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TaggedAPTARAEndInjury and illness in short-course triathletes 183
illnesses at the 2012 London Olympic Games and the 2018 short-course triathletes. This is despite the presence of incon-
Youth Olympic Games reported that infections are responsible sistent injury and illness definitions and the lack of high-
for 50%57% of reported illnesses. 9,10 Evidence from other quality prospective studies available. Implementation of
Olympic athletes suggests that close physical contact and best-practice surveillance methods inclusive of entire training
shared living spaces during training camps and competitions periods, not just competitions, will provide a thorough under-
increase the risk of infection transmission, with communal standing of the injury and illness profiles in short-course triath-
living associated with illness rates increasing 3-fold. 91 letes, enabling the development of prevention programs to
Handwashing and hygiene behaviors can be effective in optimize health and performance in this population.TaggedAPTARAEnd
decreasing the incidence of viral respiratory tract infections
and some gastrointestinal illnesses. 92 A thorough under-
TaggedAPTARAH1Authors’ contributionsTaggedAPTARAEnd
standing of the etiology of illnesses in short-course triathletes
will enable the development of prevention programs to opti- TaggedAPTARAPSAG contributed to the original concept, screened the
articles for inclusion, performed the risk of bias, and extracted
mize health and performance in this population.TaggedAPTARAEnd
the data from included studies; MLC screened the articles for
inclusion and extracted the data from included studies; PC
TaggedAPTARAH24.5. LimitationsTaggedAPTARAEnd
contributed to the original concept and performed the risk of
TaggedAPTARAPThe limitations of this systematic review mostly relate to bias; MD, GW, and JP contributed to the original concept. All
the lack of robust study designs and surveillance practices authors contributed to the editing of the manuscript, have read
presented in the existing literature. The search strategy was and approved the final version of the manuscript, and agree
constrained to studies published only in the English language,
with the order of presentation of the authors.TaggedAPTARAEnd
and the database search was executed by one author. Twenty
of the 26 cohort studies demonstrated a moderate risk of bias,
TaggedAPTARAH1Competing interestsTaggedAPTARAEnd
and 4 demonstrated a high risk of bias. Eleven studies reported
data that was collected and verified by medical staff; however, TaggedAPTARAPThe authors declare that they have no competing interests.TaggedAPTARAEnd
the remaining studies relied on participant recall (with recall
periods ranging from 1 to 10 years) and unvalidated diagnostic
TaggedAPTARAH1Supplementary materialsTaggedAPTARAEnd
information. Information regarding diagnosis and the nature of
injury must be interpreted with caution due to potential TaggedAPTARAPSupplementary materials associated with this article can be
reporting and recall bias as well as short data collection and found in the online version at doi:10.1016/j.jshs.2023.03.002.TaggedAPTARAEnd
follow-up periods, which may have affected the true incidence
rate of health problems. 64 Although definitions for injury and TaggedAPTARAH1ReferencesTaggedAPTARAEnd
illness are standardized in this review according to the Injury TaggedAPTARAListItem TaggedAPTARAListLabel1TaggedAPTARAEnd. Vleck V, Millet GP, Alves FB. The impact of triathlon training and racing
Definitions Concept Framework classification, 19 there are
on athletes’ general health. Sports Med 2014;44:1659–92TaggedAPTARAEnd.TaggedAPTARAEnd
some limitations regarding injury and illness definitions in TaggedAPTARAListItem TaggedAPTARAListLabel2TaggedAPTARAEnd.P€ oller S. Success factors in the 2014 triathlon mixed relay world cham-
included studies. Some studies report heat stress as an pionships. 20th annual congress of the European College of Sports
injury, 45,46 and as observed in another triathlon epidemiology Science (ePoster). Malm€ o; July 24, 2015.TaggedAPTARAEnd
1
review, some authors chose to define illness as any health TaggedAPTARAListItem TaggedAPTARAListLabel3TaggedAPTARAEnd. Mujika I. Olympic preparation of a world-class female triathlete. Int J
93 Sports Physiol Perform 2014;9:727–31TaggedAPTARAEnd.
problem that was not related to the musculoskeletal system. TaggedAPTARAEnd
TaggedAPTARAListItem TaggedAPTARAListLabel4TaggedAPTARAEnd. Sharma AP, P eriard JD. Physiological requirements of the different
TaggedAPTARAPThis systematic review highlights the knowledge gap distances of triathlon. In: Migliorini S, editor. Triathlon medicine. Cham:
surrounding injury and illness in short-course triathletes. Springer International Publishing; 2020. p.517.TaggedAPTARAEnd
Future research should focus on optimizing performance TaggedAPTARAListItem TaggedAPTARAListLabel5TaggedAPTARAEnd. Etxebarria N, Mujika I, Pyne DB. Training and competition readiness in
triathlon. Sports 2019;7:101. doi:10.3390/sports7050101TaggedAPTARAEnd.
through targeted prevention practices addressing the etiology
TaggedAPTARAListItem TaggedAPTARAListLabel6TaggedAPTARAEnd. Raysmith BP, Drew MK. Performance success or failure is influenced by
and risk factors associated with the highest burden health prob-
weeks lost to injury and illness in elite Australian track and field athletes:
lems in short-course triathletes. Future studies should align A 5-year prospective study. J Sci Med Sport 2016;19:778–83TaggedAPTARAEnd.
with the latest consensus statements for injury and illness TaggedAPTARAListItem TaggedAPTARAListLabel7TaggedAPTARAEnd. Timpka T, Periard JD, Spreco A, et al. Health complaints and heat stress
surveillance in sport and should include more female triath- prevention strategies during taper as predictors of peaked athletic perfor-
letes and Paralympic triathletes to ensure a more inclusive mance at the 2015 world athletics championship in hot conditions. J Sci
Med Sport 2020;23:336–41TaggedAPTARAEnd.
understanding of injury and illness. Prospective longitudinal
TaggedAPTARAListItem TaggedAPTARAListLabel8TaggedAPTARAEnd. Jacobsson J, Timpka T. Classification of prevention in sports medicine
studies over entire seasons would be beneficial for elucidating and epidemiology. Sports Med 2015;45:1483–7TaggedAPTARAEnd.
the scope of health problems experienced and for reducing TaggedAPTARAListItem TaggedAPTARAListLabel9TaggedAPTARAEnd. Engebretsen L, Soligard T, Steffen K, et al. Sports injuries and illnesses
during the London summer Olympic games 2012. Br J Sports Med
their burden on short-course triathletes.TaggedAPTARAEnd
2013;47:407–14TaggedAPTARAEnd.
TaggedAPTARAListItemTaggedAPTARAListLabel10TaggedAPTARAEnd. Steffen K, Soligard T, Mountjoy M, et al. How do the new Olympic sports
TaggedAPTARAH15. ConclusionTaggedAPTARAEnd
compare with the traditional Olympic sports? Injury and illness at the
TaggedAPTARAPLower limb overuse injuries that occur while running, 2018 youth Olympic summer games in Buenos Aires, Argentina. Br J
Sports Med 2020;54:168–75TaggedAPTARAEnd.
gastrointestinal illnesses and altered cardiac function caused
TaggedAPTARAListItemTaggedAPTARAListLabel11TaggedAPTARAEnd. Mooney M, Charlton PC, Soltanzadeh S, Drew MK. Who “owns” the injury
by environmental factors, and respiratory illnesses caused by or illness? Who “owns” performance? Applying systems thinking to integrate
infection are the most frequently reported health problems in health and performance in elite sport. Br J Sports Med 2017;51:1054–5TaggedAPTARAEnd.