Competitive sport after SARS-CoV-2 infection in children

Abstract Background With the gradual resumption of sports activities after the lock-down period for coronavirus pandemic, a new problem is emerging: Allow all athletes to be able to return to compete after SARS-CoV-2 infection in total safety. Several protocols have been proposed for healed athletes...

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Autores principales:	Giulia Cafiero, Flaminia Passi, Francesca Ippolita Calo’ Carducci, Federica Gentili, Ugo Giordano, Chiara Perri, Melania Hashem Said, Attililo Turchetta
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	SARS-Cov-2 Cardiorespiratory assessment Children Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/e764812742a741e8bfc3881ac4c9913b
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spelling	oai:doaj.org-article:e764812742a741e8bfc3881ac4c9913b2021-11-08T11:17:55ZCompetitive sport after SARS-CoV-2 infection in children10.1186/s13052-021-01166-61824-7288https://doaj.org/article/e764812742a741e8bfc3881ac4c9913b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13052-021-01166-6https://doaj.org/toc/1824-7288Abstract Background With the gradual resumption of sports activities after the lock-down period for coronavirus pandemic, a new problem is emerging: Allow all athletes to be able to return to compete after SARS-CoV-2 infection in total safety. Several protocols have been proposed for healed athletes but all of them have been formulated for the adult population. The aim of the present study is to evaluate the adequacy of Italian practical recommendations for return-to-paly, in order to exclude cardiorespiratory complications due to COVID-19 in children and adolescents. Methods Between April 2020 and January 2021 the Italian Sports Medical Federation formulated cardiorespiratory protocols to be applied to athletes recovered from SARS-CoV-2 infection. The protocols take into account the severity of the infection. Protocols include lung function tests, cardiopulmonary exercise test, echocardiographic evaluation, blood chemistry tests. Results From September 2020 to February 2021, 45 children and adolescents (aged from 9 to 18 years; male = 26) with previous SARS-CoV-2 infection were evaluated according to the protocols in force for adult. 55.5% of the subjects (N = 25) reported an asymptomatic infection; 44.5% reported a mild symptomatic infection. Results of lung function test have exceeded the limit of 80% of the theoretical value in all patients. The cardiorespiratory capacity of all patients was within normal limits (average value of maximal oxigen uptake 41 ml/kg/min). No arrhythmic events or reduction in the ejection fraction were highlighted. Conclusion The data obtained showed that, in the pediatric population, mild coronavirus infection does not cause cardiorespiratory complications in the short and medium term. Return to play after Coronavirus infection seems to be safe but it will be necessary to continue with the data analysis in order to modulate and optimize the protocols especially in the pediatric field.Giulia CafieroFlaminia PassiFrancesca Ippolita Calo’ CarducciFederica GentiliUgo GiordanoChiara PerriMelania Hashem SaidAttililo TurchettaBMCarticleSARS-Cov-2Cardiorespiratory assessmentChildrenPediatricsRJ1-570ENItalian Journal of Pediatrics, Vol 47, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	SARS-Cov-2 Cardiorespiratory assessment Children Pediatrics RJ1-570
spellingShingle	SARS-Cov-2 Cardiorespiratory assessment Children Pediatrics RJ1-570 Giulia Cafiero Flaminia Passi Francesca Ippolita Calo’ Carducci Federica Gentili Ugo Giordano Chiara Perri Melania Hashem Said Attililo Turchetta Competitive sport after SARS-CoV-2 infection in children
description	Abstract Background With the gradual resumption of sports activities after the lock-down period for coronavirus pandemic, a new problem is emerging: Allow all athletes to be able to return to compete after SARS-CoV-2 infection in total safety. Several protocols have been proposed for healed athletes but all of them have been formulated for the adult population. The aim of the present study is to evaluate the adequacy of Italian practical recommendations for return-to-paly, in order to exclude cardiorespiratory complications due to COVID-19 in children and adolescents. Methods Between April 2020 and January 2021 the Italian Sports Medical Federation formulated cardiorespiratory protocols to be applied to athletes recovered from SARS-CoV-2 infection. The protocols take into account the severity of the infection. Protocols include lung function tests, cardiopulmonary exercise test, echocardiographic evaluation, blood chemistry tests. Results From September 2020 to February 2021, 45 children and adolescents (aged from 9 to 18 years; male = 26) with previous SARS-CoV-2 infection were evaluated according to the protocols in force for adult. 55.5% of the subjects (N = 25) reported an asymptomatic infection; 44.5% reported a mild symptomatic infection. Results of lung function test have exceeded the limit of 80% of the theoretical value in all patients. The cardiorespiratory capacity of all patients was within normal limits (average value of maximal oxigen uptake 41 ml/kg/min). No arrhythmic events or reduction in the ejection fraction were highlighted. Conclusion The data obtained showed that, in the pediatric population, mild coronavirus infection does not cause cardiorespiratory complications in the short and medium term. Return to play after Coronavirus infection seems to be safe but it will be necessary to continue with the data analysis in order to modulate and optimize the protocols especially in the pediatric field.
format	article
author	Giulia Cafiero Flaminia Passi Francesca Ippolita Calo’ Carducci Federica Gentili Ugo Giordano Chiara Perri Melania Hashem Said Attililo Turchetta
author_facet	Giulia Cafiero Flaminia Passi Francesca Ippolita Calo’ Carducci Federica Gentili Ugo Giordano Chiara Perri Melania Hashem Said Attililo Turchetta
author_sort	Giulia Cafiero
title	Competitive sport after SARS-CoV-2 infection in children
title_short	Competitive sport after SARS-CoV-2 infection in children
title_full	Competitive sport after SARS-CoV-2 infection in children
title_fullStr	Competitive sport after SARS-CoV-2 infection in children
title_full_unstemmed	Competitive sport after SARS-CoV-2 infection in children
title_sort	competitive sport after sars-cov-2 infection in children
publisher	BMC
publishDate	2021
url	https://doaj.org/article/e764812742a741e8bfc3881ac4c9913b
work_keys_str_mv	AT giuliacafiero competitivesportaftersarscov2infectioninchildren AT flaminiapassi competitivesportaftersarscov2infectioninchildren AT francescaippolitacalocarducci competitivesportaftersarscov2infectioninchildren AT federicagentili competitivesportaftersarscov2infectioninchildren AT ugogiordano competitivesportaftersarscov2infectioninchildren AT chiaraperri competitivesportaftersarscov2infectioninchildren AT melaniahashemsaid competitivesportaftersarscov2infectioninchildren AT attililoturchetta competitivesportaftersarscov2infectioninchildren
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Competitive sport after SARS-CoV-2 infection in children

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