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Reducing sedentary time in clinical populations: the take a stand for health study

Grant number: 17/13552-2
Support type:Research Projects - Thematic Grants
Duration: April 01, 2019 - March 31, 2024
Field of knowledge:Health Sciences - Medicine - Medical Clinics
Principal researcher:Bruno Gualano
Grantee:Bruno Gualano
Home Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil
Pesquisadores principais:
Hamilton Augusto Roschel da Silva
Assoc. researchers:Ana Jéssica Pinto ; Ana Lúcia de Sá Pinto ; David Dunstan ; Eloisa Silva Dutra de Oliveira Bonfá ; Ernani Pinto Junior ; Fabiana Braga Benatti ; Fábio Henrique de Gobbi Porto ; Fernanda Rodrigues Lima ; James Turner ; John Patrick Kirwan ; Marco Aurélio Santo ; Maria Claudia Costa Irigoyen ; Miriam Sanz Roldán ; Neville Owen ; Roberto de Cleva ; Rosa Maria Rodrigues Pereira ; Sonia Maria Dozzi Brucki
Associated scholarship(s):22/08306-0 - Reducing sedentary time in clinical populations: the Take a STAND for health study, BP.IC
22/08862-0 - Reducing sedentary time in clinical populations: The Take a STAND for health study, BP.TT
21/10385-3 - Reducing sedentary time in clinical populations: the take a stand for health study, BP.TT
+ associated scholarships 21/04616-2 - Reducing sedentary time in clinical populations: the take a stand for health study, BP.IC
19/22160-6 - Reducing sedentary time in bariatric patients: a proof-of-concept, laboratorial study, BP.PD
19/20814-9 - Reducing sedentary time in mild cognitive impairment patients: a randomized controlled trial, BP.PD
19/18039-7 - Reducing sedentary time in bariatric patients: a randomized controlled trial, BP.PD - associated scholarships

Abstract

Cumulative evidence has shown that sedentary behavior (i.e., excessive time spent while in a sitting or reclining posture) is a strong and independent factor predisposing to poor health-related outcomes and all-cause mortality in several populations. In this context, new interventions focused on reducing sedentary time could be of great therapeutic relevance. To date, however, studies assessing this topic remain scarce. This research program aims to comprehensively investigate the clinical, physiological, metabolic, and molecular effects of reducing sedentary behavior in specific clinical populations. To that end, we will perform three distinct randomized controlled trials and three acute laboratorial studies involving rheumatoid arthritis, bariatric and mild cognitive impairment patients. All of these studies are under the umbrella title Take a stand for health. The 4-month parallel-group randomized controlled trials aim to investigate the feasibility and efficacy of a newly developed personalized intervention focused on replacing sedentary time with light-(or very light-) intensity physical activity in these populations. A multitude of gold-standard techniques will be applied to evaluate the effects of the intervention on several outcomes, including sedentary time (primary outcome), physical activity levels, clinical parameters specific to each condition, cardiometabolic