The role of physical activity in the clinical outcomes of people diagnosed with Covid-19: A systematic review
Euripedes Barsanulfo Gonçalves Gomide,
Pedro Pugliesi Abdalla,
Marcel Frezza Pisa,
Guilherme Schneider,
Leticia Genova Vieira,
Lisa Fernanda Mazzonetto,
Alcivandro de Sousa Oliveira,
Emerson Sebastião,
André Pereira dos Santos
Affiliations
Euripedes Barsanulfo Gonçalves Gomide
Claretiano – University Center, São Paulo, Brazil; Ribeirão Preto College of Nursing, University of São Paulo, Brazil; Study and Research Group in Anthropometry, Training and Sport, Ribeirão Preto. School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Brazil; Corresponding author. Full postal address: Rua Dom Bosco, 466. Castelo. Batatais, SP - Brazil. CEP: 14300-244
Pedro Pugliesi Abdalla
Ribeirão Preto College of Nursing, University of São Paulo, Brazil; Study and Research Group in Anthropometry, Training and Sport, Ribeirão Preto. School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Brazil; School of Sports (FADEUP), University of Porto, Portugal
Marcel Frezza Pisa
Claretiano – University Center, São Paulo, Brazil; Ribeirão Preto College of Medicine, University of São Paulo, Brazil
Guilherme Schneider
Ribeirão Preto College of Nursing, University of São Paulo, Brazil
Leticia Genova Vieira
Ribeirão Preto College of Nursing, University of São Paulo, Brazil
Lisa Fernanda Mazzonetto
Study and Research Group in Anthropometry, Training and Sport, Ribeirão Preto. School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Brazil; Ribeirão Preto School of Physical Education and Sport, University of São Paulo, Brazil
Alcivandro de Sousa Oliveira
Study and Research Group in Anthropometry, Training and Sport, Ribeirão Preto. School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Brazil; Ribeirão Preto School of Physical Education and Sport, University of São Paulo, Brazil
Emerson Sebastião
Health and Exercise Research Group. Department of Kinesiology and Physical Education, Northern Illinois University, DeKalb, IL, United States
André Pereira dos Santos
Ribeirão Preto College of Nursing, University of São Paulo, Brazil; Study and Research Group in Anthropometry, Training and Sport, Ribeirão Preto. School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Brazil; Ribeirão Preto School of Physical Education and Sport, University of São Paulo, Brazil; Human Exposome and Infectious Diseases Network (HEID), Brazil
Objective: This review aimed to compile the evidence on PA and clinical outcomes of people receiving a positive diagnosis of covid-19. Design: Systematic review. Methods: The search was performed in five databases: EMBASE, MEDLINE via PubMed portal, Scopus, SPORTDiscus via EBSCO platform, and Web of Science. In addition, the “gray” literature was searched through Google Scholar and medRxiv published between January 2020 and July 2022. Studies were assessed for risk of bias, with the extraction of relevant data. Our search revealed a total of 10,028 studies. Results: After applying the eligibility criteria 32 studies were included. Thirty-one studies were at low to moderate risk of bias. Physically active individuals, who were diagnosed with covid-19, presented attenuation of clinical outcomes, such as decreased risk of hospitalization, recovery time, number of symptoms, severity, and ICU and death when compared to individuals with low levels of PA or classified as sedentary. Conclusions: Physically active individuals when diagnosed with covid-19 may have decreased risk of several clinical outcomes related to covid-19, including but not limited to hospitalization and number of symptoms. Public health authorities should develop strategies and initiatives that promote safe PA environments to improve the clinical prognosis of people diagnosed with covid-19. Study registration: Open Science Framework (OSF), DOI registry 10.17605/OSF.IO/PV6NF. It can be consulted through the access link: https://doi.org/10.17605/OSF.IO/PV6NF, October 07, 2021.
