Спортивная медицина и спортивное сообщество в условиях эпидемии коронавируса
Спортивная медицина и спортивное сообщество в условиях эпидемии коронавируса
Бадтиева В.А., Шарыкин А.С., Зеленкова И.Е. Спортивная медицина и спортивное сообщество в условиях эпидемии коронавируса. Consilium Medicum. 2020; 22 (5): 28–34. DOI: 10.26442/20751753.2020.5.200181
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Badtieva V.A., Sharykin A.S., Zelenkova I.E. Sports medicine and sports population under conditions of the coronavirus epidemic. Consilium Medicum. 2020; 22 (5): 28–34. DOI: 10.26442/20751753.2020.5.200181
Спортивная медицина и спортивное сообщество в условиях эпидемии коронавируса
Бадтиева В.А., Шарыкин А.С., Зеленкова И.Е. Спортивная медицина и спортивное сообщество в условиях эпидемии коронавируса. Consilium Medicum. 2020; 22 (5): 28–34. DOI: 10.26442/20751753.2020.5.200181
________________________________________________
Badtieva V.A., Sharykin A.S., Zelenkova I.E. Sports medicine and sports population under conditions of the coronavirus epidemic. Consilium Medicum. 2020; 22 (5): 28–34. DOI: 10.26442/20751753.2020.5.200181
В условиях пандемии коронавируса существуют неясные долгосрочные перспективы для возврата к полноценному соревновательному спорту, занятости и благополучия спортсменов, персонала, индустрии спорта, вызывающие значительную напряженность в обществе. В связи с этим можно ожидать неконтролируемый рост спортивной и параспортивной активности после снятия эпидемиологических ограничений. В этих условиях большое значение приобретают подготовка медицинского сообщества к возвращению полноценного спортивного движения, разработка мер по контролю за состоянием здоровья спортсменов, а также взаимодействию спортсменов, зрителей и обслуживающего персонала. Цель работы – оценить сведения на данную тему, существующие в медицинских журналах, онлайн-ресурсах и социальных сетях и подтвержденные позициями ведущих специалистов.
In the context of the coronavirus pandemic, there are unclear long-term prospects for returning to full-fledged competitive sports, employment and well-being of athletes, personnel, and the sports industry, causing considerable tension in society. In this regard, an uncontrolled increase in sports and parasports activity can be expected after the removal of epidemiological restrictions. Under these conditions, preparing the medical community for the return of a full-fledged sports movement, developing measures to monitor the health status of athletes, as well as the interaction of athletes, spectators and maintenance personnel, is of great importance. The aim of the work is to evaluate the information on this topic existing in medical journals, online resources and social networks, and confirmed by the positions of leading experts.
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2. Zitek T. The Appropriate Use of Testing for COVID-19. West J Emerg Med. 2020; 21 (3): 470–2. DOI: 10.5811/westjem.2020.4.47370
3. Bachelet VC. Do we know the diagnostic properties of the tests used in COVID-19? A rapid review of recently published literature. Medwave 2020; 20 (3): e7890. DOI: 10.5867/medwave.2020.03.7891
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9. Peterson AR, Nash E, Anderson BJ. Infectious disease in contact sports. Sports Health 2019; 11 (1): 47–58. DOI: 10.1177/1941738118789954
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12. LaBelle MW, Knapik DM, Arbogast JW et al. Infection Risk Reduction Program on Pathogens in High School and Collegiate Athletic Training Rooms. Sports Health 2020; 12 (1): 51–7. DOI: 10.1177/1941738119877865
13. Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect 2020; 104 (3): 246–51. DOI: 10.1016/j.jhin.2020.01.022
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18. Finocchiaro G, Papadakis M, Robertus JL et al. Etiology of sudden death in sports: insights from a United Kingdom regional registry. J Am Coll Cardiol 2016; 67: 2108–15.
