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Lee AK, Muhamad RB, Tan VPS. Physically active primary care physicians consult more on physical activity and exercise for patients: A public teaching-hospital study. SPORTS MEDICINE AND HEALTH SCIENCE 2024; 6:82-88. [PMID: 38463668 PMCID: PMC10918360 DOI: 10.1016/j.smhs.2023.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 10/30/2023] [Accepted: 11/13/2023] [Indexed: 03/12/2024] Open
Abstract
Physical activity and exercise (PAE) improve quality of life and reduce the effects of chronic diseases. Primary care physicians (PCPs) play an important role to encourage PAE in patients. We aim to assess PCPs' current PAE consultation practices and their enablers/barriers in daily clinical practice. We had 64 PCPs (age [35.3 ± 4.7] y, 47 women) that completed self-administered questionnaires on PAE consultation practices, training, and confidence levels. PCPs (n = 42) also completed the International Physical Activity Questionnaire-Short Form to assess their physical activity (PA) levels. We conducted correlation, one-way analysis of variance and a linear regression to assess the associations between enablers, barriers and PA levels to PAE consultation practices. On average, PCPs consulted on PAE in 49.7% of their daily clinical appointments. Majority of PCPs (70%) strongly agreed that more PAE knowledge were needed to increase consultation practices. Top three barriers related (p < 0.001) to practices were lack of PAE education (r = 0.47), patients' preference of pharmaceutical interventions (r = 0.45) and lack of continuing education in PAE for PCPs (r = 0.37). Physically active PCPs (health-enhancing PA levels, n = 6) gave significantly more daily consultations in PAE, 73.2% ± 21.9%, compared to inactive PCPs (n = 13), 37.4% ± 22.8% (p = 0.013). In our regression output, PCPs who had higher PA levels consulted more on PAE daily (R2 = 0.38, p < 0.001) while controlling for age. Conclusion, PCPs require more knowledge on PAE and need be physically active themselves to increase PAE consultation for patients in their daily practice. Medical education should consider including more PA and exercise topics that may benefit both physicians and their patients.
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Affiliation(s)
- Ann Kee Lee
- Exercise & Sports Science, School of Health Sciences, Health Campus, Universiti Sains Malaysia, 16150, Kubang Kerian, Malaysia
| | - Rosediani Bt Muhamad
- Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150, Kubang Kerian, Malaysia
| | - Vina Phei Sean Tan
- Exercise & Sports Science, School of Health Sciences, Health Campus, Universiti Sains Malaysia, 16150, Kubang Kerian, Malaysia
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Cardoso FJ, Victor DR, Silva JRD, Guimarães AC, Leal CA, Taveira MR, Alves JG. Physical fitness level and the risk of severe COVID-19: A systematic review. SPORTS MEDICINE AND HEALTH SCIENCE 2023; 5:174-180. [PMID: 37753428 PMCID: PMC10518790 DOI: 10.1016/j.smhs.2023.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 07/11/2023] [Accepted: 07/26/2023] [Indexed: 09/28/2023] Open
Abstract
To verify systematically the association between the status of physical fitness and the risk of severe Coronavirus disease 2019 (COVID-19). This systematic review is in accordance with the Preferred Reporting Items for Systematic Review and Meta Analyses (PRISMA) statement and the eligibility criteria followed the Population, Intervention, Comparison, Outcomes and Study (PICOS) recommendation. PubMed, Embase, SciELO and Cochrane electronic databases were searched. All studies that explored the relationship between the pattern of physical fitness and COVID-19 adverse outcomes (hospitalization, intensive care unit admission, intubation, or mortality), were selected. The quality of the studies was assessed by the specific scale of the Newcastle-Ottawa Scale. A total of seven observational studies were identified in this systematic review; 13 468 patients were included in one case-control study, two cohort studies, and four cross-sectional studies. All studies reported an inverse association between high physical fitness and severe COVID-19 (hospitalization, intensive care admission, or mortality). Only some studies reported comorbidities, especially obesity and cardiovascular disorders, but the results remained unchanged after controlling for comorbidities. The quality of the seven studies included was moderate according to the Newcastle-Ottawa Quality Assessment Scale. The methodological heterogeneity of the studies included did not allow a meta-analysis of the findings. In conclusion, higher physical fitness levels were associated with lower risk of hospitalization, intensive care admissions, and mortality rates among patients with COVID-19.
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Affiliation(s)
- Fortunato José Cardoso
- Departament of Hepatology, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Recife, Pernambuco, Brazil
| | | | - José Roberto da Silva
- Departament of Hepatology, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Recife, Pernambuco, Brazil
| | | | - Carla Adriane Leal
- Departament of Hepatology, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Recife, Pernambuco, Brazil
| | | | - João Guilherme Alves
- Departament of Hepatology, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Recife, Pernambuco, Brazil
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Widasari N, Heriansyah T, Ridwan M, Munirwan H, Kurniawan FD. Correlation between high sensitivity C reactive protein (Hs-CRP) and neutrophil-to- lymphocyte ratio (NLR) with functional capacity in post COVID-19 syndrome patients. NARRA J 2023; 3:e183. [PMID: 38450272 PMCID: PMC10916408 DOI: 10.52225/narra.v3i2.183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/03/2023] [Accepted: 08/23/2023] [Indexed: 03/08/2024]
Abstract
Post coronavirus disease 2019 (COVID-19) syndrome is one of the causes of reduced functional capacity and work productivity, in particular for healthcare workers. The pathophysiology of the post COVID-19 syndrome is related to complex and multisystem inflammatory mechanisms, and cardiopulmonary exercise rehabilitation program is one of the efforts to improve the recovery process for patients with post COVID-19 syndrome. The aim of this study was to determine the correlation between the level of high sensitivity C-reactive protein (Hs-CRP) and neutrophil-to-lymphocyte ratio (NLR) with functional capacity (VO2max) in individuals with post-COVID-19 syndrome who received moderate- and high-intensity supervised cardiopulmonary exercise. A prospective cohort study was conducted at the Integrated Cardiac Rehabilitation Center of Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia. The supervised cardiopulmonary exercise was conducted for six weeks according to the participant's baseline VO2max. Spearman's and Pearson's correlation tests were used to assess the correlations. A total of 30 individuals (19 and 11 had moderate and high intensity exercise, respectively) were involved in this study. At moderate intensity exercise, the average Hs-CRP and NLR were 3.3 mg/L and 1.99, respectively; while at high intensity, the values were 3.8 mg/L and 1.79, respectively. No significant correlation between Hs-CRP level and functional capacity in both moderate-intensity and high intensity groups. In contrast, NLR was negatively correlated with functional capacity (r=-0.545, p=0.016) in moderate intensity exercise group. In conclusion, NLR value was negatively correlated with functional capacity in individuals with post-COVID-19 syndrome after receiving moderate intensity supervised cardiopulmonary exercise program. Therefore, moderate intensity of cardiopulmonary exercise maybe be used as a program to accelerate the recovery for those with post COVID-19 syndrome.
