Abstract

Mini Review

Physical activity can change the physiological and psychological circumstances during COVID-19 pandemic: A narrative review

Khashayar Maroufi*

Published: 26 January, 2021 | Volume 6 - Issue 1 | Pages: 001-007

Background: With the outbreak of Coronavirus disease 2019 (COVID-19), many studies’ attention to this world’s complexity increased dramatically. Different views on sports and physical activities have been presented, which have addressed the advantages and disadvantages of sports activities in this period differently. The purpose of this review was to investigate the physiological and psychological effects of physical activity during the COVID-19 pandemic.

Methods: Using PubMed, Science Direct, Medline, and Web of Science electronic databases, this review summarizes the current knowledge of direct and indirect effects of physical activity during the COVID-19 pandemic, evaluating the advantages and drawbacks of specific exercise physiology conditions. All types of studies were assessed, including systematic reviews, case-studies, and clinical guidelines. The literature search identified 40 articles that discussed COVID-19, immune system, the relation between immune system and exercise or diet, and psychological impacts of physical activity.

Results: Forty articles review showed that the immune system depends on the type, frequency, intensity, and duration of the exercise.

Intense or prolonged exercise with short recovery periods can progressively weaken the immune system and increase the risk of COVID-19. One of the acute responses after moderate-intensity training is improved immune function and a decrease in inflammatory cytokines. Paying attention to dietary intakes of micro-and macronutrients in conjunction with exercise can strengthen the condition to fight against coronavirus. Exercise can also affect the psychological dimensions of the COVID-19 pandemic, including depression, anxiety, and stress, which improve community mental health during the quarantine.

Conclusion: Setting appropriate physical activity based on individuals’ properties and proper diet plan may enhance the physiological and psychological body’s condition to fight against coronavirus.

Read Full Article HTML DOI: 10.29328/journal.jsmt.1001051 Cite this Article Read Full Article PDF

Keywords:

COVID-19; Inflammation; Physical activity; Exercise physiology; Exercise psychology