19. Kochi AN, Tagliari AP, Forleo GB et al. Cardiac and arrhythmic complications in patients with COVID-19. J Cardiovasc Electrophysiol 2020; 31: 1003–8. DOI: 10.1111/jce.14479
20. Madjid M, Safavi-Naeini P, Solomon SD, Vardeny O. Potential Effects of Coronaviruses on the сardiovascular system: A Review. JAMA Cardiol 2020. DOI: 10.1001/jamacardio.2020.1286
21. Waterhouse DF, Ismail TF, Prasad SK et al. Imaging focal and interstitial fibrosis with cardiovascular magnetic resonance in athletes with left ventricular hypertrophy: implications for sporting participation. Br J Sports Med 2012; 46 (Suppl. 1): i69–77. DOI: 10.1136/bjsports-2012-091482
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[Sharykin A.S., Badtieva V.A. Structural diseases of the cardiovascular system that impede participation in the educational process and sports competitions at the stages of sports development and higher sportsmanship. Physiotherapy and sports medicine. 2018; 150 (5): 4–14 (in Russian).]
23. Pelliccia A, Solberg EE, Papadakis M et al. Recommendations for participation in competitive and leisure ime sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC). Eur Heart J 2019; 40: 19–33. DOI: 10.1093/eurheartj/ehy730
24. Perrella A, Trama U, Bernardi FF et al. Editorial – COVID-19, more than a viral pneumonia. Eur Rev Med Pharmacol Sci 2020; 24 (9): 5183–5. DOI: 10.26355/eurrev_202005_21216
25. Ciceri F, Beretta L, Scandroglio AM et al. Microvascular COVID-19 lung vessels obstructive thromboinflammatory syndrome (MicroCLOTS): an atypical acute respiratory distress syndrome working hypothesis. Crit Care Resusc 2020.
26. Thachil J, Srivastava A. SARS-2 Coronavirus-Associated Hemostatic Lung Abnormality in COVID-19: Is It Pulmonary Thrombosis or Pulmonary Embolism? Semin Thromb Hemost. 2020. DOI: 10.1055/s-0040-1712155
27. Grillet F, Behr J, Calame P, Aubry S, Delabrousse E. Acute Pulmonary Embolism Associated with COVID-19 Pneumonia Detected by Pulmonary CT Angiography. Radiology. 2020; 201544. DOI: 10.1148/radiol.2020201544
28. Bozkurt B, Kovacs R, Harrington B. Joint HFSA/ACC/AHA Statement Addresses Concerns Re: Using RAAS Antagonists in COVID-19. J Card Fail 2020; 26 (5): 370. DOI: 10.1016/j.cardfail.2020.04.013
29. Hull JH, Loosemore M, Schwellnus M. Respiratory health in athletes: facing the COVID-19 challenge. Lancet Respir Med 2020; S2213-2600(20)30175-2. DOI: 10.1016/S2213-2600(20)30175-2
30. Gonzalez A, Mares AV, Espinoza DR. Common Pulmonary Conditions in Sport. Clin Sports Med 2019; 38 (4): 563–75. DOI: 10.1016/j.csm.2019.06.005
31. The Lancet Respiratory Medicine. Reflecting on World Asthma Day in the era of COVID-19. Lancet Respir Med 2020; 8 (5): 423. DOI: 10.1016/S2213-2600(20)30184-3
32. Smith MJ, Hayward SA, Innes SM, Miller ASC. Point-of-care lung ultrasound in patients with
COVID-19 – a narrative review. Anaesthesia 2020. DOI: 10.1111/anae.15082
33. Bernheim A, Mei X, Huang M et al. Chest CT Findings in Coronavirus Disease-19 (COVID-19): Relationship to Duration of Infection. Radiology 2020; 295 (3): 200463. DOI: 10.1148/radiol.2020200463
34. Pan F, Ye T, Sun P et al. Time Course of Lung Changes at Chest CT during Recovery from Coronavirus Disease 2019 (COVID-19). Radiology 2020; 295 (3): 715–21. DOI: 10.1148/radiol.2020200370
35. Nieman DC, Wentz LM. The compelling link between physical activity and the body's defense system. J Sport Health Sci 2019; 8 (3): 201–17. DOI: 10.1016/j.jshs.2018.09.009
36. Campbell JP, Turner JE. Debunking the Myth of Exercise-Induced Immune Suppression: Redefining the Impact of Exercise on Immunological Health Across the Lifespan. Front Immunol 2018; 9: 648. DOI: 10.3389/fimmu.2018.00648
37. Simpson RJ, Campbell JP, Gleeson M et al. Can exercise affect immune function to increase susceptibility to infection? Exerc Immunol Rev 2020; 26: 8–22.
