Exercise/PA and circadian rhythm are strongly related to each other, and further investigation into the relationship between exercise/PA, sleep, and COVID-19 could provide important insight into COVID-19 pathophysiology.

University of Michigan - Ann Arbor

Exercise and physical activity induce physiological changes on many levels, the effects of which are best understood using a biopsychosocial approach.  The bidirectional relationship between exercise and Covid-19 can be further broken down into different components:
- Exercise/PA and COVID-19 by geographical location
- Exercise/PA and COVID-19 by demographics


Exercise/Physical Activity (PA) and Covid-19

Wu K, Wei X. Analysis of Psychological and Sleep Status and Exercise Rehabilitation of Front-Line Clinical Staff in the Fight Against COVID-19 in China. Med. Sci. Monit. Basic Res. 2020. doi:10.12659/MSMBR.924085. 

Analysis of Psychological and Sleep Status and Exercise Rehabilitation of Front-Line Clinical Staff in the Fight Against COVID-19 in China

Majumdar P, Biswas A, Sahu S. COVID-19 pandemic and lockdown: cause of sleep disruption, depression, somatic pain, and increased screen exposure of office workers and students of India. Chronobiol. Int. 2020. doi:10.1080/07420528.2020.1786107. https://doi.org/10.1080/07420528.2020.1786107

COVID-19 pandemic and lockdown: cause of sleep disruption, depression, somatic pain, and increased screen exposure of office workers and students of India (Majumdar et al., 2020)

1. Fu W, Wang C, Zou L, Guo Y, Lu Z, Yan S, Mao J. Psychological health, sleep quality, and coping styles to stress facing the COVID-19 in Wuhan, China. Transl. Psychiatry 2020. doi:10.1038/s41398-020-00913-3. 

Psychological health, sleep quality, and coping
styles to stress facing the COVID-19 in Wuhan,
China

Exercise/PA and COVID-19 by geographical location

 - Age
- Race
- Ethnicity
- Gender
- Marital status
- Income
- Education
- Employment

Exercise/PA and COVID-19 by demographics

- Exercise/PA and changes to immune system in relation to COVID-19
- Exercise/PA and metabolic changes in relation to COVID-19
- Exercise/PA and cardiovascular changes in relation to COVID-19
- Exercise/PA implications on ACE2 expression in relation to COVID-19

Exercise/PA benefits and relation to COVID-19 pathophysiology

Exercise/PA and Circadian Rhythm in relation to COVID-19

Use of alternative methods of assessment during the COVID-19 pandemic is crucial due to the physical restrictions of lockdowns.  Telemedicine allows for remote consultation and injury assessment using electronic methods.  

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