Evidence map›Paper›PMID 40455745›Full record

ArticlePloS one2025

Viral acute respiratory illnesses in elite athletes: A 12-month controlled follow-up study.

Raakel Luoto, Vesa Laatikainen-Raussi, Katja E Mjøsund, Maarit Valtonen, Matti Uhari, Johanna K Ihalainen, Tytti Vuorinen, Antti Hakanen, Matti Waris, Olli J Heinonen and 1 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Raakel LuotoDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland.ORCID 0000-0001-5752-7047
Vesa Laatikainen-RaussiFinnish Institute of High Performance Sport KIHU, Jyväskylä, Finland.
Katja E MjøsundPaavo Nurmi Centre and Unit for Health and Physical Activity, University of Turku, Turku Finland.
Maarit ValtonenFinnish Institute of High Performance Sport KIHU, Jyväskylä, Finland.
Matti UhariPEDEGO Research Unit, University of Oulu and Department of Paediatrics and Adolescents, Oulu University Hospital, Oulu, Finland.
Johanna K IhalainenFinnish Institute of High Performance Sport KIHU, Jyväskylä, Finland.
Tytti VuorinenInstitute of Biomedicine, University of Turku and Department of Clinical Virology, Turku University Hospital, Turku, Finland.
Antti HakanenInstitute of Biomedicine, University of Turku and Department of Clinical Virology, Turku University Hospital, Turku, Finland.
Matti WarisInstitute of Biomedicine, University of Turku and Department of Clinical Virology, Turku University Hospital, Turku, Finland.
Olli J HeinonenPaavo Nurmi Centre and Unit for Health and Physical Activity, University of Turku, Turku Finland.
Olli RuuskanenDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundViral acute respiratory illnesses (ARIs) are the most common acute illnesses in elite athletes. However, the occurrence, aetiology, and clinical manifestations of viral ARIs in athletes remain unclear.

methodsTwenty-four elite cross-country skiers and 22 elite orienteers were followed for 12 months. Thirty-two normally exercising, healthy young adults were recruited as controls. Occurrences of ARI symptoms were collected weekly with a digital questionnaire. Nasal swabs for respiratory viruses were collected at the onset of symptoms and once monthly when asymptomatic.

resultsA significantly higher incidence density (per person per year) of ARI during the 12-month follow-up period was detected in the skiers compared to the controls (mean (SD) 3.39 (2.13) vs. 2.11 (1.98), respectively, p = 0.037) whereas the differences between the skiers and orienteers (mean (SD) 2.39 (1.07)) and between the orienteers and controls did not reach statistical significance (p = 0.053 and 0.506, respectively). The COVID-19 pandemic prevention measures and lockdown dramatically eliminated the occurrence of ARIs in all study groups. ARI episodes were shorter and milder in the orienteers (not studied in the skiers) compared to the controls (p = 0.001 and p = 0.001). A combination of international flights and participation in a competition was associated with a significant risk of an ARI episode in the skiers (p = 0.048). Rhinoviruses (54.1%) and seasonal coronaviruses (21.6%) were the most common viruses detected in all study groups.

conclusionThe incidence of ARIs was higher among the skiers compared to the orienteers and the controls. However, ARI episodes were shorter and milder in the orienteers compared to the controls.

Indexed as

AthletesCOVID-19Respiratory Tract InfectionsAcute DiseaseAdultCase-Control StudiesFemaleFollow-Up StudiesHumansIncidenceMaleSARS-CoV-2SkiingYoung Adult

Identifiers

PMID40455745
PMCPMC12129143

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.