The need for exercise sciences and an integrated response to COVID-19: A position statement from the international HL-PIVOT network
Journal article
Authors | Arena, Ross, Stoner, Lee, Haraf, Rebecca H., Josephson, Richard, Hills, Andrew P., Dixit, Snehil, Popovic, Dejana, Smith, Andy, Myers, Jonathan, Bacon, Simon L., Niebauer, Josef, Dourado, Victor Z., Babu, Abraham S., Maden-Wilkinson, Thomas M., Copeland, Robert J., Gough, Lewis A., Bond, Sam, Stuart, Kaz, Bewick, Thomas, Ashton, Ruth E.M. and Faghy, Mark |
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Abstract | COVID-19 is one of the biggest health crises that the world has seen. Whilst measures to abate transmission and infection are ongoing, there continues to be growing numbers of patients requiring chronic support, which is already putting a strain on health care systems around the world and which may do so for years to come. A legacy of COVID-19 will be a long-term requirement to support patients with dedicated rehabilitation and support services. With many clinical settings characterized by a lack of funding and resources, the need to provide these additional services could overwhelm clinical capacity. This position statement from the Healthy Living for Pandemic Event Protection (HL-PIVOT) Network provides a collaborative blueprint focused on leading research and developing clinical guidelines, bringing together professionals with expertise in clinical services and the exercise sciences to develop the evidence base needed to improve outcomes for patients infected by COVID-19. |
Keywords | COVID-19; Rehabilitation; Integrated roles; Sports medicine; Exercise sciences |
Year | 2021 |
Journal | Progress in Cardiovascular Diseases |
Journal citation | 67, pp. 2-10 |
Publisher | Elsevier |
ISSN | 00330620 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.pcad.2021.01.004 |
Web address (URL) | https://www.sciencedirect.com/science/article/pii/S003306202100013X?v=s5 |
http://hdl.handle.net/10545/625595 | |
https://europepmc.org/article/PMC/7859729 | |
http://creativecommons.org/licenses/by-nd/4.0/ | |
hdl:10545/625595 | |
Output status | Published |
Publication dates | 04 Feb 2021 |
Publication process dates | |
Deposited | 05 Feb 2021 |
Accepted | 04 Jan 2021 |
Rights | © 2021 Elsevier Inc. All rights reserved. |
Attribution-NoDerivatives 4.0 International | |
Contributors | University of Derby, Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA, University of Illinois at Chicago, USA, University of North Carolina, USA, Case Western Reserve University School of Medicine, Cleveland, OH, USA, University Hospitals, Cleveland Medical Centre, Hospitals Cleveland, OH, USA, University of Tasmania, Australia, King Khalid University, Saudi Arabia, University of Belgrade, Serbia, Stanford University School of Medicine, California, USA, Concordia University, Montreal, Canada, Montreal Behavioural Medicine Centre, CIUSSS-NIM, Montreal, Canada, Paracelsus Medical University, Salzburg, Austria, Ludwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria, Federal University of São Paulo, Santos, SP, Brazil, Harvard T.H. Chan School of Public Health, USA, Manipal Academy of Higher Education, Manipal, Karnataka, India, Sheffield Hallam University, Birmingham City University, University of Cumbria and University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK |
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A Call to Clarify the Intensity and Classification of Standing Behavior
Kowalsky, Robert J, Stoner, Lee, Faghy, Mark A and Barone Gibbs, Bethany 2021. A Call to Clarify the Intensity and Classification of Standing Behavior. International Journal of Environmental Research and Public Health. 18 (16). https://doi.org/10.3390/ijerph18168460![](/~544/ssr/default-thumbnail.png)
