Incidence of respiratory infections and SARS-CoV-2 is higher during contact phases in student rugby players – Lessons learnt from COVID-19 risk mitigation strategies–AWARE V

IF 2.3 Q2 SPORT SCIENCES Sports Medicine and Health Science Pub Date : 2024-03-24 DOI:10.1016/j.smhs.2024.03.005
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Abstract

The incidence of acute respiratory infections (ARinf), including SARS-CoV-2, in unvaccinated student rugby players during phases from complete lockdown during the COVID-19 pandemic to returning to competition is unknown. The aim of the study was to determine the incidence of ARinf (including SARS-CoV-2) during non-contact and contact phases during the COVID-19 pandemic to evaluate risk mitigation strategies. In this retrospective cohort study, 319 top tier rugby players from 17 universities completed an online questionnaire. ARinf was reported during 4 phases over 14 months (April 2020–May 2021): phase 1 (individual training), phase 2 (non-contact team training), phase 3 (contact team training) and phase 4 (competition). Incidence (per 1 000 player days) and Incidence Ratio (IR) for ‘All ARinf’, and subgroups (SARS-CoV-2; ‘Other ARinf’) are reported. Selected factors associated with ARinf were also explored. The incidence of ‘All ARinf’ (0.31) was significantly higher for SARS-CoV-2 (0.23) vs. ‘Other ARinf’ (0.08) (p ​< ​0.01). The incidence of ‘All ARinf’ (IR ​= ​3.6; p ​< ​0.01) and SARS-CoV-2 (IR ​= ​4.2; p ​< ​0.01) infection was significantly higher during contact (phases 3 ​+ ​4) compared with non-contact (phases 1 ​+ ​2). Demographics, level of sport, co-morbidities, allergies, influenza vaccination, injuries and lifestyle habits were not associated with ARinf incidence. In student rugby, contact phases are associated with a 3–4 times higher incidence of ARinf/SARS-CoV-2 compared to non-contact phases. Infection risk mitigation strategies in the contact sport setting are important. Data from this study serve as a platform to which future research on incidence of ARinf in athletes within contact team sports, can be compared.

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学生橄榄球运动员在接触阶段呼吸道感染和 SARS-CoV-2 的发病率较高--从 COVID-19 风险缓解策略中汲取的经验教训--AWARE V
在 COVID-19 大流行期间,未接种疫苗的学生橄榄球运动员从完全封闭到重返赛场的各阶段中急性呼吸道感染 (ARinf) (包括 SARS-CoV-2)的发病率尚不清楚。本研究旨在确定 COVID-19 大流行期间非接触和接触阶段的 ARinf(包括 SARS-CoV-2)发病率,以评估风险缓解策略。在这项回顾性队列研究中,来自 17 所大学的 319 名顶级橄榄球运动员填写了一份在线问卷。在 14 个月(2020 年 4 月至 2021 年 5 月)的 4 个阶段中报告了 ARinf:第 1 阶段(个人训练)、第 2 阶段(非接触式团队训练)、第 3 阶段(接触式团队训练)和第 4 阶段(比赛)。报告了 "所有 ARinf "和分组(SARS-CoV-2;"其他 ARinf")的发病率(每千个球员日)和发病率比(IR)。此外,还探讨了与 ARinf 相关的一些因素。所有 ARinf "的发病率(0.31)明显高于 SARS-CoV-2 的发病率(0.23)和 "其他 ARinf "的发病率(0.08)(p < 0.01)。所有 ARinf"(IR = 3.6;p <;0.01)和 SARS-CoV-2 (IR = 4.2;p <;0.01)的感染率在接触期间(第 3+4 阶段)明显高于非接触期间(第 1+2 阶段)。人口统计学、运动水平、合并疾病、过敏症、流感疫苗接种、受伤和生活习惯与 ARinf 发病率无关。在学生橄榄球运动中,与非接触阶段相比,接触阶段的 ARinf/SARS-CoV-2 发病率要高出 3-4 倍。在接触性运动环境中降低感染风险的策略非常重要。本研究的数据可作为未来研究接触性团队运动中运动员 ARinf 发病率的平台。
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来源期刊
Sports Medicine and Health Science
Sports Medicine and Health Science Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
5.50
自引率
0.00%
发文量
36
审稿时长
55 days
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