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Global Health Economics and
            Sustainability
                                                                              Peace and quality health is entrepreneurship


            and decreased quality of life, impacting their ability to   et al., 2023), biochemistry (Ashoobi  et al., 2023; Bono
            work and meet basic needs (Koçak et al., 2021).    & Reygaert, 2021), physiology (Sellami et al., 2023), and
              The findings further indicate that sports-accidental   psychology (Boehme  et al., 2023; Góralczyk-Bińkowska
            infections have the potential to spread through    et  al., 2022).
            environmental routes, becoming pandemic threats if proper   However, it is  important to  note  that strenuous
            preventive  measures  are  not  strategically  implemented.   or excessive exercise and training increase the risk of
            Consequently, the return-to-sport (Lindsay  et al., 2021;   respiratory tract infections. Modifications in exercise
            Yung et al., 2022) strategy for preventing sports-accidental   routines (Benzing et al., 2021; Bloomquist et al., 2021; Faude
            infections is a crucial and effective approach. Reflecting   et al., 2022) were necessary to ensure that these exercises
            on the challenges posed by the COVID-19 pandemic, the   do not increase exposure to respiratory infections, such as
            study highlights that infections such as sports-accidental   SARS-CoV-2, or exacerbate their severity. This agrees with
            infections significantly impact individuals’ physical   findings from several studies (Herrero, 2020; Palladino,
            and mental health, disrupt daily economic activities,   2021; Sellami et al., 2023).
            and ultimately affect national and global economic   During the COVID-19  pandemic, microbiological
            development (Antunes, 2020; Ksinan Jiskrova et al., 2021;   investigations,  including  rapid  diagnostic  tests  and
            Nincevic et al., 2023; Posel et al., 2021).
                                                               molecular detection methods, were crucial in identifying
              The WHO campaign for promoting a more active lifestyle   SARS-CoV-2 (Abdurrahman  et al., 2022; González-
            for a healthier world can be effectively achieved through   Vázquez & Arenas, 2023; Navero-Castillejos et al., 2022).
            competitive sports (França et al., 2023; WHO, 2018). This   According to medical microbiology, normal gut flora are
            agrees with the third objective of this study, particularly in   typically acquired through exposure to microorganisms.
            the context of diagnosis and treatment. Sporting activities   For example,  Bifidobacterium longum, a gut flora, plays
            extend beyond games and entertainment; they function as   a  critical role  in  the  maintenance  of  gut  immunity.
            exercise routines that help strengthen the immune system   Lysozymes produced by this bacterium inhibit the
            of athletes (Campbell & Turner, 2018; WHO, 2018).  invasion of Gram-positive bacteria by hydrolyzing the
              Research findings indicate that athletes who regularly   β-(1,4)-glycosidic bond that links N-acetylmuramic
            engage in exercise during their training can better resist   acid and N-acetylglucosamine, key components of the
            infectious diseases, especially URTIs (Flegr, 2021; Sellami   peptidoglycan structure in the bacterial cell wall. This
            et al., 2023). Exercise plays a crucial role in boosting both   hydrolysis disrupts the cell wall, ultimately destroying the
            the mucosal humoral immune system and non-mucosal   bacteria (Du et al., 2021; Notarbartolo et al., 2022; Ragland
            humoral and cellular immunity. Sellami et al. (2023) have   & Criss, 2017; Wu et al., 2019).
            revealed that moderate exercise induces humoral immunity   Research indicates that gut flora can also improve
            in disabled athletes. The study also highlights the linkage   brain health (Boehme et al., 2023; Ghannoum et al., 2021;
            between exercise, health, and disease prevention, clarifying   Severance & Yolken, 2020). This idea was particularly
            how white blood cells – including lymphocytes, monocytes,   valuable during the peak of the COVID-19 pandemic,
            and granulocytes (neutrophils, eosinophils, and basophils)   as  maintaining  a  healthy  gut  microbiome  was  linked  to
            – are integral to immune function (Sellami et al., 2023).   better management of mental health conditions such
            These findings, obtained through medical laboratory   as depression. Recommendations included consuming
            diagnosis, support the third objective of this study. The   nutritious meals, using probiotics, and adapting positive
            findings  are  consistent  with  those  of  Hosseinpour  et al.   health behaviors and healthy lifestyles (Ghannoum et al.,
            (2022), who also acknowledged the role of white blood   2021). An imbalance in gut flora, immunosuppression, or
            cells in building the immune system through moderate   changes  in  microbiome  composition  can  lead  to  mental
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            exercise. Lymphocytes, specifically CD4  (helper T), CD8    health  disorders,  including  major  depressive  disorder,
            (cytotoxic, suppressor T), B lymphocytes, and natural   schizophrenia, bipolar disorder, autism spectrum disorder,
            killer cells, each play significant roles in maintaining the   and attention-deficit hyperactivity disorder (Góralczyk-
            body’s immunological functions.                    Bińkowska  et  al., 2022; Mitrea  et  al., 2022; Severance &
              During the COVID-19 pandemic, exercise was widely   Yolken, 2020).
            advocated as a means to boost the immune system,     Cardiovascular diseases, which are leading causes of
            particularly during lockdown periods (Benzing  et al.,   death in athletic settings, often result in heart failure and are
            2021; Ricci  et al., 2023; Wijngaards  et al., 2022). This   frequently associated with microbial infections, supporting
            approach integrated concepts from medical microbiology,   the study’s hypothesis. Supplementation with vitamin B
            immunology (Sellami  et  al., 2023), hematology (Sellami   has been identified as an essential dietary intervention that


            Volume 3 Issue 1 (2025)                         25                       https://doi.org/10.36922/ghes.2904
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