The Physiological Impact of Masking Is Insignificant and Should Not Preclude Routine Use During Daily Activities, Exercise, and Rehabilitation
Haraf, R.H., Faghy, M., Carlin, B. and Josephson, R.A. 2021. The Physiological Impact of Masking Is Insignificant and Should Not Preclude Routine Use During Daily Activities, Exercise, and Rehabilitation. Journal of Cardiopulmonary Rehabilitation and Prevention. 41 (1), pp. 1-5. https://doi.org/10.1097/hcr.0000000000000577![](/~544/ssr/default-thumbnail.png)
What Comes First, the Behavior or the Condition? In the COVID-19 Era, It May Go Both Ways
Arena, Ross, Lavie, Carl J and Faghy, Mark A 2021. What Comes First, the Behavior or the Condition? In the COVID-19 Era, It May Go Both Ways. Current Problems in Cardiology. 47 (2). https://doi.org/10.1016/j.cpcardiol.2021.100963![](/~544/ssr/default-thumbnail.png)
Shelter from the cytokine storm: Healthy living is a vital preventative strategy in the COVID-19 era
Arena, Ross, Bond, Samantha, Calvo, Isabel Romero, Lebowicz, Leah, Ozemek, Cemal, Severin, Richard, Laddu, Deepika, Faghy, Mark, Lavie, Carl J. and Carbone, Salvatore 2021. Shelter from the cytokine storm: Healthy living is a vital preventative strategy in the COVID-19 era. Progress in Cardiovascular Diseases. 73 (56), p. 60. https://doi.org/10.1016/j.pcad.2021.06.008![](/~544/ssr/default-thumbnail.png)
Influence of the COVID-19 Lockdown on the Physical and Psychosocial Well-being and Work Productivity of Remote Workers: Cross-sectional Correlational Study (Preprint)
Yessica Abigail Tronco Hernández, Fabio Parente, Mark A Faghy, Clare M P Roscoe, Frances A Maratos and Faghy, M. 2021. Influence of the COVID-19 Lockdown on the Physical and Psychosocial Well-being and Work Productivity of Remote Workers: Cross-sectional Correlational Study (Preprint). JMIR. https://doi.org/10.2196/preprints.30708![](/~544/ssr/default-thumbnail.png)
The Effects of a Nutrition Education Intervention on Sports Nutrition Knowledge during a Competitive Season in Highly Trained Adolescent Swimmers.
Foo, Wee Lun, Faghy, Mark A, Sparks, Andy, Newbury, Josh W and Gough, Lewis A 2021. The Effects of a Nutrition Education Intervention on Sports Nutrition Knowledge during a Competitive Season in Highly Trained Adolescent Swimmers. Nutrients. 13 (8). https://doi.org/10.3390/nu13082713![](/~544/ssr/default-thumbnail.png)
Cardiorespiratory and skeletal muscle damage due to COVID-19: making the urgent case for rehabilitation
Silva, Rebeca Nunes, Goulart, Cássia da Luz, Oliveira, Murilo Rezende, Tacao, Guilherme Yassuyuki, Back, Guilherme Dionir, Severin, Richard, Faghy, Mark, Arena, Ross and Borghi-Silva, Audrey 2021. Cardiorespiratory and skeletal muscle damage due to COVID-19: making the urgent case for rehabilitation. Expert Review of Respiratory Medicine. 15 (9), pp. 1107-1120. https://doi.org/10.1080/17476348.2021.1893169![](/~544/ssr/default-thumbnail.png)
Educators Perspectives on the Value of Physical Education, Physical Activity and Fundamental Movement Skills for Early Years Foundation Stage Children in England.
Dobell, Alexandra, Pringle, Andy, Faghy, Mark and Roscoe, Clare M P 2021. Educators Perspectives on the Value of Physical Education, Physical Activity and Fundamental Movement Skills for Early Years Foundation Stage Children in England. Children. 8 (5), p. 338. https://doi.org/10.3390/children8050338![](/~544/ssr/default-thumbnail.png)
Cardiopulmonary exercise testing as a vital sign in patients recovering from COVID-19.
