Resistance Training Safety during and after the SARS-Cov-2 Outbreak: Practical Recommendations

In December of 2019, there was an outbreak of a severe acute respiratory syndrome caused by the coronavirus 2 (SARS-CoV-2 or COVID-19) in China. The virus rapidly spread into the whole world causing an unprecedented pandemic and forcing governments to impose a global quarantine, entering an extreme unknown situation. The organizational consequences of quarantine/isolation are absence of organized training and competition, lack of communication among athletes and coaches, inability to move freely, lack of adequate sunlight exposure, and inappropriate training conditions. The reduction of mobility imposed to contain the advance of the SARS-Cov-2 pandemic can negatively affect the physical condition and health of individuals leading to muscle atrophy, progressive loss of muscle strength, and reductions in neuromuscular and mechanical capacities. Resistance training (RT) might be an effective tool to counteract these adverse consequences. RT is considered an essential part of an exercise program due to its numerous health and athletic benefits. However, in the face of the SARS-Cov-2 outbreak, many people might be concerned with safety issues regarding its practice, especially in indoor exercise facilities, such as gyms and fitness centers. These concerns might be associated with RT impact in the immune system, respiratory changes, and contamination due to equipment sharing and agglomeration. In this current opinion article, we provide insights to address these issues to facilitate the return of RT practices under the new logistical and health challenges. We understand that RT can be adapted to allow its performance with measures adopted to control coronavirus outbreak such that the benefits would largely overcome the potential risks. The article provides some practical information to help on its implementation.

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Pros, cons and potential risks of on-site decontamination methods used on neonatal units for articles indirectly associated with infant feeding, including breast pump collection kits and neonatal dummies

Journal of Infection Prevention ◽

10.1177/1757177411415448 ◽

2011 ◽

Vol 13 (1) ◽

pp. 16-23 ◽

Cited By ~ 3

Author(s):

Joanne Gilks ◽

Elizabeth Price ◽

Paul Hateley ◽

Dinah Gould ◽

Gillian Weaver

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Infant Feeding ◽

Adult Patients ◽

Potential Risks ◽

Breast Pump ◽

Practical Recommendations

We discuss the pros, cons and potential risks of on-site decontamination methods used on neonatal units for articles indirectly associated with infant feeding, such as breast pump collection kits and neonatal dummies (pacifiers, comforters or soothers). Some practical recommendations are made and areas requiring further review are indicated. For neonatal units, decontamination methods involving use of chlorine-releasing disinfectants or domestic steam-producing equipment should be reassessed. They would not be considered acceptable on intensive care units for adult patients.

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Resistance Training in Breast Cancer Survivors: A Systematic Review of Exercise Programs

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17186511 ◽

2020 ◽

Vol 17 (18) ◽

pp. 6511

Author(s):

Leidy Sofía Montaño-Rojas ◽

Ena Monserrat Romero-Pérez ◽

Carlos Medina-Pérez ◽

María Mercedes Reguera-García ◽

José Antonio de Paz

Keyword(s):

Breast Cancer ◽

Systematic Review ◽

Resistance Training ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Exercise Program ◽

Risk Of Bias ◽

Cochrane Library ◽

Evidence Database ◽

Meta Analyses

The aim of this study was to identify the characteristics of resistance training (RT) programs for breast cancer survivors (BCS). A systematic review of the literature was performed using PubMed, Medline, Science Direct, the Cochrane Breast Cancer Specialised Register of the Cochrane Library, the Physiotherapy Evidence Database (PEDro), and Scopus, with the aim of identifying all published studies on RT and BCS from 1 January 1990 to 6 December 2019, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The risk of bias in the studies was assessed using the revised Cochrane Risk of Bias tool (RoB 2.0). Sixteen trials were included for qualitative analysis. More than half of the trials do not adequately report the characteristics that make up the exercise program. The maximal strength was the most frequently monitored manifestation of strength, evaluated mainly as one-repetition maximum (1RM). Resistance training was performed on strength-training machines, twice a week, using a load between 50% and 80% of 1RM. The trials reported significant improvement in muscle strength, fatigue, pain, quality of life, and minor changes in aerobic capacity.

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Safety of psychotropic medications in people with COVID-19: evidence review and practical recommendations

BMC Medicine ◽

10.1186/s12916-020-01685-9 ◽

2020 ◽

Vol 18 (1) ◽

Cited By ~ 4

Author(s):

Giovanni Ostuzzi ◽

Davide Papola ◽

Chiara Gastaldon ◽

Georgios Schoretsanitis ◽

Federico Bertolini ◽

...

