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Nov 17

Column: Ohios fitness centers have critical role in COVID-19 fight – The Columbus Dispatch

Dr. Kenneth P. Moritisugu| The Columbus Dispatch

The COVID-19 virus has increased its grip on the country as states experience surges in new cases. Ohio is in the thick of this new surge with confirmed casesquadrupling in the past30 days and hospitalizations doubling. In response, Gov. MikeDeWine hasthreatenedto close restaurants, bars and fitness centers within a week if the number of newly confirmed cases increase. While well-intentioned, the governor should reconsider his position on closing fitness centers in light of the toll COVID-19 has taken on our physical and mental health, and the benefits physical activity can have in combating this and other diseases.

The lockdowns across the nation led people to bemore sedentary, with a 32% reduction in physical activity. In addition, a recentnationwide pollby the Kaiser Family Foundation reports that more than half of U.S. adults about 53% say that their mental health has been negatively impacted by worry and stress over the pandemic. That number is a significant increase from the 32% who reported being similarly affected in March.

Further, these negative health trends also bring into view issues of health equity and health disparities for some of our most vulnerable populations. In Ohio, physical inactivity and obesity disproportionately impact our lower income population and communities of color. Theobesity ratefor white Ohioans is 34%compared with43%of Latinos and 36%of African Americans.

Fitness plays a critical role in combating the virus and improving peoples overall physical and mental health. Chronic health conditions impacting millions of Americans including obesity, hypertensionand diabetes can cause complications and significantly increase the chances of hospitalization and death for those who contract COVID-19. There is alsoincreasing evidencethat some racial and ethnic minority groups are being disproportionately affected by COVID-19.

Regular physical activity can protect us from these conditions while helping us to fight the virus. You mightnot think you have the time to squeeze in a workout, but researchers found that as little as 20 minutes of exercise can have anti-inflammatory effects that boost your immune system.

Mental health, much like physical health, also disproportionately affectsour lower-income communities.While 7.3%of Ohioans who make over $75,000 a yearreportedthat they experience frequent mental distress, that number skyrockets to 26.2%for those making less than $25,000 a year.

Levels of stress, anxiety and depression across the U.S. allincreasedduring the pandemic. To cope, it appears many Americans turned to alcohol, according to a study by RAND and the National Institute of Alcohol Abuse and Alcoholism, which found a spike in consumption. As lead author of thestudyand RAND sociologist Michael Pollard noted, "People's depression increases, anxiety increases, (and)alcohol use is often a way to cope with these feelings."

Once again, fitness can play a role, turning people away from increased alcohol use and towardregular physical activity is known to have long-term mental healthbenefitsthat reduce those conditions many are struggling with right now.

All of this underscores the critical need for regular physical activity especially now in the time of COVID for our countrys physical and mental well-being. And while weddings, parties, and other large group gatherings areknown hotbedsfor COVID transmission large fitness centers, on the other hand, are not.

In states reopening across the country, many fitness centers have developed, in coordination with local and national public health officials, stringent safety and sanitization protocols to reduce the risk of spreading COVID-19. Here in Ohio, those protocolsincludelimiting capacity based on the space available and ability to social distance, and increased sanitization of high-contact surfaces, including fitness equipment.

The International Health, Racquet & Sportsclub Association recently released results from a nationwide survey of individuals who have returned to their fitness clubs and found that 88%of them are confident in the COVID-19 mitigation efforts their club is using and nearly 65%are using exercise to improve their mental health.

Certainly, more studies are needed to analyze the effectiveness of COVID-19 protocols to protect public health and safety. Meanwhile, big-box fitness centers are taking necessary precautions to do their part while also providing an essential service to the public enabling Ohioans to take care of their physical and mental health.

Dr. Kenneth P.Moritsuguformerly served as the deputy surgeon general and the acting surgeon general of the United States.

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Column: Ohios fitness centers have critical role in COVID-19 fight - The Columbus Dispatch

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