risk factors, immune function, and health-related quality of life. In addition, skeletal muscle and blood samples will be collected and a variety of molecular analyses will be performed to gather knowledge on the potential mechanisms which underpin the response to this intervention. The cross-over acute studies mainly aim to unravel potential mechanisms underlying the effects of successive breaks in prolonged sitting (i.e., 3-minute bouts of light-intensity walking every 30 minutes for 8 hours) versus 30-minutes of exercise followed by prolonged sitting or prolonged sitting only (control condition), in a well-controlled laboratorial condition. We will assess physiological and metabolic parameters (i.e., arterial blood pressure, heart rate, insulin sensitivity surrogates, lipid profile, and inflammatory markers) throughout the experimental sessions. In addition, we will explore the molecular responses in skeletal muscle and in blood, elicited by the interventions, through targeted analyses of candidate genes and proteins potentially modulated by physical (in)activity as well as untargeted analyses, by means of proteomic and metabolomic approaches. Our research team involves several national and international leading experts who act from clinical to translational sciences; and our research facilities are perfectly suited to conducting the planned studies. Findings emerging from this research program will be of paramount clinical relevance since they could provide the foundation for new prescriptions focused on reducing sedentary behavior, which is an important, modifiable and so far, overlooked risk factor in clinical populations. From a scientific standpoint, this project will originate a body of cutting-edge data, which could be highly influential in broad scientific fields, including Medical Sciences, Exercise Science, Public Health, and Basic Sciences. (AU)

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Scientific publications (33)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
ASTLEY, CAMILLA; CLEMENTE, GLEICE; TERRERI, MARIA TERESA; CARNEIRO, CAMILA G.; LIMA, MARCOS S.; BUCHPIGUEL, CARLOS ALBERTO; LEAO FILHO, HILTON; PINTO, ANA LUCIA DE SA; SILVA, CLOVIS ARTUR; ARRUDA CAMPOS, LUCIA MARIA; et al. Home-Based Exercise Training in Childhood-Onset Takayasu Arteritis: A Multicenter, Randomized, Controlled Trial. FRONTIERS IN IMMUNOLOGY, v. 12, . (15/03756-4, 17/07358-9, 17/13552-2)
NICOLETTI, CAROLINA FERREIRA; ESTEVES, GABRIEL PERRI; GENARIO, RAFAEL; SANTO, MARCO AURELIO; DE CLEVA, ROBERTO; GUALANO, BRUNO; ROSCHEL, HAMILTON. Nutritional Inadequacies Among Post-bariatric Patients During COVID-19 Quarantine in Sao Paulo, Brazil. OBESITY SURGERY, v. 31, n. 5, . (20/07860-9, 19/18039-7, 15/26937-4, 17/13552-2)
DOLAN, EIMEAR; ARTIOLI, GUILHERME G.; PEREIRA, ROSA MARIA R.; GUALANO, BRUNO. Muscular Atrophy and Sarcopenia in the Elderly: Is There a Role for Creatine Supplementation?. BIOMOLECULES, v. 9, n. 11, . (19/05616-6, 17/13552-2)