References

  1. Wang M, Baker JS, Quan W, Shen S, Fekete G, et al. A preventive role of exercise across the coronavirus 2 (SARS-CoV-2) pandemic. Front Physiol. 2020; 11: 572718. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7506115
  2. Hu S, Tucker L, Wu C, Yang L. Beneficial effects of exercise on depression and anxiety during the Covid-19 pandemic: A narrative review. Front Psychiatry. 2020; 11: 1217. PubMed: https://pubmed.ncbi.nlm.nih.gov/33329133
  3. Zadow EK, Wundersitz DWT, Hughes DL, Adams MJ, Kingsley MIC, et al., editors. Coronavirus (COVID-19), Coagulation, and Exercise: Interactions That May Influence Health Outcomes. Semin Thromb Hemost. 2020; 46: 807-814. PubMed: https://pubmed.ncbi.nlm.nih.gov/32882720
  4. Chiappetta S, Sharma AM, Bottino V, Stier C. COVID-19 and the role of chronic inflammation in patients with obesity. International J Obes. 2020:1-3.
  5. Kalligeros M, Shehadeh F, Mylona EK, Benitez G, Beckwith CG, et al. Association of obesity with disease severity among patients with coronavirus disease 2019. Obesity. 2020; 28: 1200-1204. PubMed: https://pubmed.ncbi.nlm.nih.gov/32352637
  6. Mattioli AV, Sciomer S, Cocchi C, Maffei S, Gallina S. Quarantine during COVID-19 outbreak: changes in diet and physical activity increase the risk of cardiovascular disease. Nutr Metab Cardiovasc Dis. 2020; 30: 1409-1417. PubMed: https://pubmed.ncbi.nlm.nih.gov/32571612
  7. Nishimura H, Itamura S, Iwasaki T, Kurata T, Tashiro M. Characterization of human influenza A (H5N1) virus infection in mice: neuro-, pneumo-and adipotropic infection. J Gen Virol. 2000; 81: 2503-2510. PubMed: https://pubmed.ncbi.nlm.nih.gov/10993940
  8. Sallis JF, Pratt M, Sallis JF. Multiple benefits of physical activity during the Coronavirus pandemic. Rev Bras Rev Bras Ativ Fís Saúde. 2020; 25: 1-5.
  9. Meneses-Echávez JF, Correa-Bautista JE González-Jiménez E, Río-Valle JS, Elkins MR, et al. The effect of exercise training on mediators of inflammation in breast cancer survivors: a systematic review with meta-analysis. Cancer Epidemiol Biomarkers Prev. 2016; 25: 1009-1017. PubMed: https://pubmed.ncbi.nlm.nih.gov/27197276
  10. Neto JR, Lira F, De Mello M, Santos RVT. Importance of exercise immunology in health promotion. Amino Acids. 2011; 41: 1165-1172. PubMed: https://pubmed.ncbi.nlm.nih.gov/20976509
  11. Kizaki T, Takemasa T, Sakurai T, Izawa T, Hanawa T, et al. Adaptation of macrophages to exercise training improves innate immunity. Biochem Biophys Res Commun. 2008; 372: 152-156. PubMed: https://pubmed.ncbi.nlm.nih.gov/18474227
  12. Henry BM, De Oliveira MHS, Benoit S, Plebani M, Lippi G. Hematologic, biochemical and immune biomarker abnormalities associated with severe illness and mortality in coronavirus disease 2019 (COVID-19): a meta-analysis. Clin Chem Lab Med. 2020; 58: 1021-1028. PubMed: https://pubmed.ncbi.nlm.nih.gov/32286245
  13. Powell KE, King AC, Buchner DM, Campbell WW, DiPietro L, et al. The Scientific Foundation for the Physical Activity. J Phys Act Health. 2019; 16: 1-11. PubMed: https://pubmed.ncbi.nlm.nih.gov/30558473
  14. Molanouri Shamsi M, Amani Shalamzari S. Exercise Training, Immune System, and Coronavirus. Sport Physiology. 2020; 12: 17-40.
  15. Naja F, Hamadeh R. Nutrition amid the COVID-19 pandemic: a multi-level framework for action. Eur J Clin Nutr. 2020; 74: 1117-1121. PubMed: https://pubmed.ncbi.nlm.nih.gov/32313188
  16. Laviano A, Koverech A, Zanetti M. Nutrition support in the time of SARS-CoV-2 (COVID-19). Nutrition. 2020; 74: 110834. PubMed: https://pubmed.ncbi.nlm.nih.gov/32276799
  17. Letieri RV, Furtado GE. Physical exercise during coronavirus disease (COVID-19): Recommendations to remaining active in periods of confinement. Anais da Academia Brasileira de Ciências. 2020; 92.
  18. Shi Y, Wang Y, Shao C, Huang J, Gan J, et al. COVID-19 infection: the perspectives on immune responses. Nature Publishing Group; 2020. PubMed: https://pubmed.ncbi.nlm.nih.gov/32205856
