Global Research Trends on Vaccination in Athletes: A Bibliometric Analysis of Publications from 1965 to 2024
DOI:
https://doi.org/10.21831/jomassh.v1i2.1253Keywords:
Athletes, Bibliometric analysis, Immunization, Research trends, VaccinationAbstract
Introduction: Athletes face unique infection risks due to frequent travel, close-contact environments, and intense physical activity, which may temporarily suppress immune function. Despite their physical fitness, they remain vulnerable to infectious diseases that can impact performance and public health. Immunization is a key preventive strategy, yet research on vaccination in athletes is limited and underrepresented. This study aims to explore research on athlete vaccination using a bibliometric analysis. Methods: This bibliometric analysis systematically reviewed publications from the Scopus, Web of Science, MEDLINE, and CENTRAL databases up to 15 April 2025. Data were analyzed using VOSviewer® and R® (bibliometrix and biblioshiny). Results: After excluding non-human studies, 387 publications were included. Research output increased sharply after 2020, driven by the COVID-19 pandemic. Four thematic clusters emerged: clinical care and prevention, demographic vaccination outcomes, global epidemiology, and exercise-related immune response. The United States and the United Kingdom led in productivity and collaboration, while contributions from low- and middle-income countries were limited. Conclusion: This study underscores the growing interest in athlete immunization and the need for broader global research engagement especially in developing countries.
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1. Trabacchi V, Odone A, Lillo L, Pasquarella C, Signorelli C, others. Immunization practices in athletes. Acta Biomed. 2015;86(2):181–8.
2. Tafuri S, Stefanizzi P, Riformato G, Cuscianna E, Rizzi D, Bianchi F, et al. Vaccination and sport: a systematic review (Abstract). Med Sport (Roma). 2023;76(2):272–90.
3. Konovalov IV, Zholinsky AV, Alpatov SP, Zorenko AV, Tochtieva NV, Romanov BK, et al. Vaccination as an immune system status optimization tool for the high-performance sports: review (Abstract). Vol. 12, Sports Medicine: Research and Practice. National Electronic-Information Consortium (NEICON); 2022. p. 73–81.
4. Rossi SJ, Buford TW, McMillan J, Kovacs MS, Marshall AE. Nutritional Strategies and Immune Function. Strength Cond J. 2010 Dec;32(6):65–70.
5. Gannon EH, Howard T. Splenic Injuries in Athletes: A Review. Curr Sports Med Rep. 2010 Mar;9(2):111–4.
6. Metz JP. Upper respiratory tract infections: who plays, who sits? Curr Sports Med Rep. 2003;2(2):84–90.
7. McCloskey B, Saito T, Shimada S, Ikenoue C, Endericks T, Mullen L, et al. The Tokyo 2020 and Beijing 2022 Olympic Games held during the COVID-19 pandemic: planning, outcomes, and lessons learned. The Lancet. 2024 Feb;403(10425):493–502.
8. Sean Ingle. Six Team GB athletes forced to isolate after Covid scare before Olympics. The Guardian [Internet]. 2021 Jul 19; Available from: https://www.theguardian.com/sport/2021/jul/18/south-africa-footballers-test-positive-for-covid-19-in-tokyo-olympic-village
9. Boston CD, Bryan JJ. Immunizations in Athletes. Sports Health Multidiscip Approach. 2018 Sep;10(5):427–33.
10. Stenger T, Ledo A, Ziller C, Schub D, Schmidt T, Enders M, et al. Timing of Vaccination after Training: Immune Response and Side Effects in Athletes. Med Sci Sports Exerc. 2020 Jul;52(7):1603–9.
11. Alam M, Rahman M. Herd immunity: a brief review. Mymensingh Med J MMJ. 2016;25(2):392–5.
12. Gärtner BC, Meyer T. Vaccination in Elite Athletes. Sports Med. 2014 Oct;44(10):1361–76.
13. Bornmann L, Mutz R. The advantage of the use of samples in evaluative bibliometric studies. J Informetr. 2013 Jan;7(1):89–90.
14. Masic I. Bibliometric Indexes-Advantages and Limitations in Practical Application, for the Scientific Validity of Authors and Their Scientific Contents-Stanford Bibliometric List: Truths and Misconceptions. Acta Inform Medica. 2024;32(3–4):160.
15. Donthu N, Kumar S, Mukherjee D, Pandey N, Lim WM. How to conduct a bibliometric analysis: An overview and guidelines. J Bus Res. 2021;133:285–96.
16. Van Eck N, Waltman L. Software survey: VOSviewer, a computer program for bibliometric mapping. scientometrics. 2010;84(2):523–38.
17. Aria M, Cuccurullo C. bibliometrix : An R-tool for comprehensive science mapping analysis. J Informetr. 2017 Nov;11(4):959–75.
18. Praja RK, Rohmansyah NA. Bibliometric analysis on sports-associated infections in athletes. J Anthropol Sport Phys Educ. 2023;7(3):23–7.
19. Thobari JA, Arguni E, Bunoan-Macazo JA, Clark S, Dorj N, Douangboupha V, et al. Opportunities and challenges of conducting vaccine research in low and middle-income countries in the Asia–Pacific region: perspectives from the Asia–Pacific Vaccine Research Network. Lancet Reg Health - West Pac. 2025 May;58:101559.
20. Gleeson M. Immune function in sport and exercise. J Appl Physiol. 2007;103.
21. Grosset-Janin A, Nicolas X, Saraux A. Sport and infectious risk: A systematic review of the literature over 20 years. Médecine Mal Infect. 2012 Nov;42(11):533–44.
22. Ramgolam A. Preparing for Disease X. Lancet Infect Dis. 2023 Sep;23(9):1004.
23. Hayes Sauder M, Mudrick M, Davies M. Worth a Shot? The Impact of Athletes’ Vaccine Advocacy on Fan Attitudes and Behaviors. Sport Mark Q. 2024 Jun;33(2):181–96.
24. Guo S, Billings AC, Jackson JR, Chou S. “Doing What’s Best for Me”: A Cultural Values Comparison of Social Media Responses to Kyrie Irving’s COVID-19 Vaccination Status. Int J Sport Commun. 2024 Sep 1;17(3):269–78.
25. Modica G, Bianco M, Sollazzo F, Di Murro E, Monti R, Cammarano M, et al. Myocarditis in Athletes Recovering from COVID-19: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2022 Apr 2;19(7):4279.
26. Daems JJN, Van Hattum JC, Verwijs SM, Bijsterveld NR, Groenink M, Wilde AAM, et al. Cardiac sequelae in athletes following COVID-19 vaccination: evidence and misinformation. Br J Sports Med. 2023 Nov;57(21):1400–2.
27. Ling RR, Ramanathan K, Tan FL, Tai BC, Somani J, Fisher D, et al. Myopericarditis following COVID-19 vaccination and non-COVID-19 vaccination: a systematic review and meta-analysis. Lancet Respir Med. 2022 Jul;10(7):679–88.
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Copyright (c) 2025 Jonathan Hasian Haposan, Rahmat Fadhli
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