Return to play after acute infectious disease in football players

Scharhag, Jürgen; Meyer, Tim

doi:10.1080/02640414.2014.898861

Cited by 26 publications

(15 citation statements)

References 21 publications

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“…Therefore, special care should be taken upon return-to-play decisions and educational efforts should be made to spread information about risks from sport with an infection. 17 …”

Section: Discussionmentioning

confidence: 99%

Data from a nationwide registry on sports-related sudden cardiac deaths in Germany

Bohm

Scharhag

Meyer

2015

Eur J Prev Cardiolog

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124

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BackgroundProspective national registries examining the incidence and aetiology of sports-related sudden cardiac death (SrSCD) not only in competitive athletes but also in recreational sports participants are uncommon. In May 2012, a prospective registry on SrSCD was installed to examine the incidence and particularly the aetiology of such events in the general population in Germany.MethodsThe registry consists of a web-based platform to record SrSCD cases. Media-monitoring and cooperation with 15 institutes of forensic medicine complemented the search. SrSCD was defined as death occurring during sports activity or up to 1 hour after its cessation, regardless of successful resuscitation. We included subjects at all levels of competition as well as recreational athletes.ResultsAfter 30 months of observation, 144 SrSCDs were recorded (mean age 46.8 ± 16.2 years). The overall incidence was 1.2–1.5/million/year, with 97% being male. Most of the cases occurred in the context of non-elite competitive or recreational sports. Football and running were the most common disciplines. In subjects ≤35 years, myocarditis prevailed, whereas in athletes ≥35 years, CAD predominated by far. Few cardiomyopathies were observed.ConclusionsIn Germany, the largest proportion of SrSCDs occurs in middle-aged men during recreational sports or non-elite competitive sports. The distribution of cardiac diseases responsible for SrSCD seems to vary among European countries. Our findings may indicate the need for a larger focus on myocarditis prevention in the young as well as widening the screening scope to younger athletes below the ‘elite’ level and to senior athletes.

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“…Therefore, special care should be taken upon return-to-play decisions and educational efforts should be made to spread information about risks from sport with an infection. 17 …”

Section: Discussionmentioning

confidence: 99%

Data from a nationwide registry on sports-related sudden cardiac deaths in Germany

Bohm

Scharhag

Meyer

2015

Eur J Prev Cardiolog

Self Cite

124

View full text Add to dashboard Cite

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“…Depending on the type of infection, the scheduled period of returning to training with a maximal load may range from 3-5 days to 3 weeks. It must be emphasised that pressure exerted on the athlete to accelerate their return to high-level performance may be very harmful to their health and may postpone full recovery of their performance (Scharhag and Meyer, 2014). …”

Section: Practical Implicationsmentioning

confidence: 99%

Upper Respiratory Tract Diseases in Athletes in Different Sports Disciplines

Gałązka-Franta

Jura-Szołtys

Smółka

et al. 2016

Journal of Human Kinetics

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Upper respiratory tract diseases in athletes are a very common medical problem. Training conditions in different sports disciplines increase the risk of upper respiratory disease. Epidemiological evidence suggests that heavy acute or chronic exercise is related to an increased incidence of upper respiratory tract infections in athletes. Regular physical exercise at high intensity may lead to transient immunosuppression due to high prevalence of allergic diseases in athletes. Regardless of the cause they can exclude athletes from the training program and significantly impair their performance. In the present work, the most common upper respiratory tract diseases in athletes taking into account the disciplines in which they most often occur were presented. The focus was laid on symptoms, diagnostic methods and pharmacotherapy. Moreover, preventive procedures which can help reduce the occurrence of upper respiratory tract disease in athletes were presented. Management according to anti-doping rules, criteria for return to training and competition as an important issues of athlete’s health were discussed.

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“…common nonsteroidal anti-inflammatory drugs (Van Wijck, Lenaerts, Van Bijnen, Boonen, Van Loon, Dejong, & Buurman, 2012), it is alarming that 42.1% of athletes considered it illegitimate to rest while receiving medication. Secondly, in light of the short and long-term health risks involved in practicing high-intensity sports while having acute infectious diseases (Scharhag & Meyer, 2014), it is of considerable concern that 16.4% are averse to resting when suffering from a fevery cold. Conversely, the descriptive results also show that more than half of the young athletes seem to have internalized a more cautious approach to playing hurt, and that they are far more willing than older elite athletes to withdraw from competition when feeling unwell (Mayer & Thiel, 2016).…”

Section: Discussionmentioning

confidence: 99%

Compete or rest? Willingness to compete hurt among adolescent elite athletes

Mayer

Giel

Malcolm

et al. 2018

Psychology of Sport and Exercise

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Objective: Training and competing despite underlying health problems is a common social practice in sport. Adolescent elite athletes are particularly vulnerable to possible health consequences of this risky behavior due to their very sensitive developmental stage. Conceptualizing this phenomenon of playing hurt as sickness presenteeism, and taking the concept of absence/presence legitimacy into account, this paper analyzes the propensity of adolescent elite athletes to compete in the face of health problems. The central aim is to empirically identify characteristics of elite sport subcultures which affect athletes' willingness to compete hurt (WCH). Materials & Methods: Based on a comprehensive sample of 1138 German elite adolescent athletes from all Olympic sports (14-18 years), the paper applies classification tree analysis to analyze the social and individual determinants of the WCH. Results: Determinants on three hierarchical levels were identified, including type of sport, perceptions of social pressure, coach's leadership style and athletes' age. The group with the highest WCH were athletes from technical sports who have a coach with an autocratic leadership style. Second was athletes from ball games, and those in aesthetic and weight-dependent sports, aged between 17 and 18 years old. The lowest mean WCH-score, by some distance, occurred amongst the group of endurance and power sports athletes who experienced no direct social pressure to play hurt. Conclusions: The findings enhance our understanding of absence/presence legitimacy in highly competitive social contexts and contribute to the development of more effective target-group-specific health prevention programs for young athletes.

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Return to play after acute infectious disease in football players

Cited by 26 publications

References 21 publications

Data from a nationwide registry on sports-related sudden cardiac deaths in Germany

Data from a nationwide registry on sports-related sudden cardiac deaths in Germany

Upper Respiratory Tract Diseases in Athletes in Different Sports Disciplines

Compete or rest? Willingness to compete hurt among adolescent elite athletes

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