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DOI: 10.1055/s-2003-39096
Tennis, Incidence of URTI and Salivary IgA
Publikationsverlauf
Accepted after revision: October 20, 2002
Publikationsdatum:
12. Mai 2003 (online)
Abstract
Tennis played at an elite level requires intensive training characterized by repeated bouts of brief intermittent high intensity exercise over relatively long periods of time (1 - 3 h or more). Competition can place additional stress on players. The purpose of this study was to investigate the temporal association between specific components of tennis training and competition, the incidence of upper respiratory tract infections (URTI), and salivary IgA, in a cohort of seventeen elite female tennis players. Timed, whole unstimulated saliva samples were collected before and after selected 1-h training sessions at 2 weekly intervals, over 12 weeks. Salivary IgA concentration was measured by ELISA and IgA secretion rate calculated (µg IgA × ml-1 × ml saliva × min-1). Players reported URTI symptoms and recorded training and competition in daily logs. Data analysis showed that higher incidence of URTI was significantly associated with increased training duration and load, and competition level, on a weekly basis. Salivary IgA secretion rate (S-IgA) dropped significantly after 1 hour of tennis play. Over the 12-week period, pre-exercise salivary IgA concentration and secretion rate were directly associated with the amount of training undertaken during the previous day and week (p < 0.05). However, the decline in S-IgA after 1 h of intense tennis play was also positively related to the duration and load of training undertaken during the previous day and week (p < 0.05). Although exercise-induced suppression of salivary IgA may be a risk factor, it could not accurately predict the occurrence of URTI in this cohort of athletes.
Key words
Intermittent exercise - elite female athletes - secretory immunity
References
-
1 Beare A S, Ree S E.
The study of antiviral compounds in volunteers. In: Oxford JS (ed) Chemoprophylaxis and Virus Infections of the Respiratory Tract. Cleveland; CRC Press 1977: 27-55 - 2 Bird P S, Seymour G L. Production of monoclonal antibodies that recognise specific and cross-reactive antigens of Fusobacterium nucleatum. Infect Immun. 1987; 55 771-777
- 3 Blannin A K, Robson N P, Walsh N P, Clark A M, Glennon L, Gleeson M. The effect of exercising to exhaustion at different intensities on saliva immunoglobulin A, protein and electrolyte secretion. Int J Sports Med. 1998; 19 547-552
- 4 Borg G. Borg's perceived exertion and pain scales. Champaign, IL; Human Kinectics 1998
- 5 Bratthall D, Widerstrom L. Ups and downs of salivary IgA. Scand J Dent Res. 1985; 93 128-134
- 6 Diggle P J, Liang K Y, Zeger S L. Analysis of longitudinal data. Oxford; Clarendon Press 1994
- 7 Douglas D J, Hanson P G. Upper respiratory infections in the conditioned athlete. Med Sci Sports Exerc. 1978; 10 55S
- 8 Fricker P A, McDonald W A, Gleeson M, Clancy R L. Exercise-associated hypogammaglobulinemia. Clin J Sport Med. 1999; 9 46-49
- 9 Fahlman M M, Engels H J, Morgan A L, Kolokouri I. Mucosal IgA response to repeated wingate tests in females. Int J Sports Med. 2001; 22 127-131
- 10 Gleeson M, McDonald W A, Cripps A W, Pyne D B, Clancy R L, Fricker P A. The effect on immunity of long-term intensive training in elite swimmers. Clin Exp Immunol. 1995; 102 210-216
- 11 Gleeson M, McDonald W A, Pyne D B, Clancy R L, Cripps A W, Francis J L, Fricker P A. Immune status and respiratory illness for elite swimmers during a 12-week training cycle. Int J Sports Med. 2000; 21 302-307
- 12 Gleeson M, McDonald W A, Pyne D B, Cripps A W, Francis J L, Fricker P A, Clancy R L. Salivary IgA levels and infection risk in elite swimmers. Med Sci Sports Exerc. 1999; 31 67-73
- 13 Heath G W, Earl S F, Craven T E, Macera C A, Jackson K L, Pate R R. Exercise and the incidence of upper respiratory tract infections. Med Sci Sports Exerc. 1991; 23 152-157
- 14 Liew F Y, Russell S M, Appleyard G, Brand G M, Beale J. Cross-protection in mice infected with influenza A virus by the respiratory route is correlated with local IgA antibody rather than serum antibody or cytotoxic T cell activity. Eur J Immunol. 1984; 14 350-356
- 15 Mackinnon L T, Hooper S. Mucosal (secretory) immune system responses to exercise of varying intensity and during overtraining. Int J Sports Med. 1994; 15 S179-S183
- 16 Mackinnon L T, Jenkins D G. Decreased secretory immunoglobulins after intense interval exercise before and after training. Med Sci Sports Exerc. 1993; 25 678-683
