IJCS | Volume 33, Nº3, May / June 2020

286 only requires body weight, as pushups, sit-ups and lunges can be done. Resistance bands are also good options. If more resistance is needed, books, food packages and other objects can all be used as weights for training. Time Exercise duration depends on individual aerobic capacity, but sets of 30 to 50 minutes are recommended. Type Multicomponent exercise programs including aerobic, resistance, flexibility and balance training exercises are recommended 4 . Volume Guidelines recommend at least 150 minutes of aerobic exercise and two resistance training sessions per week. My personal view, considering the risks of immune depletion related to high volume training, is that people who used to exercise before the pandemic should try to keep the same training volume. People who were sedentary should try to adhere to the minimal requirements. Progression It is time to keep fit, not to pursue increases in fitness. Conclusion Government measures that restrict people at home during the COVID-19 pandemic do not need to encourage the wider spread of the sedentarism pandemic. Exercise can fight both public health problems, as long as it is adequately prescribed. Maintaining regular physical activity at home is pivotal for healthy living during and after the COVID-19 global crisis. Author contributions Conception and design of the research: Castro RRT. Acquisition od data: Castro RRT. Analysis and interpretation of the data: Castro RRT. Writing of the manuscript: Castro RRT, Silveira Neto JG, Castro RRT. Critical revision of themanuscript for intellectual content: Castro RRT, Silveira Neto JG, Castro RRT. 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 isnot associatedwithanygraduationprogram. 1. Calisher C, Carroll D, Colwell R, Corley RB, Daszak P, Drosten C, et al. Statementinsupportofthescientists,publichealthprofessionals,andmedical professionalsofChinacombattingCOVID-19. Lancet. 2020;395(10226):e42-e43. 2. Li H, Zhou Y, Zhang M, Wang H, Zhao Q, Liu J. Updated approaches against SARS-CoV-2. Antimicrob Agents Chemother. 2020. 3. Lippi G, Plebani M. The critical role of laboratory medicine during coronavirus disease 2019 (COVID-19) and other viral outbreaks. Clin Chem Lab Med. 2020. 4. WorldHealthOrganization. (WHO. Global recommendation on physical activity for health. Geneva: 2010. 5. Fletcher GF, Ades PA, Kligfield P, Arena R, Balady GJ, Bittner VA, et al. Exercise standards for testing and training: a scientific statement from the American Heart Association. Circulation. 2013;128(8):873-934. 6. Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing andmaintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334-59. 7. Sales AR, Silva BM, Neves FJ, Rocha NG, Medeiros RF, Castro RR, et al. Diet and exercise training reduce blood pressure and improve autonomic modulation in women with prehypertension. Eur J Appl Physiol. 2012;112(9):3369-78. 8. Taylor RS, Walker S, Smart NA, Piepoli MF, Warren FC, Ciani O, et al. Impact of Exercise Rehabilitation on Exercise Capacity and Quality- of-Life in Heart Failure: Individual Participant Meta-Analysis. J Am Coll Cardiol. 2019;73(12):1430-43. 9. Herdy AH, López-Jiménez F, Terzic CP, Milani M, Stein R, Carvalho T, et al. South American guidelines for cardiovascular disease prevention and rehabilitation. Arq Bras Cardiol. 2014;103(2 Suppl 1):1-31. 10. Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants. Lancet Glob Health. 2018;6(10):e1077-e1086. 11. I-Min L, Shiroma E, Lobelo F, Puska P, Blair S, Katzmarzyk P. Impact of Physical Inactivity on theWorld’sMajor Non-Communicable Diseases. Lancet. 2012;380:11. 12. YangJ,ZhengY,GouX,PuK,ChenZ,GuoQ,etal.Prevalenceofcomorbidities in the novel Wuhan coronavirus (COVID-19) infection: a systematic review and meta-analysis. Int J Infect Dis. 2020. [Epub ahead of print] 13. Blair SN, Kohl HW, Paffenbarger RS, Clark DG, Cooper KH, Gibbons LW. Physical fitness and all-cause mortality. A prospective study of healthy men and women. JAMA. 1989;262(17):2395-401. 14. Lavie CJ, Ozemek C, Carbone S, Katzmarzyk PT, Blair SN. Sedentary Behavior,Exercise,andCardiovascularHealth. CircRes. 2019;124(5):799-815. References Castro et al. Exercise training fights pandemics Int J Cardiovasc Sci. 2020; 33(3):284-287 Viewpoint

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