Impacto do isolamento da pandemia de COVID-19 na atividade física e na saúde cardiovascular

Autores

DOI:

https://doi.org/10.11606/issn.2176-7262.rmrp.2023.210070

Palavras-chave:

COVID-19, Isolamento social, Doença cardiovascular, Comportamento sedentário

Resumo

Introdução: A prática regular de atividade física (AF) é essencial para a manutenção da saúde e prevenção de doenças. A COVID-19 e seu isolamento social afetaram pacientes com doenças cardiovasculares (CV) na prática dessas atividades. Desta forma, realizou-se uma revisão de escopo com o objetivo de mapear, analisar e sintetizar os impactos causados pelo isolamento da pandemia de COVID-19 na realização de AF e na saúde CV em adultos. Métodos: A revisão foi baseada no PRISMA-ScR. Foram selecionadas para a pesquisa a PubMed, PubMed Central, BVS/BIREME, Scopus, Web of Science, CINAHL, Biblioteca Digital Brasileira de Teses e Dissertações e bases de dados SciELO. Duas fases de busca foram realizadas: maio de 2021 e março de 2022. Foram incluídos artigos que possuíam texto completo em inglês. Inicialmente, os títulos e resumos dos documentos recuperados foram lidos e
triados com base na questão de pesquisa. Um terceiro revisor foi utilizado para avaliar os desacordos por meio de reuniões de consenso. Um formulário de avaliação foi adaptado para extração de dados. O estudo foi registrado na plataforma Open Science Framework sob o DOI https://doi.org/10.17605/OSF.IO/AH6P8. Resultados: 11 artigos
foram incluídos neste estudo e demonstraram que a AF regular pode ser desafiadora em ambientes de isolamento social. A maioria dos participantes era moderadamente ativa e praticava AF de baixa intensidade. O confinamento levou à limitação das atividades cotidianas, distúrbios nutricionais e diminuição da AF, contribuindo para o ganho de peso. A quarentena foi associada ao estresse e à depressão, levando a uma dieta pouco saudável. Possíveis soluções apontam para a realização de AF domiciliar, considerando a saúde basal e o estado CV. Conclusão: A era pós-COVID-19 e suas consequências apontam para a necessidade de planejamento de estratégias que aumentem e mantenham a AF domiciliar como medida protetora para a população em geral, considerando saúde CV, recursos e espaço domiciliar.

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Biografia do Autor

  • Rita de Cássia Lopes de Barros, University of Campinas, School of Nursing, Campinas, (SP), Brazil

    B.S.N., M.S.N

  • Laura Bacelar de Araujo Lourenço, Universidade Estadual de Campinas

    Ph.D Candidate in Nursing

  • Mayza Luzia dos Santos Neves, University of Campinas, School of Nursing, Campinas, (SP), Brazil

    Ph.D Candidate in Nursing

  • Marilia Estevam Cornélio, University of Campinas, School of Nursing, Campinas, (SP), Brazil

    Ph.D., Associate Professor

  • Roberta Cunha Matheus Rodrigues, University of Campinas, School of Nursing, Campinas, (SP), Brazil

    Ph.D., Full Professor

  • Thais Moreira São-João, University of Rhode Island, College of Nursing - Rhode Island, United States

    Ph.D. Assistant Professor of Nursing

Referências

Nystoriak MA, Bhatnagar A. Cardiovascular Effects and Benefits of Exercise. Front Cardiovasc Med. 2018;5:135. doi: 10.3389/fcvm.2018.00135.

Lavie CJ, Ozemek C, Carbone S, Katzmarzyk PT, Blair SN. Sedentary Behavior, Exercise, and Cardiovascular Health. Clin Infect Dis. 2019;68(5):799-815. doi: 10.1161/CIRCRESAHA.118.312669.

Godin G, Shephard RJ. A Simple Method to Assess Exercise Behavior in the Community. Can J Appl Sport Sci. 1985;10(3):141-146.

Ross R, Blair SN, Arena R, et al. Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association. Circulation. 2016;134(24):e653-e699. doi: 10.1161/CIR.0000000000000461.

Battista F, Ermolao A, Baak MA, Beaulieu K, Blundell JE, Busetto L, Carraßa EV, Encantado J, Dicker D, Farpour-Lambert N, Pramono A, Bellicha A, Oppert JM. Effect of Exercise on Cardiometabolic Health of Adults with Overweight or Obesity: Focus on Blood Pressure, Insulin Resistance, and Intrahepatic Fat-A Systematic Review and Meta-Analysis. Obes Rev. 2021;22 Suppl 4(Suppl 4):e13269. doi: 10.1111/obr.13269.

Boniol M, Dragomir M, Autier P, Boyle P. Physical Activity and Change in Fasting Glucose and HbA1c: A Quantitative Meta-Analysis of Randomized Trials. Acta Diabetol. 2017;54(11):983-991. doi: 10.1007/s00592-017-1037-3.

