Recomendaciones para Cubrirse el Rostro Durante el Ejercicio Durante la Pandemia de COVID-19

Jonathan Shurlock , Borja Muniz-Pardos , Ross Tucker , Norbert Bachl 4,5,6,7, Theodora Papadopoulou 4,5,8,9, Graham Holloway , Nigel Jones 8,10, Xavier Bigard 4,5,11, Karin Vonbank , David Niederseer , Joachim Meyer 14,15, Dennis Nowak 14,16, Andre Debruyne 4,5, Petra Zupet , Herbert Löllgen , Juergen M. Steinacker 4,5,17, Bernd Wolfarth 5,18, James L. J. Bilzon 5,8,19, Anca Lonescu , Michiko Dohi 5,20, Jeroen Swart 5,21, Demitri Constantinou 5,22, Victoriya Badtieva 5,23,24, Irina Zelenkova 2,24, Maurizio Casasco 4,5,25, Michael Geistlinger 5,26, Chiara Fossati , Federica Fagnani , Luigi Di Luigi , Nick Webborn , Konstantinos Angeloudis , Fergus M. Guppy Patrick Singleton Mike Miller Fabio Pigozzi 4,5,27,28Yannis P. Pitsiladis 4,5,27,30
1 Somerset NHS Foundation Trust, Taunton, UK. 2 GENUD (Growth, Exercise, Nutrition and Development) research group, University of Zaragoza, Zaragoza, Spain. 3 World Rugby, Dublin, Ireland. 4 European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland 5 International Federation of Sports Medicine (FIMS), Lausanne, Switzerland 6 Institute of Sports Science, University of Vienna, Vienna, Austria 7 Austrian Institute of Sports Medicine, Vienna, Austria 8 British Association Sport and Exercise Medicine, Doncaster, UK 9 Defence Medical Rehabilitation Centre (DMRC), Loughborough, UK 10 British Cycling and University of Liverpool, Liverpool, UK 11 Union Cycliste Internationale (UCI), Aigle, Switzerland 12 Department of Pneumology, Pulmonary Function Laboratory, Medicine Clinic (KIMII), University of Vienna, Vienna, Austria 13 Department of Cardiology, University Hospital Zurich, University Heart Centre, University of Zurich, Zurich, Switzerland 14 German Respiratory Society (DGP), Berlin, Germany 15 Lung Center Bogenhausen-Harlaching, Munich Clinic, Munich, Germany 16 LMU Klinikum, Institute and Clinic for Occupational, Social and Environmental Medicine, Comprehensive Pneumology Center, member DZL, German Center for Lung Research, Munich, Germany 17 Division of Sports and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany 18 Department of Sports Medicine, Humboldt University and Charité University School of Medicine, Berlin, Germany 20 Department for Health, University of Bath, Bath, UK. 20 Sport Medical Center, Japan Institute of Sports Sciences, Tokyo, Japan 21 UCT Research Unit for Exercise Science and Sports Medicine, Cape Town, South Africa 22 Centre for Exercise Science and Sports Medicine, University of the Witwatersrand, Johannesburg, South Africa 23 I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russian Federation 24 Moscow Research and Practical Centre for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Healthcare Department, Moscow, Russian Federation 25 Italian Federation of Sports Medicine (FMSI), Rome, Italy 26 Unit International Law, Department of Constitutional, International and European Law, University of Salzburg, Salzburg, Austria 27 27 University of Rome“Foro Italico”, Rome, Italy 28 Villa Stuart Sport Clinic, FIFA Medical Center of Excellence, Rome, Italy 29 School of Sport and Service Management, University of Brighton, Eastbourne, UK 30 Centre for Exercise Sciences and Sports Medicine, FIMS Collaborating Centre of Sports Medicine, Rome, Italy 31 Centre for Stress and Age-related Disease, University of Brighton, Brighton, UK 32 World Olympians Association, Lausanne, Switzerland

Resumen

En un esfuerzo por reducir la transmisión y el número de infecciones del virus del síndrome respiratorio agudo severo coronavirus 2 (SARS-CoV-2 o COVID-19), los gobiernos y organismos oficiales de todo el mundo han elaborado directrices sobre el uso de barbijos y máscaras faciales. Si bien existe un conjunto creciente de recomendaciones para que los profesionales de la salud y la población en general utilicen protección facial en "espacios cerrados" donde no es posible una distancia mínima de otras personas, hay una escasez de pautas claras para las personas que realizan ejercicio y actividad deportiva. El presente punto de vista tiene como objetivo proponer recomendaciones para cubrirse el rostro durante el ejercicio durante la pandemia de COVID-19 que consideren el distanciamiento físico, el entorno, la densidad de casos activos asociados a la actividad deportiva específica y el uso práctico de cubrimientos faciales con el fin de reducir la potencial transmisión viral. Las recomendaciones se proporcionan sobre la base de pruebas disponibles muy limitadas junto con la amplia experiencia clínica colectiva de los autores y reconociendo la necesidad de considerar la probabilidad de la presencia del SARS-CoV-2 en la población general. Recomendamos que las máscaras faciales se utilicen en cualquier entorno que se considere de alto o moderado riesgo de transmisión, donde se tolere y después de una evaluación individual del riesgo. Además, a medida que fluctúan los casos nacionales, los organismos deportivos individuales deben considerar una guía actualizada sobre el uso de máscaras faciales durante el deporte y el ejercicio, junto con otras medidas preventivas. Puntos claves: Hay datos específicos limitados disponibles para el uso de máscaras faciales durante el ejercicio en el contexto de COVID-19. Las decisiones sobre el tipo de cobertura facial utilizada no se pueden tomar de forma aislada y requieren la consideración de factores de riesgo adicionales, incluido el medio ambiente y las tasas de casos locales- Cuando se proceda, las decisiones deberían ser guiadas y apoyadas por los organismos u organizaciones deportivas pertinentes.

Palabras Clave: SARS-CoV-2, COVID-19, mascarilla, cara cubierta, ejercicio

Abstract

In an effort to reduce transmission and number of infections of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 or COVID-19) virus, governments and official bodies around the world have produced guidelines on the use of face masks and face coverings. While there is a growing body of recommendations for healthcare professionals and the wider population to use facial protection in “enclosed spaces” where minimal distancing from other individuals is not possible, there is a dearth of clear guidelines for individuals undertaking exercise and sporting activity. The present viewpoint aims to propose recommendations for face coverings while exercising during the COVID-19 pandemic that consider physical distancing, the environment, the density of active cases associated with the specific sports activity, and the practical use of face coverings in order to reduce potential viral transmission. Recommendations are provided on the basis of very limited available evidence in conjunction with the extensive collective clinical experience of the authors and acknowledging the need to consider the likelihood of the presence of the SARS-CoV-2 in the general population. We recommend that face coverings should be used in any environment considered to be of a high or moderate transmission risk, where tolerated and after individual risk assessment. In addition, as national caseloads fluctuate, individual sporting bodies should consider up to date guidance on the use of face coverings during sport and exercise, alongside other preventative measures.

Keywords: SARS-CoV-2, COVID-19, mask, face covering, exercise

Atención

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