Abstract
Introduction: The 2020’s year will be perpetuated in world history due to the new coronavirus pandemic (COVID-19) and its various repercussions. Maintaining regular physical exercise during the pandemic may improve immune defense, assisting body and mind health. The immunity level is a protective factor against COVID-19, it is extremely important to be aware of groups that are potentially at higher risk, such as people living with HIV (PLWH) who already live with stigma and prejudice. However, due to great social restrictions imposed by different governments around the world, the practice of physical exercise without leaving home has become a major challenge, both to prescribe and to perform. The social isolation can drastically increase feelings of exclusion and loneliness during the COVID-19 pandemic period, aggravating the health status of PLWH.
Objective: The present text offer information and practical recommendations about physical exercises for PLWH during the pandemic of COVID-19.
Conclusion: We would like to highlight the importance of PLWH, to remain physically active during the COVID-19 pandemic, maintaining a good level of physical fitness capable of improving the responses of the immune system, while taking special care to not promote exaggerated overload, and influence the health and quality of life.
References
World Health Organization. World Health Organization; Geneva: 2020. A coordinated global research roadmap: 2019 novel coronavirus. Available from: https://www.who.int/blueprint/priority-diseases/key-action/Coronavirus_Roadmap_V9.pdf?ua=1. Accessed 28 Jul 2020.
Wang M, Luo L, Bu H, Xia H. One case of coronavirus disease 2019 (COVID-19) in a patient co-infected by HIV with a low CD4+ T-cell count. International Journal of Infectious Diseases. [Online] 2020;96: 148–150. Available from: doi:10.1016/j.ijid.2020.04.060
Jayawardena R, Sooriyaarachchi P, Chourdakis M, Jeewandara C, Ranasinghe P. Enhancing immunity in viral infections, with special emphasis on COVID-19: a review. Diabetes & Metabolic Syndrome. 2020;14(4): 376-382. DOI: 10.1016/j.dsx.2020.06.009.
Eaton LA, Kalichman SC. Social and behavioral health responses to COVID-19: lessons learned from four decades of an HIV pandemic. Journal of Behavior Medicine. 2020;43(3): 341–345. Available from: doi:10.1007/s10865-020-00157-y
Simpson RJ, Kunz H, Agha N, Graff R. Exercise and the regulation of immune functions. Progress in Molecular Biology and Translational Science. 2015;135: 355-380. DOI: 10.1016/bs.pmbts.2015.08.001.
Drain PK, Garrette N. SARS-CoV-2 pandemic expanding in sub-Saharan Africa: considerations for COVID-19 in people living with HIV. EClinicalMedicine. [Online] 2020;22: 100342. Available from: doi:10.1016/j.eclinm.2020.100342.
Zhao J, Liao X, Wang H, Wei L, Xing M, Liu L, Zhang Z. Early virus clearance and delayed antibody response in a case of COVID-19 with a history of co-infection with HIV-1 and HCV. Clinical Infectious Diseases. [Online] 2020; ciaa408. Available from: doi:10.1093/cid/ciaa408.
Marziali ME, Card KG, McLinden T, Salters K, Closson K, Wang L, et al. Relationship Between Social Isolation and Mortality Among People Living with HIV in British Columbia, Canada. Canadian Conference on HIV/AIDS Research 2019. May 9–12; Saskatoon, Saskatchewan. https://www.cahr-acrv.ca/wp-content/uploads/2019/04/CAHR-2019-Abstract-Book.pdf Accessed 27 Apr 2020. DOI:.org/10.1007/s10461-020-02872-8.
Marziali ME, Card KG, McLinden T, Wang L, Trigg J, Hogg RS. Physical Distancing in COVID-19 May Exacerbate Experiences of Social Isolation among People Living with HIV. AIDS and Behavior. [Online] 2020; s10461-020-02872–02878. Available from: doi:10.1007/s10461-020-02872-8.
Di Masi F, Costa e Silva G, Silveira A, Oliveira AJ, Ferry FR, Dantas E. Association between physical activity and quality of live in HIV-positive subjects. Journal of Sports Medicine and Physical Fitness. 2019;59 (3): 538-539. DOI: 10.23736/S0022-4707.18.07754-X.
Bessa A, Lopez JC, Di Masi F, Ferry F, Costa e Silva G, Dantas E. Lymphocyte CD4+ cell count, strength improvements, heart rate and body composition on HIV-positive patients during a 3-month strength training program. Journal of Sports Medicine and Physical Fitness. 2017;57(7-8): 1051-1056. DOI: 10.23736/S0022-4707.16.06357-X.
