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July 2007
Virginia College of Osteopathic Medicine, Virginia Tech Sports Medicine, Blacksburg, VA 24061, USA.
Exercise has a variable effect on the immune system. The underlying reasons for this variability are multifactorial and include infectious, neuroedocrine, and metabolic factors, with nutritional status of the athlete and the training load playing a role. Environmental factors such as living quarters, travel requirements, and the type of sport (team versus individual) also contribute to infectious risk.
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