{"id":10197,"date":"2022-09-02T06:00:20","date_gmt":"2022-09-02T05:00:20","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=10197"},"modified":"2022-08-30T15:19:18","modified_gmt":"2022-08-30T14:19:18","slug":"athletes-competing-against-the-virus","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2022\/09\/02\/athletes-competing-against-the-virus\/","title":{"rendered":"Athletes competing against the virus"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Author: \u00cdtalo Ribeiro Lemes, Bruno Gualano<\/span><\/p>\n<p><span style=\"font-weight: 400\">Applied Physiology &amp; Nutrition Research Group; Laboratory of Assessment and Conditioning in Rheumatology; Faculdade de Medicina FMUSP,\u00a0Universidade de S\u00e3o Paulo,\u00a0S\u00e3o Paulo, Brazil<\/span><\/p>\n<p><span style=\"font-weight: 400\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-10198\" style=\"font-size: 1rem\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2022\/08\/fig-blog-BJSM-2022-300x168.jpeg\" alt=\"\" width=\"300\" height=\"168\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2022\/08\/fig-blog-BJSM-2022-300x168.jpeg 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2022\/08\/fig-blog-BJSM-2022-768x429.jpeg 768w, https:\/\/blogs.bmj.com\/bjsm\/files\/2022\/08\/fig-blog-BJSM-2022-640x358.jpeg 640w, https:\/\/blogs.bmj.com\/bjsm\/files\/2022\/08\/fig-blog-BJSM-2022.jpeg 1280w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/span><\/p>\n<p><span style=\"font-weight: 400\">Athletes very often experience mild COVID-19; however, they may still develop persistent symptoms that affect health, performance, and return-to-play decisions. In this blog, we will explain the key findings of our systematic review and meta-analysis, recently published in BJSM.<\/span><\/p>\n<p><b>Why is this study important?<\/b><\/p>\n<p><span style=\"font-weight: 400\">Although some studies have shown that most COVID-19 infections in athletes are asymptomatic or result in a mild form of the disease, little was known on the prevalence, features, and persistence of symptoms in this population. A better understanding of how COVID-19 presents itself in athletes is essential to inform safe return-to-sport protocols, as well as to allow adequate screening and monitoring of potentially at-risk individuals. In this study, we systematically reviewed the literature on male and female athletes diagnosed with COVID-19, across 15 countries, from amateur to professional sports.<\/span><\/p>\n<p><b>How did the study go about this?<\/b><\/p>\n<p><span style=\"font-weight: 400\">We conducted a systematic search in different databases and extracted data on acute and persistent symptoms (during and after the acute phase of infection). These studies included professional, amateur, and collegiate athletes with COVID-19. We calculated the combined estimates of asymptomatic, mild, moderate, and severe cases, as well as estimates for type of acute and persistent symptoms and cardiac involvement.<\/span><\/p>\n<p><b>What did the study find?<\/b><\/p>\n<p><span style=\"font-weight: 400\">A total of 43 studies with 11,518 athletes were analysed. The rate of asymptomatic COVID-19 was 25.5%, while the rates of mild, moderate, and severe forms of the disease were 68.6%, 6.7%, and 1.3%, respectively. The most common acute symptoms were absence of the sense of smell, distortion of the sense of taste, fever\/chills, headache, fatigue, and cough.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The rate of persistent symptoms was 8.3% (with a 95% confidence interval ranging from 3.8 to 17.0%), and the most prevalent ones were absence of the sense of smell, distortion of the sense of taste, cough, fatigue, chest pain, headache, and exercise intolerance.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Some cardiac abnormalities were present in 5% of the athletes who had undertaken cardiac assessments, and in 2.5% among those who had undergone magnetic resonance imaging (MRI). However, clinical symptoms were not well characterised in some of these reviewed studies, so that the clinical applications of such cardiac findings are questionable. In reality, none of the studies using control parameters (e.g., non-infected athletes, pre-infection assessments) could confirm a causal relationship between COVID-19 and cardiac involvement.<\/span><\/p>\n<p><b>What are the key take-home points?<\/b><\/p>\n<p><span style=\"font-weight: 400\">As confirmed by this study, the vast majority of the infected athletes (~94%) have mild or no acute COVID-19 symptoms. Yet, this review also demonstrates that a variable proportion of them may experience persistent symptoms \u2013 some of them being potentially performance-debilitating (e.g., fatigue, exercise intolerance). This may impact the decision-making process of returning the affected athlete to practice or competition.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Of note, the available evidence could not confirm a causal relationship between COVID-19 and cardiac involvement in athletes. The axiom \u201cabsence of evidence is not evidence of absence\u201d is sometimes a clich\u00e9, but can be very well applied to this context, since just a few studies have used adequate controls and diagnosis criteria while assessing myocarditis in athletes.<\/span><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Author: \u00cdtalo Ribeiro Lemes, Bruno Gualano Applied Physiology &amp; Nutrition Research Group; Laboratory of Assessment and Conditioning in Rheumatology; Faculdade de Medicina FMUSP,\u00a0Universidade de S\u00e3o Paulo,\u00a0S\u00e3o Paulo, Brazil Athletes very often experience mild COVID-19; however, they may still develop persistent symptoms that affect health, performance, and return-to-play decisions. In this blog, we will explain the [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2022\/09\/02\/athletes-competing-against-the-virus\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":464,"featured_media":10198,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[16068],"class_list":["post-10197","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-featured"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Athletes competing against the virus - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/?p=10197\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Athletes competing against the virus - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"Author: \u00cdtalo Ribeiro Lemes, Bruno Gualano Applied Physiology &amp; Nutrition Research Group; Laboratory of Assessment and Conditioning in Rheumatology; Faculdade de Medicina FMUSP,\u00a0Universidade de S\u00e3o Paulo,\u00a0S\u00e3o Paulo, Brazil Athletes very often experience mild COVID-19; however, they may still develop persistent symptoms that affect health, performance, and return-to-play decisions. 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