Document Detail

Upper respiratory tract infections: who plays, who sits?
MedLine Citation:
PMID:  12831664     Owner:  NLM     Status:  MEDLINE    
In athletes with upper respiratory infections (URIs), the question of who plays and who sits can be difficult to answer. Acute exercise suppresses several aspects of the immune system. None of these immunologic changes, however, consistently correlate with the incidence of URIs in athletes. The risk of infection with exercise seems to follow a J-curve relationship, with regular, moderate exercisers having a lower risk than sedentary people, and regular, strenuous exercisers having the highest risk of all. The decision to allow an athlete to play or not can be guided by the "neck check" rules, and can also take into account nonmedical factors. The athlete with infectious mononucleosis warrants more careful attention, as there are strict guidelines for return-to-play in these individuals, to avoid the possibility of splenic rupture.
John P Metz
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current sports medicine reports     Volume:  2     ISSN:  1537-890X     ISO Abbreviation:  Curr Sports Med Rep     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-06-30     Completed Date:  2003-08-20     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  101134380     Medline TA:  Curr Sports Med Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  84-90     Citation Subset:  IM    
JFK Family Practice Residency, 65 James Street, Edison, NJ 08818, USA.
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MeSH Terms
Disease Susceptibility / immunology
Exercise / physiology
Immune System / physiology
Infectious Mononucleosis / complications,  therapy
Middle Aged
Physical Education and Training / standards
Recovery of Function / immunology
Respiratory Tract Infections / epidemiology,  immunology,  therapy*
Risk Factors
Running / statistics & numerical data
Splenic Rupture / etiology,  prevention & control
Sports Medicine / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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