Stress and physical inactivity: two explosive ingredients for the heart in COVID-19 pandemic times.

Ruberti, Olívia Moraes; Telles, Guilherme Defante; Rodrigues, Bruno

BACKGROUND Coronavirus disease 2019 (Covid-19) pandemic is a global health crisis that has culminated in thousands of deaths. In order to reduce the spread of Sars-CoV-2 virus, governments of several countries have adopted social isolation as a strategy. However, social isolation has culminated in deleterious effects for the population's health, including increased physical inactivity, stress and, consequently, adverse changes in body composition, cardiorespiratory capacity, muscle strength, physical functionality, and vascular events, which are increasingly pointed out as the main determinants of cardiovascular health. Staying physically active during lockdown is a challenge, especially for the population with a higher risk of mortality from COVID-19 who are still encouraged to maintain social distance until there is a vaccine available. Strategies to avoid physical inactivity, and reduce stress levels can promote cardiovascular protection, and must be considered during COVID-19 time. OBJECTIVES The aim of this paper is to discuss the risks of physical inactivity and stress for the cardiovascular system during the COVID-19 pandemic and propose strategies to protect cardiovascular health. CONCLUSION A home-based training protocol could be an interesting and effective strategy for the population who need to remain physically active and safe at home.