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Infectious Skin Diseases of Korean National Wrestlers: A Cross-sectional Observational Study
Korean J Sports Med 2024;42:99-104
Published online June 1, 2024;  https://doi.org/10.5763/kjsm.2024.42.2.99
© 2024 The Korean Society of Sports Medicine.

Yunjo Choung1,*, Bumjo Oh2,*, Jongseung Kim2, Jung-sun Lim2, Sujeong Han2, Eunyoung Shin2, Jungjoong Yoon3, Moonjung Bae4, Jeh-Kwang Ryu5

1Department of Family Medicine, Seoul National University Hospital, Seoul, 2Department of Family Medicine, SMG-SNU Boramae Medical Center, Seoul, 3Team Doctor Rehabilitation Clinic, Seoul, 4H+ Yangji Hospital, Seoul, 5Department of Physical Education, Dongguk University, Seoul, Korea
Correspondence to: Jongseung Kim
Department of Family Medicine, SMG-SNU Boramae Medical Center, 20 Boramae-ro 5-gil, Dongjak-gu, Seoul 07061, Korea
Tel: +82-2-870-2682, Fax: +82-2-870-3340, E-mail: atenae68@nate.com
*These authors contributed equally to this work as co-first authors.
Received August 5, 2022; Revised November 4, 2022; Accepted November 7, 2022.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: Wrestlers have a lot of direct skin-to-skin contact between wrestlers during matches, and many studies show that wrestlers are vulnerable to the spread of skin infections. However, there have been few studies on skin infections in Korean wrestlers. The purpose of this study was to compare the characteristics of skin diseases in wrestlers and other athletes.
Methods: Athletes who visited for skin diseases in the Department of Family Medicine in the Jincheon National Training Center in 2018 were investigated. We calculated the duration of skin disease per training period (DSD/TP) as the number of visits×7 days×1,000/official training days. Athletes with a DSD/TP above the median value or equal to were defined as the high DSD/TP group, and the others were defined as the low DSD/TP group. A chi-square test was used to compare the odds ratio [OR] for these groups about infectious and noninfectious skin diseases.
Results: Thirty wrestlers and 89 other sports players visited the infirmary with skin diseases. The probability of belonging to the high DSD/TP group was significantly higher when the wrestlers visited for skin infections than the other athletes (OR, 7.714; 95% confidence interval [CI], 2.699–22.048). However, there was no significant difference in noninfectious skin diseases between wrestling and other sports (OR, 0.569; 95% CI, 0.246–1.320).
Conclusion: This is the first study that shows Korean national wrestlers with skin diseases receive more treatment for infectious skin diseases than other sports. This study can provide important information on the prevention of wrestlers for skin infections.
Keywords : Infectious skin diseases, Communicable diseases, Wrestling, Athletes
꽌 濡

뒪룷痢 遺긽 以 뵾遺吏덊솚 諛쒕퀝 썝씤뿉 뵲씪 겕寃 떎쓬怨 媛숈씠 굹닃 닔 엳떎. 泥レ㎏, 媛먯뿼꽦 뵾遺吏덊솚(꽭洹, 諛붿씠윭뒪, 吏꾧퇏, 鍮꾩젙삎 留덉씠肄붾컯뀒由ъ븘, 湲곗깮異), 몮吏, 뿼利 諛섏쓳(븣젅瑜닿린 諛 옄洹 젒珥 뵾遺뿼, 媛젮利 諛 몢뱶윭湲, 슫룞 쑀諛 삁愿遺醫/븘굹븘씫떆뒪), 뀑吏, 쇅긽(뵾遺 諛 紐⑤컻쓽 留덉같 넀긽, 븬젰 넀긽, 넀‧諛쒗넲쓽 쇅긽, 븬젰/留덉같/諛룓/뿴 寃고빀 긽솴), 洹 쇅 솚寃 쑀諛 吏덊솚, 씠긽 利앹떇 벑씠 엳떎1.

