ABC | Volume 114, Nº5, May 2020

Viewpoint Stein Exercise and Coronavirus Arq Bras Cardiol. 2020; 114(5):827-828 working in the yard, going up and down the stairs (with precaution if the stairs in an apartment building are being used by other residents at the same time), and others. 2 Seventh point: Intensify physical activity at home on a daily-to-day basis. You and your family will have a more active, healthier, and more productive lifestyle. • Sexual activity is a form of physical exercise/activity. For many, it is the most pleasurable one. In times of isolation-coronavirus, this is a general concern. We certainly do not have scientific data, but logic leads us to think that distancing should come before desire, that common sense should be more prevalent than the pleasure principle. Eighth point: Unfortunately, it is recommended that sexual activity involving hugging, touching, kissing, and penetration be avoided (in the scenario of occasional sexual activity, of course). Masturbation, the use of vibrators and erotic toys is not contraindicated. If objects are to be shared, it seems to me that they should be washed with water and soap and/or 70% alcohol gel (this is merely an intuitive deduction, given that there are no studies testing hypotheses on this subject). • Readers of the Archives, regarding this theme, it would certainly be possible to list several other points, but it seems to me that at the end of these indications what is most important is to emphasize that physical inactivity in a treacherous enemy. Its effects typically do not manifest in an acute manner as is the case with SARS-COV-2, whose effects need to be combated with emergency health measures based on the best scientific evidence. In turn, by negatively affecting the cardiovascular, respiratory, metabolic, muscular, and immune systems, physical inactivity is also very harmful. In conclusion, the previous eight points were written in order to provoke reflection that at this moment we must live within the confines imposed by this new global order that is restrictive, but not limiting. Author contributions Conception and design of the research, Acquisition of data, Analysis and interpretation of the data, Writing of the manuscript and Critical revision of the manuscript for intellectual content: Stein R. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding There were no external funding sources for this study. Study Association This study is not associatedwith any thesis or dissertationwork. Ethics approval and consent to participate This article does not contain any studies with human participants or animals performed by any of the authors. 1. Zheng YY, Ma YT, Zhang JY, Xie X. COVID-19 and the cardiovascular system. Nat Rev Cardiol. 2020 Mar 5,17:259-60. 2. Ferreira Jr M, Lantieri CJB, Saraiva JF, De Angelis K. Atividade física durante a pandemia de coronavirus [Citado em 05 abr 2020]. Disponível em: https://portal.cardiol.br/post/atividade-fisica-durante- a-pandemia-de-coronavirus References This is an open-access article distributed under the terms of the Creative Commons Attribution License 828

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