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Red Rick

Red Rick

Feb 20, 2012
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Abstract​

Context: Acute febrile illnesses are common in athletes over the course of training and competition seasons. Complete recovery and rapid yet safe return to participation are critical for competitive athletes. Alterations in thermoregulation, metabolism, fluid homeostasis, muscle strength, and endurance, as well as potential complications for the athlete and others, must be considered.
Evidence acquisition: The PubMed database was searched (1970-2013) for all English-language articles related to febrile illness in sport, using the keywords fever, febrile, body temperature, thermoregulation, infection, illness, disease, exercise, athlete, sport, performance, return to play, metabolism, hydration, and dehydration.
Study design: Clinical review.
Level of evidence: Level 4.
Results: Limited data confirm that febrile illness is correlated with alterations in the body's thermoregulatory system, with increases in metabolic rate, and with effects in fluid homeostasis. Human and animal studies demonstrate a decrease in muscle strength and endurance secondary to muscle catabolism in febrile illness. However, indirect evidence suggests that regular exercise enhances the immune response. No strong clinical research has been published on return to play during or following acute febrile illness, excluding mononucleosis and myocarditis.
Conclusion: Fever is correlated with an increase in insensible fluid losses, dehydration, metabolic demands, and dysregulation of body temperature. Fever can have detrimental effects on the musculoskeletal system, including decreasing strength and endurance, generalized muscle catabolism, and increase in perceived fatigue. Participating in strenuous exercise during febrile illness can worsen the illness and has demonstrated increased lethality in animal models. No consensus recommendations support return to activity before resolution of fever, and training should be resumed gradually once fever and dehydration have resolved.
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Febrile Illness in the Athlete - PMC

Acute febrile illnesses are common in athletes over the course of training and competition seasons. Complete recovery and rapid yet safe return to participation are critical for competitive athletes. Alterations in thermoregulation, metabolism, ...
www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
 
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Logic-is-your-friend

Logic-is-your-friend

Jun 7, 2011
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tobydawq said:
What's your problem? That is what shadowrider wrote...
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Lord knows i'm not a fan of shadowrider, but the point he was making was not that they die from it, but that it can become a long-term problem, in rare cases causing death. I have no knowledge of these cases, maybe he's talking out the side of his neck, but his main argument sounds plausible enough not to dismiss it by ridiculing by proxy.
He also spoke of "athletes" not cyclists.
 
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Rackham

Rackham

Jul 16, 2015
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Logic-is-your-friend said:
Lord knows i'm not a fan of shadowrider, but the point he was making was not that they die from it, but that it can become a long-term problem, in rare cases causing death. I have no knowledge of these cases, maybe he's talking out the side of his neck, but his main argument sounds plausible enough not to dismiss it by ridiculing by proxy.
He also spoke of "atletes" not cyclists.
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The 'problem' wasn't even relating to the disagreement, i.e. people can feel free to post some truth bombs about illnesses & their effect on cyclists (I'm obviously not a doctor) - the issue was right back in his first reply, i.e. way too aggressive as per usual.

It's not 'fake news' (which is what he claimed) for me to say teams are very selective with regard to the information released to the public about the actual illness involved which leads to a DNF (riders ride GT's with flu, upset stomachs & fevers all the time aka it's nothing new... so why is this one different?) Also what happened to Laporte in MSR because he hasn't really been the same since? So it's fair to say Visma in particular seems to have been hit by the same issue this season to a notable degree (Laporte + Kooij + Uijtdebroeks off the top of my head).

Then of course there was last year's pre-Giro covid bloodbath in Jumbo where half the team got sick (& Kuss even finished the race after testing positive).

It seems like the same sh*t keeps on happening to the same team.
 
S

shadowrider

May 18, 2023
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Logic-is-your-friend said:
Lord knows i'm not a fan of shadowrider, but the point he was making was not that they die from it, but that it can become a long-term problem, in rare cases causing death. I have no knowledge of these cases, maybe he's talking out the side of his neck, but his main argument sounds plausible enough not to dismiss it by ridiculing by proxy.
He also spoke of "atletes" not cyclists.
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I'm not a fan of Logic-is-your friend, but the summary he gives is indeed correct. As so often happens, a text/reaction is only half read, and some do not understand it at all. The scientific text Red Rick has published is one of the many about the subject and is correct. It completely refutes what Rackham writes. What Rackham has written has nothing to do with an opinion. But it is scientific nonsense. So, indeed, fake news.
 
GenericBoonenFan

GenericBoonenFan

Dec 27, 2015
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Rackham said:
My knowledge of cycling history might be a little hazy but I'd be curious to see a list of pro cyclists who actually died from riding a GT with a fever.

If there were any (certainly in recent memory), I shall stand corrected.
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There was a Belgian amateur somewhere around the 2010s who kept on training with the flu and he got rushed to A&E one day because his heart decided enough was enough. It happens, and you better be safe than sorry. Furthermore nearly every specialist will tell you not to do it. So if that isn't reason to not do it, I don't know what else is.

These types of discussions also remind me of the story of Bart Wellens, he got rushed to the hospital with heart failure. The media jumped on it like vultures, claiming it was doping (he tested negative obviously), then they said it was the flu but it ended up being a small tooth-infection. Which arguably is less serious than the flu and yet he nearly died because he combined it with being a pro athlete
 
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Red Rick

Red Rick

Feb 20, 2012
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GenericBoonenFan said:
There was a Belgian amateur somewhere around the 2010s who kept on training with the flu and he got rushed to A&E one day because his heart decided enough was enough. It happens, and you better be safe than sorry. Furthermore nearly every specialist will tell you not to do it. So if that isn't reason to not do it, I don't know what else is.

These types of discussions also remind me of the story of Bart Wellens, he got rushed to the hospital with heart failure. The media jumped on it like vultures, claiming it was doping (he tested negative obviously), then they said it was the flu but it ended up being a small tooth-infection. Which arguably is less serious than the flu and yet he nearly died because he combined it with being a pro athlete
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A big part in these types of conversations is also how often people will casuall mix up a cold and a flu when the flu is actually much rarer and can be quite dangerous in itself.
 
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