An Evolving Approach to Assessing Cardiorespiratory Fitness, Muscle Function and Bone and Joint Health in the COVID-19 Era

Arena, Ross; Myers, Jonathan; Ozemek, Cemal; Hall, Grenita; Severin, Richard; Laddu, Deepika; Kaminsky, Leonard A.; Stoner, Lee; Conners, Ryan T.; Faghy, Mark A

doi:10.1016/j.cpcardiol.2021.100879

Cited by 8 publications

(5 citation statements)

References 57 publications

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“…As such, we conclude that SM, in this case, X, can serve both as an influencing platform in its own right and as a channel through which individuals can influence [ 74 ]. The relevance of social capital in relation to health is now well recognized in the social sciences, and theoretically informed studies on fitness influencers’ promotion and portrayal of “healthy” bodies is a developing area of interest for health sociology and ill health studies [ 75 , 76 ]. With its long-standing empirical interest in social capital, health sociology is beginning to pay attention to the personalities and figures who have emerged because of the shift to neoliberal health policy.…”

Section: Discussionmentioning

confidence: 99%

The Influence of Joe Wicks on Physical Activity During the COVID-19 Pandemic: Thematic, Location, and Social Network Analysis of X Data

Ahmed,

Aiyenitaju,

Chadwick

et al. 2024

J Med Internet Res

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Background Social media (SM) was essential in promoting physical activity during the COVID-19 pandemic, especially among people confined to their homes. Joe Wicks, a fitness coach, became particularly popular on SM during this time, posting daily workouts that millions of people worldwide followed. Objective This study aims to investigate the influence of Joe Wicks on SM and the impact of his content on physical activity levels among the public. Methods We used NodeXL Pro (Social Media Research Foundation) to collect data from X (formerly Twitter) over 54 days (March 23, 2020, to May 15, 2020), corresponding to the strictest lockdowns in the United Kingdom. We collected 290,649 posts, which we analyzed using social network analysis, thematic analysis, time-series analysis, and location analysis. Results We found that there was significant engagement with content generated by Wicks, including reposts, likes, and comments. The most common types of posts were those that contained images, videos, and text of young people (school-aged children) undertaking physical activity by watching content created by Joe Wicks and posts from schools encouraging pupils to engage with the content. Other shared posts included those that encouraged others to join the fitness classes run by Wicks and those that contained general commentary. We also found that Wicks’ network of influence was extensive and complex. It contained numerous subcommunities and resembled a broadcast network shape. Other influencers added to engagement with Wicks via their networks. Our results show that influencers can create networks of influence that are exhibited in distinctive ways. Conclusions Our study found that Joe Wicks was a highly influential figure on SM during the COVID-19 pandemic and that his content positively impacted physical activity levels among the public. Our findings suggest that influencers can play an important role in promoting public health and that government officials should consider working with influencers to communicate health messages and promote healthy behaviors. Our study has broader implications beyond the status of fitness influencers. Recognizing the critical role of individuals such as Joe Wicks in terms of health capital should be a critical area of inquiry for governments, public health authorities, and policy makers and mirrors the growing interest in health capital as part of embodied and digital experiences in everyday life.

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Section: Discussionmentioning

confidence: 99%

The Influence of Joe Wicks on Physical Activity During the COVID-19 Pandemic: Thematic, Location, and Social Network Analysis of X Data

Ahmed,

Aiyenitaju,

Chadwick

et al. 2024

J Med Internet Res

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“…The goals of rehabilitation should be individualized based on cardiorespiratory fitness, muscle function, bone and joint health, functional capacity and quality of life [ 157 ]. In terms of rehabilitation progress, clinically significant pulmonary function improvement may take a longer time, while muscle strength, walking capacity, sit-to-stand performance and quality of life usually improve earlier [ 158 ].…”

Section: Rehabilitation Programmentioning

confidence: 99%

Post-COVID-19 Syndrome Comprehensive Assessment: From Clinical Diagnosis to Imaging and Biochemical-Guided Diagnosis and Management

