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The Immune System as a Biosensor of Health and Athletic Performance
Stefan Markus Reitzner1,2, Petter Brodin2,3,4,5
1Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
Scandinavian Journal of Medicine & Science in Sports
|March 17, 2026
Summary
Elite athletes
Area of Science:
- Sports Science
- Immunology
- Human Performance
Background:
- The immune system is crucial for skeletal muscle maintenance, post-exercise recovery, and whole-body sensing.
- Elite performance demands significant physiological resources, highlighting the immune system's role.
- Understanding immune system resource allocation is vital for athletic health and performance.
Purpose of the Study:
- To review immune system function and human performance from a systems immunology perspective.
- To explore the integration of immunity with factors like nutrition, recovery, and sleep in athletes.
- To re-evaluate the J-shaped curve relationship between training load and infection risk.
Main Methods:
- Literature review synthesizing current research on systems immunology and athletic performance.
- Analysis of resource allocation models within the immune system.
- Discussion of unanswered questions regarding lifelong training and immune adaptation.
Main Results:
- The immune system is a complex network integral to athletic recovery and performance.
- Prioritizing resources between physical exertion and immune function is critical, especially in elite athletes.
- Existing models of exercise and infection risk may need re-evaluation.
Conclusions:
- An integrated, systems-level view of immunity is essential for understanding athletic performance.
- Future research should focus on immune system adaptations to lifelong training and exercise.
- Individualized training and recovery strategies can be informed by systems immunology.
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