Training, Immunity, and Health in Elite Kayaking: A Longitudinal Study Monitoring a World-Class Marathon Paddler with Exercise-Induced Bronchoconstriction

This case study of an elite marathon kayaker revealed transient immune fluctuations across a competitive season, including early immunosuppression (low neutrophils, CD4+/CD8+ ratio 0.50, and minimal CD19+ B cells) followed by partial recovery mid- and late-season. Despite persistently inverted CD4+/CD8+ ratios suggesting chronic immune dysregulation, the athlete maintained competitive performance, highlighting the temporary nature of these changes and emphasizing that regular immune monitoring can help optimize health and performance in elite athletes.

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Publication Details

Journal
Sports
Published
2025-11-07
DOI
https://doi.org/10.3390/sports13110401
Primary Topic
Exercise and Physiological Responses
Type
article
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article

Training, Immunity, and Health in Elite Kayaking: A Longitudinal Study Monitoring a World-Class Marathon Paddler with Exercise-Induced Bronchoconstriction

Rodrigo Zacca, Tiago Azenha Rama, Liliana C. Baptista, Ana Isabel Padrão et al.
Sports
Exercise and Physiological Responses
article

Training, Immunity, and Health in Elite Kayaking: A Longitudinal Study Monitoring a World-Class Marathon Paddler with Exercise-Induced Bronchoconstriction

Rodrigo Zacca, Tiago Azenha Rama, Liliana C. Baptista, Ana Isabel Padrão, José Augusto Rodrigues dos Santos
article en

Abstract

This case study of an elite marathon kayaker revealed transient immune fluctuations across a competitive season, including early immunosuppression (low neutrophils, CD4+/CD8+ ratio 0.50, and minimal CD19+ B cells) followed by partial recovery mid- and late-season. Despite persistently inverted CD4+/CD8+ ratios suggesting chronic immune dysregulation, the athlete maintained competitive performance, highlighting the temporary nature of these changes and emphasizing that regular immune monitoring can help optimize health and performance in elite athletes.

SportsVol. 13(11)
Universidade do Porto (PT), Hospital de São João (PT), Universidad Adventista de Chile (CL), University of Coimbra (PT)
Openalex Percentile: Top 60%
Exercise and Physiological Responses
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Training, Immunity, and Health in Elite Kayaking: A Longitudinal Study Monitoring a World-Class Marathon Paddler with Exercise-Induced Bronchoconstriction — Rodrigo Zacca, Tiago Azenha Rama, et al. · Sports (2025) | TGRS Research Map | TGRS