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Affiliation(s)
- Nina Widasari
- Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
- Department of Cardiology and Vascular Medicine, Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia
| | - Teuku Heriansyah
- Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
- Department of Cardiology and Vascular Medicine, Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia
| | - Muhammad Ridwan
- Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
- Department of Cardiology and Vascular Medicine, Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia
| | - Haris Munirwan
- Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
- Department of Cardiology and Vascular Medicine, Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia
| | - Ferry D. Kurniawan
- Department of Pulmonology, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
- Department of Pulmonology, Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia
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4
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Śliż D, Wiecha S, Gąsior JS, Kasiak PS, Ulaszewska K, Postuła M, Małek ŁA, Mamcarz A. The Influence of Nutrition and Physical Activity on Exercise Performance after Mild COVID-19 Infection in Endurance Athletes-CESAR Study. Nutrients 2022; 14:nu14245381. [PMID: 36558540 PMCID: PMC9788030 DOI: 10.3390/nu14245381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 12/11/2022] [Accepted: 12/16/2022] [Indexed: 12/23/2022] Open
Abstract
COVID-19 and imposed restrictions are linked with numerous health consequences, especially among endurance athletes (EA). Unfavorable changes in physical activity and nutrition may affect later sports and competition performance. The aims of this study were: (1) to assess the impact of COVID-19 infection and pandemic restrictions on the nutrition and physical activity of EAs and (2) to compare them with the results of cardiopulmonary exercise testing (CPET). In total, 49 EAs (nmale = 43, nfemale = 6, mean age = 39.9 ± 7.8 year., height = 178.4 ± 6.8 cm, weight = 76.3 ± 10.4 kg; BMI = 24.0 ± 2.6 kg·m−2) underwent pre- and post-COVID-19 CPET and fulfilled the dietary and physical activity survey. COVID-19 infection significantly deteriorated CPET performance. There was a reduction in oxygen uptake and in heart rate post-COVID-19 (both p < 0.001). Consuming processed meat and replacing meat with plant-based protein affected blood lactate concentration (p = 0.035). Fat-free mass was linked with consuming unsaturated fatty acids (p = 0.031). Adding salt to meals influenced maximal speed/power (p = 0.024) and breathing frequency (p = 0.033). Dietary and Fitness Practitioners and Medical Professionals should be aware of possible COVID-19 infection and pandemic consequences among EA. The results of this study are a helpful guideline to properly adjust the treatment, nutrition, and training of EA.
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Affiliation(s)
- Daniel Śliż
- 3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, 04-749 Warsaw, Poland
- School of Public Health, Postgraduate Medical Education Center, 01-813 Warsaw, Poland
- Correspondence: (D.Ś.); (S.W.)
| | - Szczepan Wiecha
- Department of Physical Education and Health, Faculty in Biala Podlaska, Jozef Pilsudski University of Physical Education in Warsaw, 21-500 Biala Podlaska, Poland
- Correspondence: (D.Ś.); (S.W.)
| | - Jakub S. Gąsior
- Department of Pediatric Cardiology and General Pediatrics, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Przemysław Seweryn Kasiak
- Students’ Scientific Group of Lifestyle Medicine, 3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, 04-749 Warsaw, Poland
| | - Katarzyna Ulaszewska
- Students’ Scientific Group of Lifestyle Medicine, 3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, 04-749 Warsaw, Poland
| | - Marek Postuła
- Center for Preclinical Research and Technology CEPT, Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, 02-097 Warsaw, Poland
| | - Łukasz A. Małek
- Department of Epidemiology, Cardiovascular Disease Prevention and Health Promotion, National Institute of Cardiology, 04-635 Warsaw, Poland
| | - Artur Mamcarz
- 3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, 04-749 Warsaw, Poland
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Sittichai N, Parasin N, Saokaew S, Kanchanasurakit S, Kayod N, Praikaew K, Phisalprapa P, Prasannarong M. Effects of physical activity on the severity of illness and mortality in COVID-19 patients: A systematic review and meta-analysis. Front Physiol 2022; 13:1030568. [PMID: 36439253 PMCID: PMC9686861 DOI: 10.3389/fphys.2022.1030568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 10/24/2022] [Indexed: 11/10/2022] Open
Abstract
Purpose: This systematic review and meta-analysis investigated the association between Physical activity (PA) before Coronavirus Disease 2019 (COVID-19) infection and the severity of illness and mortality in COVID-19 patients. Methods: A comprehensive search was undertaken to identify retrospective and nonrandomized controlled trial studies comparing the severity and mortality of COVID-19 infection among COVID-19 patients who had previously reported their participation in PA with those who had not. The databases searched were PubMed, Cochrane Library, Scopus, Science Direct, EMBASE, OPENGREY.EU, and ClinicalTrials.gov. The risk of bias was assessed using the Newcastle-Ottawa Scale. A random-effects model was used for determining pairwise meta-analyses. The protocol was registered with PROSPERO (CRD42021262548). Results: Eighteen studies met the inclusion criteria (5 cross-sectional, 12 cohort, and 1 case-control studies). All 1 618 680 subjects were adults. PA significantly decreased the risk of death in COVID-19 patients (odds ratio [OR] 0.34; 95% confidence interval [CI], 0.19–0.62; p < 0.001) and the risk of severe outcomes (OR 0.60; 95% CI, 0.48–0.76; p < 0.001). Subgroup analysis showed that PA for ≥150 min/wk at a moderate intensity or ≥75 min/wk at a vigorous intensity reduced the risks of severity and mortality. Vigorous PA reduced mortality risk, whereas moderate to vigorous PA reduced the risks of severity and mortality. Conclusion: PA before infection might reduce severity and mortality in COVID-19 patients, especially PA ≥ 150 min/wk of moderate activity or ≥75 min/wk of vigorous activity. However, careful interpretations should be considered due to the difference in PA patterns and severity definitions among included studies. This finding implies that engaging in regular PA, even in different patterns, has beneficial effects on the severity and mortality of COVID-19 patients.
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Affiliation(s)
- Nuttawut Sittichai
- Program in Physical Education, Faculty of Education, Phuket Rajabhat University, Phuket, Thailand
| | - Nichapa Parasin
- Division of Physical Therapy, School of Allied Health Science, University of Phayao, Phayao, Thailand
| | - Surasak Saokaew
- Unit of Excellence on Clinical Outcomes Research and IntegratioN (UNICORN), School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand
- Center of Health Outcomes Research and Therapeutic Safety (Cohorts), School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand
- Division of Social and Administrative Pharmacy, Department of Pharmaceutical Care, School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand
| | - Sukrit Kanchanasurakit
- Unit of Excellence on Clinical Outcomes Research and IntegratioN (UNICORN), School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand
- Center of Health Outcomes Research and Therapeutic Safety (Cohorts), School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand
- Division of Clinical Pharmacy, Department of Pharmaceutical Care, School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand
| | - Nuttawan Kayod
- Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand
| | - Ketnapa Praikaew
- Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand
| | - Pochamana Phisalprapa
- Division of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
- *Correspondence: Mujalin Prasannarong, ; Pochamana Phisalprapa,
| | - Mujalin Prasannarong
- Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand
- *Correspondence: Mujalin Prasannarong, ; Pochamana Phisalprapa,
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6
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Compagno S, Palermi S, Pescatore V, Brugin E, Sarto M, Marin R, Calzavara V, Nizzetto M, Scevola M, Aloi A, Biffi A, Zanella C, Carretta G, Gallo S, Giada F. Physical and psychological reconditioning in long COVID syndrome: Results of an out-of-hospital exercise and psychological - based rehabilitation program. IJC HEART & VASCULATURE 2022; 41:101080. [PMID: 35854691 PMCID: PMC9286763 DOI: 10.1016/j.ijcha.2022.101080] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 06/27/2022] [Accepted: 06/30/2022] [Indexed: 11/29/2022]
Abstract
Background Long Covid Syndrome (LCS) is used to describe signs and symptoms that continue or develop after acute COVID-19 infection. Natural history and treatment of this syndrome are still poorly understood, even if evidences suggest the potential role of physical rehabilitation in improving symptoms in these patients. Aim of the study The aim of the present study was to evaluate effectiveness, safety and feasibility of an out-of-hospital multidisciplinary rehabilitation (MDR) program, based both on physical and psychological reconditioning, in reducing symptoms and improving physical fitness and psychological parameters in patients with LCS. Methods Thirty consecutive patients with LCS (18 males, mean age 58 years) underwent an accurate medical screening process including anthropometric and muscular strength evaluation, cardiopulmonary exercise test, quality of life (QoL) and psychological appraisal before and after a MDR program. Results At baseline, all LCS patients were strongly symptomatic and showed severe impairments in physical performance, QoL and psychological parameters. No adverse effects and dropouts were observed during the exercise training sessions. After the MDR program, COVID-19 residual symptoms significantly decreased, and significant improvements in upper and lower limb muscular strength, cardiopulmonary parameters, perceived physical and mental health, depression and anxiety were observed. Conclusions The present study confirms the severe physical and psychological impairment of patients with LCS and suggests that a MDR program is effective, safe and feasible in these patients and could promote their physical and psychological recovery.
