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

Lesser IA, Nienhuis CP.PMID: 32486380 The impact of COVID-19 on physical activity behavior and well-being of canadians. Int. J. Environ. Res. Public Health 2020. doi:10.3390/ijerph17113899.

Impact of COVID-19 restrictions on physical activity behavior and well-being in Canada

Zhang Y, Zhang H, Ma X, Di Q.PMID: 32466163 Mental health problems during the COVID-19 pandemics and the mitigation effects of exercise: A longitudinal study of college students in China. Int. J. Environ. Res. Public Health 2020. doi:10.3390/ijerph17103722.

Mental health problems and the mitigating effects of exercise on college students during COVID-19 in China (Longitudinal Study)

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 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.

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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