POSSIBILITIES OF INCREASING PHYSICAL ACTIVITY OF PATIENTS АS A LEADING FACTOR OF HEALTH STRENGTHENING AND PREVENTION OF THE COVID-19 SEVERE COURSE AT THE STAGE OF PRIMARY HEALTH CARE
DOI:
https://doi.org/10.32782/2077-6594.4.1.2021.247009Keywords:
physical activity, quarantine, the COVID-19, hypokinesia, health, primary health careAbstract
The aim of the work – is to analyze risks for the population health associated with a decrease in physical activity during the quarantine restrictions in the period of the COVID-19 pandemic, to outline the ways and means of rising the physical activity of patients at the stage of primary medical and sanitary aid.
Materials and methods: guiding documents and statistics of the WHO in the field of public health, the results of scientific researches. The research methods that are used – bibliosemantic method, method of system approach and analysis.
Results. A reduction of physical activity (PhA) as a result of quarantine restrictions may cause a wide range of health state deterioration, including patients with chronic heart illnesses and metabolism. Hypokinesia is a powerful risk factor for the COVID-19 severe course in patients, increases the risk of hospitalization and mortality. The regular physical activity (PhA) and doing physical exercises in a safe home environment is an important strategy of health strengthening during the coronavirus crisis.
Conclusions. It is necessary to stimulate the rising of physical activity’s level in the patients in modern conditions of the COVID-19 pandemic and periodical quarantine restrictions in the practical activities of medical workers of primary health care what means a factor of health strengthening and reduction of risk for severe consequences of coronavirus disease.
References
WНО. Coronavirus Disease (COVID-19) Pandemic [Internet]; [cited 2021 Nov 10]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019.
VOZ. Zdorov’ye doma–#HealthyAtHome [Internet]; [tsitirovano 2021 Noyabr’ 10]. Dostupno: https://www.who.int/ru/campaigns/connecting-the-world-to-combat-coronavirus/healthyathome.
Balanzá-Martínez V, Atienza-Carbonell B, Kapczinski F, De Boni RB. Lifestyle behaviours during the COVID-19 – time to connect. Acta Psychiatr Scand. 2020;141(5):399 – 400.
Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani А, Rasoulpoor S, Mohammadi M, et al. Prevalence of Stress, Anxiety, Depression among the General Population during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Global. Health. 2020;16:1–11.
Lippi G, Henry BM, Sanchis-Gomar F. Physical inactivity and cardiovascular disease at the time of coronavirus disease 2019 (COVID-19). Eur J PrevCardiol. 2020;27(9):906 – 8.
Lippi G, Henry BM, Bovo C, Sanchis-Gomar F. Health risks and potential remedies during prolonged lockdowns for coronavirus disease 2019 (COVID-19). Diagnosis. 2020;7(2):85 – 90.
VOZ. Fizicheskaya aktivnost’ [Internet]; [obnovleno 2020 Noyabr’ 26; tsitirovano 2021 Noyabr’ 10]. Dostupno: https://www.who.int/ru/news-room/fact-sheets/detail/physical-activity.
Sallis R, Young DR, Tartof SY, Sallis JF, Sall J, Li Q, et al. Physical inactivity is associated with a higher risk for severe COVID-19 outcomes: a study in 48440 adult patients. Br J Sports Med 2021;55:1099–1105.
Chastin SFM, Abaraogu U, Bourgois JG, Dall PM, Darnborough J, Duncan E, et al. Effects of Regular Physical Activity on the Immune System, Vaccination and Risk of Community‑Acquired Infectious Disease in the General Population: Systematic Review and Meta‑Analysis. Sports Medicine 2021;51:1673–1686.
WHO. Global action plan on physical activity 2018-2030: more active people for a healthier world: at-a-glance [Internet]. 2018 [updated 2018 June 1; cited 2021 Nov 10]. Available from: https://www.who.int/publications/i/item/WHO-NMH-PND-18.5.
WHO. Global recommendations on physical activity for health [Internet]. 2010. [cited 2021 Nov 10]. Available from: https://www.who.int/publications/i/item/9789241599979.
McTiernan A, Friedenreich CM, Katzmarzyk PT, Powell KE, Macko R, Buchner D, et al. Physical activity in cancer prevention and survival: a systematic review. Med Sci Sports Exerc. 2019;51(6):1252–61.
Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D et al. Dementia prevention, intervention, and care. Lancet. 2017;390(10113):2673–734.
Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary Behavior Research Network (SBRN) – Terminology consensus project process and outcome. Int J Behav Nutr Phys Act. 2017;14(1):75.
Ekelund U, Brown WJ, Steene-Johannessen J, Fagerland MW, Owen N, Powell KE, et al. Do the associations of sedentary behaviour with cardiovascular disease mortality and cancer mortality differ by physical activity level? A systematic review and harmonised meta-analysis of data from 850 060 participants. Br J Sports Med. 2019;53:886–94.
Libby P, Luscher T. COVID-19 is, in the end, an endothelial disease. Eur. Heart J. 2020;41:3038–3044.
Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire/The IPAQ Group [Internet]. 2015 [cited 2021 Nov 10]. Available from: http://www.ipaq.ki.se.
WHO. Global Physical Activity Questionnaire (GPAQ) Analysis Guide [Internet]. 2019 [cited 2021 Nov 10]. Available from: https://www.who.int/ncds/surveillance/steps/resources/GPAQ_Analysis_Guide.pdf.
WHO guidelines on physical activity and sedentary behavior [Internet]. 2020 [cited 2021 Nov 10]. Available from: https://www.who.int/publications/i/item/9789240015128.
VOZ. Yevropeyskoye regional’noye byuro. Ostavaytes’ fizicheski aktivnymi vo vremya samokarantina [Internet]; [tsitirovano 2021 Noyabr’ 10]. Dostupno: https://www.euro.who.int/ru/health-topics/health-emergencies/ coronavirus-covid-19/publications-and-technical-guidance/noncommunicable-diseases/stay-physically-active-during-self-quarantine.