Yan

Yang

Lai

2023

Viruses

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The COVID-19 outbreak was first reported in 2019, causing massive morbidity and mortality. The majority of the COVID-19 patients survived and developed Post-COVID-19 Syndrome (PC19S) of varying severity. Currently, the diagnosis of PC19S is achieved through history and symptomatology that cannot be explained by an alternative diagnosis. However, the heavy reliance on subjective reporting is prone to reporting errors. Besides, there is no unified diagnostic assessment tool to classify the clinical severity of patients. This leads to significant difficulties when managing patients in terms of public resource utilization, clinical progression monitorization and rehabilitation plan formulation. This narrative review aims to review current evidence of diagnosis based on triple assessment: clinical symptomatology, biochemical analysis and imaging evidence. Further assessment tools can be developed based on triple assessment to monitor patient’s clinical progression, prognosis and intervals of monitoring. It also highlights the high-risk features of patients for closer and earlier monitoring. Rehabilitation programs and related clinical trials are evaluated; however, most of them focus on cardiorespiratory fitness and psychiatric presentations such as anxiety and depression. Further research is required to establish an objective and comprehensive assessment tool to facilitate clinical management and rehabilitation plans.

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“…Recent studies have addressed specific exercise protocols for rehabilitation after COVID-19, reporting generic final suggestions [ 107 ]. They commonly followed the American College of Sports Medicine FITT-VP (frequency, intensity, time, type, volume and progression) to approach exercise prescription [ 108 ] and considered: (i) when to begin exercising; (ii) frequency, intensity, and duration of the exercise; (iii) which type of activity should be performed; (iv) the assessments for participants’ evaluation and tailoring exercising. Rehabilitation programs should start within 30 days after the acute phase [ 109 ].…”

Section: Exercise Prescription As Medicine For Long Covid-19: Cues An...mentioning

confidence: 99%

“…Cardiorespiratory fitness, muscle function, and joint health should be assessed to detect primary manifestations of long COVID-19 syndrome (such as exertional fatigue and dyspnea), tailor physical exercise, enhance functional capacity and health [ 108 ], and improve quality of life. Several papers reported that, among the functional screening and assessment procedures, the most popular seems to be the 6-Minute Walking Test to estimate the aerobic capacity and exercise tolerance [ 107 , 109 , 114 , 115 , 116 , 118 , 126 ] and the hand grip to measure strength [ 107 , 114 , 116 ].…”

Section: Exercise Prescription As Medicine For Long Covid-19: Cues An...mentioning

confidence: 99%

“…Dyspnea measurements can be accomplished by the British Medical Research Council Dyspnea Score [ 118 ]. Balance is a further common investigated feature, e.g., by the Berg Balance Scale for balance [ 108 , 116 ]. The measurement of fatigue, necessary to tailor or manage exercise execution and the consequent effects, is usually and regularly accomplished, generally by the 10- or 20-point Borg rating for perceived exertion scales [ 107 , 114 , 115 , 116 , 118 , 127 , 128 ].…”

Section: Exercise Prescription As Medicine For Long Covid-19: Cues An...mentioning

confidence: 99%

See 1 more Smart Citation

The Challenge of Long COVID-19 Management: From Disease Molecular Hallmarks to the Proposal of Exercise as Therapy

Scurati

Papini

Giussani

et al. 2022

IJMS

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Long coronavirus disease 19 (COVID-19) is the designation given to a novel syndrome that develops within a few months after infection by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and that is presenting with increasing incidence because of the numerous cases of infection. Long COVID-19 is characterized by a sequela of clinical symptoms that concern different organs and tissues, from nervous, respiratory, gastrointestinal, and renal systems to skeletal muscle and cardiovascular apparatus. The main common molecular cause for all long COVID-19 facets appears to be related to immune dysregulations, the persistence of inflammatory status, epigenetic modifications, and alterations of neurotrophin release. The prevention and management of long COVID-19 are still inappropriate because many aspects need further clarification. Exercise is known to exert a deep action on molecular dysfunctions elicited by long COVID-19 depending on training intensity, duration, and continuity. Evidence suggests that it could improve the quality of life of long COVID-19 patients. This review explores the main clinical features and the known molecular mechanisms underlying long COVID-19 in the perspective of considering exercise as a co-medication in long COVID-19 management.

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An Evolving Approach to Assessing Cardiorespiratory Fitness, Muscle Function and Bone and Joint Health in the COVID-19 Era

Cited by 8 publications

References 57 publications

The Influence of Joe Wicks on Physical Activity During the COVID-19 Pandemic: Thematic, Location, and Social Network Analysis of X Data

The Influence of Joe Wicks on Physical Activity During the COVID-19 Pandemic: Thematic, Location, and Social Network Analysis of X Data

Post-COVID-19 Syndrome Comprehensive Assessment: From Clinical Diagnosis to Imaging and Biochemical-Guided Diagnosis and Management

The Challenge of Long COVID-19 Management: From Disease Molecular Hallmarks to the Proposal of Exercise as Therapy

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