Parmet WE, Sinha MS. Covid-19 - The Law and Limits of Quarantine. N Engl J Med. 2020;382(15):e28. doi: 10.1056/NEJMp2004211.

Mattioli AV, Ballerini Puviani M. Lifestyle at Time of COVID-19: How Could Quarantine Affect Cardiovascular Risk. Am J Lifestyle Med. 2020;14(3):240-242. doi: 10.1177/1559827620918808.

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(10227):912-920. doi: 10.1016/S0140-6736(20)30460-8.

Cucinotta D, Vanelli M. WHO Declares COVID-19 a Pandemic. Acta Biomed. 2020;91(1):157-160. doi: 10.23750/abm.v91i1.9397.

Li X, Xu S, Yu M, Wang K, Tao Y, Zhou Y, Shi J, Zhou M, Wu B, Yang Z, Zhang C, Yue J, Zhang Z, Renz H, Liu X, Xie J, Xie M, Zhao J. Risk factors for severity and mortality in adult COVID-19 inpatients in Wuhan. J Allergy Clin Immunol. 2020 Jul;146(1):110-118. doi: 10.1016/j.jaci.2020.04.006. PMID: 32320677.

Lippi G, Henry BM, Sanchis-Gomar F. Physical inactivity and cardiovascular disease at the time of coronavirus disease 2019 (COVID-19). Eur J Prev Cardiol. 2020 Jul;27(9):906-908. doi: 10.1177/2047487320916823. PMID: 32297880.

Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018 Oct 2;169(7):467-473. doi: 10.7326/M18-0850. PMID: 30178033.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021 Jan 27;372:n71. doi: 10.1136/bmj.n71. PMID: 33509975.

Zadow EK, Wundersitz D, Hughes DL, Adams MJ, Kingsley M, Blacklock HA, Wu S, Benson AC, Dutheil F, Gordon BA. Coronavirus (COVID-19), Coagulation, and Exercise: Interactions That May Influence Health Outcomes. Semin Thromb Hemost. 2020 Oct;46(7):807-814. doi: 10.1055/s-0040-1715094. PMID: 32887924.

Mattioli AV, Ballerini Puviani M, Nasi M, Farinetti A. COVID-19 pandemic: the effects of quarantine on cardiovascular risk. Eur J Clin Nutr. 2020 Jun;74(6):852-855. doi: 10.1038/s41430-020-0646-z. PMID: 32300203.

Polero P, Rebollo-Seco C, Adsuar JC, Pérez-Gómez J, Rojo-Ramos J, Manzano-Redondo F, Garcia-Gordillo MÁ, Carlos-Vivas J. Physical Activity Recommendations during COVID-19: Narrative Review. Int J Environ Res Public Health. 2021 Jan 1;18(1):65. doi: 10.3390/ijerph18010065. PMID: 33396267.

Dunstan DW, Dogra S, Carter SE, Owen N. Sit less and move more for cardiovascular health: emerging insights and opportunities. Nat Rev Cardiol. 2021 Sep;18(9):637-648. doi: 10.1038/s41569-021-00547-y. PMID: 33903779.

Oren O, Gersh BJ, Blumenthal RS. Anticipating and curtailing the cardiometabolic toxicity of social isolation and emotional stress in the time of COVID-19. Am Heart J. 2020;226:1-3. doi: 10.1016/j.ahj.2020.04.015.

Bhatia RT, Marwaha S, Malhotra A, et al. Exercise in the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) era: A Question and Answer session with the experts Endorsed by the section of Sports Cardiology & Exercise of the European Association of Preventive Cardiology (EAPC). Eur J Prev Cardiol. 2020;27(12):1242-1251. doi: 10.1177/2047487320930596.

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(9):1409-1417. doi: 10.1016/j.numecd.2020.05.020.

Boukrim M, Obtel M, Kasouati J, Achbani A, Razine R. Covid-19 and Confinement: Effect on Weight Load, Physical Activity and Eating Behavior of Higher Education Students in Southern Morocco. Ann Glob Health. 2021;87(1):7. doi: 10.5334/aogh.3144.

Vetrovsky T, Frybova T, Gant I, et al. The detrimental effect of COVID-19 nationwide quarantine on accelerometer-assessed physical activity of heart failure patients. ESC Heart Fail. 2020;7(5):2093-2097. doi: 10.1002/ehf2.12916.

Dunn SL, Robbins LB, Tintle NL, et al. Heart up! RCT protocol to increase physical activity in cardiac patients who report hopelessness: Amended for the COVID-19 pandemic. Res Nurs Health. 2021;44(2):279-294. doi: 10.1002/nur.22106.

