The need for exercise sciences and an integrated response to COVID-19: A position statement from the international HL-PIVOT network

Mark A Faghy¹, Ross Arena², Lee Stoner³, Rebecca H Haraf⁴, Richard Josephson⁵, Andrew P Hills⁶, Snehil Dixit⁷, Dejana Popovic⁸, Andy Smith⁹, Jonathan Myers¹⁰, Simon L Bacon¹¹, Josef Niebauer¹², Victor Z Dourado¹³, Abraham S Babu¹⁴, Thomas M Maden-Wilkinson¹⁵, Robert J Copeland¹⁵, Lewis A Gough¹⁶, Sam Bond¹⁷, Kaz Stuart¹⁸, Thomas Bewick¹⁹, Ruth E M Ashton²⁰; HL-PIVOT Network²¹

Affiliations

¹ Human Sciences Research Centre, College of Science and Engineering, University of Derby, UK; Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA. Electronic address: M.Faghy@Derby.ac.uk.
² Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Department of Physical Therapy, College of Applied Health Sciences, University of Illinois at Chicago, USA.
³ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Department of Exercise and Sport Science, University of North Carolina, USA.
⁴ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Case Western Reserve University School of Medicine, Cleveland, OH, USA.
⁵ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Case Western Reserve University School of Medicine, Cleveland, OH, USA; University Hospitals, Cleveland Medical Centre, Hospitals Cleveland, OH, USA.
⁶ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; School of Health Sciences, University of Tasmania, Australia.
⁷ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Department of Medical Rehabilitation Sciences, King Khalid University, Saudi Arabia.
⁸ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Clinic for Cardiology, University Clinical Centre Serbia, University of Belgrade, Serbia.
⁹ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Unaffiliated Independent Exercise Scientist, York, UK.
¹⁰ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; VA Palo Alto Health Care System, Stanford University School of Medicine, California, USA.
¹¹ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Department of Health, Kinesiology, and Applied Physiology (HKAP), Concordia University, Montreal, Canada; Montreal Behavioural Medicine Centre, CIUSSS-NIM, Montreal, Canada.
¹² Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; University Institute of Sports Medicine, Prevention and Rehabilitation, Paracelsus Medical University, Salzburg, Austria; Ludwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria.
¹³ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Department of Human Movement Sciences, Federal University of São Paulo, Santos, SP, Brazil; Department of Global Health and Population, Lown Scholars in Cardiovascular Health Program at Harvard T.H. Chan School of Public Health, USA.
¹⁴ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
¹⁵ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Advanced Wellbeing Research Centre, Sheffield Hallam University, Sheffield, UK.
¹⁶ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Centre for Life and Sport Sciences (CLaSS) Research Centre, School of Health Sciences, Birmingham City University, Birmingham, UK.
¹⁷ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Department of Biomedical and Health Information Sciences, University of Illinois at Chicago, Chicago, USA.
¹⁸ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Centre of Research in Health and Society, University of Cumbria, Carlisle, UK.
¹⁹ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Respiratory Medicine, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.
²⁰ Human Sciences Research Centre, College of Science and Engineering, University of Derby, UK; Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA.
²¹ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA.

PMID: 33549590
PMCID: PMC7859729
DOI: 10.1016/j.pcad.2021.01.004

Review

The need for exercise sciences and an integrated response to COVID-19: A position statement from the international HL-PIVOT network

Mark A Faghy et al. Prog Cardiovasc Dis. 2021 Jul-Aug.

. 2021 Jul-Aug:67:2-10.

doi: 10.1016/j.pcad.2021.01.004. Epub 2021 Feb 4.

Authors

Affiliations

¹ Human Sciences Research Centre, College of Science and Engineering, University of Derby, UK; Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA. Electronic address: M.Faghy@Derby.ac.uk.
² Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Department of Physical Therapy, College of Applied Health Sciences, University of Illinois at Chicago, USA.
³ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Department of Exercise and Sport Science, University of North Carolina, USA.
⁴ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Case Western Reserve University School of Medicine, Cleveland, OH, USA.
⁵ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Case Western Reserve University School of Medicine, Cleveland, OH, USA; University Hospitals, Cleveland Medical Centre, Hospitals Cleveland, OH, USA.
⁶ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; School of Health Sciences, University of Tasmania, Australia.
⁷ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Department of Medical Rehabilitation Sciences, King Khalid University, Saudi Arabia.
⁸ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Clinic for Cardiology, University Clinical Centre Serbia, University of Belgrade, Serbia.
⁹ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Unaffiliated Independent Exercise Scientist, York, UK.
¹⁰ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; VA Palo Alto Health Care System, Stanford University School of Medicine, California, USA.
¹¹ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Department of Health, Kinesiology, and Applied Physiology (HKAP), Concordia University, Montreal, Canada; Montreal Behavioural Medicine Centre, CIUSSS-NIM, Montreal, Canada.
¹² Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; University Institute of Sports Medicine, Prevention and Rehabilitation, Paracelsus Medical University, Salzburg, Austria; Ludwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria.
¹³ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Department of Human Movement Sciences, Federal University of São Paulo, Santos, SP, Brazil; Department of Global Health and Population, Lown Scholars in Cardiovascular Health Program at Harvard T.H. Chan School of Public Health, USA.
¹⁴ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
¹⁵ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Advanced Wellbeing Research Centre, Sheffield Hallam University, Sheffield, UK.
¹⁶ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Centre for Life and Sport Sciences (CLaSS) Research Centre, School of Health Sciences, Birmingham City University, Birmingham, UK.
¹⁷ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Department of Biomedical and Health Information Sciences, University of Illinois at Chicago, Chicago, USA.
¹⁸ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Centre of Research in Health and Society, University of Cumbria, Carlisle, UK.
¹⁹ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA; Respiratory Medicine, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.
²⁰ Human Sciences Research Centre, College of Science and Engineering, University of Derby, UK; Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA.
²¹ Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA.

PMID: 33549590
PMCID: PMC7859729
DOI: 10.1016/j.pcad.2021.01.004

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; Exercise sciences; Integrated roles; Rehabilitation; Sports medicine.

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Figures

**Fig. 1**
A blueprint highlighting the opportunities for integrated working between the exercise sciences and clinical partners.

See this image and copyright information in PMC

References

1. Mahase E. Covid-19: what do we know about “long covid”? BMJ. 2020:370. doi: 10.1136/bmj.m2815. - DOI - PubMed
1. Dasgupta A., Kalhan A., Kalra S. Long term complications and rehabilitation of COVID-19 patients. JPMA. 2020;70(5):S131–S135. - PubMed
1. How Long Does COVID-19 Last? 2020. https://covid.joinzoe.com/post/covid-long-term Accessed September 10.
1. Greenhalgh T., Knight M., Buxton M., Husain L. Management of post-acute covid-19 in primary care. BMJ. 2020:370. - PubMed
1. Thomas P., Baldwin C., Bissett B., et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiother. April 2020;66(2):73–82. - PMC - PubMed

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The need for exercise sciences and an integrated response to COVID-19: A position statement from the international HL-PIVOT network

Affiliations

The need for exercise sciences and an integrated response to COVID-19: A position statement from the international HL-PIVOT network

Authors

Affiliations

Abstract

Figures

References

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MeSH terms

LinkOut - more resources

Full Text Sources

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Medical