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Shurlock J, Muniz-Pardos B, Tucker R, et al. Recommendations for Face Coverings While Exercising During the COVID-19 Pandemic. Sports Med Open. 2021;7(1):19doi: 10.1186/s40798-021-00309-7.
Shurlock, J., Muniz-Pardos, B., Tucker, R., Bachl, N., Papadopoulou, T., Holloway, G., Jones, N., Bigard, X., Vonbank, K., Niederseer, D., Meyer, J., Nowak, D., Debruyne, A., Zupet, P., Löllgen, H., Steinacker, J. M., Wolfarth, B., Bilzon, J. L. J., Ionescu, A., Dohi, M., Swart, J., Constantinou, D., Badtieva, V., Zelenkova, I., Casasco, M., Geistlinger, M., Fossati, C., Fagnani, F., Di Luigi, L., Webborn, N., Angeloudis, K., Guppy, F. M., Singleton, P., Miller, M., Pigozzi, F., & Pitsiladis, Y. P. (2021). Recommendations for Face Coverings While Exercising During the COVID-19 Pandemic. Sports medicine - open, 7(1), 19. https://doi.org/10.1186/s40798-021-00309-7
Shurlock, Jonathan, et al. "Recommendations for Face Coverings While Exercising During the COVID-19 Pandemic." Sports medicine - open vol. 7,1 (2021): 19. doi: https://doi.org/10.1186/s40798-021-00309-7
Shurlock J, Muniz-Pardos B, Tucker R, Bachl N, Papadopoulou T, Holloway G, Jones N, Bigard X, Vonbank K, Niederseer D, Meyer J, Nowak D, Debruyne A, Zupet P, Löllgen H, Steinacker JM, Wolfarth B, Bilzon JLJ, Ionescu A, Dohi M, Swart J, Constantinou D, Badtieva V, Zelenkova I, Casasco M, Geistlinger M, Fossati C, Fagnani F, Di Luigi L, Webborn N, Angeloudis K, Guppy FM, Singleton P, Miller M, Pigozzi F, Pitsiladis YP. Recommendations for Face Coverings While Exercising During the COVID-19 Pandemic. Sports Med Open. 2021 Mar 15;7(1):19. doi: 10.1186/s40798-021-00309-7. PMID: 33721127; PMCID: PMC7957452.
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Sports Med Open. 2021 Mar 15;7(1):19. doi: 10.1186/s40798-021-00309-7.

Recommendations for Face Coverings While Exercising During the COVID-19 Pandemic.

Sports medicine - open

Jonathan Shurlock, Borja Muniz-Pardos, Ross Tucker, Norbert Bachl, Theodora Papadopoulou, Graham Holloway, Nigel Jones, Xavier Bigard, Karin Vonbank, David Niederseer, Joachim Meyer, Dennis Nowak, Andre Debruyne, Petra Zupet, Herbert Löllgen, Juergen M Steinacker, Bernd Wolfarth, James L J Bilzon, Anca Ionescu, Michiko Dohi, Jeroen Swart, Demitri Constantinou, Victoriya Badtieva, Irina Zelenkova, Maurizio Casasco, Michael Geistlinger, Chiara Fossati, Federica Fagnani, Luigi Di Luigi, Nick Webborn, Konstantinos Angeloudis, Fergus M Guppy, Patrick Singleton, Mike Miller, Fabio Pigozzi, Yannis P Pitsiladis

Affiliations

  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.
  19. 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. 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.
  33. European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland. [email protected].
  34. International Federation of Sports Medicine (FIMS), Lausanne, Switzerland. [email protected].
  35. University of Rome "Foro Italico", Rome, Italy. [email protected].
  36. Centre for Exercise Sciences and Sports Medicine, FIMS Collaborating Centre of Sports Medicine, Rome, Italy. [email protected].
  37. Centre for Stress and Age-related Disease, University of Brighton, Brighton, UK. [email protected].

PMID: 33721127 PMCID: PMC7957452 DOI: 10.1186/s40798-021-00309-7

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: COVID-19; SARS-CoV-2; exercise; face covering; mask

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