38. Zhu W. Should, and how can, exercise be done during a coronavirus outbreak? An interview with Dr. Jeffrey A. Woods. J Sport Health Sci 2020; 9 (2): 105–7. DOI: 10.1016/j.jshs.2020.01.005
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28042020_%D0%9CR_COVID-19_v6.pdf
[Temporary guidelines. Prevention, diagnosis and treatment of new coronavirus infection (COVID-19). Version 6 (28.04.2020). Ministry of Health of Russia. https://static-1.rosminzdrav.ru/system/attachments/attaches/000/050/122/original/28042020_%D0%9CR_CO... (in Russian).]
40. Toresdahl BG, Asif IM. Coronavirus Disease 2019 (COVID-19): Considerations for the Competitive Athlete. Sports Health 2020. DOI: 10.1177/1941738120918876
41. Nieß AM, Bloch W, Friedmann-Bette B et al. Position stand: return to sport in the current Coronavirus pandemic (SARS-CoV-2/COVID-19). Dtsch Z Sportmed 2020; 71 (5): E1–E4.
________________________________________________
1. Van Doremalen N, Bushmaker T, Morris DH et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. N Engl J Med 2020; 382 (16): 1564–7. DOI: 10.1056/NEJMc2004973
2. Zitek T. The Appropriate Use of Testing for COVID-19. West J Emerg Med. 2020; 21 (3): 470–2. DOI: 10.5811/westjem.2020.4.47370
3. Bachelet VC. Do we know the diagnostic properties of the tests used in COVID-19? A rapid review of recently published literature. Medwave 2020; 20 (3): e7890. DOI: 10.5867/medwave.2020.03.7891
4. Mann RH, Clift BC, Boykoff J, Bekker S. Athletes as community; athletes in community: covid-19, sporting mega-events and athlete health protection. Br J Sports Med 2020; bjsports-2020-102433. DOI: 10.1136/bjsports-2020-102433
5. Timpka T. Sport in the tracks and fields of the corona virus: Critical issues during the exit from lockdown [published online ahead of print, 2020 May 5]. J Sci Med Sport 2020; S1440-2440(20)30524-7. DOI: 10.1016/j.jsams.2020.05.001
6. Chen P, Mao L, Nassis GP et al. Returning Chinese school-aged children and adolescents to physical activity in the wake of COVID-19: Actions and precautions. J Sport Health Sci 2020; S2095-2546(20)30049-1.
7. World Health Organization. Physical activity and young people: recommended levels of physical activity for children aged 5–17 years. https://www.who.int/dietphysicalactivity/factsheet_young_people/en/
8. Braun T, Kahanov L. Community-associated methicillin-resistant Staphylococcus aureus infection rates and management among student-athletes. Med Sci Sports Exerc 2018; 50 (9): 1802–9.
9. Peterson AR, Nash E, Anderson BJ. Infectious disease in contact sports. Sports Health 2019; 11 (1): 47–58. DOI: 10.1177/1941738118789954
10. Young LM, Motz VA, Markey ER et al. Recommendations for best disinfectant practices to reduce the spread of infection via wrestling mats. J Athl Train 2017; 52: 82–8.
11. Kahanov L, Gilmore EJ, Eberman LE et al. Certified athletic trainers’ knowledge of methicillin-resistant Staphylococcus aureus and common disinfectants. J Athl Train 2011; 46: 415–23.