Keyword(s):

Working Group ◽

Medical Condition ◽

Potential Interaction ◽

Psychotropic Medications ◽

Evidence Based ◽

Medical Treatments ◽

Safety Issues ◽

Safety Risks ◽

Novel Coronavirus ◽

Practical Recommendations

Abstract Background The novel coronavirus pandemic calls for a rapid adaptation of conventional medical practices to meet the evolving needs of such vulnerable patients. People with coronavirus disease (COVID-19) may frequently require treatment with psychotropic medications, but are at the same time at higher risk for safety issues because of the complex underlying medical condition and the potential interaction with medical treatments. Methods In order to produce evidence-based practical recommendations on the optimal management of psychotropic medications in people with COVID-19, an international, multi-disciplinary working group was established. The methodology of the WHO Rapid Advice Guidelines in the context of a public health emergency and the principles of the AGREE statement were followed. Available evidence informing on the risk of respiratory, cardiovascular, infective, hemostatic, and consciousness alterations related to the use of psychotropic medications, and drug–drug interactions between psychotropic and medical treatments used in people with COVID-19, was reviewed and discussed by the working group. Results All classes of psychotropic medications showed potentially relevant safety risks for people with COVID-19. A set of practical recommendations was drawn in order to inform frontline clinicians on the assessment of the anticipated risk of psychotropic-related unfavorable events, and the possible actions to take in order to effectively manage this risk, such as when it is appropriate to avoid, withdraw, switch, or adjust the dose of the medication. Conclusions The present evidence-based recommendations will improve the quality of psychiatric care in people with COVID-19, allowing an appropriate management of the medical condition without worsening the psychiatric condition and vice versa.

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Sodium citrate supplementation: An updated revision and practical recommendations on exercise performance, hydration status, and potential risks

Translational Sports Medicine ◽

10.1002/tsm2.174 ◽

2020 ◽

Vol 3 (6) ◽

pp. 518-525

Author(s):

Giuseppe Cerullo ◽

Mauro Parimbelli ◽

Simone Perna ◽

Michela Pecoraro ◽

Giorgio Liguori ◽

...

Keyword(s):

Exercise Performance ◽

Sodium Citrate ◽

Hydration Status ◽

Potential Risks ◽

Practical Recommendations

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Developing a Fitness Center-Based, Self-Guided Instructional Program Using mp4 Player Technology

Recreational Sports Journal ◽

10.1123/rsj.35.1.61 ◽

2011 ◽

Vol 35 (1) ◽

pp. 61-68

Author(s):

Gina H. Blunt ◽

Kristi M. King

Keyword(s):

Resistance Training ◽

Exercise Program ◽

Learning Opportunities ◽

Instructional Program ◽

Video Training ◽

Fitness Center ◽

Instructional Videos ◽

Real World Setting ◽

Natural Settings ◽

Exercise Equipment

Lack of knowledge on how to properly use resistance training equipment and the confidence to perform exercises correctly are major barriers to beginning an exercise program. Creating fitness instructional videos for use on an MPEG 4 (mp4) player provides visual, auditory and kinesthetic learning opportunities in a real world setting. Exercise equipment demonstrations and short exercise routines are presented in their natural settings with the incorporation of Techy Trainer videos on mp4 player technology. This article discusses how to develop, edit, and post self-guided video training, download to mp4 players, and evaluate client confidence and learning.

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Cloud Computing: Cloud Security to Trusted Cloud

Advanced Materials Research ◽

10.4028/www.scientific.net/amr.186.596 ◽

2011 ◽

Vol 186 ◽

pp. 596-600 ◽

Cited By ~ 2

Author(s):

Ji Yi Wu ◽

Qian Li Shen ◽

Jian Lin Zhang ◽

Qi Xie

Keyword(s):

Cloud Computing ◽

Trusted Computing ◽

Cloud Security ◽

Cloud Services ◽

Research Progress ◽

Computing Technology ◽

Research Directions ◽

Safety Issues ◽

Security Challenge ◽

Potential Risks

Cloud computing, with exciting market prospects, has a number of potential risks and safety issues to the cloud services users. After an objective analysis of the security challenge and problem, in current cloud computing development, the latest research progress in the field of cloud security were summarized. Finally, the important research directions in the field were pointed out. It’s will be a new trend for the cloud computing and trusted computing technology to integrate..

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The Effect of Eight Weeks of Combined Training (Endurance-Intermittent Resistance and Endurance-Continuous Resistance) on Coagulation, Fibrinolytic and Lipid Profiles of Overweight Women

Polish Journal of Sport and Tourism ◽

10.2478/pjst-2021-0019 ◽

2021 ◽

Vol 28 (4) ◽

pp. 3-9

Author(s):

Keyvan Hejazi ◽

Mehrdad Fathi ◽

Mahsa Salkhord ◽

Maryam Dastani

Keyword(s):