뿬윭 뒪룷痢 以묒뿉꽌룄 寃⑺닾湲 醫낅ぉ 긽諛⑷낵 寃⑤(뒗 怨쇱젙뿉꽌 뼱源, 臾대쫷, 뙏轅덉튂 벑쓽 뒪룷痢 넀긽쓣 留롮씠 寃る뒗떎. 듅엳 젅뒳留곸 꽑닔媛 吏곸젒쟻씤 뵾遺쓽 젒珥 硫댁쟻씠 꼻怨 寃⑸젹븳 留덉같씠 씪뼱굹硫 뵾遺 젒珥됱떆媛꾩씠 떎瑜 醫낅ぉ뿉 鍮꾪빐꽌 뜑 湲멸린 븣臾몄뿉 뒪룷痢 넀긽 以 뵾遺吏덊솚뿉룄 痍⑥빟븯떎. 誘멸뎅뿉꽌 1988–1989뀈 떆利뚮꽣 2003–2004뀈 떆利뚭퉴吏 븰깮 젅뒳留 꽑닔뱾쓽 뒪룷痢 遺긽 以 뵾遺 媛먯뿼 吏덊솚 17% 씠긽쓣 李⑥븯뒗 寃껋쑝濡 諛앺議뚮떎2. 洹 以묒뿉꽌룄 吏꾧퇏뿉 쓽븳 媛먯뿼꽦 뵾遺吏덊솚씤 닾궗諛깆꽑(trichophytosis gladiatorum) 꽑닔媛 쟾뿼씠 돺寃 씪뼱굹 援젣寃쎄린瑜 넻빐꽌 떎瑜 굹씪뿉 쟾뙆릺湲곕룄 븯떎3. 삉븳 꽑닔媛 뵾遺 젒珥됱씠 뾾뒗 湲곕줉 醫낅ぉ씤 쑁긽怨 鍮꾧탳뻽쓣 븣 닾궗諛깆꽑씠 젅뒳留 꽑닔뿉꽌 뜑 쓷븯寃 諛쒓껄맂떎뒗 寃껊룄 뿰援щ 넻빐 諛앺議뚮떎4. 씠윴 뿬윭 빐쇅 뿰援щ뱾쓣 넻빐 꽑닔媛 뵾遺 媛먯뿼쓣 삁諛⑺븯湲 쐞빐꽌 쉶 쟾 媛먯뿼꽦 뵾遺 吏덊솚쓣 媛吏 젅뒳留 꽑닔뒗 異쒖쟾븯吏 紐삵븳떎뒗 洹쒖젙씠 留뚮뱾뼱議뚮떎.

洹 쇅, 諛붿씠윭뒪 媛먯뿼뿉 빐꽌룄 젅뒳留 諛 윮鍮 꽑닔뱾 媛꾩뿉 1삎 떒닚룷吏 諛붿씠윭뒪(herpes simplex virus 1)쓽 吏묐떒 媛먯뿼씠 愿李곕릺硫댁꽌 ‘寃닾궗 뿤瑜댄럹뒪(herpes gladiatorum)’씪뒗 슜뼱媛 깮寃쇨퀬, 2000뀈뿉 뱾뼱꽌 뿤瑜댄럹뒪뒗 誘멸뎅 怨좊벑븰깮, 븰깮 젅뒳留 꽑닔 궡뿉꽌 袁몄엳 諛쒖깮븯쑝硫 留ㅻ뀈 20%–40%쓽 誘멸뎅 븰깮 젅뒳留 꽑닔媛 媛먯뿼릺뒗 寃껋쑝濡 븣젮議뚮떎5.

씠泥섎읆 빐쇅뿉꽌 뿬윭 諛⑸㈃뿉 븳 젅뒳留 꽑닔뱾쓽 뵾遺吏덊솚뿉 븳 뿰援ш 씠猷⑥뼱吏 諛섎㈃뿉 援궡 젅뒳留 꽑닔뱾쓽 뵾遺吏덊솚뿉 븳 뿰援щ뒗 遺議깊븯떎. 1995뀈 寃쎈턿 吏諛 냼옱 以묓븰援 젅뒳留 꽑닔쓽 諛깆꽑쑝濡쒕꽣 Trichophyton tonsurans瑜 遺꾨━븯硫댁꽌 쟾援 븘留덉텛뼱 젅뒳留 꽑닔 1,394紐 以 42.5%媛 닾궗諛깆꽑쓣 寃り퀬 엳쓬쓣 諛앺깉吏留, 씠뒗 1990뀈쓽 뿰援ш껐怨쇰줈 씠썑 援궡 슫룞꽑닔뱾쓽 媛먯뿼꽦 뵾遺吏덊솚뿉 븳 썑냽 뿰援щ뒗 씠猷⑥뼱吏吏 븡怨 엳떎6. 1990뀈뿉 鍮꾪빐 쁽옱 솢룞 以묒씤 슫룞꽑닔뱾쓽 쐞깮 愿젴 씤떇룄 留롮씠 媛쒖꽑맖뿉 뵲씪 뵾遺吏덊솚쓽 뼇긽 뿭떆 留롮씠 蹂솕뻽쓣 寃껋씠씪怨 삁긽븯떎.