Arena, Ross and Faghy, Mark A 2021. Cardiopulmonary exercise testing as a vital sign in patients recovering from COVID-19. Expert review of cardiovascular therapy. 19 (10), pp. 877-880. https://doi.org/10.1080/14779072.2021.1985466![](/~544/ssr/default-thumbnail.png)
Current and Future Implications of COVID-19 among Youth Wheelchair Users: 24-Hour Activity Behavior.
Conners, Ryan T, Bates, Lauren C, Lassalle, Patricia Pagan, Zieff, Gabriel, Whitehead, Paul N, Stevens, Sandra, Killen, Lauren, Cochrum, Robert, Rodebaugh, Kathryn L, Stoner, Lee and Faghy, Mark A 2021. Current and Future Implications of COVID-19 among Youth Wheelchair Users: 24-Hour Activity Behavior. Children. 8 (8). https://doi.org/10.3390/children8080690![](/~544/ssr/default-thumbnail.png)
COVID-19 infection and cardiometabolic complications: short- and long-term treatment and management considerations
Stoner, Lee, Faghy, Mark and Conners, Ryan 2021. COVID-19 infection and cardiometabolic complications: short- and long-term treatment and management considerations. Reviews in cardiovascular medicine. 22 (2), pp. 263-265. https://doi.org/10.31083/j.rcm2202031Supported progressive resistance exercise training to counter the adverse side effects of robot-assisted radical prostatectomy: a randomised controlled trial
Ashton, Ruth E, Aning, Jonathan J, Tew, Garry A, Robson, Wendy A and Saxton, John M 2021. Supported progressive resistance exercise training to counter the adverse side effects of robot-assisted radical prostatectomy: a randomised controlled trial. Supportive care in cancer. 29, p. 4595–4605. https://doi.org/10.1007/s00520-021-06002-5![](/~544/ssr/default-thumbnail.png)
Physical activity and sedentary behavior in people with spinal cord injury: Mitigation strategies during COVID-19 on behalf of ACSM-EIM and HL-PIVOT
Bates, Lauren, Conners, Ryan, Zieff, Gabriel, Adams, Nathan, T., Edgar, Kyle, M., Stevens, Sandra, Faghy, Mark, Arena, Ross, Vermeesch, Amber, Rodney, Joseph, P., Keith, Nicole and Stoner, Lee 2021. Physical activity and sedentary behavior in people with spinal cord injury: Mitigation strategies during COVID-19 on behalf of ACSM-EIM and HL-PIVOT. Disability and Health Journal. 15 (1). https://doi.org/10.1016/j.dhjo.2021.101177![](/~544/ssr/default-thumbnail.png)
Current activities centered on healthy living and recommendations for the future: a position statement from the HL-PIVOT network
Arena, Ross, Kaminsky, Leonard A., Williams, Mark, Sabbahi, Ahmad, Popovic, Dejana, Axtell, Robert, Faghy, Mark, Hills, Andrew P., Olivares Olivares, Silvia Lizett, Lopez, Mildred, Pronk, Nicolaas P., Laddu, Deepika, Samuel Babu, Abraham, Josephson, Richard, Whitsel, Laurie P., Severin, Rich, Christle, Jeffrey W., Zuniga Dourado, Victor, Niebauer, Joseph, Savage, Patrick, Austford, Leslie D. and Lavie, Carl J 2021. Current activities centered on healthy living and recommendations for the future: a position statement from the HL-PIVOT network. Current Problems in Cardiology. 46 (6). https://doi.org/10.1016/j.cpcardiol.2021.100823![](/~544/ssr/default-thumbnail.png)
A flow resistive inspiratory muscle training mask worn during high-intensity interval training does not improve 5 km running time-trial performance
Brown, Peter I., Faghy, Mark, Davis, Nichola, Mayes, JP and Maden-Wilkinson, Tom 2020. A flow resistive inspiratory muscle training mask worn during high-intensity interval training does not improve 5 km running time-trial performance. European Journal of Applied Physiology. 121, p. 183–191. https://doi.org/10.1007/s00421-020-04505-3![](/~544/ssr/default-thumbnail.png)
Using system mapping to help plan and implement city-wide action to promote physical activity
