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A Review on Physical Activity for Health Care in the Era of COVID-19

COVID-19 시대의 건강관리를 위한 신체활동 고찰

  • Yoo, Jae-Hyun (Department of Health Human Performance, Sahmyook University)
  • Received : 2021.01.20
  • Accepted : 2021.02.25
  • Published : 2021.02.28
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Abstract

One year has passed since the pandemic of COVID-19, which occurred in Wuhan, China, in November 2019 began. Worldwide, as of January 2021, more than 95 million people have been infected, and the death toll is higher than 2 million. In Korea, there are 74,262 infected and 1,328 dead, and government policies such as social distancing to prevent infection are being implemented. Accordingly, many inconveniences occurred in the physical activity environment, such as the closure of various sports facilities. It was necessary to consider physical activities to maintain healthy life while cooperating with the national policy while preventing infection. This study investigated the benefits of physical activity to reduce the risk of trichomoniasis and diabetes, improve bone mineral density, prolong healthy lifespan, maintain activity performance with aging, and improve psychological anxiety and depression. In addition, the physiological changes that may occur in the situation of stopping exercise due to social distancing to prevent COVID-19 infection were reviewed. In addition, moderate-intensity exercise that helps strengthen immune function by activating natural killer cells, neutrophils, and antibody responses was investigated. In addition, it reduces the level and function of blood B-cells, T-cells, and natural killer cells for several hours, decreases phagocytosis of neutrophils in the nasal cavity, increases inflammatory cytokines, decreases immune function, and increases infection. High-intensity exercise was considered. Therefore, in the age of COVID-19, long-term high-intensity exercise such as marathon, which causes impaired immune function, should be refrained from. And you should do moderate-intensity regular aerobic exercise such as fast walking to help prevent infection. It is also recommended to participate in resistance exercises to prevent loss of muscle mass.

2019년 11월에 중국 우한지역에서 발생한 COVID-19가 세계적 대유행(Pandemic)이 시작된 지도 1여년이 지났다. 2021년 1월 현재, 세계적으로 9천 5백여만 명이 감염되었으며, 사망자는 2백만여 명을 상위하고 있다. 우리나라도 감염자가 7만 3천여 명, 사망자 1천 3백여 명에 달하여 감염예방을 위한 사회적 거리두기 등의 정책을 시행하고 있다. 이에 따라 각종 체육시설이 폐쇄되는 등 신체활동 환경에 많은 위축이 발생하였다. 국가 정책에 협조하면서도 감염의 예방과 건강생활을 유지하기 위한 신체활동에 대한 고찰이 필요하였다. 본 연구는 심장병과 당뇨의 위험을 감소시키고 골밀도를 개선시키며, 건강 수명의 연장과 노화에 따른 활동수행력을 유지시키고 심리적 불안과 우울증을 개선시키는 신체활동의 이득을 살펴보았다. 더불어 COVID-19 감염 예방을 위한 사회적 거리두기 등으로 인한 운동중단 상황에서 발생할 수 있는 생리적 변화들을 고찰하였다. 중정도의 유산소운동은 자연살해세포와 호중성백혈구, 항체반응을 활성화시켜 면역기능 강화에 도움을 준다. 하지만 장시간 고강도 운동은 운동 후 수 시간 동안 혈중 B-세포, T-세포, 자연살해세포의 수준과 기능을 감소시키며 비강의 호중성 백혈구의 식균작용을 저하와 염증성 사이토카인을 증가시켜 면역기능을 일시적으로 떨어뜨려 감염을 증가시킨다. 따라서 COVID-19 시대에는 면역기능에 장애를 초래하는 마라톤 같은 장시간 고강도 운동은 자제하고, 감염예방에 도움을 주는 빠르게 걷기 같은 중강도의 규칙적인 유산소성 운동과 근육량 감소를 예방하기 위한 저항운동에 참여할 것을 권장하고자 한다.

Keywords

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