씠뿉 蹂 뿰援щ뒗 2018뀈 뵾遺吏덊솚쑝濡 吏꾩쿇 援媛몴 꽑닔珥 遺냽쓽썝(씠븯 꽑닔珥 쓽臾댁떎)뿉 諛⑸Ц븳 꽑닔뱾쓣 遺꾩꽍븯뿬 젅뒳留 꽑닔뱾씠 洹 쇅뿉 떎瑜 醫낅ぉ뱾(냽援, 윮鍮, 젅뒳留, 諛붿씠븷뒳濡, 諛곌뎄, 諛곕뱶誘쇳꽩, 蹂듭떛, 蹂쇰쭅, 遊낆뒳젅씠, 뒪耳덈젅넠, 궗寃, 궗씠겢, 꽭뙇겕濡, 냼봽듃蹂, 븘떚뒪떛 닔쁺, 뒪荑쇱떆, 븘씠뒪븯궎, 뼇沅, 뿭룄, 슦뒋, 쑀룄, 쑁긽, 泥댁“, 移대씪뀒, 깭沅뚮룄, 렂떛, 븯궎, 빖뱶蹂)쓽 꽑닔뱾怨 鍮꾧탳븯쓣 븣 媛먯뿼꽦怨 鍮꾧컧뿼꽦 뵾遺吏덊솚쑝濡 궡썝븯뒗 鍮덈룄瑜 遺꾩꽍븯뿬 젅뒳留 諛 떎瑜 슫룞꽑닔뱾씠 留롮씠 寃る뒗 뵾遺吏덊솚쓽 듅꽦쓣 諛앺엳怨좎옄 븯떎.

뿰援 諛⑸쾿

1. 뿰援 긽

蹂 뿰援щ뒗 2018뀈 1썡 1씪遺꽣 12썡 31씪源뚯 1뀈 룞븞 吏꾩쿇 援媛몴 꽑닔珥뚯뿉꽌 썕젴븯뜕 紐⑤뱺 醫낅ぉ쓽 꽑닔뱾 以 뵾遺吏덊솚쑝濡 쓽臾댁떎 궡 媛젙쓽븰怨 吏꾨즺瑜 諛쏆 꽑닔 124紐낆쓣 긽쑝濡 븳 썑뼢쟻 吏묐떒 뿰援щ줈 떆뻾릺뿀떎. 씠 以 떎젣 썕젴씪怨 쓽臾닿린濡앹씠 留욎 븡뒗 5紐낆쓽 꽑닔뒗 젣쇅븯怨 珥 119紐낆쓽 꽑닔뱾쓽 吏꾨즺湲곕줉쓣 諛뷀깢쑝濡 븯떎(Fig. 1).

Fig. 1. Patient flow diagram.

2. 옄猷 닔吏

蹂 뿰援ъ뿉꽌 뵾遺吏덊솚뿉 븳 吏꾨떒 吏꾩쿇 꽑닔珥 쓽臾댁떎뿉꽌 洹쇰Т 以묒씤 媛젙쓽븰怨 쟾臾몄쓽뿉 쓽빐 씠猷⑥뼱議뚮떎. 뵾遺吏덊솚 吏꾨떒紐낆쓣 엯젰븳 利앸뱾뿉 븯뿬 꽑닔뱾쓽 醫낅ぉ 諛 꽦蹂, 뿰졊, 媛 吏꾨즺湲곕줉蹂 蹂묐챸, 蹂묐 遺쐞, 移섎즺 諛⑸쾿뿉 븳 옄猷뚮뒗 吏꾨즺쓽媛 蹂꾨룄쓽 뿊뙆씪濡 湲곕줉븯怨, 媛쒖씤쓣 듅젙븯吏 븡怨 以묐났쓣 뵾븯湲 쐞빐 솚옄 ID瑜 븿猿 湲곗옱븯떎. 븵꽌 뼵湲됲븳 궡슜쓣 젣쇅븯怨 媛쒖씤젙蹂대 떇蹂꾪븷 닔 엳뒗 옄猷뚮뒗 닔吏묐릺吏 븡븯떎. 삉븳 醫낅ぉ蹂꾨줈 援媛몴 꽑닔뱾씠 썡蹂 썕젴씤썝怨 썕젴湲곌컙쓣 議곗궗븯떎. 씠 以묒뿉꽌 쇅遺 쟾吏 썕젴 諛 쉶 異쒖쟾쑝濡 꽑닔珥뚯뿉 엳吏 븡븯뜕 湲곌컙 썕젴湲곌컙뿉꽌 젣쇅븯떎. 꽑닔뱾 쐞쓽 怨쇱젙쓣 넻빐 닔吏묐맂 吏꾨즺 뜲씠꽣媛 뿰援ъ슜쑝濡 궗슜맆 닔 엳떎뒗 궗떎뿉 빐 궗쟾뿉 룞쓽瑜 븯怨 媛쒖씤젙蹂대 떇蹂꾪븷 닔 엳뒗 옄猷뚮뒗 닔吏묓븯吏 븡븯떎. 蹂 뿰援щ뒗 룞援븰援 쓽븰뿰援ъ쑄由ъ떖쓽쐞썝쉶쓽 떖쓽 諛 듅씤쓣 諛쏆븯쑝硫 쓽븰뿰援 쑄由ш컯졊씤 뿬떛궎 꽑뼵쓣 以닔븯떎.

