Differences in Immune Response During Competition and Preparation Phase in Elite Rowers
Daniel Alexander Bizjak1, Gunnar Treff1, Martina Zügel1
1Department of Internal Medicine, Division of Sports and Rehabilitation Medicine, University Hospital Ulm, Ulm, Germany.
Frontiers in Physiology
|January 3, 2022
Summary
Elite rowers show increased immune cell activation and tissue damage markers during competition, suggesting a need for anti-inflammatory strategies to optimize training load. This study identifies key biomedical markers for monitoring athlete stress.
Area of Science:
- Exercise Physiology
- Immunology
- Biomedical Science
Background:
- Olympic rowers face significant metabolic stress during training and competition.
- Biomedical markers are needed to quantify training load at the molecular level.
- This study investigates inflammatory and immunologic variables to identify such markers.
Purpose of the Study:
- To identify molecular-level biomedical markers for quantifying training load in elite rowers.
- To analyze inflammatory and immunologic responses to high (competition) versus low (preparation) training loads.
- To explore the role of immune cell activation and cytokine profiles in response to training stress.
Main Methods:
- Eleven elite male rowers were monitored during competition (COMP) and preparation (PREP) phases.
- Assessed perceived stress and recovery using the RESTQ-76 Sport questionnaire.
- Evaluated immune cell activation (DC, macrophage, monocyte, T-cells) and measured cytokines, HMGB1, cfDNA, CK, UA, and KYN in blood samples.
Main Results:
- Rowers reported higher general stress and lower recovery during COMP.
- Immune cells (DC/macrophage/monocyte, T-reg cells) and biomarkers of tissue damage (HMGB1, cfDNA) increased during COMP.
- Pro-inflammatory cytokines (IL-1β, TNF-α, IL-8) were elevated, while anti-inflammatory IL-10 was lower during COMP.
Conclusions:
- Competition phase in elite rowers leads to increased tissue damage markers and immune cell activation.
- Anti-inflammatory mechanisms, including T-regulatory cell proliferation, may compensate for immune activation.
- An anti-inflammatory and immunological matrix approach is proposed for optimizing training load quantification in elite athletes.
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