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Introduction: Football was the first sport to resume competitions after the coronavirus disease 2019 (COVID-19) lockdown and promptly the hypothesis was raised of a potential relationship between the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and musculoskeletal injuries in athletes. This study aimed to confirm the association between SARS-CoV-2 infection and muscle strain injury in a large population of elite football players and to investigate if the COVID-19 severity level could affect the risk of injury., Methods: A retrospective cohort study involving 15 Italian professional male football teams was performed during the Italian Serie A 2020-2021 season. Injuries and SARS-CoV-2 positivity data were collected by team doctors through an online database., Results: Of the 433 included players, we observed 173 SARS-CoV-2 infections and 332 indirect muscle strains. COVID-19 episodes mostly belonged to severity level I and II. The injury risk significantly increased after a COVID-19 event, by 36% (HR = 1.36, CI 95% 1.05; 1.77, p -value = 0.02). The injury burden demonstrated an 86% increase (ratio = 1.86, CI 95% 1.21; 2.86, p -value = 0.005) in the COVID-19 severity level II/III versus players without a previous SARS-CoV-2 infection, while level I (asymptomatic) patients showed a similar average burden (ratio = 0.92, CI 95% 0.54; 1.58, p -value = 0.77). A significantly higher proportion of muscle-tendon junction injuries (40.6% vs. 27.1%, difference = 13.5%, CI 95% 0.002%; 26.9%, p -value = 0.047) was found when comparing level II/III versus Non-COVID-19., Conclusions: This study confirms the correlation between SARS-CoV-2 infection and indirect muscle injuries and highlights how the severity of the infection would represent an additional risk factor.

Background: At the beginning of March 2020, because of the ongoing pandemic, all sport events were suspended in Italy. The Italian Serie A league abruptly interrupted all competitions and teams could not train in a group anymore. These containment measures were gradually eased in May. The aim of this study was to ascertain the impact of the lockdown-restart transition on the body composition of a group of Italian footballers of a Serie A team during the pandemic., Methods: The body composition of 18 male football players (age 27.6±4.5 years) from an Italian Serie A team was studied by bioelectrical impedance (BIA). Measures were conducted after lockdown, when they restarted to train in group with the ball (T0), and after the first regular match (T1)., Results: Results show that there were no changes in body mass, body mass index, fat mass, fat-free mass, and total body water between T0 and T1. Differently, intracellular water, extracellular water, and phase angle were changed., Conclusions: We concluded that the lockdown did not have any impact in athletes' body composition as they kept training at home. Moreover, the BIA method was able to detect subtle signals of shift in body water compartments (intra cellular and extra cellular water) likely due to the different kind of training conducted during and after the lockdown.

Background: In recent years, numerous articles have attempted to shed light on our understanding of the pathophysiological mechanisms of exercise-induced immunologic changes and their impact on allergy and asthma. It is known that lymphocyte subclasses, cytokines, and chemokines show modifications after exercise, but outcomes can be affected by the type of exercise as well as by its intensity and duration. Interesting data have been presented in many recent studies on mouse models, but few studies on humans have been performed to check the long-term effects of exercise over a whole championship season., Methods: This study evaluated lymphocyte subsets and their intracellular IL-2, IL-4, TNF-α, and IFN-γ production in professional football (soccer) players, at three stages of the season, to evaluate if alterations occur, particularly in relation to their allergic status., Results and Conclusion: Despite significant mid-season alterations, no significant lymphocyte subclasses count modifications, except for NKs that were significantly higher, were observed at the end. IL-2 and IL-4 producing cells showed a significant decrease (P = 0.018 and P = 0.001, but in a steady fashion for IL-4), confirming the murine data about the potential beneficial effects of aerobic exercise for allergic asthma.