3. 옄猷 遺꾩꽍

蹂 뿰援щ뒗 떊泥댁쟻 젒珥됱씠 留롮 젅뒳留 援媛몴 꽑닔 30紐낃낵 떎瑜 鍮꾩젒珥됱꽦 醫낅ぉ쓽 89紐낆쓽 뵾遺吏덊솚쓣 鍮꾧탳븯떎. 썕젴 湲곌컙 룞븞 諛쒖깮븳 紐⑤뱺 꽑닔뱾쓽 뵾遺 吏덊솚쓣 Adams쓽 遺꾨쪟뿉 뵲씪 겕寃 媛먯뿼꽦 吏덊솚怨 鍮꾧컧뿼꽦 吏덊솚쑝濡 굹늻뿀떎. 媛먯뿼꽦 吏덊솚뿉뒗 諛붿씠윭뒪꽦 媛먯뿼(떒닚룷吏), 꽭洹좎꽦 媛먯뿼(냽뼇, 紐⑤궘뿼, 뿰議곗쭅뿼, 醫낃린), 吏꾧퇏媛먯뿼(諛깆꽑, 뼱猷⑤윭湲)쑝濡 遺꾨쪟븯떎. 鍮꾧컧뿼꽦 吏덊솚뿉뒗 뿼利앹꽦 吏덊솚(뒿吏, 몢뱶윭湲, 븘넗뵾꽦 뵾遺뿼, 븣젅瑜닿린꽦 젒珥 뵾遺뿼, 吏猷⑥꽦 뵾遺뿼), 쇅긽(쇅씠쓽 삁醫, 룞긽, 솕긽, 떚늿), 湲고 吏덊솚(씈, 븳룷吏, 옣誘몄깋 鍮꾧컯吏)쑝濡 遺꾨쪟븯떎.

뵾遺吏덊솚쓣 二쇱냼濡 吏꾩쿇 꽑닔珥 쓽臾댁떎뿉 궡썝븳 媛 꽑닔蹂꾨줈, 1뀈 룞븞 吏꾩쿇 꽑닔珥뚯뿉 癒몃Ъ硫댁꽌 썕젴븳 湲곌컙쓣 Microsoft Excel (Microsoft, Redmond, WA, USA)쓣 씠슜븯뿬 怨꾩궛븯떎. 삉븳 쓽臾댁떎뿉꽌 씪二쇱씪쓽 泥섎갑씠 二쇰줈 씠猷⑥뼱吏먯뿉 뵲씪 쓽臾댁떎 궡썝 슏닔×7씪쓣 媛 뵾遺吏덊솚쓽 쑀蹂묎린媛꾩쑝濡 媛젙븯怨 꽑닔뱾씠 7씪 씠궡 媛숈 吏덊솚쑝濡 옱諛⑸Ц븳 湲곕줉 吏덊솚쓽 븙솕濡 씤븳 寃껋씠硫 깉濡쒖슫 吏꾨떒씠 븘땶 寃껋쑝濡 蹂닿퀬 젣쇅븯떎. 씠瑜 넗濡 1,000썕젴씪떦 뵾遺吏덊솚쓽 쑀蹂묎린媛(duration of skin disease per 1,000 official training period, DSD/TP)쓣 븘옒 怨듭떇쓣 궗슜븯뿬 怨꾩궛븯떎.

DSD/TP=7×  ()()×1,000

씠썑 뵾遺吏덊솚蹂꾨줈 쓽臾댁떎쓣 諛⑸Ц븳 쟻 엳뒗 꽑닔뱾 紐⑤몢쓽 DSD/TP 媛믩뱾쓣 援ы빐 以묎컙媛 씠긽씤 援곗쓣 high DSD/TP援, 以묎컙媛 誘몃쭔씤 援곗쓣 low DSD/TP援곗쑝濡 遺꾨쪟븯怨, 뵾遺吏덊솚蹂꾨줈 젅뒳留 꽑닔뱾씠 떎瑜 醫낅ぉ뿉 鍮꾪빐 high DSD/TP援곗뿉 냽븷 쐞뿕씠 뼹留덈굹 릺뒗吏 遺꾩꽍븯怨좎옄 븯떎. 씠뿉 exposure뒗 醫낅ぉ쑝濡, outcome DSD/TP濡 젙븯뿬 移댁씠젣怨 寃젙踰뺤쓣 씠슜븯뿬 援먯감鍮(odds ratio)瑜 援ы븯떎. 紐⑤뱺 넻怨꾨텇꽍 IBM SPSS version 25.0 (IBM Corp., Armonk, NY, USA)쓣 궗슜븯怨, 넻怨꾩쟻 쑀쓽닔以 α=0.05濡 꽕젙븯떎.

