Korona Virüs Sonrası Spora Katılım
Özet
COVID-19 pandemisi sonrası çocukların spor katılımındaki artış, önemli sağlık zorlukları ortaya koymaktadır. Bu bölüm, SARS-CoV-2 virüsünün genç sporcular üzerindeki kardiyovasküler sağlığa etkisini tartışmaktadır. Özellikle COVID-19 öyküsü olan çocuklar ve ergenler için fiziksel aktivitelere dönüş öncesinde detaylı değerlendirmelerin önemini vurgulamaktadır. Makalede, enfeksiyondan sonra ortaya çıkabilecek miyokardit ve multisistem inflamatuar sendrom (MIS-C) gibi potansiyel kardiyak komplikasyonlar ele alınmaktadır. Spor faaliyetlerine kademeli olarak dönüş için öneriler ve kardiyak semptomların izlenmesinin gerekliliği sunulmaktadır. Bu konuları ele alarak, pandemiden etkilenen genç bireyler için spor aktivitelerine güvenli bir dönüş sağlamak hedeflenmektedir.
Referanslar
Guthold, R., et al., Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1· 6 million participants. The Lancet Child & Adolescent Health, 2020. 4(1): p. 23-35.
Rahman A, M. and B. Chandrasekaran, Estimating the impact of the pandemic on children's physical health: a scoping review. Journal of School Health, 2021. 91(11): p. 936-947.
Bean, C.N., et al., Understanding how organized youth sport may be harming individual players within the family unit: A literature review. International journal of environmental research and public health, 2014. 11(10): p. 10226-10268.
Thompson, L.A. and M.N. Kelly, Return to play after COVID-19 infection in children. JAMA pediatrics, 2021. 175(8): p. 875-875.
Dodds, C. and I. Fakoya, Covid-19: ensuring equality of access to testing for ethnic minorities. 2020, British Medical Journal Publishing Group.
Martin, R., et al., The BASES Expert statement on graduated return to play following Covid-19 Infection. British Association of Sport and Exercise Sciences-www. bases. org. uk. First published in The Sport and Exercise Scientist, 2021(67).
Trogen, B., F.J. Gonzalez, and G.F. Shust, COVID-19-associated myocarditis in an adolescent. The Pediatric infectious disease journal, 2020. 39(8): p. e204-e205.
Alsaied, T., et al., Review of cardiac involvement in multisystem inflammatory syndrome in children. Circulation, 2021. 143(1): p. 78-88.
Madjid, M., et al., Potential effects of coronaviruses on the cardiovascular system: a review. JAMA cardiology, 2020. 5(7): p. 831-840.
Daniels, C.J., et al., Prevalence of clinical and subclinical myocarditis in competitive athletes with recent SARS-CoV-2 infection: results from the big ten COVID-19 cardiac registry. JAMA cardiology, 2021. 6(9): p. 1078-1087.
Starekova, J., et al., Evaluation for myocarditis in competitive student athletes recovering from coronavirus disease 2019 with cardiac magnetic resonance imaging. JAMA cardiology, 2021. 6(8): p. 945-950.
Martinez, M.W., et al., Prevalence of inflammatory heart disease among professional athletes with prior COVID-19 infection who received systematic return-to-play cardiac screening. JAMA cardiology, 2021. 6(7): p. 745-752.
Feldstein, L.R., et al., Multisystem inflammatory syndrome in US children and adolescents. New England Journal of Medicine, 2020. 383(4): p. 334-346.
Moulson, N., et al., SARS-CoV-2 cardiac involvement in young competitive athletes. Circulation, 2021. 144(4): p. 256-266.
Dores, H. and N. Cardim, Return to play after COVID-19: a sport cardiologist’s view. 2020, BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine. p. 1132-1133.
Bhatia, R.T., et al., Exercise in the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) era: a question and answer session with the experts endorsed by the section of Sports Cardiology & Exercise of the European Association of Preventive Cardiology (EAPC). European journal of preventive cardiology, 2020. 27(12): p. 1242-1251.
Baggish, A., et al., Resurgence of sport in the wake of COVID-19: cardiac considerations in competitive athletes. 2020, BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine. p. 1130-1131.
