Physical activity and the prevention of coronary heart disease. Annals of Clinical Research, 3, 404–432.
  15. Garcia, J. R., Manimaleth, R., Czartoryski, P., Napolitano, P., Watters, H., Weber, C., et al. (2020). A comparative study of body composition assessment techniques: DXA and Inbody 270. Journal of Exercise and Nutrition, 3(3), https://journalofexerciseandnutrition.com/index.php/JEN/article/view/65.
  16. Gaul, D., Mat, A., O’Shea, D., & Issartel, J. (2016). Impaired visual motor coordination in obese adults. Journal of Obesity, 2016, 6178575. doi: 10.1155/2016/6178575.
  17. Goicochea, E. A., Coloma-Naldos, B., Moya-Salazar, J., Rojas-Zumaran, V., Moya-Espinoza, J. G., & Contreras-Pulache, H. (2022). Physical activity and body image perceived by university students during the COVID-19 pandemic: A systematic review. International Journal of Environmental Research and Public Health, 19(24), 16498. doi: 10.3390/ijerph192416498.
  18. Hakim, S. A. M., Talip, N. K. A., Chik, W. F. W., Nadzalan, A. M., Ismail, Z., Jamaludin, M., & Razali, M. R. M. (2021). Physical activity among undergraduate university students during the PandemicCovid-19. International Journal of Academic Research in Business and Social Sciences, 11(10), 594–604. doi: 10.6007/IJARPED/v11-i10/11164.
  19. Hao, Y., Lee, J., Po Wong, W. S., Kei Wong, F. U., Chin Hui, W. H., Hong Leong, G. C., et al. (2025). A longitudinal study to COVID-19 infection among university students: Physical fitness changes and psychological responses. Journal of Exercise Science & Fitness, 23(1), 7–13. doi: 10.1016/j.jesf.2024.11.002.
  20. Hasler, E., Widmann, M., Haller, B., Gaidai, R., Venhorst, A., Meyer, T., et al. (2025). COVID-19’s impact on athletes: Reduced cardiorespiratory fitness after a SARS-CoV-2 infection. Medicine & Science in Sports & Exercise, 57(2), 267–279. doi: 10.1249/MSS.0000000000003560.
  21. Head, G. A. (2015). Cardiovascular and metabolic consequences of obesity. Frontiers in Physiology, 6, 32. doi: 10.3389/fphys.2015.00032.
  22. Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., et al. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 395(10223), 497–506. doi: 10.1016/S0140-6736(20)30183-5.
  23. Jimeno-Almazán, A., Pallarés, J. G., Buendía-Romero, Á., Martínez-Cava, A., & Courel-Ibáñez, J. (2021). Chronotropic incompetence in non-hospitalized patients with post-COVID-19 syndrome. Journal of Clinical Medicine, 10(22), 5434. doi: 10.3390/jcm10225434.
  24. Katz, P., Margaretten, M., Trupin, L., Schmajuk, G., Yazdany, J., Yelin, E. (2016). Role of sleep disturbance, depression, obesity, and physical inactivity in fatigue in rheumatoid arthritis. Arthritis Care Res (Hoboken), 68(1), 81–90. doi: 10.1002/acr.22577.
  25. Kingstone, T., Taylor, A. K., O’Donnell, C. A., Atherton, H., Blane, D. N., Chew-Graham, C. A. (2020). Finding the ‘right’ GP: A qualitative study of the experiences of people with long-COVID. BJGP Open, 4(5), bjgpopen20X101143. doi: 10.3399/bjgpopen20X101143.
  26. Kivimäki, M., Kuosma, E., Ferrie, J. E., Luukkonen, R., Nyberg, S. T., Alfredsson, L., et al. (2017). Overweight, obesity, and risk of cardiometabolic multimorbidity: Pooled analysis of individual-level data for 120 813 adults from 16 cohort studies from the USA and Europe. Lancet Public Health, 2(6), e277–e285. doi: 10.1016/S2468-2667(17)30074-9.
  27. Larrateguy, S., Vinagre, J., Londero, F., Dabin, J., Ricciardi, E., Jeanpaul, S., et al. (2023). Clinical Variables Related to Functional Capacity and Exertional Desaturation in Patients with COVID-19. Biomedicines, 11(7), 2051. doi: 10.3390/biomedicines11072051.
  28. Larsson, K., Onell, C., Edlund, K., Holm, L. W., Sundberg, T., & Skillgate, E. (2022). Lifestyle behaviors in Swedish university students before and during the first six months of the COVID-19 pandemic: A cohort study. BMC Public Health, 22, 1207. doi: 10.1186/s12889-022-13553-7.
  29. Lester, M., Sheffield, L. T., Trammell, P., & Reeves, T. J. (1968). The effect of age and athletic training on the maximal heart rate during muscular exercise. American Heart Journal, 76, 370–376. doi: 10.1016/0002-8703(68)90233-0.
