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Journal of Occupational Medicine and Toxicology

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Open Access 01-12-2020 | COVID-19 | Review

Physical activity during COVID-19 induced lockdown: recommendations

Authors: Eszter Füzéki, David A. Groneberg, Winfried Banzer

Published in: Journal of Occupational Medicine and Toxicology | Issue 1/2020

Abstract

Measures aiming at containing the Coronavirus disease 2019 (COVID-19) include isolation, social distancing, and quarantine. Quarantine and other lockdown instruments show promise in reducing the number of COVID-19 infections and deaths. It is reasonable to assume that lockdown leads to reduced levels of physical activity in the general population. Potential detrimental health effects of lockdown, such as psychological distress and physical inactivity induced maladaptations must be addressed. The current review summarizes harmful effects of limited physical activity on mental and physical health due to social distancing and quarantine and highlights the effects of simple physical activity regimes counteracting these detrimental effects, with a special emphasis on acute effects.

Nussbaumer-Streit B, Mayr V, Dobrescu AI, Chapman A, Persad E, Klerings I, et al. Quarantine alone or in combination with other public health measures to control COVID-19: a rapid review. Cochrane Database Syst Rev. 2020;4:CD013574. https://doi.org/10.1002/14651858.CD013574.CrossRefPubMed

Tian H, Liu Y, Li Y, Wu C-H, Chen B, Kraemer MUG, et al. An investigation of transmission control measures during the first 50 days of the COVID-19 epidemic in China. Science. 2020. https://doi.org/10.1126/science.abb6105.

Kissler SM, Tedijanto C, Goldstein E, Grad YH, Lipsitch M. Projecting the transmission dynamics of SARS-CoV-2 through the postpandemic period. Science. 2020. https://doi.org/10.1126/science.abb5793.

Daniel Dunford, Becky Dale, Nassos Stylianou, Ed Lowther, Maryam Ahmed, Irene de la Torre Arenas. Coronavirus: The world in lockdown in maps and charts. 2020. https://www.bbc.com/news/world-52103747.

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395:912–20. https://doi.org/10.1016/S0140-6736(20)30460-8.CrossRefPubMedPubMedCentral

Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, et al. The physical activity guidelines for Americans. JAMA. 2018;320:2020–8. https://doi.org/10.1001/jama.2018.14854.CrossRefPubMed

Füzéki E, Banzer W. Physical activity recommendations for health and beyond in currently inactive populations. Int J Environ Res Public Health. 2018. https://doi.org/10.3390/ijerph15051042.

Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants. Lancet Glob Health. 2018;6:e1077–86. https://doi.org/10.1016/S2214-109X(18)30357-7.CrossRefPubMed

Bowden Davies KA, Pickles S, Sprung VS, Kemp GJ, Alam U, Moore DR, et al. Reduced physical activity in young and older adults: metabolic and musculoskeletal implications. Ther Adv Endocrinol Metab. 2019;10:2042018819888824. https://doi.org/10.1177/2042018819888824.CrossRefPubMedPubMedCentral

10.

Oikawa SY, Holloway TM, Phillips SM. The impact of step reduction on muscle health in aging: protein and exercise as countermeasures. Front Nutr. 2019;6:75. https://doi.org/10.3389/fnut.2019.00075.CrossRefPubMedPubMedCentral

11.

Boyle LJ, Credeur DP, Jenkins NT, Padilla J, Leidy HJ, Thyfault JP, Fadel PJ. Impact of reduced daily physical activity on conduit artery flow-mediated dilation and circulating endothelial microparticles. J Appl Physiol. 2013;115:1519–25. https://doi.org/10.1152/japplphysiol.00837.2013.CrossRefPubMedPubMedCentral

12.

Devries MC, Breen L, von Allmen M, MacDonald MJ, Moore DR, Offord EA, et al. Low-load resistance training during step-reduction attenuates declines in muscle mass and strength and enhances anabolic sensitivity in older men. Physiol Rep. 2015. https://doi.org/10.14814/phy2.12493.

