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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
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           TaggedAPTARAH15. ConclusionTaggedAPTARAEnd
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