-
17 Mackinnon L T, Ginn E, Seymour G.
Effect of exercise during sports training and competition on salivary IgA levels. In: Husband AJ (ed) Behaviour and Immunity. Boca Raton (FL); CRC Press 1992: 169-177 - 18 Mackinnon L T, Ginn E, Seymour G. Decrease salivary immunoglobulin A secretion rate after intense interval exercise in elite kayakers. Eur J Appl Physiol. 1993; 67 180-184
- 19 Mackinnon L T, Ginn E, Seymour G. Temporal relationship between exercise-induced decreases in salivary IgA and subsequent appearance of upper respiratory tract infection in elite athletes. Aust J Sci Med Sport. 1993; 25 94-99
- 20 Mackinnon L T, van Ash C A, Tomasi T B. Decreased levels of secretory immunoglobulins following prolonged exercise. Med Sci Sports Exerc. 1986; 18 S40
- 21 Müns G, Liesen H, Riedel H, Bergmann K-C h. Influence of long distance running on IgA in nasal secretion and saliva. Deutsche Zeitschrift für Sportsmedizin. 1989; 40 63-65
- 22 Murphy B R, Nelson D L, Wright P F, Tierney E L, Phelan M A, Chanock R M. Secretory and systemic immunological response in children infected with live attenuated influenza A virus vaccines. Inf Immunol. 1982; 36 1102-1108
- 23 Nehlsen-Cannarella S L, Nieman D C, Fagoaga O R, Kelln W J, Henson D A, Shannon M, Davis J M. Saliva immunoglobulins in elite women rowers. Eur J Appl Physiol. 2000; 81 222-228
- 24 Nieman D C. Immune response to heavy exertion. J Appl Physiol. 1997; 82 1385-1394
- 25 Nieman D C, Henson D A, Fagoaga O R, Utter A C, Vinci D M, Davis J M, Nehlsen-Cannarella S L. Change in salivary IgA following a competitive marathon race. Int J Sports Med. 2002; 23 69-75
- 26 Nieman D C, Johanssen L M, Lee J W, Arabatzis K. Infectious episodes in runners before and after the Los Angeles Marathon. J Sports Med Phys Fitness. 1990; 30 316-328
- 27 Nieman D C, Kernodle M W, Henson D A, Sonnenfeld G, Morton D S. The acute response of the immune system to tennis drills in adolescent athletes. Res Quart Exerc Sport. 2000; 71 403-408
- 28 Peters E M. Exercise, immunology and upper respiratory tract infections. Int J Sports Med. 1997; 18 S69-S77
- 29 Peters E M, Bateman D E. Ultramarathon running and upper respiratory tract infections. S Afr Med J. 1983; 64 582-584
- 30 Peters E M, Goetzsche J M, Grobbellaar B, Noakes T D. Vitamin C supplementation reduces the incidence of post-race symptoms of upper respiratory tract infection in ultramarathon runners. Am J Clin Nutr. 1993; 57 170-174
- 31 Steerenberg P A, van Asperen I A, van Nieuw Amerongen A, Biewenga J, Mol D, Medema G. Salivary levels of immunoglobulin A in triathletes. Eur J Oral Sci. 1997; 105 305-309
- 32 Tharp G D. Basketball exercise and secretory immunoglobulin A. Eur J Appl Physiol. 1991; 63 312-314
- 33 Tharp G D, Barnes B W. Reduction of saliva immunoglobulin levels by swim training. Eur J Appl Physiol. 1990; 60 61-64
- 34 Tomasi T B, Trudeau F B, Czerwinski D, Erredge S. Immune parameters in athletes before and after strenuous exercise. J Clin Immunol. 1982; 2 173-178
- 35 Walsh N P, Blannin A K, Clark A M, Cook L, Robson P J, Gleeson M. The effects of high-intensity intermittent exercise on saliva IgA, total protein and alpha-amylase. J Sports Sci. 1999; 17 129-134
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