MURAI, IGOR H.; FERNANDES, ALAN L.; SALES, LUCAS P.; PINTO, ANA J.; GOESSLER, KARLA F.; DURAN, CAMILA S. C.; SILVA, CARLA B. R.; FRANCO, ANDRE S.; MACEDO, MARINA B.; DALMOLIN, HENRIQUE H. H.; et al. Effect of a Single High Dose of Vitamin D-3 on Hospital Length of Stay in Patients With Moderate to Severe COVID-19 A Randomized Clinical Trial. JAMA, v. 325, n. 11, . (15/26937-4, 20/05752-4, 19/18039-7, 17/13552-2, 20/11102-2, 16/00006-7, 19/24782-4)
BARRETO, GABRIEL; GRECCO, BEATRIZ; MEROLA, PIETRO; GONCALVES REIS, CAIO EDUARDO; GUALANO, BRUNO; SAUNDERS, BRYAN. Novel insights on caffeine supplementation, CYP1A2 genotype, physiological responses and exercise performance. EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY, v. 121, n. 3, . (17/15314-1, 17/13552-2, 20/02391-0, 16/50438-0)
ASTLEY, CAMILLA; PINTO, ANA JESSICA; BONFA, ELOISA; DA SILVA, CLOVIS ARTUR ALMEIDA; GUALANO, BRUNO. Gaps on rheumatologists' knowledge of physical activity. CLINICAL RHEUMATOLOGY, v. 40, n. 7, . (15/26937-4, 17/13552-2, 15/03756-4)
SMAIRA, FABIANA INFANTE; MAZZOLANI, BRUNA CARUSO; ESTEVES, GABRIEL PERRI; ANDRE, HELOISA C. SANTO; AMARANTE, MILLA CORDEIRO; CASTANHO, DANIELA FERNANDES; CAMPOS, KAREN JENNIFER DE; BENATTI, FABIANA BRAGA; PINTO, ANA JESSICA; ROSCHEL, HAMILTON; et al. Poor Eating Habits and Selected Determinants of Food Choice Were Associated With Ultraprocessed Food Consumption in Brazilian Women During the COVID-19 Pandemic. FRONTIERS IN NUTRITION, v. 8, . (19/14819-8, 20/07860-9, 17/13552-2, 15/26937-4, 19/14820-6)
SIECZKOWSKA, MENDES; SMAIRA, FABIANA INFANTE; MAZZOLANI, BRUNA CARUSO; GUALANO, BRUNO; ROSCHEL, HAMILTON; PECANHA, TIAGO. Efficacy of home-based physical activity interventions in patients with autoimmune rheumatic diseases: A systematic review and meta-analysis. SEMINARS IN ARTHRITIS AND RHEUMATISM, v. 51, n. 3, p. 576-587, . (19/07150-4, 19/14820-6, 17/13552-2, 16/23319-0, 19/14819-8, 19/15231-4)
GONCALVES, LIVIA DE SOUZA; SALES, LUCAS PEIXOTO; SAITO, TIEMI RAQUEL; CAMPOS, JULIANE CRUZ; FERNANDES, ALAN LINS; NATALI, JOSE; JENSEN, LEONARDO; ARNOLD, ALEXANDRE; RAMALHO, LISLEY; BECHARA, LUIZ ROBERTO GRASSMANN; et al. Histidine dipeptides are key regulators of excitation-contraction coupling in cardiac muscle: Evidence from a novel CARNS1 knockout rat model. REDOX BIOLOGY, v. 44, . (17/16540-5, 13/14746-4, 17/11142-1, 13/07937-8, 17/13552-2, 19/24899-9, 18/14544-6, 19/25032-9, 14/11948-8, 20/04006-7)
SMAIRA, FABIANA INFANTE; MAZZOLANI, BRUNA CARUSO; PECANHA, TIAGO; DOS SANTOS, KAMILA MEIRELES; NUNES REZENDE, DIEGO AUGUSTO; ARAUJO, MARIA EUGENIA; BONFIGLIOLI, KARINA; SCAGLIUSI, FERNANDA BAEZA; BENATTI, FABIANA BRAGA; DE SA PINTO, ANA LUCIA; et al. Ultra-processed food consumption associates with higher cardiovascular risk in rheumatoid arthritis. CLINICAL RHEUMATOLOGY, v. 39, n. 5, . (15/26937-4, 17/17837-1, 16/23319-0, 17/13552-2)
YAMAGUCHI, GUILHERME CARVALHO; NEMEZIO, KLEINER; SCHULZ, MARIANE LEICHSENRING; NATALI, JOSE; CESAR, JONATAS EDUARDO; RIANI, LUIZ AUGUSTO; GONCALVES, LIVIA DE SOUZA; MOLLER, GABRIELLA BERWIG; SALE, CRAIG; GENNARI DE MEDEIROS, MARISA HELENA; et al. Kinetics of Muscle Carnosine Decay after beta-Alanine Supplementation: A 16-wk Washout Study. MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, v. 53, n. 5, p. 1079-1088, . (13/07937-8, 17/13552-2, 19/25032-9, 14/11948-8, 13/14746-4)