Garcia A, Fraga GA, Vieira RCJ, Silva CM, Trombeta JC, Navalta JW, Prestes J, Voltarelli FA. Effects of combined exercise training on immunological, physical and biochemical parameters in individuals with HIV/AIDS. Journal of Sports Sciences. 2014;32(8): 785-792. DOI: 10.1080/02640414.2013.858177.
Chen P, Mao L, Nassis GP, Harmer P, Ainsworth BE, Li F. Wuhan Coronavirus Diasease (COVID-19): The need to maintain regular physical activity while taking precautions. Journal of Sports and Health Science. 2020;9(20): 103-104. DOI: 10.1016/j.jshs.2020.02.001.
Ainsworth BE. Promoting physical activity in a public health context. Journal of Sports and Health Science. 2018;7(1): 1-2. DOI: 10.1016/j.jshs.2017.10.004.
Kay ES, Musgrove K. From HIV to Coronavirus: AIDS Service Organizations Adaptative Responses to COVID-19, Birmingham, Alabama. AIDS and Behavior. [Online] 2020; s10461-020-02879–1. Available from: doi:10.1007/s10461-020-02879-1.
Papacosta, E, Gleeson M. Effects of intensified training and taper on immune function. Revista Brasileira de Educação Física e Esporte. 2013;27(1) :159-176. //dx.doi.org/10.1590/S1807-55092013005000001.
Morishita S, Tsubaki A, Nakamura M, Nashimoto S, Fu JB, Onishi H. Rating of perceived exertion on resistance training in elderly subjects. Expert Review of Cardiovascular Therapy. 2019;17(2): 145-132. doi: 10.1080/14779072.2019.1561278.
American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. 10th ed. Philadelphia: LWW; 2017. 480 p.
Borg G. Borg’s Perceived Exertion and Pain Scales. 1st ed. Champaign, IL: Human Kinetics; 1998. 104 p.
Kamitani E, Sipe TA, Higa DH, Mullins MM, Soares J. Evaluating the effectiveness of physical exercise interventions in persons living with HIV: overview of systematic reviews. AIDS Education and Prevention. 2017;29(4): 347-363. DOI: 10.1521/aeap.2017.29.4.347.
Uchida MC, Nishida MM, Sampaio RA, Moritani T, Arai H. Thera-band(®) elastic band tension: references values for physical activity. Journal of Physical Therapy Science. 2016;28(4): 1266-1271. DOI: 10.1589/jpts.28.1266.
Olivera VHF, Rosa FT, Santos JC, Wiechmman SL, Narciso AMS, Franzoi de Moraes SM, Webel AR, Deminice R. Effects of a combined exercise training program on health indicators and quality of life of people living with HIV: a randomized clinical trial. AIDS Behaviour. 2020;24(5): 1531-1541. DOI: 10.1007/s10461-019-02678-3.
Stringer WW, Berezovskaya M, O'Brien WA, Beck CK, Casaburi R. The effect of exercise training on aerobic fitness, immune indices, and quality of life in HIV+ patients. Medicine and Science in Sports and Exercise. 1998;30(1): 11-16. DOI: 10.1097/00005768-199801000-00003.
National Strength and Conditioning Association (NSCA). COVID-19 return to training: Guidance on Safe Return to Training For Athletes. Colorado: NSCA; 2020. 4p.
Halabchi F, Ahmadinejad Z, Selk-Ghaffari M. COVID-19 Epidemic: Exercise or Not to Exercise; That is the Question! Asian Journal of Sports Medicine. [Online] 2020;11(1). Available from: doi:10.5812/asjsm.102630 [Accessed: 28th July 2020]
Jukic I, Calleja-González J, Cos F, Cuzzolin F, Olmo J, Terrados N, Njaradi N, Sassi R, Requena B, Milanovic L, Krakan I, Chatzichristos K, Alcaraz AE . Strategies and Solutions for Team Sports Athletes in Isolation due to COVID-19. Sports (Basel). 2020;8(4): E56. DOI: 10.3390/sports8040056.
Owens DJ, Allison R, Close GL. Vitamin D and the Athlete: Current Perspectives and New Challenges. Sports Medicine. 2018;48(S1): S3-S16. DOI: 10.1007/s40279-017-0841-9.
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