Relationship between training load management and immunoglobulin A to avoid immunosuppression after soccer training and competition: A theoretical framework based on COVID-19 for athletes

Immunoglobulin A (IgA), which is the main effector against upper respiratory tract viruses such as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been related to training load management. The aim of this systematic review was to establish the relationship between training load and salivary IgA based on current evidence in order to avoid immunosuppression after exercise and players ´vulnerability to virus contagion. A systematic review of relevant articles was carried out using two electronic databases (PubMed and Web of Science) until 19 May 2021. From a total of 127 studies initially found, 23 were included in the qualitative synthesis. These studies were clustered depending on stress level. The salivary IgA was analysed considering soccer-specific treadmill exercise and repeated sprint drills (n= 5), matches (n= 7), and during certain periods during the season or pre-season (n= 11). Repeated sprint ability tests and treadmill exercises are suitable exercises for the first steps on return to play periods yet still maintain social distance. A rest or moderate training sessions (technical/tactical) are suggested after official matches to ensure16-18 hto recover IgA levels, while periods with multiple matches per week with limited recoverytime should be avoided. Weekly training load should assume a small increment (<10%) to ensure IgA immune responses, especially, during the post coronavirus disease 2019 (COVID-19) season.
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Bibliographic Details
Subjects:
Notations:biological and medical sciences sport games
Tagging:Coronavirus
Published in:healthcare
Language:English
Published: 2021
Online Access:https://doi.org/10.3390/healthcare9070856
Volume:9
Issue:856
Pages:1-18
Document types:article
Level:intermediate