NEMEZIO, KLEINER; YAMAGUCHI, GUILHERME DE CARVALHO; BOITO RAMKRAPES, ANA PAULA; SCHULZ, MARIANE LEICHSENRING; BAPTISTA, IGOR LUCHINI; RIANI, LUIZ AUGUSTO; GONCALVES, LIVIA DE SOUZA; SALE, CRAIG; GENNARI DE MEDEIROS, MARISA HELENA; GUALANO, BRUNO; et al. The role of chronic muscle (in)activity on carnosine homeostasis: a study with spinal cord-injured athletes. AMERICAN JOURNAL OF PHYSIOLOGY-REGULATORY INTEGRATIVE AND COMPARATIVE PHYSIOLOGY, v. 320, n. 6, p. R824-R832, . (14/11948-8, 19/25032-9, 17/13552-2, 13/07937-8, 15/23176-2, 13/14746-4, 19/12236-5)
GIL, SAULO; JACOB FILHO, WILSON; SHINJO, SAMUEL KATSUYUKI; FERRIOLLI, EDUARDO; BUSSE, ALEXANDRE LEOPOLD; AVELINO-SILVA, THIAGO JUNQUEIRA; LONGOBARDI, IGOR; DE OLIVEIRA JUNIOR, GERSIEL NASCIMENTO; SWINTON, PAUL; GUALANO, BRUNO; et al. Muscle strength and muscle mass as predictors of hospital length of stay in patients with moderate to severe COVID-19: a prospective observational study. JOURNAL OF CACHEXIA SARCOPENIA AND MUSCLE, . (17/13552-2, 20/08091-9)
PINTO, ANA J.; GOESSLER, KARLA F.; FERNANDES, ALAN L.; MURAI, IGOR H.; SALES, LUCAS P.; REIS, BRUNA Z.; SANTOS, MAYARA DINIZ; ROSCHEL, HAMILTON; PEREIRA, ROSA M. R.; GUALANO, BRUNO. No independent associations between physical activity and clinical outcomes among hospitalized patients with moderate to severe COVID-19. JOURNAL OF SPORT AND HEALTH SCIENCE, v. 10, n. 6, p. 690-696, . (16/00006-7, 20/05752-4, 15/26937-4, 19/18039-7, 19/24782-4, 17/13552-2, 20/11102-2)
PINTO, ANA J.; MEIRELES, KAMILA; PECANHA, TIAGO; MAZZOLANI, BRUNA C.; SMAIRA, I, FABIANA; REZENDE, DIEGO; BENATTI, FABIANA B.; RIBEIRO, ANA C. M.; PINTO, ANA L. S.; LIMA, FERNANDA R.; et al. Acute cardiometabolic effects of brief active breaks in sitting for patients with rheumatoid arthritis. AMERICAN JOURNAL OF PHYSIOLOGY-ENDOCRINOLOGY AND METABOLISM, v. 321, n. 6, p. E782-E794, . (19/14819-8, 19/14820-6, 17/13552-2, 16/23319-0, 15/26937-4, 18/19418-9)
MAZZOLANI, BRUNA CARUSO; SMAIRA, FABIANA INFANTE; ASTLEY, CAMILLA; IRAHA, AMANDA YURI; PINTO, ANA JESSICA; MARQUES, ISABELA GOUVEIA; CORDEIRO AMARANTE, MILLA; REZENDE, NATHALIA SAFFIOTI; SIECZKOWSKA, SOFIA MENDES; FRANCO, TATHIANE CHRISTINE; et al. Changes in Eating Habits and Sedentary Behavior During the COVID-19 Pandemic in Adolescents With Chronic Conditions. FRONTIERS IN PEDIATRICS, v. 9, . (19/20814-9, 19/14819-8, 19/14820-6, 16/00006-7, 17/13552-2, 19/15231-4, 15/03756-4, 15/26937-4)
REIS, BRUNA Z.; FERNANDES, ALAN L.; SALES, LUCAS P.; SANTOS, MAYARA D.; DOS SANTOS, CAROLINE C.; PINTO, ANA J.; GOESSLER, KARLA F.; FRANCO, ANDRE S.; DURAN, CAMILA S. C.; SILVA, CARLA B. R.; et al. Influence of vitamin D status on hospital length of stay and prognosis in hospitalized patients with moderate to severe COVID-19: a multicenter prospective cohort study. AMERICAN JOURNAL OF CLINICAL NUTRITION, v. 114, n. 2, p. 598-604, . (17/13552-2, 15/26937-4, 19/18039-7, 16/00006-7, 20/05752-4, 19/24782-4, 20/11102-2)
