ABSTRACT
Following the novel coronavirus (COVID-19) outbreak, restrictions imposed to curb the virus spread may affect the elderly population. Therefore, a scoping review was conducted to map the daily activities restrictions and the psychological impacts on the elderly. Articles from five databases, including Web of Science, Scopus, Cochrane Library, Science Direct, and Google Scholar were retrieved that used “disease outbreaks” or “infectious disease outbreaks” and “elderly” or “older adult” or “geriatric” or “old age”, which provide relevant insight on the restrictions and psychological impacts on the elderly, published throughout this COVID-19 pandemic until July 2021. Twenty-one eligible articles were included and summarised using thematic analysis. Restrictions throughout the pandemic may, directly and indirectly, impact the elderly’s psychological wellbeing and vary according to their age, gender, previous history of mental illness, comorbidities, and social support. Therefore, the strength of association between each variable should be identified to facilitate healthcare providers in managing the impact of COVID-19 on the elderly population. © 2022 UPM Press. All rights reserved.
ABSTRACT
Exercise training is paramount in improving aerobic capacity, lung function, reducing the symptoms of dyspnea, and reconditioning the lean skeletal muscles. Many literature and guidelines have advocated the importance of exercise intervention in addressing the secondary impairment to post covid-19 infection, including home-based therapy and telerehabilitation. Pulmonary hypertension (PH) was previously thought to be contraindicated by exercise training;however, exercise was later found to be beneficial and relatively safe in chronic PH. However, them is a lack of high-quality evidence on the safety and effectiveness of exercise training in post-COVID-19 infected individuals with PH. Pulmonary hypertension has been documented to be one of the post-COVID-19 complications. PH occurred due to COVID-19 infection should be carefully considered before subjecting them to exercise training, especially in home-based therapy. This article aims to discuss the differing etiological factor, pathophysiological backgrounds, and the possible disease long-term outcomes that may compromise the safety of exercise training in post-COVID-19 patients complicated with PH. By understanding the risk of developing PH, risk assessment and stratification can be explicitly outlined for a safe exercise prescription through proper patient selections. Any possible complications can be anticipated;hence, proper preventive strategies can be instituted.
ABSTRACT
Exercise training is paramount in improving aerobic capacity, lung function, reducing the symptoms of dyspnea, and reconditioning the lean skeletal muscles. Many literature and guidelines have advocated the importance of exercise intervention in addressing the secondary impairment to post covid-19 infection, including home-based therapy and telerehabilitation. Pulmonary hypertension (PH) was previously thought to be contraindicated by exercise training;however, exercise was later found to be beneficial and relatively safe in chronic PH. However, there is a lack of highquality evidence on the safety and effectiveness of exercise training in post-COVID-19 infected individuals with PH. Pulmonary hypertension has been documented to be one of the post-COVID-19 complications. PH occurred due to COVID-19 infection should be carefully considered before subjecting them to exercise training, especially in home-based therapy. This article aims to discuss the differing etiological factor, pathophysiological backgrounds, and the possible disease long-term outcomes that may compromise the safety of exercise training in post-COVID-19 patients complicated with PH. By understanding the risk of developing PH, risk assessment and stratification can be explicitly outlined for a safe exercise prescription through proper patient selections. Any possible complications can be anticipated;hence, proper preventive strategies can be instituted.