Cavill, Nick, Richardson, Debra, Faghy, Mark, Bussell, Chris and Rutter, Harry 2020. Using system mapping to help plan and implement city-wide action to promote physical activity. Journal of Public Health Research. 9 (3). https://doi.org/10.4081/jphr.2020.1759![](/~544/ssr/default-thumbnail.png)
Cardiopulmonary exercise testing in the COVID-19 endemic phase
Faghy, Mark, Hull, James, Cooper, Brendan and Sylvester, Karl 2020. Cardiopulmonary exercise testing in the COVID-19 endemic phase. British Journal of Anaesthesia. 125 (4), pp. 447-449. https://doi.org/10.1016/j.bja.2020.06.006Cross validation of actigraph derived accelerometer cut‐points for assessment of sedentary behaviour and physical activity in children aged 8‐11 years
Duncan, Michael J., Eyre, Emma L.J., Cox, Val, Roscoe, C., Faghy, Mark, Tallis, Jason and Dobell, Alexandra 2020. Cross validation of actigraph derived accelerometer cut‐points for assessment of sedentary behaviour and physical activity in children aged 8‐11 years. Acta Paediatrica. 109 (9), pp. 1825-1830. https://doi.org/10.1111/apa.15189![](/~544/ssr/default-thumbnail.png)
Fundamental movement skills and accelerometer-measured physical activity levels during early childhood: a systematic review
Dobell, Alexandra, Pringle, Andy, Faghy, Mark and Roscoe, Clare M. P. 2020. Fundamental movement skills and accelerometer-measured physical activity levels during early childhood: a systematic review. MDPI AG. https://doi.org/10.3390/children7110224![](/~544/ssr/default-thumbnail.png)
A biopsychosocial framework for recovery from COVID-19
Stuart, K., Faghy, M.A., Bidmead, E., Browning, R., Roberts, C., Grimwood, S. and Winn-Reed, T. 2020. A biopsychosocial framework for recovery from COVID-19. International Journal of Sociology and Social Policy. 40 (9/10), pp. 1021-1039. https://doi.org/10.1108/ijssp-07-2020-0301![](/~544/ssr/default-thumbnail.png)
Integrated sports and respiratory medicine in the aftermath of COVID-19
Faghy, M., Ashton, R., Maden-Wilkinson, T., Copeland, R. J., Bewick, T. and Smith, A. 2020. Integrated sports and respiratory medicine in the aftermath of COVID-19. The Lancet Respiratory Medicine. 8 (9), p. p852. https://doi.org/10.1016/s2213-2600(20)30307-6![](/~544/ssr/default-thumbnail.png)
Calibration and cross-validation of accelerometery for estimating movement skills in children aged 8–12 years
Duncan, M., Dobell, A., Noon, M., Clark, C.T., Roscoe, C., Stodden, D., Sacko, R., Eyre, E. and Faghy, M. 2020. Calibration and cross-validation of accelerometery for estimating movement skills in children aged 8–12 years. Sensors. 20 (10), p. 2776. https://doi.org/10.3390/s20102776![](/~544/ssr/default-thumbnail.png)
Sodium bicarbonate ingestion improves time-to-exhaustion cycling performance and alters estimated energy system contribution: a dose-response investigation
Gurton, William H., Gough, Lewis A., Sparks, S. Andy, Faghy, Mark and Reed, Katharine E. 2020. Sodium bicarbonate ingestion improves time-to-exhaustion cycling performance and alters estimated energy system contribution: a dose-response investigation. Frontiers in Nutrition. 7. https://doi.org/10.3389/fnut.2020.00154![](/~544/ssr/default-thumbnail.png)
Inspiratory muscle training (IMT) for adults discharged from hospital with community acquired pneumonia (CAP) – a feasibility study
Pick, HJ, Faghy, Mark, Cresswell, G, Lim, WS and Bewick, T 2018. Inspiratory muscle training (IMT) for adults discharged from hospital with community acquired pneumonia (CAP) – a feasibility study. Thorax.A review of inspiratory muscle training. When and why does it work?