PECANHA, TIAGO; MEIRELES, KAMILA; PINTO, ANA JESSICA; NUNES REZENDE, DIEGO AUGUSTO; IRAHA, AMANDA YURI; MAZZOLANI, BRUNA CARUSO; SMAIRA, FABIANA INFANTE; KLUSER SALES, ALLAN ROBSON; BONFIGLIOLI, KARINA; DE SA-PINTO, ANA LUCIA; et al. Increased sympathetic and haemodynamic responses to exercise and muscle metaboreflex activation in post-menopausal women with rheumatoid arthritis. JOURNAL OF PHYSIOLOGY-LONDON, v. 599, n. 3, . (15/26937-4, 19/07150-4, 17/13552-2, 19/14819-8, 14/11671-6)
PECANHA, TIAGO; GOESSLER, KARLA FABIANA; ROSCHEL, HAMILTON; GUALANO, BRUNO. Social isolation during the COVID-19 pandemic can increase physical inactivity and the global burden of cardiovascular disease. AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, v. 318, n. 6, p. H1441-H1446, . (19/07150-4, 19/18039-7, 17/13552-2)
GUALANO, BRUNO; KIRWAN, JOHN P.; ROSCHEL, HAMILTON. Exercise Is Key to Sustaining Metabolic Gains After Bariatric Surgery. EXERCISE AND SPORT SCIENCES REVIEWS, v. 49, n. 3, p. 197-204, . (17/13552-2, 16/10993-5)
REZENDE, DIEGO A. N.; PINTO, ANA J.; GOESSLER, KARLA F.; NICOLETTI, CAROLINA F.; SIECZKOWSKA, SOFIA M.; MEIRELES, KAMILA; ESTEVES, GABRIEL P.; GENARIO, RAFAEL; OLIVEIRA JUNIOR, GERSIEL N.; SANTO, MARCO A.; et al. Influence of Adherence to Social Distancing Due to the COVID-19 Pandemic on Physical Activity Level in Post-bariatric Patients. OBESITY SURGERY, v. 31, n. 3, p. 1372-1375, . (19/15231-4, 17/13552-2, 15/26937-4, 19/18039-7)
GONCALVES, LIVIA DE SOUZA; KRATZ, CAROLINE; SANTOS, LIVIA; CARVALHO, VICTOR HENRIQUE; SALES, LUCAS PEIXOTO; NEMEZIO, KLEINER; LONGOBARDI, IGOR; RIANI, LUIZ AUGUSTO; DE OLIVEIRA LIMA, MARCELO MIRANDA; SAITO, TIEMI; et al. Insulin does not stimulate beta-alanine transport into human skeletal muscle. AMERICAN JOURNAL OF PHYSIOLOGY-CELL PHYSIOLOGY, v. 318, n. 4, p. C777-C786, . (13/14746-4, 17/13552-2, 13/07937-8)
PINTO, ANA JESSICA; DUNSTAN, DAVID W.; OWEN, NEVILLE; BONFA, ELOISA; GUALANO, BRUNO. Combating physical inactivity during the COVID-19 pandemic. Nature Reviews Rheumatology, . (15/26937-4, 17/13552-2, 18/19418-9, 15/03756-4)
DE OLIVEIRA JUNIOR, GERSIEL NASCIMENTO; GOESSLER, KARLA FABIANA; PEREIRA SANTOS, JHONNATAN VASCONCELOS; DE LIMA, ALISSON PADILHA; GENARIO, RAFAEL; MEREGE-FILHO, CARLOS ALBERTO ABUJABRA; NUNES REZENDE, DIEGO AUGUSTO; DAMIOT, ANTHONY; DE CLEVA, ROBERTO; SANTO, MARCO AURELIO; et al. Home-Based Exercise Training During COVID-19 Pandemic in Post-Bariatric Patients: a Randomized Controlled Trial. OBESITY SURGERY, v. 31, n. 11, . (17/13552-2, 17/16104-0, 19/22160-6, 19/18039-7)
GOESSLER, KARLA FABIANA; NICOLETTI, CAROLINA FERREIRA; REZENDE, DIEGO AUGUSTO NUNES; SIECZKOWSKA, SOFIA MENDES; ESTEVES, GABRIEL PERRI; GENARIO, RAFAEL; DE OLIVEIRA JUNIOR, GERSIEL NASCIMENTO; MEIRELES, KAMILA; PINTO, ANA JESSICA; NAKAHARA-MELO, MICHELE; et al. Outpatient Screening of Health Status Among Postbariatric Patients during the COVID-19 Pandemic in Sao Paulo, Brazil. OBESITY, v. 28, n. 12, p. 2263-2264, . (15/26937-4, 19/18039-7, 17/13552-2)