寃 怨

뿰援ъ뿉 李몄뿬븳 꽑닔뱾쓽 듅꽦 Table 1怨 媛숇떎. 뵾遺吏덊솚쑝濡 쓽臾댁떎쓣 諛⑸Ц븳 젅뒳留 꽑닔뒗 珥 30紐낆쑝濡 궓옄 21紐, 뿬옄 9紐낆씠뿀떎. 젅뒳留 꽑닔뱾 룊洹 226.4씪(踰붿쐞, 211–233씪) 썕젴븯떎. 삉븳, 뵾遺吏덊솚쑝濡 쓽臾댁떎쓣 諛⑸Ц븳 젅뒳留 씠쇅 醫낅ぉ쓽 꽑닔뱾 珥 89紐낆씠뿀쑝硫 닾湲 醫낅ぉ(蹂듭떛, 렂떛, 쑀룄, 移대씪뀒, 깭沅뚮룄) 21紐, 援ш린 醫낅ぉ(諛곕뱶誘쇳꽩, 냽援, 빖뱶蹂, 븯궎, 븘씠뒪븯궎, 윮鍮, 꽭뙇겕濡, 냼봽듃蹂, 뒪荑쇱떆, 諛곌뎄) 36紐, 湲곕줉 醫낅ぉ(뼇沅, 쑁긽, 諛붿씠븷뒳濡, 遊낆뒳젅씠, 蹂쇰쭅, 궗씠겢留, 泥댁“, 궗寃, 닔쁺, 뿭룄, 슦뒋) 32紐낆씠뿀떎. 씠뱾쓽 룊洹 썕젴씪 192.3씪(踰붿쐞, 25–293씪)씠뿀떎.

Table 1 . Characteristics of the study patients

CharacteristicWrestlingOthers
No. of patients3089
Sex
Male2140
Female949
Type of sports
Wrestling300
Combat sports*021
Ball sports036
Record sports032
Training period (day), average (range)226.4 (211.0−233.0)192.3 (25.0−293.0)
DSD/TP, median (range)
Infectious30.0 (0−210.3)0 (0−76.5)
Noninfectious0 (0−132.7)31.0 (0−280.0)

DSD/TP: duration of skin disease per 1,000 official training period.

*Combat sports: boxing, fencing, judo, karate, taekwondo. Ball sports: badminton, basketball, handball, hockey, ice hockey, rugby, sepak takraw, softball, squash, volleyball. Record sports: archery, athletics, biathlon, bobsleigh, bowling, cycling, gymnastics, shooting, swimming, weight-lifting, wushu.



2018뀈뿉 젅뒳留 꽑닔 30紐낆 2018뀈뿉 媛먯뿼꽦 뵾遺吏덊솚쑝濡 47쉶, 鍮꾧컧뿼꽦 뵾遺吏덊솚쑝濡 23쉶 궡썝븯뿬 珥 70쉶 궡썝븯떎. 媛먯뿼꽦 吏덊솚 以 諛붿씠윭뒪 媛먯뿼吏덊솚 20쉶, 꽭洹 媛먯뿼吏덊솚 11쉶, 吏꾧퇏 媛먯뿼吏덊솚 16쉶怨, 鍮꾧컧뿼꽦 吏덊솚 以 뿼利앹꽦 吏덊솚 16쉶, 쇅긽 3쉶, 洹 쇅 湲고 吏덊솚 4쉶떎. 젅뒳留 꽑닔뱾 媛먯뿼꽦 뵾遺吏덊솚쑝濡 궡썝븳 슏닔媛 쟾泥댁쓽 67.1%濡, 鍮꾧컧뿼꽦 吏덊솚쑝濡 궡썝븳 슏닔蹂대떎 빟 2諛 젙룄 뜑 留롮븯떎(Table 2).

Table 2 . Number of skin diseases of the study patients

Type of diseaseWrestling (n=70)Others(n=110)
Infectious
Viral infection*20 (28.6)8 (7.3)
Bacterial infection11 (15.7)29 (26.4)
Fungi infection16 (22.9)6 (5.5)
Any47 (67.1)43 (39.1)
Noninfectious
Inflammation§16 (22.9)56 (50.9)
Trauma3 (4.3)7 (6.4)
Others4 (5.7)4 (3.6)
Any23 (32.9)67 (60.9)

Values are presented as number of visits to the infirmary (%).

*Viral infection: herpes simplex. Bacterial infection: abs-cess, boil, cellulitis, folliculitis. Fungi infection: derma-tophytosis, tinea versicolor. §Inflammation: allergic contact dermatitis, atopic dermatitis, eczema, seborrheic dermatitis, urticarial. Trauma: burn, corn, frostbite, hematoma. Others: dyshidrotic eczema, heat rash, pityriasis rosea.



젅뒳留 씠쇅 醫낅ぉ뱾쓽 꽑닔 89紐낆 2018뀈뿉 媛먯뿼꽦 뵾遺吏덊솚쑝濡 43쉶, 鍮꾧컧뿼꽦 뵾遺吏덊솚쑝濡 67쉶 諛⑸Ц븯뿬 珥 110쉶 궡썝븯떎. 媛먯뿼꽦 吏덊솚 以 諛붿씠윭뒪 吏덊솚 8쉶, 꽭洹 吏덊솚 29쉶, 吏꾧퇏 吏덊솚 6쉶떎. 鍮꾧컧뿼꽦 吏덊솚 以 뿼利앹꽦 吏덊솚 56쉶, 쇅긽 7쉶, 洹 쇅 吏덊솚 4쉶떎. 젅뒳留 醫낅ぉ 씠쇅쓽 꽑닔뱾 鍮꾧컧뿼꽦 뵾遺吏덊솚쑝濡 궡썝븳 슏닔媛 쟾泥 궡썝 슏닔쓽 60.9%瑜 李⑥븯硫 媛먯뿼꽦 吏덊솚쑝濡 궡썝븳 슏닔蹂대떎 뜑 留롮븯떎(Table 2).