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Affiliation(s)
- Silvia Compagno
- Cardiovascular Rehabilitation and Sports Medicine Service, Noale - Venice, Italy
| | - Stefano Palermi
- Cardiovascular Rehabilitation and Sports Medicine Service, Noale - Venice, Italy.,Federico II University Hospital, Naples, Italy
| | - Valentina Pescatore
- Cardiovascular Rehabilitation and Sports Medicine Service, Noale - Venice, Italy
| | - Erica Brugin
- Cardiovascular Rehabilitation and Sports Medicine Service, Noale - Venice, Italy
| | | | - Ruggero Marin
- Cardiovascular Rehabilitation and Sports Medicine Service, Noale - Venice, Italy
| | - Valli Calzavara
- Cardiovascular Rehabilitation and Sports Medicine Service, Noale - Venice, Italy
| | - Manuele Nizzetto
- Sub-Intensive Care COVID Unit, Pneumology Service, Dolo - Venice, Italy
| | - Moreno Scevola
- Non-critical COVID Area, Internal Medicine Service, Dolo - Venice, Italy
| | - Accurso Aloi
- Sub-Intensive Care COVID Unit, Pneumology Service, Dolo - Venice, Italy
| | - Alessandro Biffi
- Med-Ex, Medicine & Exercise, Medical Partner Scuderia Ferrari, Rome, Italy
| | - Carlo Zanella
- Cardiovascular Rehabilitation and Sports Medicine Service, Noale - Venice, Italy
| | | | - Silvia Gallo
- Medical Direction, Azienda ULLS 3 Serenissima, Venice, Italy
| | - Franco Giada
- Cardiovascular Rehabilitation and Sports Medicine Service, Noale - Venice, Italy
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Vásquez-Gómez J, Faúndez-Casanova C, Souza de Carvalho R, Castillo-Retamal F, Valenzuela Reyes P, Concha-Cisternas Y, Luna-Villouta P, Álvarez C, Godoy-Cumillaf A, Hernández-Mosqueira C, Cigarroa I, Garrido-Méndez A, Matus-Castillo C, Castillo-Retamal M, Leao Ribeiro I. Estimated Oxygen Consumption with the Abbreviated Method and Its Association with Vaccination and PCR Tests for COVID-19 from Socio-Demographic, Anthropometric, Lifestyle, and Morbidity Outcomes in Chilean Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:6856. [PMID: 35682438 PMCID: PMC9180604 DOI: 10.3390/ijerph19116856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 05/24/2022] [Accepted: 05/30/2022] [Indexed: 11/16/2022]
Abstract
COVID-19 causes cardiovascular and lung problems that can be aggravated by confinement, but the practice of physical activity (PA) could lessen these effects. The objective of this study was to evaluate the association of maximum oxygen consumption (V˙O2max) with vaccination and PCR tests in apparently healthy Chilean adults. An observational and cross-sectional study was performed, in which 557 people from south-central Chile participated, who answered an online questionnaire on the control of COVID-19, demographic data, lifestyles, and diagnosis of non-communicable diseases. V˙O2max was estimated with an abbreviated method. With respect to the unvaccinated, those who received the first (OR:0.52 [CI:0.29;0.95], p = 0.019) and second vaccine (OR:0.33 [CI:0.18;0.59], p = 0.0001) were less likely to have an increased V˙O2max. The first vaccine was inversely associated with V˙O2max (mL/kg/min) (β:−1.68 [CI:−3.06; −0.3], p = 0.017), adjusted for BMI (β:−1.37 [CI:−2.71; −0.03], p = 0.044) and by demographic variables (β:−1.82 [CI:−3.18; −0.46], p = 0.009); similarly occur for the second vaccine (β: between −2.54 and −3.44, p < 0.001) on models with and without adjustment. Having taken a PCR test was not significantly associated with V˙O2max (mL/kg/min). It is concluded that vaccination significantly decreased V˙O2max, although it did not indicate cause and effect. There is little evidence of this interaction, although the results suggest an association, since V˙ O2max could prevent and attenuate the contagion symptoms and effects.
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Affiliation(s)
- Jaime Vásquez-Gómez
- Centro de Investigación de Estudios Avanzados del Maule (CIEAM), Universidad Católica del Maule, Talca 3460000, Chile;
- Laboratorio de Rendimiento Humano, Universidad Católica del Maule, Talca 3460000, Chile; (C.F.-C.); (R.S.d.C.); (F.C.-R.)
| | - César Faúndez-Casanova
- Laboratorio de Rendimiento Humano, Universidad Católica del Maule, Talca 3460000, Chile; (C.F.-C.); (R.S.d.C.); (F.C.-R.)
- Departamento de Ciencias de la Actividad Física, Facultad de Ciencias de la Educación, Universidad Católica del Maule, Talca 3460000, Chile
| | - Ricardo Souza de Carvalho
- Laboratorio de Rendimiento Humano, Universidad Católica del Maule, Talca 3460000, Chile; (C.F.-C.); (R.S.d.C.); (F.C.-R.)
- Departamento de Ciencias de la Actividad Física, Facultad de Ciencias de la Educación, Universidad Católica del Maule, Talca 3460000, Chile
| | - Franklin Castillo-Retamal
- Laboratorio de Rendimiento Humano, Universidad Católica del Maule, Talca 3460000, Chile; (C.F.-C.); (R.S.d.C.); (F.C.-R.)