PERIM, PEDRO; GOBBI, NATHAN; DUARTE, BRENO; FARIAS DE OLIVEIRA, LUANA; COSTA, LUIZ AUGUSTO RIANI; SALE, CRAIG; GUALANO, BRUNO; DOLAN, EIMEAR; SAUNDERS, BRYAN. Beta-alanine did not improve high-intensity performance throughout simulated road cycling. European Journal of Sport Science, . (19/07497-4, 17/13552-2, 18/01594-5, 19/06140-5, 16/17391-0, 16/50438-0, 19/05616-6)
ISABELA GOUVEIA MARQUES; CAMILLA ASTLEY; SOFIA MENDES SIECZKOWSKA; AMANDA YURI IRAHA; TATHIANE CHRISTINE FRANCO; FABIANA INFANTE SMAIRA; BRUNA CARUSO MAZZOLANI; LUANA CRISTINA DO AMARAL MIRANDA; BIANCA PIRES IHARA; ROSA MARIA R. PEREIRA; et al. Lessons learned from a home-based exercise program for adolescents with pre-existing chronic diseases during the COVID-19 quarantine in Brazil. Clinics, v. 76, . (19/14820-6, 16/00006-7, 19/14819-8, 15/03756-4, 19/15231-4, 17/13552-2, 19/20814-9)
PINTO, ANA JESSICA; PECANHA, TIAGO; MEIRELES, KAMILA; BENATTI, FABIANA BRAGA; BONFIGLIOLI, KARINA; DE SA PINTO, ANA LUCIA; LIMA, FERNANDA RODRIGUES; RODRIGUES PEREIRA, ROSA MARIA; COSTA IRIGOYEN, MARIA CLAUDIA; TURNER, JAMES EDWARD; et al. A randomized controlled trial to reduce sedentary time in rheumatoid arthritis: protocol and rationale of the Take a STAND for Health study. Trials, v. 21, n. 1, . (15/26937-4, 17/13552-2, 18/19418-9, 16/23319-0)
MAZZOLANI, BRUNA CARUSO; SMAIRA, FABIANA INFANTE; ESTEVES, GABRIEL PERRI; SANTO ANDRE, HELOISA C.; AMARANTE, MILLA CORDEIRO; CASTANHO, DANIELA; CAMPOS, KAREN; BENATTI, FABIANA BRAGA; PINTO, ANA JESSICA; ROSCHEL, HAMILTON; et al. Influence of Body Mass Index on Eating Habits and Food Choice Determinants Among Brazilian Women During the COVID-19 Pandemic. FRONTIERS IN NUTRITION, v. 8, . (20/07860-9, 17/13552-2, 15/26937-4, 19/14819-8, 19/14820-6)
DOLAN, EIMEAR; WARREN, DANIEL E.; HARRIS, ROGER C.; SALE, CRAIG; GUALANO, BRUNO; SAUNDERS, BRYAN. Skeletal muscle histidine-containing dipeptide contents are increased in freshwater turtles (C. picta bellii) with cold-acclimation. COMPARATIVE BIOCHEMISTRY AND PHYSIOLOGY A-MOLECULAR & INTEGRATIVE PHYSIOLOGY, v. 262, . (19/26899-6, 17/13552-2, 16/50438-0, 19/05616-6)
ASTLEY, CAMILLA; SIECZKOWSKA, SOFIA MENDES; MARQUES, ISABELA GOUVEIA; IHARA, BIANCA PIRES; LINDOSO, LIVIA; MARTINS LAVORATO, SOFIA SIMAO; ARRUDA CAMPOS, LUCIA MARIA; RODRIGUES PEREIRA, ROSA MARIA; ELIAS, ADRIANA MALUF; AIKAWA, NADIA EMI; et al. Home-based exercise program for adolescents with juvenile dermatomyositis quarantined during COVID-19 pandemic: a mixed methods study. PEDIATRIC RHEUMATOLOGY, v. 19, n. 1, . (17/13552-2, 19/20814-9, 15/03756-4, 19/15231-4)
SIECZKOWSKA, SOFIA MENDES; DE LIMA, ALISSON PADILHA; SWINTON, PAUL ALAN; DOLAN, EIMEAR; ROSCHEL, HAMILTON; GUALANO, BRUNO. Health Coaching Strategies for Weight Loss: A Systematic Review and Meta-Analysis. ADVANCES IN NUTRITION, v. 12, n. 4, p. 1449-1460, . (19/15231-4, 17/13552-2, 19/05616-6)
GUALANO, BRUNO; BRITO, GISELE MENDES; PINTO, ANA JESSICA; LEMES, ITALO RIBEIRO; NAGEM JANOT MATOS, LUCIANA DINIZ; DE SA PINTO, ANA LUCIA; LOTURCO, IRINEU; SPORT-COVID-19, COALITION. High SARS-CoV-2 infection rate after resuming professional football in Sao Paulo, Brazil. BRITISH JOURNAL OF SPORTS MEDICINE, . (17/13552-2, 20/04877-8)

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