  30. Longobardi, I., Prado, D. M. L. D., Goessler, K. F., Meletti, M. M., de Oliveira Júnior, G. N., de Andrade, D. C. O., et al. (2022). Oxygen uptake kinetics and chronotropic responses to exercise are impaired in survivors of severe COVID-19. American Journal of Physiology-Heart and Circulatory Physiology, 323(3), H569–H576. doi: 10.1152/ajpheart.00291.
  31. Lopez-Leon, S., Wegman-Ostrosky, T., Perelman, C., Sepulveda, R., Rebolledo, P. A., Cuapio, A., et al. (2021). More than 50 Long-term effects of COVID-19: a systematic review and meta-analysis. medRxiv [Preprint]. 2021.01.27.21250617. doi: 10.1101/2021.01.27.21250617. Update in: Sci Rep. 2021 Aug 9;11(1):16144. doi: 10.1038/s41598-021-95565-8.
  32. López-Valenciano, A., Suárez-Iglesias, D., Sanchez-Lastra, M. A., & Ayán, C. (2021). Impact of COVID-19 pandemic on university students’ physical activity levels: An early systematic review. Frontiers in Psychology, 11, 624567. doi: 10.3389/fpsyg.2020.624567.
  33. McNulty, K. L., Elliott-Sale, K. J., Dolan, E., Swinton, P. A., Ansdell, P., Goodall, S., et al. (2020). The effects of menstrual cycle phase on exercise performance in eumenorrheic women: A systematic review and meta-analysis. Sports Medicine, 50(10), 1813–1827. doi: 10.1007/s40279-020-01319-3.
  34. Maury, A., Lyoubi, A., Peiffer-Smadja, N., de Broucker, T., & Meppiel, E. (2020). Neurological manifestations associated with SARS-CoV-2 and other coronaviruses: A narrative review for clinicians. Revue Neurologique (Paris), 177(1–2), 51-64. doi: 10.1016/j.neurol.2020.10.001.
  35. Menendez, C., Gonzalez, R., Donnay, F., & Leke, R. G. F. (2020). Avoiding indirect effects of COVID-19 on maternal and child health. Lancet Glob Health, 8, e863–e864. doi: 10.1016/S2214-109X(20)30239-4.
  36. Nyberg, S. T., Batty, G. D., Pentti, J., Virtanen, M., Alfredsson, L., Fransson, E. I., et al. (2018). Obesity and loss of disease-free years owing to major non-communicable diseases: A multicohort study. Lancet Public Health, 3(10), e490–e497. doi: 10.1016/S2468-2667(18)30139-7.
  37. Oja, P., & Tuxworth, B. (1995). Eurofit for adults: Assessment of health-related fitness. Council of Europe Publishing.
  38. Oliveira, R. S., Barker, A. R., Wilkinson, K. M., Abbott, R. A., & Williams, C. A. (2017). Is cardiac autonomic function associated with cardiorespiratory fitness and physical activity in children and adolescents? A systematic review of cross-sectional studies. International Journal of Cardiology, 236, 113–122. doi: 10.1016/j.ijcard.2017.02.022.
  39. Pi-Sunyer, X. (2009). The medical risks of obesity. Postgraduate Medicine, 121(6), 21–33. doi: 10.3810/pgm.2009.11.2074.
  40. Podstawski, R., Borysławski, K., & Wąsik, J. (2024). COVID-19 as a factor influencing maximal heart rates among male university students. Applied Sciences, 14(14), 6146. doi: 10.3390/app14146146.
  41. Podstawski, R., & Żurek, P. (2022). Long-term trends in the somatic and motor characteristics of female students at the University of Warmia and Mazury in Olsztyn, Poland (2000–2018). American Journal of Human Biology, 34(2), e23600. doi: 10.1002/ajhb.23600.
  42. Podstawski, R., Bukowska, J. M., Borysławski, K., Biernat, E., Grodź, D., Ihasz, F., et al. (2025). Anthropometric but not motor characteristics of young volleyball players were improved after a one-week-long intense training sports camp. Scientific Reports, 15(1), 2835. doi: 10.1038/s41598-025-85441-0.
  43. Podstawski, R., Finn, K. J., Borysławski, K., Omelan, A. A., Podstawska, A. M., Skrzypczak, A. R., et al. (2022). The influence of COVID-19 on university students’ well-being, physical activity, body composition, and strength endurance. International Journal of Environmental Research & Public Health, 19(23), 15680. doi: 10.3390/ijerph192315680.
  44. Podstawski, R., Boryslawski, K., Hinca, B., Finn, K., & Dziełak, A. (2023). Effect of repeated alternative thermal stress on the physiological and body composition characteristics of young women sporadically using sauna. Physical Activity Review, 11, 49–59. doi: 10.3390/ijerph182111503.
  45. Podstawski, R., Borysławski, K., Ihasz, F., & Gronek, P. (2025). International standards for the 12-minute cooper test on a concept 2 rowing ergometer: Validity and reliability of the test. Journal of Human Kinetics, 98, 243. doi: 10.5114/jhk/195638.