- Departamento de Ciencias de la Actividad Física, Facultad de Ciencias de la Educación, Universidad Católica del Maule, Talca 3460000, Chile
| | - Pedro Valenzuela Reyes
- Área de Actividad Física y Deportes, Técnico en Deportes, Centro de Formación Técnica Santo Tomás, Rancagua 2820000, Chile;
| | - Yeny Concha-Cisternas
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Talca 3460000, Chile;
- Pedagogía en Educación Física, Facultad de Educación, Universidad Autónoma de Chile, Talca 3460000, Chile
| | - Pablo Luna-Villouta
- Facultad de Educación, Pedagogía en Educación Física, Universidad San Sebastián, Concepcion 4030000, Chile;
- Programa de Doctorado en Ciencias de la Actividad Física, Facultad de Ciencias de la Educación, Universidad Católica del Maule, Talca 3460000, Chile
| | - Cristian Álvarez
- Exercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago 7591538, Chile;
| | - Andrés Godoy-Cumillaf
- Facultad de Educación, Pedagogía en Educación Física, Universidad Autónoma de Chile, Temuco 4780000, Chile;
| | | | - Igor Cigarroa
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Los Angeles 4440000, Chile;
| | - Alex Garrido-Méndez
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Universidad Católica de la Santísima Concepcion, Concepcion 4030000, Chile; (A.G.-M.); (C.M.-C.)
| | - Carlos Matus-Castillo
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Universidad Católica de la Santísima Concepcion, Concepcion 4030000, Chile; (A.G.-M.); (C.M.-C.)
| | - Marcelo Castillo-Retamal
- Laboratorio de Rendimiento Humano, Universidad Católica del Maule, Talca 3460000, Chile; (C.F.-C.); (R.S.d.C.); (F.C.-R.)
- Departamento de Ciencias de la Actividad Física, Facultad de Ciencias de la Educación, Universidad Católica del Maule, Talca 3460000, Chile
| | - Ivana Leao Ribeiro
- Departamento de Kinesiología, Facultad de Ciencias de la Salud, Universidad Católica del Maule, Talca 3460000, Chile
- Escuela de Ciencias del Deporte y Actividad Física, Facultad de Salud, Universidad Santo Tomás, Talca 3460000, Chile
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8
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Besnier F, Bérubé B, Malo J, Gagnon C, Grégoire CA, Juneau M, Simard F, L’Allier P, Nigam A, Iglésies-Grau J, Vincent T, Talamonti D, Dupuy EG, Mohammadi H, Gayda M, Bherer L. Cardiopulmonary Rehabilitation in Long-COVID-19 Patients with Persistent Breathlessness and Fatigue: The COVID-Rehab Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19074133. [PMID: 35409815 PMCID: PMC8998214 DOI: 10.3390/ijerph19074133] [Citation(s) in RCA: 35] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 03/16/2022] [Accepted: 03/24/2022] [Indexed: 01/27/2023]
Abstract
(1) Background: Cardiopulmonary and brain functions are frequently impaired after COVID-19 infection. Exercise rehabilitation could have a major impact on the healing process of patients affected by long COVID-19. (2) Methods: The COVID-Rehab study will investigate the effectiveness of an eight-week cardiopulmonary rehabilitation program on cardiorespiratory fitness (V˙O2max) in long-COVID-19 individuals. Secondary objectives will include functional capacity, quality of life, perceived stress, sleep quality (questionnaires), respiratory capacity (spirometry test), coagulation, inflammatory and oxidative-stress profile (blood draw), cognition (neuropsychological tests), neurovascular coupling and pulsatility (fNIRS). The COVID-Rehab project was a randomised clinical trial with two intervention arms (1:1 ratio) that will be blindly evaluated. It will recruit a total of 40 individuals: (1) rehabilitation: centre-based exercise-training program (eight weeks, three times per week); (2) control: individuals will have to maintain their daily habits. (3) Conclusions: Currently, there are no specific rehabilitation guidelines for long-COVID-19 patients, but preliminary studies show encouraging results. Clinicaltrials.gov (NCT05035628).
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Affiliation(s)
- Florent Besnier
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - Béatrice Bérubé
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Psychology, Université du Québec à Montréal, Montréal, QC H3C 3P8, Canada
- Research Center, Institut Universitaire de Gériatrie de Montréal, Montréal, QC H3W 1W5, Canada
| | - Jacques Malo
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - Christine Gagnon
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
| | - Catherine-Alexandra Grégoire
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
| | - Martin Juneau
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - François Simard
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - Philippe L’Allier
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - Anil Nigam
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - Josep Iglésies-Grau
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - Thomas Vincent
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
| | - Deborah Talamonti
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
| | - Emma Gabrielle Dupuy
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - Hânieh Mohammadi
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
| | - Mathieu Gayda
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
- Correspondence:
| | - Louis Bherer
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
- Research Center, Institut Universitaire de Gériatrie de Montréal, Montréal, QC H3W 1W5, Canada
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9
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Estimation of maximal oxygen uptake using the heart rate ratio method in male recreational football players. Eur J Appl Physiol 2022; 122:1421-1428. [PMID: 35301581 PMCID: PMC8929450 DOI: 10.1007/s00421-022-04928-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 02/25/2022] [Indexed: 11/17/2022]
Abstract
Maximal oxygen uptake (VO2max) is associated with cardiovascular and metabolic health in the general population. The heart rate (HR) ratio method (HRratio) is a valid, easy and accessible method for estimating VO2max in well-trained subjects. This study examined the validity of using the HRratio to estimate VO2max in recreational football players in the untrained and trained states. Sixty-six participants (age 39.3 ± 5.8 years) were tested pre-training and 28 after 12 weeks, for VO2max assessment, running on a treadmill alternating speed (1 km h−1) and inclination (1%) increments every 30 s until exhaustion. Maximal HR (HRmax) was assessed directly with a multiple approach and estimated with selected equations. Resting HR (HRrest) was measured in supine position, after 15 min of rest. The HRratio method considers the product of HRmax/HRrest ratio by a theoretical proportionality factor (15 ml kg−1 min−1, TPF) to estimate VO2max. This population-specific proportionality factor (SPF) was 14.6 ± 2.6 ml kg−1 min−1. In the untrained state (n = 66), participants’ actual VO2max (41.3 ± 6.2 ml kg−1 min−1) was moderately lower (~ 2 ml kg−1 min−1) than the estimated VO2max using the TPF. A nonsignificant difference (0.7 ml kg−1 min−1) was found when the VO2max was estimated using the SPF. When using HRmax equations and the TPF, a small nonsignificant difference (~ 1.5 ml kg−1 min−1) was reported between actual and estimated VO2max. In the trained state (n = 28), the estimated VO2max values were not significantly different from the actual VO2max (44.2 ± 5.2 ml kg−1 min−1), with large effect sizes when considering TPF and estimated HRmax. The results of this study provide evidence of the applicability of HRratio in estimating VO2max in male adult/middle-aged recreational football players.
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Li F, Chang CH, Chung YC, Wu HJ, Kan NW, ChangChien WS, Ho CS, Huang CC. Development and Validation of 3 Min Incremental Step-In-Place Test for Predicting Maximal Oxygen Uptake in Home Settings: A Submaximal Exercise Study to Assess Cardiorespiratory Fitness. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182010750. [PMID: 34682494 PMCID: PMC8535254 DOI: 10.3390/ijerph182010750] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 10/11/2021] [Accepted: 10/12/2021] [Indexed: 11/16/2022]
Abstract
The purpose of this research was to develop the 3 min incremental step-in-place (3MISP) test for predicting maximal oxygen uptake (V.O2max). A total of 205 adults (20–64 years) completed the 3MISP and V.O2max tests. Using age, gender, body composition (BC) including percent body fat (PBF) or body mass index (BMI), and with or without heart rate (HR) at the beginning of exercise (HR0) or difference between HR at the third minute during the exercise and the first minute post exercise (ΔHR3 − HR4) in the 3MISP test, six V.O2max prediction models were derived from multiple linear regression. Age (r = −0.239), gender (r = 0.430), BMI (r = −0.191), PBF (r = −0.706), HR0 (r = −0.516), and ΔHR3 − HR4 (r = 0.563) were significantly correlated to V.O2max. Among the six V.O2max prediction models, the PBF model∆HR3 − HR4 has the highest accuracy. The simplest models with age, gender, and PBF/BMI explained 54.5% of the V.O2max in the PBF modelBC and 39.8% of that in the BMI modelBC. The addition of HR0 and ∆HR3 − HR4 increases the variance of V.O2max explained by the PBF and BMI models∆HR3 − HR4 by 17.98% and 45.23%, respectively, while standard errors of estimate decrease by 10.73% and 15.61%. These data demonstrate that the models established using 3MISP-HR data can enhance the accuracy of V.O2max prediction.