Chowdhury, D., et al., Return to activity after SARS-CoV-2 infection: cardiac clearance for children and adolescents. Sports Health, 2022. 14(4): p. 460-465.
Pediatrics, A.A.o., COVID-19 Interim Guidance: Return to Sports 2020 https://services. aap. org/en/pages/2019-novel-coronavirus-covid-19-infections/clinical-guidance/covid-19-interim-guidance-return-to-sports. Accessed February 28th, 2021.
Elliott, N., et al., Infographic. Graduated return to play guidance following COVID-19 infection. British journal of sports medicine, 2020.
Referanslar
Guthold, R., et al., Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1· 6 million participants. The Lancet Child & Adolescent Health, 2020. 4(1): p. 23-35.
Rahman A, M. and B. Chandrasekaran, Estimating the impact of the pandemic on children's physical health: a scoping review. Journal of School Health, 2021. 91(11): p. 936-947.
Bean, C.N., et al., Understanding how organized youth sport may be harming individual players within the family unit: A literature review. International journal of environmental research and public health, 2014. 11(10): p. 10226-10268.
Thompson, L.A. and M.N. Kelly, Return to play after COVID-19 infection in children. JAMA pediatrics, 2021. 175(8): p. 875-875.
Dodds, C. and I. Fakoya, Covid-19: ensuring equality of access to testing for ethnic minorities. 2020, British Medical Journal Publishing Group.
Martin, R., et al., The BASES Expert statement on graduated return to play following Covid-19 Infection. British Association of Sport and Exercise Sciences-www. bases. org. uk. First published in The Sport and Exercise Scientist, 2021(67).
Trogen, B., F.J. Gonzalez, and G.F. Shust, COVID-19-associated myocarditis in an adolescent. The Pediatric infectious disease journal, 2020. 39(8): p. e204-e205.
Alsaied, T., et al., Review of cardiac involvement in multisystem inflammatory syndrome in children. Circulation, 2021. 143(1): p. 78-88.
Madjid, M., et al., Potential effects of coronaviruses on the cardiovascular system: a review. JAMA cardiology, 2020. 5(7): p. 831-840.
Daniels, C.J., et al., Prevalence of clinical and subclinical myocarditis in competitive athletes with recent SARS-CoV-2 infection: results from the big ten COVID-19 cardiac registry. JAMA cardiology, 2021. 6(9): p. 1078-1087.
Starekova, J., et al., Evaluation for myocarditis in competitive student athletes recovering from coronavirus disease 2019 with cardiac magnetic resonance imaging. JAMA cardiology, 2021. 6(8): p. 945-950.
Martinez, M.W., et al., Prevalence of inflammatory heart disease among professional athletes with prior COVID-19 infection who received systematic return-to-play cardiac screening. JAMA cardiology, 2021. 6(7): p. 745-752.
Feldstein, L.R., et al., Multisystem inflammatory syndrome in US children and adolescents. New England Journal of Medicine, 2020. 383(4): p. 334-346.
Moulson, N., et al., SARS-CoV-2 cardiac involvement in young competitive athletes. Circulation, 2021. 144(4): p. 256-266.
Dores, H. and N. Cardim, Return to play after COVID-19: a sport cardiologist’s view. 2020, BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine. p. 1132-1133.
Bhatia, R.T., et al., Exercise in the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) era: a question and answer session with the experts endorsed by the section of Sports Cardiology & Exercise of the European Association of Preventive Cardiology (EAPC). European journal of preventive cardiology, 2020. 27(12): p. 1242-1251.
Baggish, A., et al., Resurgence of sport in the wake of COVID-19: cardiac considerations in competitive athletes. 2020, BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine. p. 1130-1131.
Chowdhury, D., et al., Return to activity after SARS-CoV-2 infection: cardiac clearance for children and adolescents. Sports Health, 2022. 14(4): p. 460-465.
Pediatrics, A.A.o., COVID-19 Interim Guidance: Return to Sports 2020 https://services. aap. org/en/pages/2019-novel-coronavirus-covid-19-infections/clinical-guidance/covid-19-interim-guidance-return-to-sports. Accessed February 28th, 2021.
Elliott, N., et al., Infographic. Graduated return to play guidance following COVID-19 infection. British journal of sports medicine, 2020.