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Physical exercise as a tool to help the immune system against COVID-19: an integrative review of the current literature
Open accessAbstract
Acute viral respiratory infections are the main infectious disease in the world. In 2020, a new disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), coronavirus disease 2019 (COVID-19), became a global pandemic. The immune response to the virus depends on factors such as genetics, age and physical state, and its main input receptor is the angiotensin-converting enzyme 2. The practice of physical exercises acts as a modulator of the immune system. During and after physical exercise, pro- and anti-inflammatory cytokines are released, lymphocyte circulation increases, as well as cell recruitment. Such practice has an effect on the lower incidence, intensity of symptoms and mortality in viral infections observed in people who practice physical activity regularly, and its correct execution must be considered to avoid damage. The initial response is given mainly by type I interferons (IFN-I), which drive the action macrophages and lymphocytes, followed by lymphocyte action. A suppression of the IFN-I response has been noted in COVID-19. Severe conditions have been associated with storms of pro-inflammatory cytokines and lymphopenia, as well as circulatory changes and virus dispersion to other organs. The practice of physical activities strengthens the immune system, suggesting a benefit in the response to viral communicable diseases. Thus, regular practice of adequate intensity is suggested as an auxiliary tool in strengthening and preparing the immune system for COVID-19. Further studies are needed to associate physical exercise with SARS-CoV-2 infection.
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“It is well known that immune function improves with regular PA, and those who are regularly active have a lower incidence, intensity of symptoms and mortality from various viral infections. 7-9”
From Physical inactivity is associated with a higher risk for severe COVID-19 outcomes: a study in 48 440 adult patients (2021) · cites this paper as [8]
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“It is well known that immune function improves with regular PA, and those who are regularly active have a lower incidence, intensity of symptoms and mortality from various viral infections. 7-9”
From Physical inactivity is associated with a higher risk for severe COVID-19 outcomes: a study in 48 440 adult patients (2021) · cites this paper as [8]
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de Lima, E. D., Costa, . D. S., Castro, J. B. C., Castro, F. C. L. D. S., Rodrigues, H. J. C., Silva, M. D. G., Ferreira, J. A. M., & de Sousa, G. P. (2023) · Brazilian Journals Editora eBooks · doi:10.35587/brj.ed.0002059
de Lima, C. A. R. D. F., Peixoto, R. D., Weschenfelder, R. F., Prolla, G., Rego, J. F., Rocha, D., Crosara, M. A. T., Fernandes, G. D. S., Hoff, P. M., Andrade, A. C., et al. (2023) · Brazilian Journals Editora eBooks · doi:10.35587/brj.ed.0002047
COVID-19 E IMPACTOS POR SÍNDROME DE BURNOUT EM PROFISSIONAIS DE SAÚDE NO BRASIL
Saraiva, F. A., Barbosa, G. H. F., de Oliveira, J. V. B., Alves, M. P. D. M., Torres, T. L. M., de Sousa, D. H. A. V., Souza, A. K. P., & de Arruda, I. T. S. (2023) · Brazilian Journals Editora eBooks · doi:10.35587/brj.ed.0002044
Basso, A. C., Policeni, L. C., & Favaro, M. A. (2023) · Brazilian Journals Editora eBooks · doi:10.35587/brj.ed.0002057
Barbosa, A. B. D. G., Cunha, L. N. S., Costa, L. A., & Fachin, L. P. (2023) · Brazilian Journals Editora eBooks · doi:10.35587/brj.ed.0002049
HEMATOMA ESPINHAL EPIDURAL ESPONTÂNEO: RELATO DE CASO
Druda, O. D. L., Lara, A. F., Darmstadter, H. E., Torres, P. A. R., Dias, P. F. S., & Botta, C. F. (2023) · Brazilian Journals Editora eBooks · doi:10.35587/brj.ed.0002051
Silva, J. M., Rabelo, I. D. O., Araújo, J. R. C. L., Peixoto, J. M., & Pereira, K. C. (2023) · Brazilian Journals Editora eBooks · doi:10.35587/brj.ed.0002045
SÍNDROME DE GUILLAM-BARRÉ EM PACIENTE COM COVID-19 – RELATO DE CASO
Laranjeira, D. B., Ribeiro, K. L., dos Santos, W. L., da Silva, S. S., Cruz, K. D. O., & Filho, W. D. O. (2023) · Brazilian Journals Editora eBooks · doi:10.35587/brj.ed.0002048
Xu, W., Jiang, B., Webster, C. J., SULLIVAN, W. C., Lü, Y., Chen, N., Yu, Z., & Chen, B. (2023) · medRxiv · doi:10.1101/2023.04.17.23288622
Teległów, A., Mirek, W., Ptaszek, B., Maciejczyk, M., Godawska, D., & Marchewka, J. (2023) · Research Square · doi:10.21203/rs.3.rs-2844273/v1
Nashwan, N. A. (2023) · Dirasat Human and Social Sciences · doi:10.35516/hum.v50i2.4958
Evidence and Implementation of Physical Activity and Exercise in Diabetes Mellitus
Jáuregui-Ulloa, E. E., Lopez-Taylor, J. R., Soria-Rodriguez, R. A., & García-Camarena, R. (2023) · Springer eBooks · doi:10.1007/978-3-031-25519-9_33
Physical Activity and COVID-19 Severity and Mortality
Abolhasani, M. (2023) · Springer eBooks · doi:10.1007/978-981-99-1802-7_4
Nuzulullail, A. S., Pranata, S., Armiyati, Y., & Chanif, C. (2023) · Journal of Vocational Nursing · doi:10.20473/jovin.v4i1.44070
Arsapkdee, K., Choosakul, C., & Achariyacheevin, C. (2023) · ACPES (ASEAN Council of Physical Education and Sport) International Conference (ACPES) · doi:10.4108/eai.28-10-2022.2327259
Ferrulli, A., Cannavaro, D., & Luzi, L. (2023) · Springer eBooks · doi:10.1007/978-3-031-27192-2_14
Metadata
- Authors
- da Silveira, M. P., da Silva Fagundes, K. K., Bizuti, M. R., Starck, É., Rossi, R. C., & de Resende e Silva, D. T.
- Affiliations
- Universidade Federal da Fronteira Sul (BR)
- Universidade do Oeste Paulista (BR)
- ORCID
- Venue
- Clinical and Experimental Medicine
- Published
- 2020-07-29
- Volume
- 21
- Issue
- 1
- Pages
- 15-28
- ISSN
- 1591-8890 (ISSN-L)
- 1591-9528
- PMC
- PMC7387807
- OpenAlex
- W3045714578
- Cited by
- 475
- References
- 79
- Citations by year
- 2026: 11 · 2025: 31 · 2024: 72 · 2023: 100 · 2022: 145 · 2021: 104 · 2020: 10
- FWCI
- 11.02
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical and Experimental Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Exercise and Physiological Responses
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Keywords
- physical activity, COVID-19 pandemic, SARS-CoV-2, immune response, cytokines, type I interferon, lymphopenia, angiotensin-converting enzyme 2, respiratory viral infections, exercise intensity, lymphocyte circulation
- MeSH terms
- COVID-19, Humans, Immune System, Neutrophils, Exercise, Cytokines, Host-Pathogen Interactions
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