Günümüzde koronavirüs hastalığı-2019 [coronavirus disease2019 (COVID-19)] dünyanın çeşitli ülkelerine yayılmış ve büyük bir küresel endişe yaratmıştır. Birçok insan, bu yeni normal yaşantıya alışmaya başlamış; 'sosyal mesafe' ve 'evde kalmak' artık hayatımızın bir parçası olmuştur. Yapılan son çalışmalar, COVID-19 karantinasının insanlarda negatif psikolojik etkilere neden olduğu, travma sonrası stres belirtilerinin, konfüzyon ve öfkenin arttığını rapor etmişlerdir. Ayrıca sosyal izolasyonun insanlar üzerinde yalnızlığa, can sıkıntısına, hayal kırıklığına ve soyutlanma hissine neden olduğunu da göstermiştir. Bununla birlikte fiziksel temasın ve hareketin kısıtlanması, insanlarda sedanter davranış ve fiziksel hareketsizliğin artışına da neden olabilir. Çünkü dünya birkaç yıldır fiziksel hareketsizlik ve sedanter davranış salgınıyla birlikte yaşıyordu. COVID-19, gelecekte hareketsiz yaşam ve sedanter davranışı nasıl etkileyecek' Bugünlerde insanlar COVID19'a karşı bağışıklığı artıran birtakım stratejiler aramaktadırlar. Bazı kanıtlara dayanarak, orta şiddette düzenli yapılan fiziksel aktivitenin, korona ile başa çıkmak için farmakolojik olmayan, ucuz uygulanabilir bir yol olarak önerilebileceği görülmektedir. Öte yandan, yüksek şiddette uygulanan egzersiz önerilerinde son kararı vermek için gelecekte daha çok çalışmaya ihtiyaç olduğu düşünülmektedir. Sonuç olarak bu derlemede, COVID-19'a karşı düzenli, orta şiddette ve belirli bir süreye dikkat edilerek yapılan farklı tipteki egzersizler, immün sistemi artırarak koruyuculuk sağlayabilir. Bununla birlikte COVID-19 geçiren kişilerde de egzersiz, immün sistemi güçlendirmek için reçete olarak önerilebilir.
Anahtar Kelimeler: COVID-19; orta şiddette egzersiz; sedanter davranış
Nowadays, COVID-19 has spread to several countries around the world and is presently a major global concern. Many people have become accustomed to a new normal - 'social distancing' and 'stay at home' are now a part of in our life. Recently, the studies indicated that the effects of quarantine reported negative psychological effects including post-traumatic stress symptoms, confusion and anger. In addition, restriction of physical movement, loss of usual routine, and reduced social and physical contact with others were frequently shown to cause boredom, frustration and a sense of isolation. However, restriction of physical contact and movement can also lead to an increase in sedentary behavior and physical inactivity in humans. Because, the world has been living with another pandemic for a number of years physical inactivity and sedentary behaviour. How the COVID-19 will effect on sedentary behaviour and physical inactivity in the future' Nowadays, people are looking for a number of strategies that increase immunity against COVID-19. On the basis of some indirect evidence, it seems that moderate physical activity can be recommended as a nonpharmacological, inexpensive, and viable way to cope with corona. On the other hand, recommending higher intensity exercise needs further consideration to make final decision in this regard. As a result in this review paper, the different types of exercises performed by paying attention to regular moderate intensity and duration against COVID-19, it may provide protection by increasing the immune system against COVID-19. Additionally, people who have had pass the disease COVID-19 may also be offered as a prescription to improve the immune system.
Keywords: COVID-19; moderate-intensity exercise; sedenter behaviour
- WHO. Coronavirus disease (COVID-19) Pandemic. https://www.who.int/emergencies/diseases/novel-coronavirus-2019 (Accessed 30/03/2020).
- Pratt M, Ramirez Varela A, Salvo D, Kohl Iii HW, Ding D. Attacking the pandemic of physical inactivity: what is holding us back? Br J Sports Med. 2020;54(13):760-2. [Crossref] [PubMed]
- Kohl 3rd HW, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, et al. The pandemic of physical inactivity: global action for public health. Lancet. 2012;380(9838):294-305. [Crossref] [PubMed]
- Ozemek C, Lavie CJ, Rognmo O. Global physical activity levels - need for intervention. Prog Cardiovasc Dis. 2019;62(2):102-7. [Crossref] [PubMed]
- Ding D, Lawson KD, Kolbe-Alexander TL, Finkelstein EA, Katzmarzyk PT, van Mechelen W, et al. The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet. 2016;388( 10051):1311-24. [Crossref] [PubMed]
- WHO. Physical inactivity: a global public health problem. https://www.who.int/dietphysicalactivity/factsheet_inactivity/en/ (Accessed 30/03/2020).