Ma L, Xiong X, Yan L, et al. Home-based exercise is associated with improved cardiac functional performance in patients after acute myocardial infarction. J Int Med Res. 2020;48(12):300060520977637. doi: 10.1177/0300060520977637.

Van Bakel BMA, Bakker EA, de Vries F, Thijssen DHJ, Eijsvogels TMH. Changes in Physical Activity and Sedentary Behaviour in Cardiovascular Disease Patients during the COVID-19 Lockdown. Int J Environ Res Public Health. 2021;18(22):11929. doi: 10.3390/ijerph182211929.

Lau D, McAlister FA. Implications of the COVID-19 Pandemic for Cardiovascular Disease and Risk-Factor Management. Can J Cardiol. 2021;37(5):722-732. doi: 10.1016/j.cjca.2021.01.007.

Van Bakel BMA, Bakker EA, de Vries F, Thijssen DHJ, Eijsvogels TMH. Changes in Physical Activity and Sedentary Behaviour in Cardiovascular Disease Patients during the COVID-19 Lockdown. Int J Environ Res Public Health. 2021 Nov 11;18(22):11929. doi: 10.3390/ijerph182211929. PMID: 34828288.

Ash-Bernal R, Peterson LR. The cardiometabolic syndrome and cardiovascular disease. J Cardiometab Syndr. 2006 Spring;1(1):25-28. doi: 10.1111/j.1559-4564.2006.05211.x. PMID: 17679700.

Zhang D, Tang X, Shen P, Si Y, Liu X, Xu Z, Wu J, Zhang J, Lu P, Lin H, Gao. Multimorbidity of cardiometabolic diseases: prevalence and risk for mortality from one million Chinese adults in a longitudinal cohort study. BMJ Open. 2019 Apr 7;9:e024476. doi: 10.1136/bmjopen-2018-024476. PMID: 30962230; PMCID: PMC6453381.

Rahman ME, Islam MS, Bishwas MS, Moonajilin MS, Gozal D. Physical inactivity and sedentary behaviors in the Bangladeshi population during the COVID-19 pandemic: An online cross-sectional survey. Heliyon. 2020 Oct 15;6(10):e05392. doi: 10.1016/j.heliyon.2020.e05392. PMID: 33083637; PMCID: PMC7569092.

Borda MG, Perez-Zepeda MU, Samper-Ternent R, Gomez RC, Avila-Funes JA, Cano-Gutierrez CA. The Influence of Lifestyle Behaviors on the Incidence of Frailty. J Frailty Aging. 2020;9(3):144-149. doi: 10.14283/jfa.2019.37. PMID: 32223389.

Correa RE, Velho PENF, do Prado Calazans R, Camargo C, Tolocka RE. Physical activity and emotions in a period of social distancing due to the COVID-19 pandemic. Sports Med Health Sci. 2022 Jul;4(3):172-176. doi: 10.1016/j.smhs.2022.04.004. Epub 2022 Apr 28. PMID: 34904158; PMCID: PMC8987527.

Orlandi M, Rosselli M, Pellegrino A, Boddi M, Stefani L, Toncelli L, Modesti PA. Gender differences in the impact on physical activity and lifestyle in Italy during the lockdown, due to the COVID-19 pandemic. Nutr Metab Cardiovasc Dis. 2021 Jul 9;31(7):2173-2180. doi: 10.1016/j.numecd.2021.03.011. PMID: 34364597.

The Lancet Public Health. COVID-19: from a PHEIC to a public mental health crisis? Lancet Public Health. 2020 Aug;5(8):e414. doi: 10.1016/S2468-2667(20)30165-1. Epub 2020 Jul 14. PMID: 32679082.

Skender S, Ose J, Chang-Claude J, Paskow M, Brühmann M, Siegel EM, Steindorf K, Ulrich CM. Accelerometry and physical activity questionnaires - a systematic review. BMC Public Health. 2016 Sep 20;16:515. Available from: https://doi.org/10.1186/s12889-016-3172-0.

World Health Organization (WHO). COVID 19 Public Health Emergency of International Concern (PHEIC). Global research and innovation forum: towards a research roadmap [Internet]. Geneva: World Health Organization; 2020 [cited 2023 Mar 21]. Available from: https://www.who.int/publications/m/item/covid-19-public-health-emergency-of-international-concern-(pheic)-global-research-and-innovation-forum.

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2023-12-18

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1.
Barros R de CL de, Bacelar de Araujo Lourenço L, Neves ML dos S, Cornélio ME, Rodrigues RCM, São-João TM. Impacto do isolamento da pandemia de COVID-19 na atividade física e na saúde cardiovascular. Medicina (Ribeirão Preto) [Internet]. 18º de dezembro de 2023 [citado 27º de abril de 2024];56(4):e-210070. Disponível em: https://revistas.usp.br/rmrp/article/view/210070