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Illnesses during 11 international athletics championships between 2009 and 2017: incidence, characteristics and sex-specific and discipline-specific differences
Univ Jean Monnet, France; Univ Hosp St Etienne, France; French Athlet Federat FFA, France; CHU Vaudois, Switzerland; European Athlet Assoc, Switzerland.
MSH, Germany; Swiss Concuss Ctr, Switzerland; Schulthess Clin Zurich, Switzerland.
Univ Hosp St Etienne, France.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Business support and Development, Department of Health and Care Development.ORCID iD: 0000-0001-6049-5402
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2019 (English)In: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 53, no 18, p. 1174-1182Article in journal (Refereed) Published
Abstract [en]

Background Illnesses impair athletes’ participation and performance. The epidemiology of illness in athletics is limited.

Objective To describe the occurrence and characteristics of illnesses during international athletics championships (indoor and outdoor), and to analyse differences with regards to athletes’ sex and participation in explosive and endurance disciplines.

Methods During 11 international championships held between 2009 and 2017, physicians from both national medical teams and the local organising committees reported daily on all athlete illnesses using a standardised report form. Illness frequencies, incidence proportions (IPs) and rates (IRs), and relative risks (RR) with 95% CIs were calculated.

Results During the 59 days of the 11 athletics championships, 546 illnesses were recorded in the 12 594 registered athletes equivalent to IP of 43.4 illnesses per 1000 registered athletes (95% CI 39.8 to 46.9) or IR of 1.2 per 1000 registered athlete days (95% CI 1.1 to 1.2). The most frequently reported illnesses were upper respiratory tract infections (18.7%), exercise-induced fatigue/hypotension/collapse (15.4%) and gastroenteritis (13.2%). No myocardial infarction was recorded. A total of 28.8% of illnesses were expected to lead to time loss from sport. The illness IP was similar in male and female athletes, with few differences in illness characteristics. During outdoor championships, the illness IP was higher in endurance than explosive disciplines (RR=1.87; 95% CI 1.58 to 2.23), with a considerably higher IP of exercise-induced illness in endurance disciplines, but a similar upper respiratory tract infection IP in both discipline groups.

Conclusions Illness prevention strategies during international athletics championships should be focused on the most frequent diagnoses in each discipline group.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2019. Vol. 53, no 18, p. 1174-1182
National Category
Sport and Fitness Sciences
Identifiers
URN: urn:nbn:se:liu:diva-162563DOI: 10.1136/bjsports-2018-100131ISI: 000495986200011PubMedID: 30862705Scopus ID: 2-s2.0-85062978631OAI: oai:DiVA.org:liu-162563DiVA, id: diva2:1376228
Available from: 2019-12-09 Created: 2019-12-09 Last updated: 2019-12-16Bibliographically approved

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Timpka, Toomas

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Division of Community MedicineFaculty of Medicine and Health SciencesDepartment of Health and Care Development
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