Influence of the transferred coronavirus infection on diseases of the endocrine system in athletes

Purpose: to study the effect of the transferred viral (on the example of COVID‑19) infection on the endocrine system of athletes.Materials and methods: the data of 1114 athletes (average age 22.23 ± 4.18 years) who underwent in‑depth medical examination in the period 2021–2022 were analyzed. The examination included an analysis of sports and infectious anamnesis, the results of hormonal, biochemical and instrumental studies.Results: coronavirus infection was suffered by the majority of athletes — 724 people (65 %) — in the vast majority of cases (91 %), their disease was asymptomatic or mild. 390 athletes (35 %) had no history of infection. There was a significant increase in the incidence of hypothyroidism, thyrotoxicosis, insulin‑dependent diabetes mellitus, autoimmune thyroiditis among athletes who had a coronavirus infection when compared with athletes who were not ill. The development of endocrine diseases did not depend on the severity of the infection and was most often detected with its mild and asymptomatic course. During the examination, six cases of newly diagnosed type 1 diabetes mellitus and eight cases of thyrotoxicosis were detected among athletes who had a coronavirus infection. The development of these conditions did not depend on the severity of the infection. At the same time, only 1 case of thyrotoxicosis was registered in athletes who were not ill, no new cases of type 1 diabetes mellitus were diagnosed. In the present study, no association was found between the transmitted coronavirus infection and an increase in the number of cases of nodular goiter, hyperprolactinemia and type 2 diabetes mellitus.Conclusion: the results of the study showed that in the long‑term period after COVID‑19, autoimmune endocrine diseases, such as primary hypothyroidism, diffuse‑toxic goiter with thyrotoxicosis, autoimmune thyroiditis, type 1 diabetes mellitus, were significantly more often manifested in athletes, which is probably associated with a cross‑lesion of autoimmunity against a background of viral infection

Analysis of the dynamics and structure of morbidity of athletes of the national teams of Moscow based on the results of medical examination

Objective: The aim of the study was to analyze the structure and dynamics of morbidity of athletes, members of sports teams of the city of Moscow based on the results of an in-depth medical examination in the period 2017–2021.Materials and methods: The data of the medical examination of athletes, which took place at the Moscow scientific and Practical Center for Medical Rehabilitation, restorative and sports medicine, including instrumental, functional and laboratory studies from 2017 to 2021, were analyzed. In 2017, 15176 athletes were examined, in 2018 and 2019, 11200, in 2020, 10080 people and in 2021–11922 athletes.Results: The results of the study showed an increase in the proportion of amenorrhea within the triad of athletes, an increase in general therapeutic morbidity, diseases of the gastrointestinal tract, among which the proportion of secondary hyperbilirubinemia in 2021 increased 3 times compared to 2020, which, in our opinion, is also due to the impact of the pandemic and quarantine restrictions.The high prevalence of ophthalmological morbidity of athletes and changes in the cardiovascular system is shown. During 2017–2021, a change in the structure of cardiac morbidity was revealed in the form of an increase in the proportion of cardiac arrhythmias and hypertensive response to stress.An increase in the endocrine morbidity of athletes in 2021 was revealed due to an increase in the proportion of hypothyroidism and more frequent detection of hyperthyroidism, possibly related to the COVID-19 pandemic, which requires further research.There was also an increase in diseases of the skin and genitourinary system in athletes. Psychological problems of athletes increased during the observation period from 2017 to 2021. There was no significant dynamics of surgical and traumatological diseases, otolaryngological pathologу.Conclusion: The results of the study indicate the importance of regular full-fledged examination of athletes, identification of various functional disorders and diseases for their timely prevention and treatment in order to preserve the health of athletes and improve athletic performance