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The ACC will delay the start of competition for all fall sports until at least Sept. 1
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<blockquote data-quote="Techster" data-source="post: 719867" data-attributes="member: 360"><p>Something I brought up in a discussion earlier:</p><p></p><p>[MEDIA=twitter]1266318594356502528[/MEDIA]</p><p></p><p><em>Conference commissioners, college presidents, athletics directors have acknowledged that as football teams return to play, <a href="https://www.usatoday.com/story/sports/college/2020/05/15/ncaa-president-mark-emmert-2020-college-sports-return-coronavirus/5202975002/" target="_blank">there will inevitably be cases</a> and perhaps even outbreaks that pop up in athletics facilities. The belief — or maybe it’s merely a hope — is that players who contract the virus will recover because they are healthy and young.</em></p><p><em></em></p><p><em>But that assumption, according to some infectious disease experts, might ignore a hidden danger lurking in every locker room: Does the sheer size of offensive or linemen put them into a higher-risk category for COVID-19 complications? </em></p><p><em></em></p><p><em>“Yes, I’m concerned about players with high BMI (Body Mass Index) as compared to players who do not have high BMI,” said Gretchen Snoeyenbos Newman, an infectious disease fellow at the University of Washington. “I don’t know what that means in a lived clinical way for these athletes, and I don’t think anybody knows yet. That’s the scary part.”</em></p><p><em></em></p><p><em>“Everything being equal, individuals who are obese by Body Mass Index do tend to have more of a tendency to develop severe infection than someone who is not obese, and that applies whether you’re an athlete or not an athlete,” said Amesh Adalja, a senior scholar at Johns Hopkins and an expert in infectious disease who is part of the NCAA’s coronavirus advisory panel. <strong>“The cardio pulmonary fitness of a linemen who has a high Body Mass Index … they may be better off (than the non-athlete) but in general obesity is a risk factor we have to think about.”</strong></em></p><p><em></em></p><p><em>Thomas Russo, an infectious disease expert with the University at Buffalo medical school, said it was an “interesting question” whether linemen would be more at risk than other players of developing a severe infection but tied it more to the nature of their position than body weight. <strong>Whereas a wide receiver might have more limited close contact with a cornerback through the course of a game, someone on the line of scrimmage is lining up face-to-face with an opponent on every play. </strong></em></p><p><em><strong></strong></em></p><p><em><strong>“They’re the ones who are in the trenches getting pelted with respiratory secretions,” Russo said. “You’re in someone’s face every play and breathing hard and you’re in these piles all the time. They might get a huge viral load if someone on the field was infected.”</strong></em></p><p><em><strong></strong></em></p><p><em><strong>As Russo said, rather grimly, “This whole concept of, ‘Oh they’re young, they’re healthy they’ll recover, is a flawed concept. Whoever comes up with this is clearly someone that isn’t thinking about this from a medial point of view. No one is bulletproof on this, OK? There are still going to be people who are younger, in their late teens or 20s that perhaps for genetic reasons are going to have a bad outcome. It’s statistics.”</strong></em></p><p><em><strong></strong></em></p><p><em><strong>And because COVID-19 hasn’t been around but a few months, there’s no way to quantify the long-term risk, even if someone recovers.</strong> It’s also currently inclusive, according to both experts and the Sickle Cell Disease Association of America, whether sickle cell trait — a common factor in sudden football-related deaths — is a factor in COVID-19 outcomes. </em></p><p><em></em></p><p><em>If college athletic programs aren’t making those unknowns abundantly clear to the players under their care, it’s a dereliction of their duty. </em></p><p><em></em></p><p><em><strong>“You have to think about not just are you going to die but are you going to get really really sick and what might that mean for your career,” </strong>Snoeyenbos Newman said. “<strong>It’s definitely not all or nothing. There’s a huge spectrum of illness that happens and some of it is quite severe and long lasting. There are outcomes that are bad that are not death.”</strong></em></p><p><em></em></p><p></p><p>An Emory doctor has a somewhat more positive opinion, but with a caveat:</p><p></p><p><em>The lead investigator of that study, Jonathan H. Kim, is a sports cardiologist at Emory University and works with all three major professional sports teams in Atlanta.<strong> As is the case with many questions surrounding COVID-19, he said, the answer is that we don’t really know whether certain types of players are more at-risk of a severe infection.</strong></em></p><p><em></em></p><p><em><strong>"It’s very fair to state that college football players, regardless of position, are still overall healthy and so my initial opinion would be they’re not at higher risk for cardiac complications post-COVID,”</strong> Kim said. “But these are the questions we want to ask because ultimately we know COVID is going to be with us for the foreseeable future and we need to know the best way to take care of these athletes and try to mitigate potential cardiac risk down the line for them.”</em></p><p><em></em></p><p><em>Kim more recently co-authored an opinion piece laying out recommendations for athletes who return to training and exercise after they recover from COVID-19. Even for athletes who experience only mild symptoms and aren’t hospitalized, these guidelines put forth by the American College of Cardiology’s Sports & Exercise Council suggest two weeks of no exercise after symptoms subside plus cardiac testing to look for any underlying heart inflammation or injury before a return to play.</em></p><p><em></em></p><p></p><p>We're about to enter into a real live experiment to answer a lot of these questions. For the sake of these SAs that are about to be real live medical trial samples, let's all hope the outcomes are positive because the other option could be devastating.</p><p></p><p>Also something the elite players with NFL futures will have to think about: Is it worth risking long term health to play given the uncertainties and possible long term health issues?</p></blockquote><p></p>