뵾遺吏덊솚蹂꾨줈 媛먯뿼꽦 뵾遺吏덊솚怨 鍮꾧컧뿼꽦 뵾遺吏덊솚쑝濡 굹늻뼱 궡렣蹂대㈃, 媛먯뿼꽦 뵾遺吏덊솚 64紐, 鍮꾧컧뿼꽦 뵾遺吏덊솚쑝濡쒕뒗 67紐낆씠 궡썝븯떎. 떎떆 留먰빐, 쟾泥 119紐 以 媛먯뿼꽦, 鍮꾧컧뿼꽦 뵾遺吏덊솚 紐⑤몢瑜 븪 궗엺씠 12紐낆씠뿀떎. 썕젴湲곌컙 媛먯뿼꽦 뵾遺吏덊솚쓣 寃れ 꽑닔뱾 룊洹 217.5씪(踰붿쐞, 103–293씪)씠뿀쑝硫 鍮꾧컧뿼꽦 뵾遺吏덊솚쓣 寃れ 꽑닔뱾 룊洹 188.5씪(踰붿쐞, 25–274씪) 썕젴븯떎. DSD/TP뒗 媛먯뿼꽦 吏덊솚쓽 寃쎌슦 以묎컙媛 26.1씠뿀쑝硫 鍮꾧컧뿼꽦 吏덊솚쓽 寃쎌슦 以묎컙媛 29.2떎(Table 3).

Table 3 . DSD/TP of all patients

VariableType of disease
InfectiousNoninfectious
No. of patients6467
Training period (day), average (range)217.5 (103−293)188.5 (25−274)
DSD/TP, median (range)26.1 (0−210.3)29.2 (0−280.0)

DSD/TP: duration of skin disease per 1,000 official training period.



씠瑜 諛뷀깢쑝濡 Table 4뿉꽌 媛 吏덊솚쓽 援곕퀎濡 醫낅ぉ뿉 뵲瑜 李⑥씠瑜 鍮꾧탳빐蹂 寃곌낵, 젅뒳留 꽑닔 30紐 以 high DSD/TP援곗 25紐, low DSD/TP援곗 5紐낆씠뿀떎. 諛섎㈃뿉 젅뒳留 씠쇅 醫낅ぉ쓽 꽑닔뱾 89紐낆 high DSD/TP援곗뿉 35紐, low DSD/TP援곗뿉 54紐 냽븯떎. 뵲씪꽌 젅뒳留 꽑닔媛 high DSD/TP援곗뿉 냽븷 쐞뿕룄瑜 쑜븯뒗 援먯감鍮꾨뒗 7.714 (95% 떊猶곌뎄媛, 2.699–22.048; p<0.001)濡 쑀쓽븯寃 넂븯떎.

Table 4 . Odds ratio comparing DSD/TP of wrestlers and other athletes (high vs. low)

Type of diseaseDSD/TPWrestlingOthersOdds ratio (95% CI)p-value
InfectiousHigh25357.714 (2.699−22.048)<0.001
Low554
NoninfectiousHigh12480.569 (0.246−1.320)0.187
Low1841

DSD/TP: duration of skin disease per 1,000 official training period, CI: confidence interval.



鍮꾧컧뿼꽦 吏덊솚쓽 寃쎌슦 젅뒳留 꽑닔뒗 high DSD/TP援곗뿉 12紐, low DSD/TP援곗뿉 18紐낆씠 냽븯떎. 諛섎㈃뿉 젅뒳留 씠쇅 醫낅ぉ쓽 꽑닔뱾 high DSD/TP援곗뿉 48紐, low DSD/TP援곗뿉 41紐낆씠 냽븯떎. 뵲씪꽌 젅뒳留 꽑닔媛 鍮꾧컧뿼꽦 吏덊솚쓽 high DSD/TP援곗뿉 냽븷 쐞뿕룄뒗 떎瑜 醫낅ぉ 꽑닔뱾怨 쑀쓽븳 李⑥씠媛 뾾뿀떎.