  19. Shirvani H, Rostamkhani F. Exercise considerations during coronavirus disease 2019 (COVID-19) Outbreak: A narrative review. J Military Med. 2020; 22: 161-168.
  20. Yousfi N, Bragazzi NL, Briki W, Zmijewski P, Chamari K. The COVID-19 pandemic: how to maintain a healthy immune system during the lockdown-a multidisciplinary approach with special focus on athletes. Biol Sport. 2020; 37: 211-216. PubMed: https://pubmed.ncbi.nlm.nih.gov/32879542
  21. Gleeson M, Nieman DC, Pedersen BK. Exercise, nutrition and immune function. J Sports Sci. 2004; 22: 115-125. PubMed: https://pubmed.ncbi.nlm.nih.gov/14971437
  22. Pedersen BK, Bruunsgaard H, Jensen M, Toft AD, Hansen H, et al. Exercise and the immune system-influence of nutrition and ageing. J Sci Med Sport. 1999; 2: 234-252.
  23. Verma S, Mishra A. Depression, anxiety, and stress and socio-demographic correlates among general Indian public during COVID-19. Int J Soc Psychiatry. 2020; 66: 756-762. PubMed: https://pubmed.ncbi.nlm.nih.gov/32567466
  24. Kodama S, Saito K, Tanaka S, Maki M, Yachi Y, et al. Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: a meta-analysis. JAMA. 2009; 301: 2024-2035. PubMed: https://pubmed.ncbi.nlm.nih.gov/19454641
  25. Simpson RJ, Cosgrove C, Ingram LA, Florida-James GD, Whyte GP, et al. Senescent T-lymphocytes are mobilised into the peripheral blood compartment in young and older humans after exhaustive exercise. Brain Behavior Immunity. 2008; 22: 544-551.
  26. Simpson RJ, Lowder TW, Spielmann G, Bigley AB, LaVoy EC, et al. Exercise and the aging immune system. Ageing Res Rev. 2012; 11: 404-420. PubMed: https://pubmed.ncbi.nlm.nih.gov/22465452
  27. Chan KK, Dorosky D, Sharma P, Abbasi SA, Dye JM, et al. Engineering human ACE2 to optimize binding to the spike protein of SARS coronavirus 2. Science. 2020; 369: 1261-1265. PubMed: https://pubmed.ncbi.nlm.nih.gov/32753553
  28. Poirier P, Després JP. Exercise in weight management of obesity. Cardiol Clin. 2001; 19: 459-470. PubMed: https://pubmed.ncbi.nlm.nih.gov/11570117
  29. Martin CK, Johnson WD, Myers CA, Apolzan JW, Earnest CP, et al. Effect of different doses of supervised exercise on food intake, metabolism, and non-exercise physical activity: The E-MECHANIC randomized controlled trial. Am J Clini Nutr. 2019; 110: 583-592. PubMed: https://pubmed.ncbi.nlm.nih.gov/31172175
  30. Church TS, Earnest CP, Skinner JS, Blair SN. Effects of different doses of physical activity on cardiorespiratory fitness among sedentary, overweight or obese postmenopausal women with elevated blood pressure: a randomized controlled trial. JAMA. 2007; 297: 2081-2091. PubMed: https://pubmed.ncbi.nlm.nih.gov/17507344
  31. Church TS, Earnest CP, Thompson AM, Priest E, Rodarte RQ, et al. Exercise without weight loss does not reduce C-reactive protein: the INFLAME study. Med Sci Sports Exerc. 2010; 42: 708-716. PubMed: https://pubmed.ncbi.nlm.nih.gov/19952828
  32. Gaertner F, Massberg S, editors. Blood coagulation in immunothrombosis--At the frontline of intravascular immunity. Semin Immunol. 2016; 28: 561-569. PubMed: https://pubmed.ncbi.nlm.nih.gov/27866916
  33. Lippi G, Sanchis-Gomar F, Henry BM. Coronavirus disease 2019 (COVID-19): the portrait of a perfect storm. Ann Transl Med. 2020; 8: 497. PubMed: https://pubmed.ncbi.nlm.nih.gov/32395541
  34. Swift DL, McGee JE, Earnest CP, Carlisle E, Nygard M, et al. The effects of exercise and physical activity on weight loss and maintenance. Prog Cardiovasc Dis. 2018; 61: 206-213. PubMed: https://pubmed.ncbi.nlm.nih.gov/30003901
  35. Maroufi K, Razavi R, Gaeini AA, Nourshahi M. The effects of acute consumption of carbohydrate-protein supplement in varied ratios on CrossFit athletes’ performance in two CrossFit exercises: a randomized cross-over trial. J Sports Med Phys Fitness. 2020. PubMed: https://pubmed.ncbi.nlm.nih.gov/33314886