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Affiliation(s)
- Fang Li
- Graduate Institute of Sports Science, National Taiwan Sport University, Taoyuan City 333325, Taiwan; (F.L.); (C.-H.C.)
| | - Chun-Hao Chang
- Graduate Institute of Sports Science, National Taiwan Sport University, Taoyuan City 333325, Taiwan; (F.L.); (C.-H.C.)
| | - Yu-Chun Chung
- Center of General Education, Taipei Medical University, Taipei 11031, Taiwan; (Y.-C.C.); (N.-W.K.)
| | - Huey-June Wu
- Department of Combat Sports and Chinese Martial Arts, Chinese Culture University, Taipei 11114, Taiwan;
| | - Nai-Wen Kan
- Center of General Education, Taipei Medical University, Taipei 11031, Taiwan; (Y.-C.C.); (N.-W.K.)
| | - Wen-Sheng ChangChien
- Service Systems Technology Center, Industrial Technology Research Institute, Hsinchu 310401, Taiwan;
| | - Chin-Shan Ho
- Graduate Institute of Sports Science, National Taiwan Sport University, Taoyuan City 333325, Taiwan; (F.L.); (C.-H.C.)
- Correspondence: (C.-S.H.); (C.-C.H.); Tel.: +886-3-328-3201 (ext. 2425) (C.-S.H.); +886-3-328-3201 (ext. 2409) (C.-C.H.)
| | - Chi-Chang Huang
- Graduate Institute of Sports Science, National Taiwan Sport University, Taoyuan City 333325, Taiwan; (F.L.); (C.-H.C.)
- Correspondence: (C.-S.H.); (C.-C.H.); Tel.: +886-3-328-3201 (ext. 2425) (C.-S.H.); +886-3-328-3201 (ext. 2409) (C.-C.H.)
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11
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Acar RD, Sarıbaş E, Güney PA, Kafkas Ç, Aydınlı D, Taşçı E, Kırali MK. COVID-19: the new cause of dyspnoea as a result of reduced lung and peripheral muscle performance. J Breath Res 2021; 15. [PMID: 34469877 DOI: 10.1088/1752-7163/ac22bb] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Accepted: 09/01/2021] [Indexed: 11/11/2022]
Abstract
This study aimed to evaluate the cardiopulmonary function and impairment of exercise endurance in patients with COVID-19 after 3 months of the second wave of the pandemic in Turkey. A total of 51 consecutive COVID-19 survivors, mostly healthcare providers, still working in the emergency room and intensive care units of the hospital after the second wave of Covid 19 pandemia were included in this study. Cardiopulmonary exercise stress test was performed. The median of the exercise time of the COVID-19 survivors, was 10 (4.5-13) minutes and the mean 6.8 ± 1.3 Mets was achieved. The VO2max of the COVID-19 survivors was 24 ± 4.6 ml kg-1min-1which corresponds the 85 ± 10% of the predicted VO2max value. The VO2WRs value which was reported about 8.5-11 ml min-1per watt in healthy individuals as normal was found lower in Covid 19 survivors (5.6 ± 1.4). The percentage of the maximum peak VO2calculated according to the predictable peak VO2of the COVID-19 survivors, was found significantly lower in male patients (92 ± 9.5% vs 80 ± 8.5%,p: 0.000). Also, there was a positive correlation between the percentage of the maximum predicted VO2measurements and age (r: 0.320,p: 0000). The peak VO2values of COVID-19 survivors decreased, and simultaneously, their exercise performance decreased due to peripheral muscle involvement. We believe that COVID-19 significantly affects men and young patients.
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Affiliation(s)
- Rezzan Deniz Acar
- Cardiology Department, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, İstanbul, Turkey
| | - Ertan Sarıbaş
- Department of Chest Diseases and Lung Transplantation, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, İstanbul, Turkey
| | - Pınar Atagün Güney
- Department of Chest Diseases and Lung Transplantation, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, İstanbul, Turkey
| | - Çağrı Kafkas
- Cardiology Department, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, İstanbul, Turkey
| | - Derya Aydınlı
- Cardiology Department, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, İstanbul, Turkey
| | - Erdal Taşçı
- Head of the Thorasic Surgery and Lung Transplantation Department, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, İstanbul, Turkey
| | - Mehmet Kaan Kırali
- Head of the Cardiovascular Surgery and Heart Transplantation Department, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, İstanbul, Turkey
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COVID-19: Hands, face, space, fresh air ... and exercise! The missing intervention to reduce disease burden. BJGP Open 2021; 5:BJGPO.2021.0088. [PMID: 34521632 PMCID: PMC8596309 DOI: 10.3399/bjgpo.2021.0088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Accepted: 08/18/2021] [Indexed: 12/04/2022] Open
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Yuan Q, Huang HY, Chen XL, Chen RH, Zhang Y, Pan XB, Chen JN, Liu N, Du H. Does pre-existent physical inactivity have a role in the severity of COVID-19? Ther Adv Respir Dis 2021; 15:17534666211025221. [PMID: 34148444 PMCID: PMC8221695 DOI: 10.1177/17534666211025221] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
Background and Aims: Physical inactivity is considered an important lifestyle factor for overweight and cardiovascular disease. We aimed to investigate the association between pre-existent physical inactivity and the risk of severe coronavirus disease 2019 (COVID-19). Methods: We included 164 (61.8 ± 13.6 years) patients with COVID-19 who were admitted between 15 February and 14 March 2020 in this retrospective study. We evaluated the association between pre-existent physical inactivity and severe COVID-19 using a logistic regression model. Results: Of 164 eligible patients with COVID-19, 103 (62.8%) were reported to be physically inactive. Univariable logistic regression analysis showed that physical inactivity was associated with an increased risk of severe COVID-19 [unadjusted odds ratio (OR) 6.53, 95% confidence interval (CI) 1.88–22.62]. In the multivariable regression analysis, physical inactivity remained significantly associated with an increased risk of severe COVID-19 (adjusted OR 4.12, 95% CI 1.12–15.14) after adjustment for age, sex, stroke, and overweight. Conclusion: Our data showed that pre-existent physical inactivity was associated with an increased risk of experiencing severe COVID-19. Our findings indicate that people should be encouraged to keep physically active to be at a lower risk of experiencing a severe illness when COVID-19 infection seems unpredicted. The reviews of this paper are available via the supplemental material section.
