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1
Q

3 methods to alter risk of infection intro paragraph

A

Altering training
Supplements
Holistic well being

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2
Q

Why could reducing infection benefit performance

A

Increase chances of best players being available

Compromised chances if best player. Issuing especially for key game

Factors such as J shaped curve, foreign travel and the nature of international tournament can increase chances of infectio

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3
Q

Reference for J shaped curve

A

Neiman 1994

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4
Q

Fatigue paragraph reference

A

Likely to be fatigue due to many games, 10km per game.
Games every 3-4 days in tourne

Bury et al 1998 - more colds and longer duration players vs control when fixture congestion

Neville et al 2008 - correlation between perceived level of fatigue and IgA levels

Gleeson et al 1999 - lower salivary IgA I’m swim,ears = increased number of URTI

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5
Q

Length of training paragraph

A

Immune dysfunction most pronounced when exercise is >1.5 hrs and of moderate to high intensity

Gleason 2007

Know that long games = increased risk

Don’t do prolonged training

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6
Q

Nutritional support during training

A

Significant fall in anti-viral proliferation with placebo, not with carb drink. Carb drink = significantly higher on second day. Restored immune function
Bishop et al 2005

2hrs running, migration of antiviral cells to cells infected with cold virus
20% decline with drink
60% decline with placebo

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7
Q

Salivary IgA monitoring paragraph

A

Inverse association between salivary IgA and number of infection
Gleason et al 1999

Predicting infection by monitoring level of IgA compared to average
40% decline = 50% chance within 3 weeks
Fatigue correlated well so could be used as a crude measure
Neville et al 2008

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8
Q

Probiotic drinks to prevent fall in salivary IgA

A

Took for 16 weeks during winter training
Able to prevent seasonal decline in IgA seen in controls
Also experienced fewer URTI episodes vs placebo
Gleason and bishop 2011

30 Elite rugby players in New Zeland
3 month trial
53% on probiotic experience cold symptoms vs 80% in placebo
First trial into taking of probiotic in team sport
Haywood et al 2014

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9
Q

Vitamin D, link to salivary IgA and URTI

A

Association between deficiency and dysfunction
He et al 2013

Vitamin D receptor on immune cells
Kamen et al 2010

Secretion rate of salivary IgA fell as vitamin D status moved away from optimal.
Falling vitamin D = increased incidence and severity of URTI symptoms
Gleason and bishop 2013

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10
Q

Footballer case study

A

Deficient in bit D at base long so given supplements
Along side other strategies but had reduced number of URTI and symptom severity

Ranchordas et al 2016

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11
Q

Lack of sleep

A

Inoculated with common cold
Sleeping habits and development of symptoms monitored
Sleeping < 5hrz or 5-6 = 4x more likely to get cold than sleeping 7 hours
Prather et al 2015

Footballer also increased sleep from 5 to 7 hrs
Ranchordas et al 2016

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12
Q

Stress

A

Controls vs CBT to reduce stress

Intervention = decreased number of visits to health centre and decease in days off work

Perna et al 2003

Inoculated with cold, positive correlation between stress index and percentage of subjects developing a cold

Cohen et al 1991

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13
Q

Basic hygiene

A

Not sharing bottles
Avoiding people who are ill

Hand washing with soap and water best
Grayson et al 2009

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