[QUOTE="Techster, post: 719867, member: 360"] Something I brought up in a discussion earlier: [MEDIA=twitter]1266318594356502528[/MEDIA] [I]Conference commissioners, college presidents, athletics directors have acknowledged that as football teams return to play, [URL='https://www.usatoday.com/story/sports/college/2020/05/15/ncaa-president-mark-emmert-2020-college-sports-return-coronavirus/5202975002/']there will inevitably be cases[/URL] and perhaps even outbreaks that pop up in athletics facilities. The belief — or maybe it’s merely a hope — is that players who contract the virus will recover because they are healthy and young. But that assumption, according to some infectious disease experts, might ignore a hidden danger lurking in every locker room: Does the sheer size of offensive or linemen put them into a higher-risk category for COVID-19 complications? “Yes, I’m concerned about players with high BMI (Body Mass Index) as compared to players who do not have high BMI,” said Gretchen Snoeyenbos Newman, an infectious disease fellow at the University of Washington. “I don’t know what that means in a lived clinical way for these athletes, and I don’t think anybody knows yet. That’s the scary part.” “Everything being equal, individuals who are obese by Body Mass Index do tend to have more of a tendency to develop severe infection than someone who is not obese, and that applies whether you’re an athlete or not an athlete,” said Amesh Adalja, a senior scholar at Johns Hopkins and an expert in infectious disease who is part of the NCAA’s coronavirus advisory panel. [B]“The cardio pulmonary fitness of a linemen who has a high Body Mass Index … they may be better off (than the non-athlete) but in general obesity is a risk factor we have to think about.”[/B] [B][/B] Thomas Russo, an infectious disease expert with the University at Buffalo medical school, said it was an “interesting question” whether linemen would be more at risk than other players of developing a severe infection but tied it more to the nature of their position than body weight. [B]Whereas a wide receiver might have more limited close contact with a cornerback through the course of a game, someone on the line of scrimmage is lining up face-to-face with an opponent on every play. “They’re the ones who are in the trenches getting pelted with respiratory secretions,” Russo said. “You’re in someone’s face every play and breathing hard and you’re in these piles all the time. They might get a huge viral load if someone on the field was infected.” As Russo said, rather grimly, “This whole concept of, ‘Oh they’re young, they’re healthy they’ll recover, is a flawed concept. Whoever comes up with this is clearly someone that isn’t thinking about this from a medial point of view. No one is bulletproof on this, OK? There are still going to be people who are younger, in their late teens or 20s that perhaps for genetic reasons are going to have a bad outcome. It’s statistics.” And because COVID-19 hasn’t been around but a few months, there’s no way to quantify the long-term risk, even if someone recovers.[/B] It’s also currently inclusive, according to both experts and the Sickle Cell Disease Association of America, whether sickle cell trait — a common factor in sudden football-related deaths — is a factor in COVID-19 outcomes. If college athletic programs aren’t making those unknowns abundantly clear to the players under their care, it’s a dereliction of their duty. [B]“You have to think about not just are you going to die but are you going to get really really sick and what might that mean for your career,” [/B]Snoeyenbos Newman said. “[B]It’s definitely not all or nothing. There’s a huge spectrum of illness that happens and some of it is quite severe and long lasting. There are outcomes that are bad that are not death.”[/B] [/I] An Emory doctor has a somewhat more positive opinion, but with a caveat: [I]The lead investigator of that study, Jonathan H. Kim, is a sports cardiologist at Emory University and works with all three major professional sports teams in Atlanta.[B] As is the case with many questions surrounding COVID-19, he said, the answer is that we don’t really know whether certain types of players are more at-risk of a severe infection.[/B] [B]"It’s very fair to state that college football players, regardless of position, are still overall healthy and so my initial opinion would be they’re not at higher risk for cardiac complications post-COVID,”[/B] Kim said. “But these are the questions we want to ask because ultimately we know COVID is going to be with us for the foreseeable future and we need to know the best way to take care of these athletes and try to mitigate potential cardiac risk down the line for them.” Kim more recently co-authored an opinion piece laying out recommendations for athletes who return to training and exercise after they recover from COVID-19. Even for athletes who experience only mild symptoms and aren’t hospitalized, these guidelines put forth by the American College of Cardiology’s Sports & Exercise Council suggest two weeks of no exercise after symptoms subside plus cardiac testing to look for any underlying heart inflammation or injury before a return to play. [/I] We're about to enter into a real live experiment to answer a lot of these questions. For the sake of these SAs that are about to be real live medical trial samples, let's all hope the outcomes are positive because the other option could be devastating. Also something the elite players with NFL futures will have to think about: Is it worth risking long term health to play given the uncertainties and possible long term health issues? [/QUOTE]
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