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Affiliation(s)
- Qilin Yuan
- Department of Neurology, Fujian Medical University Union Hospital, Fuzhou, China, and Institute of Clinical Neurology, Fujian Medical University, Fuzhou, China
| | - Hua-Yao Huang
- Department of Rehabilitation, Fujian Medical University Union Hospital, Fuzhou, China
| | - Xiao-Ling Chen
- Department of Infectious Disease, Fujian Medical University Union Hospital, Fuzhou, China
| | - Rong-Hua Chen
- Department of Neurology, Fujian Medical University Union Hospital, Fuzhou, China, and Institute of Clinical Neurology, Fujian Medical University, Fuzhou, China
| | - Yixian Zhang
- Department of Rehabilitation, Fujian Medical University Union Hospital, Fuzhou, China
| | - Xiao-Bin Pan
- Department of Critical Care Medicine, Fujian Provincial Hospital South Branch, Fuzhou, China
| | - Jun-Nian Chen
- Department of Critical Care Medicine, Fujian Provincial Hospital South Branch, Fuzhou, China
| | - Nan Liu
- Department of Neurology, Fujian Medical University Union Hospital, Fuzhou, China, and.,Department of Rehabilitation, Fujian Medical University Union Hospital, Fuzhou, China
| | - Houwei Du
- Department of Neurology, Fujian Medical University Union Hospital, 29 Xinquan Road, Gulou District, Fuzhou 35000, China
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The association of estimated cardiorespiratory fitness with COVID-19 incidence and mortality: A cohort study. PLoS One 2021; 16:e0250508. [PMID: 33951071 PMCID: PMC8099071 DOI: 10.1371/journal.pone.0250508] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 04/07/2021] [Indexed: 12/15/2022] Open
Abstract
Background It has been suggested that cardiorespiratory fitness (CRF) may be used to identify those at greatest risk for severe COVID-19 illness. However, no study to date has examined the association between CRF and COVID-19. The objectives of this study were to determine whether CRF is independently associated with testing positive with or dying from COVID-19. Methods This is a prospective cohort study of 2,690 adults from the UK Biobank Study that were followed from March 16th, 2020 to July 26th, 2020. Participants who were tested for COVID-19 and had undergone CRF assessment were examined. CRF was estimated (eCRF) and categorized as low (<20th percentile), moderate (20th to 80th percentile) and high (≥80th percentile) within sex and ten-year age groups (e.g. 50–60 years). Participants were classified as having COVID-19 if they tested positive (primarily PCR tests) at an in-patient or out-patient setting as of July 26, 2020. Participants were classified as having died from COVID-19 if the primary or underlying cause of death was listed ICD-10 codes U071 or U072 by June 30th, 2020. Adjusted risk ratios (aRR) and 95% confidence intervals (CI) were estimated and a forward model building approach used to identify covariates. Findings There was no significant association between eCRF and testing positive for COVID-19. Conversely, individuals with moderate (aRR = 0.43, 95% CI: 0.25, 0.75) and high fitness (aRR = 0.37, 95% CI: 0.16, 0.85) had a significantly lower risk of dying from COVID-19 than those with low fitness. Conclusions While eCRF was not significantly associated with testing positive for COVID-19, we observed a significant dose-response between having higher eCRF and a decreased risk of dying from COVID-19. This suggests that prior gains in CRF could be protective against dying from COVID-19 should someone develop the virus.
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15
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Furtado GE, Letieri RV, Caldo-Silva A, Sardão VA, Teixeira AM, de Barros MP, Vieira RP, Bachi ALL. Sustaining efficient immune functions with regular physical exercise in the COVID-19 era and beyond. Eur J Clin Invest 2021; 51:e13485. [PMID: 33393082 PMCID: PMC7883243 DOI: 10.1111/eci.13485] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2020] [Revised: 12/30/2020] [Accepted: 12/30/2020] [Indexed: 12/12/2022]
Abstract
The new coronavirus (SARS-CoV-2) appearance in Wuhan, China, did rise the new virus disease (COVID-19), which spread globally in a short time, leading the World Health Organization to declare a new global pandemic. To contain and mitigate the spread of SARS-CoV-2, specific public health procedures were implemented in virtually all countries, with a significant impact on society, making it difficult to keep the regular practice of physical activity. It is widely accepted that an active lifestyle contributes to the improvement of general health and preservation of cardiovascular, respiratory, osteo-muscular and immune system capacities. The positive effects of regular physical activity on the immune system have emerged as a pivotal trigger of general health, underlying the beneficial effects of physical activity on multiple physiological systems. Accordingly, recent studies have already pointed out the negative impact of physical inactivity caused by the social isolation imposed by the public sanitary authorities due to COVID-19. Nevertheless, there are still no current narrative reviews evaluating the real impact of COVID-19 on active lifestyle or even discussing the possible beneficial effects of exercise-promoted immune upgrade against the severity or progression of COVID-19. Based on the consensus in the scientific literature, in this review, we discuss how an exercise adherence could adequately improve immune responses in times of the 'COVID-19 Era and beyond'.
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Affiliation(s)
- Guilherme Eustáquio Furtado
- Health Sciences Research Unit, Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal.,N2i - Polytechnic Institute of Maia, Maia, Portugal.,University of Coimbra-Research Unit for Sport and Physical Activity (CIDAF, UID/PTD/04213/2019) at Faculty of Sport Science and Physical Education, (FCDEF-UC), Portugal
| | - Rubens Vinícius Letieri
- Post-doctoral Researcher, Rehabilitation Sciences Program, Rua Gabriel Monteiro da Silva, Federal University of Alfenas (UNIFAL), Alfenas, Brazil.,Multidisciplinary Research Nucleus in Physical Education (NIMEF), Physical Education Department, Federal University of Tocantins (UFT), Tocantinópolis, Brazil
| | - Adriana Caldo-Silva
- University of Coimbra-Research Unit for Sport and Physical Activity (CIDAF, UID/PTD/04213/2019) at Faculty of Sport Science and Physical Education, (FCDEF-UC), Portugal
| | - Vilma A Sardão
- Center for Neuroscience and Cell Biology (CNC), UC_Biotech, University of Coimbra, Cantanhede, Portugal
| | - Ana Maria Teixeira
- Multidisciplinary Research Nucleus in Physical Education (NIMEF), Physical Education Department, Federal University of Tocantins (UFT), Tocantinópolis, Brazil
| | - Marcelo Paes de Barros
- Center for Neuroscience and Cell Biology (CNC), UC_Biotech, University of Coimbra, Cantanhede, Portugal
| | - Rodolfo Paula Vieira
- Institute of Physical Activity Sciences and Sports (ICAFE), MSc/PhD Interdisciplinary Program in Health Sciences, Cruzeiro do Sul University, São Paulo, Brazil.,Federal University of Sao Paulo (UNIFESP), Post-graduation Program in Sciences of Human Movement and Rehabilitation, Santos, Brazil.,Post-Graduation Program in Bioengineering and in Biomedical Engineering, University Brazil, São Paulo, Brazil.,School of Medicine, Anhembi Morumbi University, São José dos Campos, Brazil
| | - André Luís Lacerda Bachi
- Brazilian Institute of Teaching and Research in Pulmonary and Exercise Immunology, São José dos Campos, Brazil.,Department of Otorhinolaryngology, ENT Lab, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.,Post-Graduation Program in Health Sciences, Santo Amaro University (UNISA), São Paulo, Brazil
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16
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Vancini RL, Andrade MS, Viana RB, Nikolaidis PT, Knechtle B, Campanharo CRV, de Almeida AA, Gentil P, de Lira CAB. Physical exercise and COVID-19 pandemic in PubMed: Two months of dynamics and one year of original scientific production. SPORTS MEDICINE AND HEALTH SCIENCE 2021; 3:80-92. [PMID: 34189482 PMCID: PMC8105136 DOI: 10.1016/j.smhs.2021.04.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 04/18/2021] [Accepted: 04/19/2021] [Indexed: 01/08/2023] Open
Abstract
Our aim was to conduct a narrative review about physical exercise and Corona Virus Disease 2019 (COVID-19). A literature search was completed crossing the keywords “COVID-19” and “physical exercise”, for a narrative review, and physical activity (PA), physical exercise, physical training, sport, physical fitness, for a systematic review; search strategy (Randomized Controlled Trial, in the last 1 year, English). The first search date was closed on 04/26/2020 and 06/26/2020. This strategy was chosen to assess the dynamics of scientific information production for the pandemic. In two months, an increase of 76%, from 12 (19.4%) to 50 (80.64%) COVID-19 articles (n = 62, 100%) was found. The main types of articles published were editorial articles (16.13%, n = 10 of 62 articles) and commentary (9.68%, n = 6 of 62 articles). The most frequent country of origin of the scientific production was the United States (12.90%, n = 8 of 62 articles), the United Kingdom (12.90%, n = 8 of 62 articles), and Brazil (11.29%, n = 7 of 62 articles). However, in 2020, there were only 2 relevant randomized controlled trials on the COVID-19 topic in the context of physical exercise. Scientific information production shows the concern of the PA science community to bring a solution to the increase in physical inactivity generated by the COVID-19 pandemic. Our findings show the dynamics of scientific production on the COVID-19, in a situation so unique such as a pandemic, denotes that the practice of PA is essential to improve and/or maintain physical and mental health.