Faghy, M. 2019. A review of inspiratory muscle training. When and why does it work? Japanese Journal of Physical Fitness and Sports Medicine. 68 (1), pp. 3-5. https://doi.org/10.7600/jspfsm.68.3![](/~544/ssr/default-thumbnail.png)
Functional training of the inspiratory muscles improves load carriage performance
Faghy, Mark and Brown, Peter I 2019. Functional training of the inspiratory muscles improves load carriage performance. Ergonomics. 62 (11), pp. 1439-1449. https://doi.org/10.1080/00140139.2019.1652352Cross-sectional study of patient-reported fatigue, physical activity and cardiovascular status in men after robotic-assisted radical prostatectomy.
Ashton, Ruth E, Tew, Garry A, Robson, Wendy A, Saxton, John M and Aning, Jonathan J 2019. Cross-sectional study of patient-reported fatigue, physical activity and cardiovascular status in men after robotic-assisted radical prostatectomy. Supportive care in cancer. 27 (12), pp. 4763-4770. https://doi.org/10.1007/s00520-019-04794-1![](/~544/ssr/default-thumbnail.png)
Estimating physical activity in children aged 8–11 Years using Accelerometry: Contributions from fundamental movement skills and different Accelerometer placements
Duncan, Mike, Roscoe, Clare M. P., Faghy, Mark, Tallis, Jason and Eyre, Emma 2019. Estimating physical activity in children aged 8–11 Years using Accelerometry: Contributions from fundamental movement skills and different Accelerometer placements. Frontiers in Physiology. https://doi.org/10.3389/fphys.2019.00242P25 Inspiratory muscle training (IMT) for adults discharged from hospital with community acquired pneumonia (CAP) – a feasibility study
HJ Pick, MA Faghy, G Cresswell, WS Lim, T Bewick and Faghy, M. 2018. P25 Inspiratory muscle training (IMT) for adults discharged from hospital with community acquired pneumonia (CAP) – a feasibility study. BMJ Journals. https://doi.org/10.1136/thorax-2018-212555.183![](/~544/ssr/default-thumbnail.png)
Active recovery strategy and lactate clearance in elite swimmers
Mark A. Faghy, Mitch Lomax and Peter I. Brown 2018. Active recovery strategy and lactate clearance in elite swimmers. The Journal of Sports Medicine and Physical Fitness. 59 (9), pp. 1487-1491. https://doi.org/10.23736/s0022-4707.18.09228-9![](/~544/ssr/default-thumbnail.png)
Effects of short-term, medium-term and long-term resistance exercise training on cardiometabolic health outcomes in adults: systematic review with meta-analysis.
Ashton, Ruth E, Tew, Garry A, Aning, Jonathan J, Gilbert, Stephen E, Lewis, Liane and Saxton, John M 2018. Effects of short-term, medium-term and long-term resistance exercise training on cardiometabolic health outcomes in adults: systematic review with meta-analysis. British journal of sports medicine. 54 (6), pp. 341-348. https://doi.org/10.1136/bjsports-2017-098970![](/~544/ssr/default-thumbnail.png)
From startline to frontline: the application of respiratory exercise physiology to occupational performance
Faghy, Mark, Blacker, Sam D. and Brown, Peter I. 2017. From startline to frontline: the application of respiratory exercise physiology to occupational performance. Sport and Exercise Scientist.![](/~544/ssr/default-thumbnail.png)
Whole body active warm up and inspiratory muscle warm up do not improve running performance when carrying thoracic loads
Faghy, Mark and Brown, Peter I. 2017. Whole body active warm up and inspiratory muscle warm up do not improve running performance when carrying thoracic loads. Applied physiology, nutrition, and metabolism. 42 (8). https://doi.org/10.1139/apnm-2016-0711Impact of Weekly Swimming Training Distance on the Ergogenicity of Inspiratory Muscle Training in Well-Trained Youth Swimmers
Lomax M, Kapus J, Brown PI and Faghy M 2017. Impact of Weekly Swimming Training Distance on the Ergogenicity of Inspiratory Muscle Training in Well-Trained Youth Swimmers. Journal of Strength and Conditioning Research. 33 (8), pp. 2185-2193. https://doi.org/10.1519/jsc.0000000000002375![](/~544/ssr/default-thumbnail.png)
Functional inspiratory muscle training (IMT) improves load carriage performance greater than traditional IMT techniques: 1652 Board #305 June 2, 9: 00 AM - 10: 30 AM.