怨 李

蹂 뿰援щ뒗 2018뀈뿉 吏꾩쿇 援媛몴 꽑닔珥뚯뿉꽌 썕젴븳 슫룞꽑닔뱾 以 쓽臾댁떎 궡 媛젙쓽븰怨 吏꾨즺瑜 諛쏆 꽑닔瑜 긽쑝濡 1,000썕젴씪떦 뵾遺吏덊솚쓽 쑀蹂묎린媛꾩쓣 DSD/TP 媛믪쑝濡 젙쓽븯뿬 젅뒳留 꽑닔媛 떎瑜 醫낅ぉ뿉 鍮꾪빐꽌 뵾遺吏덊솚 以 媛먯뿼꽦 뵾遺吏덊솚뿉 뼹留덈굹 留롮씠 痍⑥빟븳吏 遺꾩꽍빐蹂닿퀬옄 븯떎. 洹 寃곌낵, 媛먯뿼꽦 뵾遺吏덊솚쓽 寃쎌슦 젅뒳留 꽑닔뒗 떎瑜 醫낅ぉ뱾쓽 꽑닔뱾뿉 鍮꾪빐 high DSD/TP援곗뿉 냽븷 쐞뿕씠 7.714諛 넂븯쑝硫 鍮꾧컧뿼꽦 뵾遺吏덊솚 쑀쓽븳 긽愿愿怨꾧 굹굹吏 븡븯떎.

씠쟾 빐쇅 뿰援щ뱾쓣 궡렣蹂대㈃, 癒쇱 1993–1994뀈 떆利뚮꽣 2003–2004뀈 떆利뚭퉴吏쓽 誘멸뎅 궓옄 꽦씤 젅뒳留 꽑닔뱾쓣 긽쑝濡 븳 뿰援ъ뿉꽌뒗 뿤瑜댄럹뒪 諛붿씠윭뒪 媛먯뿼, 諛깆꽑怨 媛숈 吏꾧퇏 媛먯뿼, 꽭洹 媛먯뿼 닚쑝濡 굹궗떎2. 듅엳 슫룞꽑닔뿉寃 쓷븯寃 굹굹뒗 諛깆꽑 닾궗諛깆꽑씠씪怨 젙쓽븯떎. 2017뀈 꽣궎쓽 젅뒳留 꽑닔뿉 븳 뿰援ъ뿉꽌뒗 吏꾧퇏 媛먯뿼, 꽭洹 媛먯뿼, 諛붿씠윭뒪 媛먯뿼 닚쑝濡 뵾遺吏덊솚씠 굹궗떎7.

씠윭븳 媛먯뿼꽦 뵾遺吏덊솚 젅뒳留곴낵 떖由 젒珥됱씠 뾾뒗 醫낅ぉ뿉꽌뒗 떎瑜 뼇긽쑝濡 굹궗떎. 癒쇱 젅뒳留곴낵 쑁긽꽑닔쓽 tinea corporis 媛먯뿼뿉 빐 떒硫 뿰援щ 븳 寃곌낵 쑁긽 꽑닔뿉 鍮꾪빐 젅뒳留 꽑닔媛 쑀쓽븯寃 媛먯뿼씠 뜑 鍮덈쾲븯寃 굹궓쓣 솗씤븯떎4. 삉븳 빞援, 뀒땲뒪, 냼봽듃蹂 벑쓽 꽑닔 젅뒳留 꽑닔瑜 醫낅ぉ蹂꾨줈 鍮꾧탳븯쓣 븣 꽭洹좎꽦 뵾遺媛먯뿼 뿭떆 젅뒳留 꽑닔뿉꽌 뜑 鍮덈쾲븯寃 굹궓쓣 븣 닔 엳뿀떎8.

뒪룷痢 넀긽뿉 븳 뿰援щ뒗 遺긽瑜(injury rate)쓣 1,000 꽑닔끂異(athletic exposures) 諛 1,000 떆媛꾨끂異(time exposures)濡 怨꾩궛븯뿬 鍮꾧탳븯뒗 寃껋씠 씪諛섏쟻씠떎. 븯吏留 吏꾩쿇 援媛몴 꽑닔珥뚯 援媛몴留 엯냼븳떎뒗 듅꽦긽 꽑닔 援ъ꽦쓽 蹂룞 媛뒫꽦씠 엳쑝硫 醫낅ぉ, 꽦蹂꾩뿉 뵲씪 1뀈 룞븞 떎뼇븳 썕젴떆媛꾩쓣 媛吏硫 꽑닔뱾씠 꽑닔珥 쇅遺뿉꽌 李멸븳 뿰뒿씠굹 寃쎄린뒗 援ъ껜쟻쑝濡 뙆븙븯湲 옒뱾뼱 湲곗〈 뿰援ъ쿂읆 뒪룷痢 넀긽 諛쒖깮瑜좎쓣 鍮꾧탳븯湲곗뿉 븳怨꾧 엳뿀떎. 삉븳 蹂 뿰援ъ쓽 吏꾨떒 吏꾩쿇 꽑닔珥 궡 쓽臾댁떎쓽 媛젙쓽븰怨 쟾臾몄쓽쓽 臾몄쭊뿉 쓽빐꽌留 씠猷⑥뼱졇 吏꾨떒쓽 젙솗꽦씠 諛곗뼇寃궗瑜 븳 뿰援щ뱾뿉 鍮꾪빐꽌뒗 뼥뼱吏꾨떎. 留덉留됱쑝濡 援媛몴 꽑닔珥뚯씠씪뒗 듅꽦긽 썕젴湲곌컙뿉留 꽑닔珥뚯뿉 엯냼븯뿬 엳쑝誘濡 떎瑜 湲곌컙뿉 떎瑜 쓽猷뚭린愿뿉꽌 移섎즺諛쏄굅굹 룄以 깉씫(follow-up loss)릺뿀쓣 媛뒫꽦쓣 셿쟾엳 諛곗젣븯吏 紐삵븳떎.

