Browsing by Author "Oliveira, Alcivandro de Sousa"
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- Being physically active leads to better recovery prognosis for people diagnosed with COVID-19: A cross-sectional studyPublication . Gomide, Euripedes Barsanulfo Gonçalves; Mazzonetto, Lisa Fernanda; Cordeiro, Jéssica Fernanda Corrêa; Cordeiro, Daniella Corrêa; Oliveira, Alcivandro de Sousa; Fioco, Evandro Marianetti; Venturini, Ana Claudia Rossini; Abdalla, Pedro Pugliesi; Da Silva, Leonardo Santos Lopes; Tasinafo Júnior, Márcio Fernando; De Andrade, Denise; Bohn, Lucimere; Machado, D. R. L.; Dos Santos, André PereiraThe regular practice of physical activity helps in the prevention and control of several non-communicable diseases. However, evidence on the role of physical activity in mitigating worsening clinical outcomes in people with COVID-19 is still unclear. The aim of this study was to verify whether different levels of physical activity provide protection for clinical outcomes caused by SARS-CoV-2 infection. A cross-sectional study was conducted with 509 adults (43.8 +/- 15.71 years; 61.1% female) with a positive diagnosis of COVID-19 residing in Ribeirao Preto, Sao Paulo, Brazil. Participants were interviewed by telephone to determine the severity of the infection and the physical activity performed. Binary logistic regression was used to indicate the odds ratio (OR) of active people reporting less harmful clinical outcomes from COVID-19. Active people had a lower chance of hospitalization, fewer hospitalization days, less respiratory difficulty and needed less oxygen support. The results suggest that active people, compared to sedentary people, have a lower frequency of hospitalization, length of stay, breathing difficulty and need for oxygen support. These results corroborate the importance of public policies to promote the practice of physical activity, in order to mitigate the severity of the clinical outcomes of COVID-19.
- Physical training protocols for improving dyspnea and fatigue in long COVID: a systematic review with meta-analysisPublication . Mazzonetto, Lisa Fernanda; Cordeiro, Jéssica Fernanda Correa; Correia, Igor Massari; Oliveira, Alcivandro de Sousa; Moraes, Chimenny; Brilhadori, Joana; Gomide, Eurípedes Barsanulfo Gonçalves; Kudlacek, Michal; Machado, Dalmo Roberto Lopes; Anjos, Jeferson Roberto Collevatti dos; Santos, André Pereira dosObjective: This study aimed to evaluate physical training protocols for alleviating long COVID symptoms, especially dyspnea and fatigue, through a systematic review with meta-analysis. Method: Data were collected from EMBASE, LILACS, PubMed, Scopus, CINAHL, Web of Science, and grey literature (Google Scholar, medRxiv). Studies evaluating dyspnea and/or fatigue before and after physical rehabilitation, using validated questionnaires, were included. Studies lacking pre- and post-assessments or physical training were excluded. Two reviewers independently extracted data on intervention type, duration, frequency, intensity, and assessment methods for dyspnea and fatigue. Bias risk was evaluated using the Cochrane tool. Results: Combined methods, such as respiratory muscle training with strength and aerobic exercise, were common for long COVID symptoms. Aerobic exercise notably improved dyspnea and/or fatigue. Among 25 studies, four had a low risk of bias. Meta-analysis of two studies found no significant reduction in fatigue. Conclusion: Combined training methods, particularly aerobic exercise, alleviate dyspnea and fatigue in long COVID. More high-quality studies are needed to confirm these findings.