Resistance Training ◽

Exercise Program ◽

Density Lipoprotein ◽

Serum Levels ◽

Coagulation Factors ◽

Lipid Profiles ◽

Lipoprotein Cholesterol ◽

Combined Training ◽

Overweight Women ◽

Combined Exercise

Abstract Introduction. Inflammatory and coagulation factors are among the various factors that are involved in the development of cardiovascular diseases. The aim of this study was to evaluate the effect of eight weeks of combined training (endurance-intermittent resistance and endurance-continuous resistance) on coagulation, fibrinolytic and lipid profiles of overweight women. Material and Methods. This was a quasi-experimental study of 36 overweight women, who were divided into three groups of endurance-intermittent resistance training (n = 12), endurance-continuous resistance training (n = 12) and control (n = 12). The training was performed during eight weeks, three times a week, and each session lasted for 80 to 90 minutes. Blood samples were analyzed for the concentrations of coagulation, fibrinolytic and lipid profiles before and after the completion of the training program. Results. Fibrinogen levels, prothrombin time (PT), partial thromboplastin time (PTT) and platelet count decreased significantly at the end of the training in both intervention groups. However, serum levels of D-dimer increased significantly in both training groups. Also, the levels of triglycerides (TG), total cholesterol (TC), and low-density lipoprotein cholesterol (LDL-C) decreased significantly, while the levels of high-density lipoprotein cholesterol (HDL-C) increased significantly. Conclusions. Combined exercise improved most coagulation factors and lipid profiles at the end of the training period. Therefore, the results of our research suggest that a combined exercise program can improve the health of overweight women.

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Effect of Resistance Training with Different Intensities on Airway Resistance Indices and Fatigue and Muscular Endurance in Women with Multiple Sclerosis (MS)

Thrita ◽

10.5812/thrita.102175 ◽

2020 ◽

Vol 9 (1) ◽

Author(s):

Ameneh Balavi ◽

Mohsen Ghanbarzade

Keyword(s):

Multiple Sclerosis ◽

Resistance Training ◽

Airway Resistance ◽

Exercise Program ◽

Moderate Intensity ◽

Control Group ◽

Moderate Intensity Exercise ◽

Lack Of Information ◽

Before And After ◽

Training Exercises

Background: Airways resistance and broncho-spasm due to exercise are very common. Factors such as exercise, temperature, humidity, air pollution, and disease affect this complication. This study was performed due to the increase in physical disability of muscle weakness in patients with MS and the lack of information on the effect of different strength training exercises on air resistance. Objectives: The current study aimed to investigate the effect of resistance training with different intensities on airway resistance indices of women with MS. Methods: Thirty six women with Multiple sclerosis who had a disability criterion ranged from 1 to 4 (based on Krutzke’s disability scale) were sampled using the targeted and purposive sampling methods. They were selected based on the initial health conditions and then were randomly assigned to each of the three groups (each consisting of 12 participants). The first group received resistance training for 12 weeks, three sessions a week with intensity 60% 1RM, and the second group received resistance training for 12 weeks, three sessions a week with intensity 80% 1RM. Those in the control group didn’t have an exercise program. Results: Airway resistance indices were measured both before and after 12 weeks of resistance training, airway resistance indices in both groups was significantly decreased, and these changes were significant in both experimental groups as compared to the control group. Conclusions: According to the findings, in addition to improving balance, fatigue, and muscle endurance, high-intensity resistance training had similar effects to moderate-intensity exercise on pulmonary function indices in women with MS.

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Special Considerations on the Use of Vaccines for Immunoprophylaxis of Bacterial Infections

BIOpreparations Prevention Diagnosis Treatment ◽

10.30895/2221-996x-2019-19-3-145-153 ◽

2019 ◽

Vol 19 (3) ◽

pp. 145-153

Author(s):

N. A. Gavrilova ◽

Е. А. Ustyugova ◽

N. F. Nikityuk ◽

Yu. I. Obukhov ◽

V. P. Bondarev

Keyword(s):

Bacterial Infections ◽

Essential Element ◽

Vaccination Schedule ◽

Safety Issues ◽

National Immunisation ◽

Information Leaflets ◽

Current State ◽

Potential Risks ◽

The Russian Federation ◽

One Year

Mass vaccination is an essential element of immunoprophylaxis of infectious diseases, and the global community has agreed that it is crucial for preserving the lives and health of children and adults. The objective of this study was to analyse the current state of vaccination of infants under one year old against bacterial infections, given that the National Immunisation Schedule is overladen with various vaccines, and there are apparent inconsistencies between the types of marketed vaccines and recommendations on their use. The article summarises the types of antibacterial vaccines marketed in the Russian Federation, analyses some aspects of combination of different antigens and interchangeability of vaccines. The authors justify the need to amend recommendations on antibacterial vaccination and to develop common rules for the use and combination of vaccines, as well as for their interchangeability. Another important issue is adoption of requirements for the contents of patient information leaflets. The article summarises the main safety concerns regarding the use of polyvalent vaccines and simultaneous vaccination against several pathogens. It discusses safety issues of multiple immunisation and the strategy to reduce potential risks associated with an intensive vaccination schedule. The authors highlight the safety of current immunisations schedules and the need to update vaccination standards. They also demonstrate the need to harmonise national recommendations on the use of vaccines based on clinical data and the results of international clinical trials.

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