13.

Saoi M, Li A, McGlory C, Stokes T, von Allmen MT, Phillips SM, Britz-McKibbin P. Metabolic perturbations from step reduction in older persons at risk for sarcopenia: plasma biomarkers of abrupt changes in physical activity. Metabolites. 2019. https://doi.org/10.3390/metabo9070134.

14.

Shigdel R, Dalen H, Sui X, Lavie CJ, Wisløff U, Ernstsen L. Cardiorespiratory fitness and the risk of first acute myocardial infarction: the HUNT study. J Am Heart Assoc. 2019;8:e010293. https://doi.org/10.1161/JAHA.118.010293.CrossRefPubMedPubMedCentral

15.

Hooker SP, Sui X, Colabianchi N, Vena J, Laditka J, LaMonte MJ, Blair SN. Cardiorespiratory fitness as a predictor of fatal and nonfatal stroke in asymptomatic women and men. Stroke. 2008;39:2950–7. https://doi.org/10.1161/STROKEAHA.107.495275.CrossRefPubMed

16.

Sylow L, Richter EA. Current advances in our understanding of exercise as medicine in metabolic disease. Curr Opin Physiol. 2019;12:12–9. https://doi.org/10.1016/j.cophys.2019.04.008.CrossRef

17.

Nygaard H, Tomten SE, Høstmark AT. Slow postmeal walking reduces postprandial glycemia in middle-aged women. Appl Physiol Nutr Metab. 2009;34:1087–92. https://doi.org/10.1139/H09-110.CrossRefPubMed

18.

Lunde MSH, Hjellset VT, Høstmark AT. Slow post meal walking reduces the blood glucose response: an exploratory study in female Pakistani immigrants. J Immigr Minor Health. 2012;14:816–22. https://doi.org/10.1007/s10903-012-9574-x.CrossRefPubMed

19.

Takaishi T, Imaeda K, Tanaka T, Moritani T, Hayashi T. A short bout of stair climbing-descending exercise attenuates postprandial hyperglycemia in middle-aged males with impaired glucose tolerance. Appl Physiol Nutr Metab. 2012;37:193–6. https://doi.org/10.1139/h11-140.CrossRefPubMed

20.

Peddie MC, Rehrer NJ, Perry TL. Physical activity and postprandial lipidemia: are energy expenditure and lipoprotein lipase activity the real modulators of the positive effect? Prog Lipid Res. 2012;51:11–22. https://doi.org/10.1016/j.plipres.2011.11.002.CrossRefPubMed

21.

Miyashita M, Burns SF, Stensel DJ. Accumulating short bouts of brisk walking reduces postprandial plasma triacylglycerol concentrations and resting blood pressure in healthy young men. Am J Clin Nutr. 2008;88:1225–31. https://doi.org/10.3945/ajcn.2008.26493.CrossRefPubMed

22.

Carpio-Rivera E, Moncada-Jiménez J, Salazar-Rojas W, Solera-Herrera A. Acute effects of exercise on blood pressure: a meta-analytic investigation. Arq Bras Cardiol. 2016;106:422–33. https://doi.org/10.5935/abc.20160064.CrossRefPubMedPubMedCentral

23.

Suzuki K. Chronic inflammation as an immunological abnormality and effectiveness of exercise. Biomolecules. 2019. https://doi.org/10.3390/biom9060223.

24.

Brown WMC, Davison GW, McClean CM, Murphy MH. A systematic review of the acute effects of exercise on immune and inflammatory indices in untrained adults. Sports Med Open. 2015;1:35. https://doi.org/10.1186/s40798-015-0032-x.CrossRefPubMedPubMedCentral

25.