- 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(10):e1077-86. [Crossref]
- Du Y, Liu B, Sun Y, Snetselaar LG, Wallace RB, Bao W. Trends in adherence to the physical activity guidelines for Americans for aerobic activity and time spent on sedentary behavior among US adults, 2007 to 2016. JAMA Netw Open. 2019;2(7):e197597. [Crossref] [PubMed] [PMC]
- Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, et al. The physical activity guidelines for Americans. JAMA. 2018;320(19):2020-28. [Crossref] [PubMed]
- Patterson R, McNamara E, Tainio M, de Sá TH, Smith AD, Sharp SJ, et al. Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis. Eur J Epidemiol. 2018;33(9):811-29. [Crossref] [PubMed] [PMC]
- Young DR, Hivert MF, Alhassan S, Camhi SM, Ferguson JF, Katzmarzyk PT, et al. Sedentary behavior and cardiovascular morbidity and mortality: a science advisory from the American Heart Association. Circulation. 2016;134(13):e262-79. [Crossref] [PubMed]
- Rosenberg D, Cook A, Gell N, Lozano P, Grothaus L, Arterburn D. Relationships between sitting time and health indicators, costs, and utilization in older adults. Prev Med Rep. 2015;2:247-9. [Crossref] [PubMed] [PMC]
- Bernstein MS, Morabia A, Sloutskis D. Definition and prevalence of sedentarism in an urban population. Am J Public Health. 1999;89(6):862-7. [Crossref] [PubMed] [PMC]
- Elovainio M, Hakulinen C, Pulkki-Råback L, Virtanen M, Josefsson K, Jokela M, et al. Contribution of risk factors to excess mortality in isolated and lonely individuals: an analysis of data from the UK Biobank cohort study. Lancet Public Health. 2017;2(6):e260-6. [Crossref] [PubMed]
- Werneck AO, Collings PJ, Barboza LL, Stubbs B, Silva DR. Associations of sedentary behaviors and physical activity with social isolation in 100,839 school students: The Brazilian Scholar Health Survey. Gen Hosp Psychiatry. 2019;59:7-13. [Crossref] [PubMed]
- de Araújo Pinto A, Oppong Asante K, Puga Barbosa RMDS, Nahas MV, Dias DT, Pelegrini A. Association between loneliness, physical activity, and participation in physical education among adolescents in Amazonas, Brazil. J Health Psychol. 2019;1359105319833741. [PubMed]
- Macdonald-Wallis K, Jago R, Sterne JAC. Social network analysis of childhood and youth physical activity: a systematic review. Am J Prev Med. 2012;43(6):636-42. [Crossref] [PubMed]
- Montgomery SC, Donnelly M, Bhatnagar P, Carlin A, Kee F, Hunter RF. Peer social network processes and adolescent health behaviors: a systematic review. Prev Med. 2020;130:105900. [Crossref] [PubMed]
- Thompson T, Rodebaugh TL, Bessaha ML, Sabbath EL. The association between social isolation and health: an analysis of parent-adolescent dyads from the family life, activity, sun, health, and eating study. Clin Soc Work J. 2020;48(1):18-24. [Crossref] [PubMed] [PMC]
- Robins LM, Hill KD, Finch CF, Clemson L, Haines T. The association between physical activity and social isolation in community-dwelling older adults. Aging Ment Health. 2018;22(2):175-82. [Crossref] [PubMed]
- Okazaki K, Suzuki K, Sakamoto Y, Sasaki K. Physical activity and sedentary behaviour among children and adolescents living in an area affected by the 2011 Great East Japan Earthquake and Tsunami for 3 years. Prev Med Rep. 2015;2:720-4. [Crossref] [PubMed] [PMC]
- Saint-Maurice PF, Troiano RP, Bassett Jr DR, Carlson SA, Shiroma EJ, Fulton JE, et al. Association of daily step count and step intensity with mortality among US adults. JAMA. 2020;323(12):1151-60. [Crossref] [PubMed]
- Bauer UE, Briss PA, Goodman RA, Bowman BA. Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USA. Lancet. 2014;384(9937):45-52. [Crossref] [PubMed]
- Lavie CJ, Ozemek C, Carbone S, Katzmarzyk PT, Blair SN. Sedentary behavior, exercise, and cardiovascular health. Circ Res. 2019;124(5):799-815. [Crossref] [PubMed]