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Affiliation(s)
- Rodrigo L Vancini
- Centro de Educação Física e Desportos (CEFD), Universidade Federal do Espírito Santo (UFES), Espírito Santo (ES), Brazil
| | - Marília S Andrade
- Departamento de Fisiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil
| | - Ricardo B Viana
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO), Brazil
| | | | - Beat Knechtle
- Medbase St. Gallen Am Vadianplatz, St. Gallen and Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | | | - Alexandre A de Almeida
- Instituto Federal de Educação, Ciência e Tecnologia do Tocantins (IFTO Araguatins), Campus Araguatins. Povoado Santa Tereza, Km 05 S/N Zona Rural, Araguatins, Tocantins (TO), Brazil
| | - Paulo Gentil
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO), Brazil
| | - Claudio A B de Lira
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO), Brazil
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17
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Does exercise have healing and preventive roles in COVID-19 pandemic? JOURNAL OF SURGERY AND MEDICINE 2021. [DOI: 10.28982/josam.790379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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18
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Physical activity recommendations during the COVID-19 pandemic: a practical approach for different target groups. NUTR HOSP 2021; 38:194-200. [PMID: 33371695 DOI: 10.20960/nh.03363] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
Introduction Ensuring health and well-being during this pandemic is essential according to the United Nations Sustainable Development Goals. Physical exercise has an important role in the preservation of the immune system, which is vital to prevent infections. To promote physical exercise and maintain a healthy status, recent studies have suggested general exercise routines to be implemented during the quarantine period. However, to improve the health-related physical fitness components, any specific prescription should include intensity, volume, duration, and mode. Controversy persists about which is the best intensity of physical activity, while performing exercise at a moderate intensity could bring important benefits to asymptomatic people. High intensity or unaccustomed exercise should be restricted for older people, and for people of all ages with chronic diseases or compromised immune system, obesity, or upper respiratory tract infection with limited symptoms. Besides, physical activity guidelines should be particular to each population group, giving special consideration to those vulnerable to COVID-19 who are much more likely to suffer more self-isolation. Therefore, the present study is to provide specific physical activity recommendations for different populations during this pandemic.
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Silva FBD, Fonseca B, Domecg F, Facio MR, Prado C, Toledo L, Tuche W. Athletes Health during Pandemic Times: Hospitalization Rates and Variables Related to COVID-19 Prevalence among Endurance Athletes. INTERNATIONAL JOURNAL OF CARDIOVASCULAR SCIENCES 2021. [DOI: 10.36660/ijcs.20200208] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
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20
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Polero P, Rebollo-Seco C, Adsuar JC, Pérez-Gómez J, Rojo-Ramos J, Manzano-Redondo F, Garcia-Gordillo MÁ, Carlos-Vivas J. Physical Activity Recommendations during COVID-19: Narrative Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 18:E65. [PMID: 33374109 PMCID: PMC7796360 DOI: 10.3390/ijerph18010065] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Revised: 11/10/2020] [Accepted: 11/27/2020] [Indexed: 01/27/2023]
Abstract
Regular practice of physical activity plays a fundamental role in preventing and treating cardiovascular diseases such as obesity, hypertension, diabetes, and metabolic syndrome. During the pandemic caused by COVID-19 and the lockdown established, people have reduced considerably their mobility and motor activity, which has led to an increase in unhealthy lifestyle habits, raising the risk of suffering from diseases. This paper consists of reviewing the existing scientific literature on recommendations of physical activity during the pandemic and to establish specific guidelines according to the type of population to which the activity would be directed. A search strategy has been carried out in the different databases: Embase, PubMed, SCOPUS, SPORTDiscus, and Web of Science (WoS), including all the articles published until 14 May 2020, to find essays with recommendations on aerobic activity, muscle strengthening, flexibility-stretching, meditation-relaxation, and balance exercises. The articles found have been evaluated considering the following criteria: type of publication, proposals for physical exercise, language, and, if it appears, volume of activity, frequency, intensity, and rest. The results obtained 29 articles that discuss patterns of physical activity, although there is no common consensus on such recommendations during confinement, nor are they suitable for all people. From these results, we can conclude that physical activity is widely recommended during the confinement caused by COVID-19, mainly through the performance of aerobic, strength, flexibility, and balance exercises.
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Affiliation(s)
- Patricia Polero
- Laboratorio de Biomecánica y Análisis del Movimiento del Litoral, CENUR Litoral Norte, Universidad de la República, Florida 1065, Paysandú 60000, Uruguay;
| | - Carmen Rebollo-Seco
- Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (J.C.A.); (J.P.-G.); (J.R.-R.); (F.M.-R.); (J.C.-V.)
| | - José C. Adsuar
- Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (J.C.A.); (J.P.-G.); (J.R.-R.); (F.M.-R.); (J.C.-V.)
| | - Jorge Pérez-Gómez
- Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (J.C.A.); (J.P.-G.); (J.R.-R.); (F.M.-R.); (J.C.-V.)
| | - Jorge Rojo-Ramos
- Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (J.C.A.); (J.P.-G.); (J.R.-R.); (F.M.-R.); (J.C.-V.)
| | - Fernando Manzano-Redondo
- Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (J.C.A.); (J.P.-G.); (J.R.-R.); (F.M.-R.); (J.C.-V.)
| | | | - Jorge Carlos-Vivas
- Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (J.C.A.); (J.P.-G.); (J.R.-R.); (F.M.-R.); (J.C.-V.)