Elkington TJ, Cassar S, Nelson AR, Levinger I. Psychological responses to acute aerobic, resistance, or combined exercise in healthy and overweight individuals: a systematic review. Clin Med Insights Cardiol. 2017;11:1179546817701725. https://doi.org/10.1177/1179546817701725.CrossRefPubMedPubMedCentral

26.

Reed J, Ones DS. The effect of acute aerobic exercise on positive activated affect: a meta-analysis. Psychol Sport Exerc. 2006;7:477–514. https://doi.org/10.1016/j.psychsport.2005.11.003.CrossRef

27.

Liao Y, Shonkoff ET, Dunton GF. The acute relationships between affect, physical feeling states, and physical activity in daily life: a review of current evidence. Front Psychol. 2015;6:1975. https://doi.org/10.3389/fpsyg.2015.01975.CrossRefPubMedPubMedCentral

28.

Crush EA, Frith E, Loprinzi PD. Experimental effects of acute exercise duration and exercise recovery on mood state. J Affect Disord. 2018;229:282–7. https://doi.org/10.1016/j.jad.2017.12.092.CrossRefPubMed

29.

2018 Physical Activity Guidelines Advisory Committee. 2018 Physical Activity Guidelines Advisory Committee Scientific Report. 2018. https://health.gov/sites/default/files/2019-09/PAG_Advisory_Committee_Report.pdf. Accessed 14 Apr 2020.

30.

Center of Disease Control. Use of Cloth Face Coverings to Help Slow the Spread of COVID-19. 2020. https://www.cdc.gov/coronavirus/2019-ncov/downloads/DIY-cloth-face-covering-instructions.pdf. Accessed 15 Apr 2020.

31.

World Health Organization. Advice on the use of masks in the context of COVID-19. 2020. https://www.who.int/publications-detail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-coronavirus-(2019-ncov)-outbreak. Accessed 15 Apr 2020.

32.

Rogerson M, Wood C, Pretty J, Schoenmakers P, Bloomfield D, Barton J. Regular doses of nature: the efficacy of green exercise interventions for mental wellbeing. Int J Environ Res Public Health. 2020. https://doi.org/10.3390/ijerph17051526.

33.

Holick MF. Biological effects of sunlight, ultraviolet radiation, visible light, infrared radiation and vitamin D for health. Anticancer Res. 2016;36:1345–56.PubMed

34.

Füzéki E. Muskelkräftigung mit elastischen Bändern. Zbl Arbeitsmed. 2019;152:440. https://doi.org/10.1007/s40664-019-00364-8.CrossRef

35.

National Heath Service. Exercises for older people. 2020. https://www.nhs.uk/livewell/fitness/documents/NHS_strength_exercise.pdf.

36.

World Health Organization Regional Office for Europe. Stay physically active during self-quarantine. http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/novel-coronavirus-2019-ncov-technical-guidance/stay-physically-active-during-self-quarantine. Accessed 14 Apr 2020.

37.

Riebe D, Franklin BA, Thompson PD, Garber CE, Whitfield GP, Magal M, Pescatello LS. Updating ACSM's recommendations for exercise preparticipation health screening. Med Sci Sports Exerc. 2015;47:2473–9. https://doi.org/10.1249/MSS.0000000000000664.CrossRefPubMed

38.

Nieman DC. Exercise, infection, and immunity. Int J Sports Med. 1994;15(Suppl 3):S131–41. https://doi.org/10.1055/s-2007-1021128.CrossRefPubMed

Title: Physical activity during COVID-19 induced lockdown: recommendations
Authors: Eszter Füzéki
David A. Groneberg
Winfried Banzer
Publication date: 01-12-2020
Publisher: BioMed Central
Keyword: COVID-19
Published in: Journal of Occupational Medicine and Toxicology / Issue 1/2020
Electronic ISSN: 1745-6673
DOI: https://doi.org/10.1186/s12995-020-00278-9

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Physical activity during COVID-19 induced lockdown: recommendations

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