- Booth FW, Roberts CK, Thyfault JP, Ruegsegger GN, Toedebusch RG. Role of inactivity in chronic diseases: evolutionary insight and pathophysiological mechanisms. Physiol Rev. 2017;97(4):1351-402. [Crossref] [PubMed] [PMC]
- Hull JH, Loosemore M, Schwellnus M. Respiratory health in athletes: facing the COVID-19 challenge. Lancet Respir Med. 2020;8(6):557-8. [Crossref] [PubMed]
- Ekelund U, Tarp J, Steene-Johannessen J, Hansen BH, Jefferis B, Fagerland MW, et al. Dose-response associations between accelerometry measured physical activity and sedentary time and all cause mortality: systematic review and harmonised meta-analysis. BMJ. 2019;366:l4570. [Crossref] [PubMed] [PMC]
- Kujala UM. Evidence on the effects of exercise therapy in the treatment of chronic disease. Br J Sports Med. 2009;43:550-5. [Crossref] [PubMed]
- Wong CM, Lai HK, Ou CQ, Ho SY, Chan KP, Thach TQ, et al. Is exercise protective against influenza-associated mortality? PLoS One. 2008;3(5):e2108. [Crossref] [PubMed] [PMC]
- Huang GH, Ismail H, Murnane A, Kim P, Riedel B. Structured exercise program prior to major cancer surgery improves cardiopulmonary fitness: a retrospective cohort study. Support Care Cancer. 2016;24(5):2277-85. [Crossref] [PubMed]
- Davies SC, Atherton F, McBride M and Calderwood C. UK chief medical officers' physical activity guidelines. UK Government, 2019. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/832868/uk-chief-medical-officers-physical-activity-guidelines.pdf
- Riebe D, Ehrman JK, Liguori G, Magal M, American College of Sports Medicine. ACSM's Guidelines For Exercise Testing And Prescription. 10th ed. Philadelphia: Wolters Kluwer; [2017] ©2018. p. 472.
- Campbell JP, Turner JE. Debunking the myth of exercise-induced immune suppression: redefining the impact of exercise on immunological health across the lifespan. Front Immunol. 2018;9:648. [Crossref] [PubMed] [PMC]
- Thevarajan I, Nguyen THO, Koutsakos M, Druce J, Caly L, van de Sandt CE, et al. Breadth of concomitant immune responses prior to patient recovery: a case report of non-severe COVID-19. Nat Med. 2020;26(4):453-5. [Crossref] [PubMed] [PMC]
- Nieman DC, Wentz LM. The compelling link between physical activity and the body's defense system. J Sport Health Sci. 2019;8(3):201-17. [Crossref] [PubMed] [PMC]
- Fisher D, Heymann D. Q &A: the novel coronavirus outbreak causing COVID-19. BMC Med. 2020;18(1):57. [Crossref] [PubMed] [PMC]
- de Souza DC, Matos VAF, Dos Santos VOA, Medeiros IF, Marinho CSR, Nascimento PRP, et al. Effects of high-intensity interval and moderate-intensity continuous exercise on inflammatory, leptin, IgA, and lipid peroxidation responses in obese males. Front Physiol. 2018;9:567. [Crossref] [PubMed] [PMC]
- Gerosa-Neto J, Antunes BMM, Campos EZ, Rodrigues J, Ferrari GD, Neto JCR, et al. Impact of long-term high-intensity interval and moderate-intensity continuous training on subclinical inflammation in overweight/obese adults. J Exerc Rehabil. 2016;12(6):575-80. [Crossref] [PubMed] [PMC]
- Khammassi M, Ouerghi N, Said M, Feki M, Khammassi Y, Pereira B, et al. Continuous moderate-intensity but not high-intensity interval training improves immune function biomarkers in healthy young men. J Strength Cond Res. 2020;34(1):249-56. [Crossref] [PubMed]
- Zwetsloot KA, John CS, Lawrence MM, Battista RA, Shanely RA. High-intensity interval training induces a modest systemic inflammatory response in active, young men. J Inflamm Res. 2014;7:9-17. [Crossref] [PubMed] [PMC]
- Cerqueira É, Marinho DA, Neiva HP, Lourenço O. Inflammatory effects of high and moderate intensity exercise-a systematic review. Front Physiol. 2020;10:1550. [Crossref] [PubMed] [PMC]
.: Process List