关键词: Athlete COVID-19 Elite performance Olympics Sports & exercise medicine

来  源:   DOI:10.1136/bmjsem-2023-001610   PDF(Pubmed)

Abstract:
UNASSIGNED: The Tokyo Olympic games were the only games postponed for a year in peacetime, which will be remembered as the COVID-19 Olympics. No data are currently available on the effect on athlete\'s performance.
UNASSIGNED: To examine the Italian Olympic athletes who have undergone the return to play (RTP) protocol after COVID-19 and their Olympic results.
UNASSIGNED: 642 Potential Olympics (PO) athletes competing in 19 summer sport disciplines were evaluated through a preparticipation screening protocol and, when necessary, with the RTP protocol. The protocol comprised blood tests, 12-lead resting ECG, transthoracic echocardiogram, cardiopulmonary exercise test, 24-hour Holter-ECG monitoring and cardiovascular MR based on clinical indication.
UNASSIGNED: Of the 642 PO athletes evaluated, 384 participated at the Olympic Games, 254 being excluded for athletic reasons. 120 athletes of the total cohort of 642 PO were affected by COVID-19. They were evaluated with the RTP protocol before resuming physical activity after a mean detraining period of 30±13 days. Of them, 100 were selected for Olympic Games participation, 16 were excluded for athletic reasons and 4 were due to RTP results (2 for COVID-19-related myocarditis, 1 for pericarditis and 1 for complex ventricular arrhythmias). Among athletes with a history of COVID-19 allowed to resume physical activity after the RTP and selected for the Olympic Games, no one had abnormalities in cardiopulmonary exercise test parameters, and 28 became medal winners with 6 gold, 6 silver and 19 bronze medals.
UNASSIGNED: Among athletes with COVID-19, there is a low prevalence of cardiac sequelae. For those athletes allowed to resume physical activity after the RTP evaluation, the infection and the forced period of inactivity didn\'t have a negative impact on athletic performance.
摘要:
东京奥运会是和平时期唯一推迟一年的奥运会,这将被铭记为COVID-19奥运会。目前没有关于对运动员表现的影响的数据。
检查在COVID-19之后经历了重返比赛(RTP)协议的意大利奥运运动员及其奥运成绩。
642名参加19个夏季运动学科的潜在奥运会(PO)运动员通过参与前筛选协议进行了评估,必要时,RTP协议。协议包括血液测试,12导联静息心电图,经胸超声心动图,心肺运动试验,基于临床指征的24小时动态心电图监测和心血管MR。
在接受评估的642名PO运动员中,384人参加了奥运会,254出于运动原因被排除在外。642名PO队列中的120名运动员受到COVID-19的影响。在30±13天的平均训练期后恢复体力活动之前,使用RTP协议对他们进行了评估。其中,选出100人参加奥运会,16例因运动原因被排除在外,4例因RTP结果(2例因COVID-19相关性心肌炎,1用于心包炎,1用于复杂的室性心律失常)。在有COVID-19病史的运动员中,在RTP后被允许恢复体育锻炼并入选奥运会,没有人在心肺运动测试参数异常,28人以6金成为奖牌获得者,6枚银牌和19枚铜牌。
在患有COVID-19的运动员中,心脏后遗症的患病率较低。对于那些在RTP评估后被允许恢复体力活动的运动员,感染和不活动的强迫期对运动成绩没有负面影响。
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