12. LaBelle MW, Knapik DM, Arbogast JW et al. Infection Risk Reduction Program on Pathogens in High School and Collegiate Athletic Training Rooms. Sports Health 2020; 12 (1): 51–7. DOI: 10.1177/1941738119877865
13. Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect 2020; 104 (3): 246–51. DOI: 10.1016/j.jhin.2020.01.022
14. McHugh C, Hind K, Cunningham J et al. Career in sport does not eliminate risk of cardiovascular disease: A systematic review and meta-analysis of the cardiovascular health of field-based athletes.
J Sci Med Sport 2020. pii: S1440-2440(19)31629-9. DOI: 10.1016/j.jsams.2020.02.009
15. Guidelines for the diagnosis and treatment of circulatory system diseases (BSC) in the context of the COVID-19 pandemic. Russian Cardiology Society. https://scardio.ru/news/novosti_obschestva/rukovodstvo_po_diagnostike_i_lecheniyu_bolezney_sistemy_k... (in Russian).
16. Bohm P, Scharhag J, Meyer T. Data from a nationwide registry on sports-related sudden cardiac deaths in Germany. Eur J Prev Cardiol 2016; 23: 649–56. DOI: 10.1177/2047487315594087
17. Harmon KG, Asif IM, Maleszewski JJ et al. Incidence, cause, and comparative frequency of sudden cardiac death in National Collegiate Athletic Association athletes: a decade in review. Circulation 2015; 132: 10–9.
18. Finocchiaro G, Papadakis M, Robertus JL et al. Etiology of sudden death in sports: insights from a United Kingdom regional registry. J Am Coll Cardiol 2016; 67: 2108–15.
19. Kochi AN, Tagliari AP, Forleo GB et al. Cardiac and arrhythmic complications in patients with COVID-19. J Cardiovasc Electrophysiol 2020; 31: 1003–8. DOI: 10.1111/jce.14479
20. Madjid M, Safavi-Naeini P, Solomon SD, Vardeny O. Potential Effects of Coronaviruses on the сardiovascular system: A Review. JAMA Cardiol 2020. DOI: 10.1001/jamacardio.2020.1286
21. Waterhouse DF, Ismail TF, Prasad SK et al. Imaging focal and interstitial fibrosis with cardiovascular magnetic resonance in athletes with left ventricular hypertrophy: implications for sporting participation. Br J Sports Med 2012; 46 (Suppl. 1): i69–77. DOI: 10.1136/bjsports-2012-091482
22. Sharykin A.S., Badtieva V.A. Structural diseases of the cardiovascular system that impede participation in the educational process and sports competitions at the stages of sports development and higher sportsmanship. Physiotherapy and sports medicine. 2018; 150 (5): 4–14 (in Russian).
23. Pelliccia A, Solberg EE, Papadakis M et al. Recommendations for participation in competitive and leisure ime sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC). Eur Heart J 2019; 40: 19–33. DOI: 10.1093/eurheartj/ehy730
24. Perrella A, Trama U, Bernardi FF et al. Editorial – COVID-19, more than a viral pneumonia. Eur Rev Med Pharmacol Sci 2020; 24 (9): 5183–5. DOI: 10.26355/eurrev_202005_21216
25. Ciceri F, Beretta L, Scandroglio AM et al. Microvascular COVID-19 lung vessels obstructive thromboinflammatory syndrome (MicroCLOTS): an atypical acute respiratory distress syndrome working hypothesis. Crit Care Resusc 2020.