  46. Ray, R. L., Abeysingha, N. S., Deegala, D. M. B. M., Gurau, S., Dissanayake, S. (2025). Review of the effects of the COVID 19 pandemic on the environment economy and human wellbeing. Discov Sustain, 6, 965. doi: 10.1007/s43621-025-01818-1.
  47. Rivera, P. A., Nys, B. L., & Fiestas, F. (2021). Impact of COVID-19 induced lockdown on physical activity and sedentary behavior among university students: A systematic review. Medwave, 21(8), e8456. doi: 10.5867/medwave.2021.08.8456.
  48. Rosen, H. (2014). Is obesity a disease or a behavior abnormality? Did the AMA get it right? Missouri Medicine, 111(2), 104–108.
  49. Regulation of the Minister of Health of 14 June 2023 revoking the state of epidemic emergency in the Republic of Poland (Journal of Laws, 2023, item 1118; retrieved on 13 February 2025 from https://www.gov.pl/web/rpp/koniec-stanu-zagrozenia-epidemicznego).
  50. Seman, S., Dražilov, S. S., Ilić, V., Tešić, M., Stojiljković, S., Arena, R., et al. (2021). Physical activity and exercise as an essential medical strategy for the COVID-19 pandemic and beyond. Experimental Biology and Medicine (Maywood), 246(21), 2324–2331. doi: 10.1177/15353702211028543.
  51. Shashaty, M. G., & Stapleton, R. D. (2014). Physiological and management implications of obesity in critical illness. Annals of the American Thoracic Society, 11(8), 1286–1297. doi: 10.1513/AnnalsATS.201404-159FR.
  52. Shellock, F. G., & Prentice, W. E. (1985).Warming-up and stretching for improved physical performance and prevention of sports-related injuries. Sports Medicine, 2(4), 267–78. doi: 10.2165/00007256-198502040-00004.
  53. Simonnet, A., Chetboun, M., Poissy, J., Raverdy, V., Noulette, J., Duhamel, A., et al. (2020). LICORN and the lille COVID-19 and obesity study group. High prevalence of obesity in severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) requiring invasive mechanical ventilation. Obesity (Silver Spring), 28(7), 1195–1199. doi: 10.1002/oby.22831.
  54. Stavrou, V. T., Kyriaki, A., Vavougios, G. D., Fatouros, I. G., Metsios, G. S., Kalabakas, K., et al. (2023). Athletes with mild post-COVID-19 symptoms experience increased respiratory and metabolic demands: A cross-sectional study. Sports Medicine and Health Science, 5(2), 106–111. doi: 10.1016/j.smhs.2022.10.004.
  55. Tanaka, H., Monahan, K. D., & Seals, D. R. (2001). Age-predicted maximal heart rate revisited. Journal of the American College of Cardiology, 37, 153–156. doi: 10.1016/S0735-1097(00)01054-8.
  56. Unger, E. R. (2025). Long COVID as an infection-associated chronic condition: Implications. American Journal of Health Promotion, 39(6), 960–965. doi: 10.1177/08901171241308066b.
  57. Vélez-Santamaría, R., Fernández-Solana, J., Méndez-López, F., Domínguez-García, M., González-Bernal, J. J., et al. (2023). Functionality, physical activity, fatigue and quality of life in patients with acute COVID-19 and long COVID infection. Scientific Reports, 13, 19907. doi: 10.1038/s41598-023-47218-1.
  58. Wang, Ch., Chan, J. S. Y., Ren, L., & Yan, J. H. (2016). Obesity Reduces Cognitive and Motor Functions across the Lifespan. Neural Plasticity, 2026, Article ID 2473081. doi: 10.1155/2016/2473081.
  59. Whyte, G. P., George, K., Shave, R., Middleton, N., & Nevill, A. M. (2008). Training induced changes in maximum heart rate. International Journal of Sports Medicine, 29(2), 129–133. doi: 10.1055/s-2007-965783.
  60. World Health Organization. (2021). Attacks on health care in the context of COVID-19. WHO, Retrieved:Sep 20, 2021, from: https://www.who.int/newsroom/feature-stories/detail/attacks-on-healthcare-in-the-context-of-covid-19.
  61. World Health Organization. (2025). WHO COVID-19 dashboard. Number of COVID-19 deaths reported to WHO. World, 28 days to 2 March 2025. Retrieved: 20.03.2025, from: https://data.who.int/dashboards/covid19/deaths.
  62. Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z., et al. (2020). Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: A retrospective cohort study. Lancet, 395(10229), 1054–1062. doi: 10.1016/S0140-6736(20)30566-3.
Language: English
Page range: 22 - 33
Submitted on: Aug 17, 2025
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Accepted on: Dec 29, 2025
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Published on: Mar 23, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Robert Podstawski, Krzysztof Borysławski, Jadwiga Snarska, Attila Szabo, Piotr Jurewicz, Ferenc Ihasz, published by University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.