School of Sport and Exercise Sciences, Division of Natural Sciences, University of Kent, Canterbury Campus.
Res Q Exerc Sport. 2022 Dec;93(4):861-868. doi: 10.1080/02701367.2021.1932707. Epub 2021 Nov 22.
: Team sport athletes have increased susceptibility to upper respiratory symptoms (URS) during periods of intensified training and competition. Reactivation of Epstein-Barr Virus (EBV) may be a novel marker for risk of upper respiratory illness (URI) in professional athletes. : To investigate changes in salivary EBV DNA (in addition to the well-established marker, salivary secretory immunoglobulin A), and incidence of URS in professional footballers. : Over a 16-week period (August to November 2016), 15 male players from a professional English football League 1 club provided weekly unstimulated saliva samples (after a rest day) and recorded URS. Saliva samples were analyzed for secretory IgA (ELISA) and EBV DNA (qPCR). : Whole squad median (interquartile range) saliva IgA concentration and secretion rate significantly decreased ( < .05) between weeks 8 and 12 (concentration, 107 (76-150) mg/L healthy baseline to 51 (31-80) mg/L at week 12; secretion rate 51 (30-78) µg/min healthy baseline to 22 (18-43) µg/min at week 12). Two players reported URS episodes during week 10, both after IgA secretion rate decreased below 40% of the individual's healthy baseline. EBV DNA was detected in the weeks before URS but also at other times and in healthy players (overall frequency 40%, range 11-78%) and frequency was similar between the URS and healthy group. : These findings confirm salivary IgA as a useful marker of URS risk but EBV DNA was not. Further research capturing a greater number of URS episodes is required, however, to fully determine the utility of this marker.
: 团队运动运动员在强化训练和比赛期间对上呼吸道症状 (URS) 的易感性增加。爱泼斯坦-巴尔病毒 (EBV) 的再激活可能是职业运动员上呼吸道疾病 (URI) 风险的新标志物。: 研究唾液 EBV DNA(除了已确立的标志物,唾液分泌型免疫球蛋白 A)的变化,以及职业足球运动员 URS 的发生率。: 在 16 周的时间内(2016 年 8 月至 11 月),来自英格兰足球甲级联赛俱乐部的 15 名男性球员每周提供一次非刺激性唾液样本(在休息日之后)并记录 URS。对唾液样本进行分泌型 IgA(ELISA)和 EBV DNA(qPCR)分析。: 整个球队的中位数(四分位距)唾液 IgA 浓度和分泌率在第 8 周至第 12 周之间显著下降( <.05)(浓度,健康基线的 107(76-150)mg/L 降至第 12 周的 51(31-80)mg/L;分泌率 51(30-78)µg/min 健康基线至第 12 周的 22(18-43)µg/min)。两名球员在第 10 周报告了 URS 发作,均在 IgA 分泌率下降至个体健康基线的 40%以下后发生。EBV DNA 在 URS 之前和其他时间以及健康球员中均有检测到(总体频率为 40%,范围为 11-78%),并且在 URS 和健康组之间的频率相似。: 这些发现证实了唾液 IgA 是 URS 风险的有用标志物,但 EBV DNA 不是。然而,需要进一步研究捕获更多 URS 发作,以充分确定该标志物的效用。
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