Increased number of symptoms during the acute phase of SARS-CoV-2 infection in athletes is associated with prolonged time to return to full sports performance-AWARE VIII.

IF 9.7 1区医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM

Journal of Sport and Health Science Pub Date : 2024-05-01 Epub Date: 2023-10-21 DOI:10.1016/j.jshs.2023.10.005

Carolette Snyders, Marlise Dyer, Nicola Sewry, Esme Jordaan, Martin Schwellnus

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引用次数: 0

Abstract

Purpose: The aim of the study was to identify factors associated with prolonged time to return to full performance (RTFP) in athletes with recent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.

Methods: Prospective cohort study with cross sectional analysis. A total of 84 athletes with confirmed SARS-CoV-2 infection assessed at a coronavirus disease 2019 recovery clinic gave a history of age, sex, type/level of sport, co-morbidities, pre-infection training hours, and 26 acute SARS-CoV-2 symptoms from 3 categories ("nose and throat", "chest and neck", and "whole body"/systemic). Data on days to RTFP were obtained by structured interviews. Factors associated with RTFP were demographics, sport participation, history of co-morbidities, pre-infection training history, and acute symptoms (type, number). Outcomes were: (a) days to RTFP (median, interquartile range (IQR)) in asymptomatic (n = 7) and symptomatic athletes (n = 77), and (b) hazard ratios (HRs; 95% confidence interval) for symptomatic athletes with vs. without a factor (univariate, multiple models). HR < 1 was predictive of higher percentage chance of prolonged RTFP. Significance was p < 0.05.

Results: Days to RTFP were 30 days (IQR: 23-40) for asymptomatic and 64 days (IQR: 42-91) for symptomatic participants (p > 0.05). Factors associated with prolonged RTFP (univariate models) were: females (HR = 0.57; p = 0.014), endurance athletes (HR = 0.41; p < 0.0001), co-morbidity number (HR = 0.75; p = 0.001), and respiratory disease history (HR = 0.54; p = 0.026). In symptomatic athletes, prolonged RTFP (multiple models) was significantly associated with increased "chest and neck" (HR = 0.85; p = 0.017) and "nose and throat" (HR = 0.84; p = 0.013) symptoms, but the association was more profound between prolonged RFTP and increased total number of "all symptoms" (HR = 0.91; p = 0.001) and "whole body"/systemic (HR = 0.82; p = 0.007) symptoms.

Conclusion: A larger number of total symptoms and specifically "whole body"/systemic symptoms during the acute phase of SARS-CoV-2 infection in athletes is associated with prolonged RTFP.

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运动员感染SARS-CoV-2急性期症状数量增加与恢复全面运动表现的时间延长有关——第八部分：运动员在最近的新冠肺炎后恢复全面表现。

目的：本研究的目的是确定最近感染严重急性呼吸综合征冠状病毒2型（SARS-CoV-2）的运动员恢复全面表现时间延长的相关因素。方法：采用横断面分析的前瞻性队列研究。在2019冠状病毒病（新冠肺炎）康复诊所评估的84名确诊感染SARS-CoV-2的运动员共有以下病史：年龄、性别、运动类型/水平、合并症、感染前训练时间，以及3类（“鼻子和喉咙”、“胸部和颈部”以及“全身”/全身）的26种急性SARS-CoV-2症状。RTFP天数数据通过结构化访谈获得。与RTFP相关的因素有：人口统计学、运动参与度、合并症史、感染前训练史、急性症状（类型、数量）。结果为：（a）无症状（n = 7）和有症状的运动员（n = 77），以及（b）有症状运动员与无症状运动员的风险比（HR；95%置信区间（95%CI））（单变量、多模型）。HR<1可预测RTFP延长的%几率更高。结果：无症状参与者的RTFP天数为30天（23-40天），有症状参与者的天数为64天（42-91天）（p>0.05）。与RTFP延长相关的因素（单变量模型）为：女性（HR = 0.57；p = 0.014），耐力运动员（HR = 0.41；p＜0.0001）、合并发病率（HR = 0.75；p = 0.001），呼吸道疾病史（HR = 0.54；p = 0.026）。在有症状的运动员中，RTFP（多个模型）延长与“胸部和颈部”（HR）增加显著相关 = 0.85；p = 0.017）和“鼻子和喉咙”（HR = 0.84）；p = 0.013）症状，但RFTP延长与“所有症状”总数增加之间的关联更为深刻（HR = 0.91；p = 0.001）和“全身”/全身（HR = 0.82；p = 0.007）症状。结论：在严重急性呼吸系统综合征冠状病毒2型感染的急性期，运动员出现大量的全身症状，特别是“全身”/全身症状与RTFP延长有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Sport and Health Science SPORT SCIENCES-

CiteScore

18.30

自引率

1.70%

发文量

101

审稿时长

22 weeks

期刊介绍： The Journal of Sport and Health Science (JSHS) is an international, multidisciplinary journal that aims to advance the fields of sport, exercise, physical activity, and health sciences. Published by Elsevier B.V. on behalf of Shanghai University of Sport, JSHS is dedicated to promoting original and impactful research, as well as topical reviews, editorials, opinions, and commentary papers. With a focus on physical and mental health, injury and disease prevention, traditional Chinese exercise, and human performance, JSHS offers a platform for scholars and researchers to share their findings and contribute to the advancement of these fields. Our journal is peer-reviewed, ensuring that all published works meet the highest academic standards. Supported by a carefully selected international editorial board, JSHS upholds impeccable integrity and provides an efficient publication platform. We invite submissions from scholars and researchers worldwide, and we are committed to disseminating insightful and influential research in the field of sport and health science.