洹몃윭굹 젅뒳留 꽑닔뱾뿉寃 닾궗諛깆꽑 벑쓽 媛먯뿼꽦 뵾遺吏덊솚씠 쓷엳 굹굹怨 꽑닔 媛 썕젴 諛 寃쎄린瑜 넻븳 쟾뙆뿉룄 痍⑥빟븯떎뒗 寃껋쓣 諛앺엺 꽑뻾뿰援щ뒗 2000뀈瑜 留덉留됱쑝濡 뜑 씠긽 吏꾪뻾릺怨 엳吏 븡븯떎. 씠뿉 蹂 뿰援ъ쓽 媛뺤젏 빟 20뿬 뀈留뚯뿉 슦由щ굹씪 젅뒳留 꽑닔쓽 媛먯뿼꽦 뵾遺 吏덊솚쓽 쐞뿕뿉 빐 泥섏쓬쑝濡 솗씤븯떎뒗 젏씠떎. 듅엳 뿕由ы듃 슫룞꽑닔씤 援媛몴 꽑닔뱾쓽 옄猷뚮 씠슜븯뿬 援媛몴 꽑닔珥뚯쓣 씠슜븯뒗 紐⑤뱺 醫낅ぉ쓽 꽑닔뱾怨 鍮꾧탳븯떎뒗 뜲 겙 쓽誘멸 엳떎.

蹂 뿰援щ뒗 젅뒳留 꽑닔뱾씠 떎瑜 醫낅ぉ 꽑닔뱾뿉 鍮꾪빐 媛먯뿼꽦 뵾遺吏덊솚뿉 뼹留덈굹 뜑 痍⑥빟븳吏뿉 빐 遺꾩꽍빐蹂닿퀬옄 븯떎. 씠뿉 吏꾩쿇 援媛몴 꽑닔珥뚯뿉꽌 썕젴븳 슫룞꽑닔 以 뵾遺吏덊솚쓣 븪怨 엳뒗 젅뒳留 꽑닔뱾씠 떎瑜 醫낅ぉ뱾쓽 꽑닔뱾蹂대떎 媛먯뿼꽦 뵾遺吏덊솚쑝濡 뜑 留롮씠 궡썝븯쑝硫 鍮꾧컧뿼꽦 뵾遺吏덊솚 쑀쓽븳 李⑥씠媛 뾾뿀떎.

쓷엳 슫룞꽑닔쓽 뒪룷痢 넀긽쓣 깮媛곹븷 븣 洹쇨낏寃⑷퀎 吏덊솚뱾쓣 깮媛곹븯湲 돺떎. 븯吏留 떎瑜 醫낅ぉ뱾뿉 鍮꾪빐 젅뒳留 꽑닔뱾 洹쇨낏寃⑷퀎 넀긽肉 븘땲씪 媛먯뿼꽦 뵾遺吏덊솚쑝濡 뜑 留롮씠 諛⑸Ц븿쓣 븣 닔 엳뿀떎. 씠윭븳 寃곌낵瑜 넻빐 젅뒳留 꽑닔뱾쓽 媛먯뿼꽦 뵾遺吏덊솚뿉 븳 삁諛 諛 援먯쑁뿉 쑀슜븳 젙蹂대 젣怨듯븷 닔 엳떎怨 깮媛곹븳떎. 삉븳 異뷀썑 紐⑥쭛떒쓣 꽕젙븯뿬 뜑 옣湲곌컙쓽 썕젴湲곌컙 룞븞 異붿쟻 愿李고븯뿬 븵쑝濡쒕룄 媛먯뿼꽦 뵾遺吏덊솚뿉 븳 쐞뿕룄뿉 빐 怨꾩냽쟻씤 뿰援ш 맂떎硫 슫룞꽑닔, 듅엳 젅뒳留 꽑닔瑜 뵾遺吏덊솚쑝濡쒕꽣 蹂댄샇븯뒗 뜲 뜑 룄씠 맆 寃껋씠떎.

Conflict of Interest

No potential conflict of interest relevant to this article was reported.

Author Contributions

Conceptualization, Data curation, Investigation, Resources: YC, JK, BO, MB, SH, JR. Formal analysis, Software, Validation, Visualization: YC, JK, BO, SH. Methodology, Project administration, Supervision: YC, JK, BO, JY, ES, SH. Writing–original draft: YC, JK, BO, SH. Writing–review & editing: YC, JK, BO, SH, JL.

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