Faghy, Mark, Lindley, Martin R. and Brown, Peter I. 2016. Functional inspiratory muscle training (IMT) improves load carriage performance greater than traditional IMT techniques: 1652 Board #305 June 2, 9: 00 AM - 10: 30 AM. Wolters Kluwer. https://doi.org/10.1249/01.mss.0000486377.59880.50![](/~544/ssr/default-thumbnail.png)
Pilot study : can inspiratory muscle training relieve symptoms ff dyspnoea and improve quality of life for advanced cancer patients ?: 1872 Board #24 June 2, 3: 30 PM - 5: 00 PM.
Lindley, Martin R., Faghy, Mark, Sowter, Heidi M. and Mickleborough, Timothy D. 2016. Pilot study : can inspiratory muscle training relieve symptoms ff dyspnoea and improve quality of life for advanced cancer patients ?: 1872 Board #24 June 2, 3: 30 PM - 5: 00 PM. Wolters Kluwer. https://doi.org/10.1249/01.mss.0000486545.72377.ea![](/~544/ssr/default-thumbnail.png)
Effects of load mass carried in a backpack upon respiratory muscle fatigue
Faghy, Mark, Blacker, Sam D. and Brown, Peter I. 2016. Effects of load mass carried in a backpack upon respiratory muscle fatigue. European Journal of Sport Science. 16 (8), pp. 1032-1038. https://doi.org/10.1080/17461391.2016.1202326![](/~544/ssr/default-thumbnail.png)
Limitations and trainability of the respiratory system during exercise with thoracic loads
Faghy, Mark 2016. Limitations and trainability of the respiratory system during exercise with thoracic loads. PhD Thesis https://doi.org/10.48773/92y02![](/~544/ssr/default-thumbnail.png)
Number of Directional Changes Alters the Physiological, Perceptual, and Neuromuscular Responses of Netball Players During Intermittent Shuttle Running
Ashton, R. and Twist, C. 2015. Number of Directional Changes Alters the Physiological, Perceptual, and Neuromuscular Responses of Netball Players During Intermittent Shuttle Running. Journal of Strength and Conditioning Research. 29 (10), pp. 2731-7. https://doi.org/10.1519/jsc.0000000000000933Training the inspiratory muscles improves running performance when carrying a 25 kg thoracic load in a backpack
Faghy, Mark and Brown, Peter I. 2015. Training the inspiratory muscles improves running performance when carrying a 25 kg thoracic load in a backpack. European Journal of Sport Science. 16 (5), pp. 585-594. https://doi.org/10.1080/17461391.2015.1071878![](/~544/ssr/default-thumbnail.png)
Preloaded Time Trial to Assess Load Carriage Performance
Mark A. Faghy and Peter I. Brown 2014. Preloaded Time Trial to Assess Load Carriage Performance. Journal of Strength and Conditioning Research. 28 (12), pp. 3354-3362. https://doi.org/10.1519/jsc.0000000000000555![](/~544/ssr/default-thumbnail.png)
Thoracic load carriage-induced respiratory muscle fatigue
Faghy, M. and Brown, P.I. 2014. Thoracic load carriage-induced respiratory muscle fatigue. European Journal of Applied Physiology. 114, p. 1085–1093. https://doi.org/10.1007/s00421-014-2839-4![](/~544/ssr/default-thumbnail.png)