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21
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Fiest KM, Krewulak KD, Plotnikoff KM, Kemp LG, Parhar KKS, Niven DJ, Kortbeek JB, Stelfox HT, Parsons Leigh J. Allocation of intensive care resources during an infectious disease outbreak: a rapid review to inform practice. BMC Med 2020; 18:404. [PMID: 33334347 PMCID: PMC7746486 DOI: 10.1186/s12916-020-01871-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Accepted: 11/25/2020] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic has placed sustained demand on health systems globally, and the capacity to provide critical care has been overwhelmed in some jurisdictions. It is unknown which triage criteria for allocation of resources perform best to inform health system decision-making. We sought to summarize and describe existing triage tools and ethical frameworks to aid healthcare decision-making during infectious disease outbreaks. METHODS We conducted a rapid review of triage criteria and ethical frameworks for the allocation of critical care resources during epidemics and pandemics. We searched Medline, EMBASE, and SCOPUS from inception to November 3, 2020. Full-text screening and data abstraction were conducted independently and in duplicate by three reviewers. Articles were included if they were primary research, an adult critical care setting, and the framework described was related to an infectious disease outbreak. We summarized each triage tool and ethical guidelines or framework including their elements and operating characteristics using descriptive statistics. We assessed the quality of each article with applicable checklists tailored to each study design. RESULTS From 11,539 unique citations, 697 full-text articles were reviewed and 83 articles were included. Fifty-nine described critical care triage protocols and 25 described ethical frameworks. Of these, four articles described both a protocol and ethical framework. Sixty articles described 52 unique triage criteria (29 algorithm-based, 23 point-based). Few algorithmic- or point-based triage protocols were good predictors of mortality with AUCs ranging from 0.51 (PMEWS) to 0.85 (admitting SOFA > 11). Most published triage protocols included the substantive values of duty to provide care, equity, stewardship and trust, and the procedural value of reason. CONCLUSIONS This review summarizes available triage protocols and ethical guidelines to provide decision-makers with data to help select and tailor triage tools. Given the uncertainty about how the COVID-19 pandemic will progress and any future pandemics, jurisdictions should prepare by selecting and adapting a triage tool that works best for their circumstances.
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Affiliation(s)
- Kirsten M Fiest
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
- Department of Community Health Sciences and O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Karla D Krewulak
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Kara M Plotnikoff
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Laryssa G Kemp
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Ken Kuljit S Parhar
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Daniel J Niven
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
- Department of Community Health Sciences and O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - John B Kortbeek
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
- Department of Surgery, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
- Department of Anaesthesia, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Henry T Stelfox
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
- Department of Community Health Sciences and O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Jeanna Parsons Leigh
- Faculty of Health, School of Health Administration, Dalhousie University, 5850 College Street, Halifax, Nova Scotia, B3H4R2, Canada.
- Department of Critical Care Medicine, Faculty of Medicine, Dalhousie University, 6299 South St, Halifax, Nova Scotia, B3H4R2, Canada.
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22
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Post-COVID-19 global health strategies: the need for an interdisciplinary approach. Aging Clin Exp Res 2020; 32:1613-1620. [PMID: 32529595 PMCID: PMC7287410 DOI: 10.1007/s40520-020-01616-x] [Citation(s) in RCA: 114] [Impact Index Per Article: 28.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Accepted: 05/30/2020] [Indexed: 12/22/2022]
Abstract
For survivors of severe COVID-19 disease, having defeated the virus is just the beginning of an uncharted recovery path. What follows after the acute phase of SARS-CoV-2 infection depends on the extension and severity of viral attacks in different cell types and organs. Despite the ridiculously large number of papers that have flooded scientific journals and preprint-hosting websites, a clear clinical picture of COVID-19 aftermath is vague at best. Without larger prospective observational studies that are only now being started, clinicians can retrieve information just from case reports and or small studies. This is the time to understand how COVID-19 goes forward and what consequences survivors may expect to experience. To this aim, a multidisciplinary post-acute care service involving several specialists has been established at the Fondazione Policlinico Universitario A. Gemelli IRCSS (Rome, Italy). Although COVID-19 is an infectious disease primarily affecting the lung, its multi-organ involvement requires an interdisciplinary approach encompassing virtually all branches of internal medicine and geriatrics. In particular, during the post-acute phase, the geriatrician may serve as the case manager of a multidisciplinary team. The aim of this article is to describe the importance of the interdisciplinary approach––coordinated by geriatrician––to cope the potential post-acute care needs of recovered COVID-19 patients.
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23
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Dominski FH, Brandt R. Do the benefits of exercise in indoor and outdoor environments during the COVID-19 pandemic outweigh the risks of infection? SPORT SCIENCES FOR HEALTH 2020; 16:583-588. [PMID: 32837566 PMCID: PMC7366884 DOI: 10.1007/s11332-020-00673-z] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Accepted: 07/04/2020] [Indexed: 12/11/2022]
Affiliation(s)
- Fábio Hech Dominski
- Laboratory of Sport and Exercise Psychology, College of Health and Sport Science of the Santa Catarina State University, Florianopolis, 88080-350 Brazil.,Univille University, Paulo Malschitzki, 10 - Zona Industrial Norte, Joinville, SC Brazil
| | - Ricardo Brandt
- Physical Education Department, Western Parana State University, Marechal Cândido Rondon, Cascavel, Brazil
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24
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Simões HG, Rosa TS, Sousa CV, Aguiar SDS, Motta-Santos D, Degens H, Korhonen MT, Campbell CSG. Does Longer Leukocyte Telomere Length and Higher Physical Fitness Protect Master Athletes From Consequences of Coronavirus (SARS-CoV-2) Infection? Front Sports Act Living 2020; 2:87. [PMID: 33345078 PMCID: PMC7739763 DOI: 10.3389/fspor.2020.00087] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Accepted: 06/04/2020] [Indexed: 11/20/2022] Open
Affiliation(s)
- Herbert Gustavo Simões
- Graduate Program in Physical Education, Catholic University of Brasilia, Brasília, Brazil
| | - Thiago Santos Rosa
- Graduate Program in Physical Education, Catholic University of Brasilia, Brasília, Brazil
| | - Caio Victor Sousa
- Bouve College of Health Sciences, Northeastern University, Boston, MA, United States
| | - Samuel da Silva Aguiar
- Graduate Program in Physical Education, Catholic University of Brasilia, Brasília, Brazil.,Department of Physical Education, University Center UDF, Brasilia, Brazil
| | - Daisy Motta-Santos
- School of Physical Education, Physiotherapy, and Occupational Therapy, UFMG, Belo Horizonte, Brazil
| | - Hans Degens
- Department of Sciences, Manchester Metropolitan University, Manchester, United Kingdom.,Institute of Sport Science and Innovations, Lithuanian Sports University, Kaunas, Lithuania
| | - Marko T Korhonen
- Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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25
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Cardiopulmonary exercise testing in the COVID-19 endemic phase. Br J Anaesth 2020; 125:447-449. [PMID: 32571569 PMCID: PMC7287473 DOI: 10.1016/j.bja.2020.06.006] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 06/03/2020] [Accepted: 06/04/2020] [Indexed: 12/27/2022] Open
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26
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Affiliation(s)
- Ross Arena
- Department of Physical Therapy, College of Applied Science, University of Illinois, Chicago, IL, USA; Healthy Living for Pandemic Event Protection (HL - PIVOT) Network, Chicago, IL, USA.
| | - Carl J Lavie
- Healthy Living for Pandemic Event Protection (HL - PIVOT) Network, Chicago, IL, USA; Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School-University of Queensland School of Medicine, New Orleans, LA, USA
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27
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Federighi Baisi Chagas E, Biteli P, Moreira Candeloro B, Angelo Rodrigues M, Henrique Rodrigues P. Physical exercise and COVID-19: a summary of the recommendations. AIMS BIOENGINEERING 2020. [DOI: 10.3934/bioeng.2020020] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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