26. Thachil J, Srivastava A. SARS-2 Coronavirus-Associated Hemostatic Lung Abnormality in COVID-19: Is It Pulmonary Thrombosis or Pulmonary Embolism? Semin Thromb Hemost. 2020. DOI: 10.1055/s-0040-1712155
27. Grillet F, Behr J, Calame P, Aubry S, Delabrousse E. Acute Pulmonary Embolism Associated with COVID-19 Pneumonia Detected by Pulmonary CT Angiography. Radiology. 2020; 201544. DOI: 10.1148/radiol.2020201544
28. Bozkurt B, Kovacs R, Harrington B. Joint HFSA/ACC/AHA Statement Addresses Concerns Re: Using RAAS Antagonists in COVID-19. J Card Fail 2020; 26 (5): 370. DOI: 10.1016/j.cardfail.2020.04.013
29. Hull JH, Loosemore M, Schwellnus M. Respiratory health in athletes: facing the COVID-19 challenge. Lancet Respir Med 2020; S2213-2600(20)30175-2. DOI: 10.1016/S2213-2600(20)30175-2
30. Gonzalez A, Mares AV, Espinoza DR. Common Pulmonary Conditions in Sport. Clin Sports Med 2019; 38 (4): 563–75. DOI: 10.1016/j.csm.2019.06.005
31. The Lancet Respiratory Medicine. Reflecting on World Asthma Day in the era of COVID-19. Lancet Respir Med 2020; 8 (5): 423. DOI: 10.1016/S2213-2600(20)30184-3
32. Smith MJ, Hayward SA, Innes SM, Miller ASC. Point-of-care lung ultrasound in patients with
COVID-19 – a narrative review. Anaesthesia 2020. DOI: 10.1111/anae.15082
33. Bernheim A, Mei X, Huang M et al. Chest CT Findings in Coronavirus Disease-19 (COVID-19): Relationship to Duration of Infection. Radiology 2020; 295 (3): 200463. DOI: 10.1148/radiol.2020200463
34. Pan F, Ye T, Sun P et al. Time Course of Lung Changes at Chest CT during Recovery from Coronavirus Disease 2019 (COVID-19). Radiology 2020; 295 (3): 715–21. DOI: 10.1148/radiol.2020200370
35. Nieman DC, Wentz LM. The compelling link between physical activity and the body's defense system. J Sport Health Sci 2019; 8 (3): 201–17. DOI: 10.1016/j.jshs.2018.09.009
36. Campbell JP, Turner JE. Debunking the Myth of Exercise-Induced Immune Suppression: Redefining the Impact of Exercise on Immunological Health Across the Lifespan. Front Immunol 2018; 9: 648. DOI: 10.3389/fimmu.2018.00648
37. Simpson RJ, Campbell JP, Gleeson M et al. Can exercise affect immune function to increase susceptibility to infection? Exerc Immunol Rev 2020; 26: 8–22.
38. Zhu W. Should, and how can, exercise be done during a coronavirus outbreak? An interview with Dr. Jeffrey A. Woods. J Sport Health Sci 2020; 9 (2): 105–7. DOI: 10.1016/j.jshs.2020.01.005
39. Temporary guidelines. Prevention, diagnosis and treatment of new coronavirus infection (COVID-19). Version 6 (28.04.2020). Ministry of Health of Russia. https://static-1.rosminzdrav.ru/system/attachments/attaches/000/050/122/original/28042020_%D0%9CR_CO... (in Russian).
40. Toresdahl BG, Asif IM. Coronavirus Disease 2019 (COVID-19): Considerations for the Competitive Athlete. Sports Health 2020. DOI: 10.1177/1941738120918876
41. Nieß AM, Bloch W, Friedmann-Bette B et al. Position stand: return to sport in the current Coronavirus pandemic (SARS-CoV-2/COVID-19). Dtsch Z Sportmed 2020; 71 (5): E1–E4.
1 ГАУЗ «Московский научно-практический центр медицинской реабилитации, восстановительной и спортивной медицины» Департамента здравоохранения г. Москвы, Москва, Россия;
2 ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия;
3 ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России, Москва, Россия;
4 Университет Сарагосы, Сарагос, Испания
*sharykin1947@mail.ru
________________________________________________
Viktoriia A. Badtieva1,2, Aleksandr S. Sharykin*1,3, Irina E. Zelenkova2,4
1 Moscow Scientific-Practical Center of Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russia;
2 Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia;
3 Pirogov Russian National Research Medical University, Moscow, Russia;
4 Universidad de Zaragoza, Zaragoza, Spain
*sharykin1947@mail.ru