Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Rheumatology Division, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Am J Physiol Heart Circ Physiol. 2020 Jun 1;318(6):H1441-H1446. doi: 10.1152/ajpheart.00268.2020. Epub 2020 May 15.
Emerging data indicate a substantial decrease in global physical activity levels during the period of social isolation adopted worldwide to contain the spread of the coronavirus disease 2019 (COVID-19). Confinement-induced decreases in physical activity levels and increases in sedentary behavior may provoke a rapid deterioration of cardiovascular health and premature deaths among populations with increased cardiovascular risk. Even short-term (1-4 wk) inactivity has been linked with detrimental effects in cardiovascular function and structure and increased cardiovascular risk factors. In this unprecedented and critical scenario, home-based physical activity programs arise as a clinically relevant intervention to promote health benefits to cardiac patients. Many studies have demonstrated the feasibility, safety, and efficacy of different models of home-based exercise programs in the primary and secondary prevention of cardiovascular diseases and major cardiovascular events among different populations. This body of knowledge can inform evidence-based policies to be urgently implemented to counteract the impact of increased physical inactivity and sedentary behavior during the COVID-19 outbreak, thereby alleviating the global burden of cardiovascular disease.
新出现的数据表明，在全球范围内为遏制 2019 年冠状病毒病（COVID-19）传播而采取的社会隔离期间，全球体力活动水平大幅下降。禁闭导致的体力活动水平下降和久坐行为增加，可能会导致心血管健康迅速恶化，并使心血管风险增加的人群过早死亡。即使是短期（1-4 周）不活动，也与心血管功能和结构的有害影响以及心血管危险因素的增加有关。在这种前所未有的关键情况下，基于家庭的体育活动方案成为促进心脏病人健康益处的一种具有临床相关性的干预措施。许多研究已经证明了不同家庭运动方案模式在不同人群中的心血管疾病一级和二级预防以及主要心血管事件中的可行性、安全性和有效性。这方面的知识可以为紧急实施基于证据的政策提供信息，以应对 COVID-19 爆发期间体力活动和久坐行为增加的影响，从而减轻全球心血管疾病负担。