  36. Bushman B, Medicine ACoS. ACSM’s Complete Guide to Fitness & Health, 2E: Human Kinetics; 2017.
  37. Camargo-Junior F, Chalhub T, Moraes Filho JMd, Santos R, Feitosa F, et al. Covid-19 and its effect on olympic sport: the importance of studying social isolation and the harm it causes, in order to minimize it. Revista Brasileira de Medicina do Esporte. 2020; 26: 371-377.
  38. Smith LL. Overtraining, excessive exercise, and altered immunity. Sports Med. 2003; 33: 347-364. PubMed: https://pubmed.ncbi.nlm.nih.gov/12696983/
  39. Xie B, Yan X, Cai X, Li J. Effects of high-intensity interval training on aerobic capacity in cardiac patients: a systematic review with meta-analysis. BioMed Res Int. 2017; 2017. PubMed: https://pubmed.ncbi.nlm.nih.gov/28386556
  40. Iddir M, Brito A, Dingeo G, Fernandez Del Campo SS, Samouda H, et al. Strengthening the immune system and reducing inflammation and oxidative stress through diet and nutrition: considerations during the COVID-19 crisis. Nutrients. 2020; 12: 1562. PubMed: https://pubmed.ncbi.nlm.nih.gov/32471251
  41. Venkatraman JT, Pendergast DR. Effect of dietary intake on immune function in athletes. Sports Med. 2002; 32: 323-337.  PubMed: https://pubmed.ncbi.nlm.nih.gov/11929359
  42. Larson-Meyer DE, Willis KS. Vitamin D and athletes. Curr Sports Med Rep. 2010; 9: 220-226. PubMed: https://pubmed.ncbi.nlm.nih.gov/20622540
  43. Alexander J, Tinkov A, Strand TA, Alehagen U, Skalny A, et al. Early nutritional interventions with zinc, selenium and vitamin D for raising anti-viral resistance against progressive COVID-19. Nutrients. 2020; 12: 2358. PubMed: https://pubmed.ncbi.nlm.nih.gov/32784601
  44. Grant WB, Lahore H, McDonnell SL, Baggerly CA, French CB, et al. Evidence that vitamin D supplementation could reduce risk of influenza and COVID-19 infections and deaths. Nutrients. 2020; 12: 988. PubMed: https://pubmed.ncbi.nlm.nih.gov/32252338
  45. de Lima CVC, Cândido EL, da Silva JA, Albuquerque LV, de Menezes Soares L, et al. Effects of quarantine on mental health of populations affected by Covid-19. Journal of affective disorders. 2020; 275: 253-254. PubMed: https://pubmed.ncbi.nlm.nih.gov/32734916
  46. Li W, Yang Y, Liu ZH, Zhao YJ, Zhang Q, et al. Progression of mental health services during the COVID-19 outbreak in China. Int J Biol Sci. 2020; 16: 1732-1738. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098037
  47. Casagrande M, Favieri F, Tambelli R, Forte G. The enemy who sealed the world: Effects quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population. Sleep Med. 2020; 75: 12-20. PubMed:  https://pubmed.ncbi.nlm.nih.gov/32853913
  48. Martinsen EW. Physical activity in the prevention and treatment of anxiety and depression. Nord J Psychiatry. 2008; 62(sup47): 25-29. PubMed:  https://pubmed.ncbi.nlm.nih.gov/18752115
  49. Conn VS. Anxiety outcomes after physical activity interventions: meta-analysis findings. Nurs Res. 2010; 59: 224-231. PubMed:  https://pubmed.ncbi.nlm.nih.gov/20410849
  50. Nagata S, McCormick BP, Austin DR. Physical Activity as Treatment for Depression in Recreation Therapy: Transitioning from Research to Practice. Therapeu Recreat J. 2020; 54.
  51. Divya Mary S, Kirupa K, Vaishnavi G, Yamuna K, Revathi P, et al. Effects of total body workout in women with mild-to-moderate clinical depression. Drug Invention Today. 2019; 11.
  52. Vosadi E, Ravasi AA, Choobine S, Barzegar H, Borjianfard M. Effect of endurance training and omega-3 supplementation in brain-derived neurotrophic factor (BDNF) in male adult rat hippocampus. Razi J Med Sci. 2013; 20: 50-57.
  53. Maugeri G, Castrogiovanni P, Battaglia G, Pippi R, D’Agata V, et al. The impact of physical activity on psychological health during Covid-19 pandemic in Italy. Heliyon. 2020; 6: e04315. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311901

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