{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T14:07:30Z","timestamp":1788271650282,"version":"build-2803163510"},"reference-count":69,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The COVID-19 pandemic has been linked to numerous threats to public health. Of these, physical inactivity became increasingly prevalent, mainly due to the widespread closure of indoor gyms. Home-based exercise alternatives were created as potential solutions, but little research is available validating their efficacy to improve long-term health and fitness. This case study investigated the longitudinal effects of \u2265three weekly exercise sessions with a smart home-based fitness platform on anthropometric, fitness, and cardiometabolic measures. Three participants were annually assessed over a five-year period spanning before and after the COVID-19 pandemic. Reductions in body fat percentage occurred simultaneously with increases in fat-free mass. Improvements in physical performance measures, including VO2 max and both one-repetition maximum (1-RM) and 85% 1-RM for chest press and squat press, were identified. Cardiometabolic measures also demonstrated notable improvements, as borderline hypertension was reduced along with resting heart rate while resting metabolic rate (RMR) and heart rate variability (HRV) increased. Beyond these metrics, volitional exercise frequency grew without compromising exercise program adherence. Although physical activity on a global scale decreased during the COVID-19 pandemic, the long-term cardiometabolic and fitness benefits observed with this home-based exercise platform highlight its potential to improve health and fitness.<\/jats:p>","DOI":"10.3390\/ijerph22050762","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T09:26:48Z","timestamp":1747128408000},"page":"762","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Five Years Later\u2014The Impact of the COVID-19 Pandemic on Physical Performance and Cardiometabolic Health Using a Smart Home Gym: An Ecological Case Study"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7969-3063","authenticated-orcid":false,"given":"Thalia H.","family":"Nguyen","sequence":"first","affiliation":[{"name":"Airway and UC Fit Digital Health-Exercise Physiology Laboratory, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90024, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trent","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Airway and UC Fit Digital Health-Exercise Physiology Laboratory, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90024, USA"},{"name":"Chobanian and Avedisian School of Medicine, Boston University, Boston, MA 02118, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0441-0563","authenticated-orcid":false,"given":"Dylan","family":"Cho","sequence":"additional","affiliation":[{"name":"Airway and UC Fit Digital Health-Exercise Physiology Laboratory, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90024, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trevor L.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Airway and UC Fit Digital Health-Exercise Physiology Laboratory, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90024, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip","family":"Goldman","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine, Houston, TX 77030, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett A.","family":"Dolezal","sequence":"additional","affiliation":[{"name":"Airway and UC Fit Digital Health-Exercise Physiology Laboratory, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90024, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,12]]},"reference":[{"key":"ref_1","first-page":"1256","article-title":"COVID-19 Lockdowns: Exacerbating the Silent Pandemic","volume":"14","author":"Gomez","year":"2021","journal-title":"Int. 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