High-Speed Efforts of Elite Association Football Referees in National and International Matches.

ABSTRACT: Amatori, S, Helsen, WF, Baldari, C, Serra, T, Belli, A, Guidetti, L, Rocchi, MBL, Sisti, D, and Perroni, F. High-speed efforts of elite association football referees in national and international matches. J Strength Cond Res 38(8): e417-e422, 2024-Field referees (FRs) need to move throughout the pitch to identify any infringements of the game's laws. Their performance depends on technical, tactical, physical, physiological, and mental factors. This retrospective study aimed to examine and assess the physical and physiological parameters as a function of time in elite association football referees during official matches. Global positioning system (match time, distance in different intensity ranges [low-intensity, high-speed, very high-speed running, and sprinting], average and peak speed, distance in accelerations or decelerations) and heart rate (average and peak) data from 212 national and international football matches were analyzed. A linear mixed-model analysis was performed to assess the differences between halves and between the three 15-minute sections of each half-time for all the physical and physiological variables collected. A significant effect of match half was found for the game time (p < 0.001) and the standing time (p = 0.005), both higher in the second half, and for the average speed (p = 0.017), which was lower in the second half. Total distance (p < 0.001), low-intensity distance (p = 0.004), and average speed (p = 0.007) all showed a reduction as a function of time. More than 7.800 high-speed intervals were detected. Accelerative actions within 3 seconds characterized most of the high-speed efforts of an FR during a match. Significant differences emerged in the way the match intensity is distributed across the match, analyzed both in halves (first vs. second) and 15-minute intervals within each half. It is important to emphasize the importance of high-speed training with a focus on a faster transition from low- to high-speed running to keep up with the play to get into an appropriate position and subsequently make the correct decisions.

Use of Exploratory Factor Analysis to Assess the Fitness Performance of Youth Football Players.

ABSTRACT: Perroni, F, Castagna, C, Amatori, S, Gobbi, E, Vetrano, M, Visco, V, Guidetti, L, Baldari, C, Luigi Rocchi, MB, and Sisti, D. Use of exploratory factor analysis to assess the fitness performance of youth football players. J Strength Cond Res 37(7): e430-e437, 2023-Football performance involves several physical abilities that range in aerobic, anaerobic, and neuromuscular domains; however, little is known about their interplay in profiling individual physical attributes. This study aimed to profile physical performance in youth football players according to their training status. One hundred seven young male soccer players (age 13.5 ± 1.4 years; height 168 ± 7 cm; body mass 57.4 ± 9.6 kg; and body mass index 20.2 ± 2.1 kg·m -2 ) volunteered for this study. Players' physical performance was assessed with football-relevant field tests for sprinting (10 m sprint), vertical jump (countermovement jump), intermittent high-intensity endurance (Yo-Yo Intermittent Recovery Test Level 1, YYIRT1), and repeated sprint ability (RSA). The training status was assumed as testosterone and cortisol saliva concentrations; biological maturation was estimated using the Pubertal Development Scale. Exploratory factor analysis (EFA) revealed 3 main variables depicting anthropometric (D1, 24.9%), physical performance (D2, 18.8%), and training status (D3, 13.3%), accounting for 57.0% of total variance altogether. The level of significance was set at p ≤ 0.05. The RSA and YYIRT1 performances were largely associated with D2, suggesting the relevance of endurance in youth football. This study revealed that for youth football players, a 3-component model should be considered to evaluate youth soccer players. The EFA approach may help to disclose interindividual differences useful to talent identification and selection.

Normative Data and Physical Determinants of Multiple Sprint Sets in Young Soccer Players Aged 11-18 Years: Effect of Maturity Status.

Selmi, MA, Sassi, RH, Yahmed, MH, Giannini, S, Perroni, F, and Elloumi, M. Normative data and physical determinants of multiple sprint sets in young soccer players aged 11-18 years: Effect of maturity status. J Strength Cond Res 34(2): 506-515, 2020-The aims of the study were: (a) to establish normative data for repeated-sprint sets (RSS) test based on the maturity status (age at peak height velocity [PHV]) and (2) to investigate the relationship between anthropometrical variables (stature, sitting height, body mass, and body fat percentage), RSS (2 × 5 × 20 m with 15-second recovery between sprints and 1-minute recovery between sets), and fitness tests {squat jump, countermovement jump, standing long jump, standing triple jump, 5-jump test, and 20-m shuttle run (multistage shuttle run test [MSRT])}. Young male soccer players (n = 262; age: 14.5 ± 2.9 years) were evaluated and classified into 4 groups according to their maturity status: pre-PHV, circum-PHV1, circum-PHV2, post-PHV. An analysis of variance and Bonferroni post hoc were used to determine maturity group differences (p ≤ 0.05), whereas Pearson's correlation was used between variables. Repeated-sprint sets' indices (sum of sprint times [SST] and best sprint time [BST]) were significantly different between the maturity groups. Significant correlations between SST with body mass (from -0.73 to -0.33) and MSRT (from -0.49 to -0.30) among each maturity group were found. With the different maturity groups, correlations between SST (s), BST (s), and vertical jump (cm) (r = -0.63 to -0.25 and r = -0.68 to -0.23) and horizontal jump (m) (r = -0.70 to -0.38 and r = -0.63 to -0.43) were observed. Repeated-sprint sets' values improve during maturation of young soccer players and the correlations between RSS and fitness tests vary through the maturity groups. This information could be useful for the coach to identify talent and to prescribe specific physical training to improve performance.

Relationship Among Repeated Sprint Ability, Chronological Age, and Puberty in Young Soccer Players.

Perroni, F, Pintus, A, Frandino, M, Guidetti, L, and Baldari, C. Relationship among repeated sprint ability, chronological age, and puberty in young soccer players. J Strength Cond Res 32(2): 364-371, 2018-The aim of this study was to analyzed the relationship of repeated sprint ability (RSA) with chronological age and puberty in 100 young soccer players (age: 13 ± 3 years-160 ± 33 months-; height: 159 ± 16 cm, mass: 49.7 ± 14.1 kg; body mass index [BMI] 19.2 ± 2.5 kg/m) grouped on "Pulcini" (9-10 years), "Esordienti" (11-12 years), "Giovanissimi" (13-14 years), "Allievi" (15-16 years), and "Juniores" (>17 years) categories. Anthropometric (weight, height, BMI), RSA (7 × 30 m sprint with 25 seconds active rest: total time-TT, the lowest sprinting time, and the fatigue index percentage-%IF), and development (self-administered rating scale for pubertal development PDS; puberty) parameters were measured. ANOVA among categories was applied to asses differences (p ≤ 0.05) in TT and %IF. When a significant effect was found, Bonferroni's post hoc analysis was used. Pearson correlation among all variables was calculated considering all subjects and also within categories. Among categories, statistical analysis showed significant differences (p < 0.001) in TT and a considerable trend toward significance (p = 0.06) in %IF. Significant correlations among variables were found in all subjects and within categories. In particular, TT showed large significant correlation with PDS (r = -0.66) and puberty (r = -0.67) only in "Esordienti." This study provides useful information for the coach to propose an appropriate training and to obtain the optimal training effect and to minimize the risk of injury and overtraining during the different phases of growth and maturation.

Anthropometric and Somatotype Characteristics of Young Soccer Players: Differences Among Categories, Subcategories, and Playing Position.

Considering that anthropometric parameters are important factors in the performance of the soccer players, the aim of this study was to explore the differences in anthropometric and somatotype characteristics of Italian young soccer players. Weight, height, body mass index, and somatotype of 112 young soccer players, grouped in Giovanissimi "A" (14 years), "B" (13 years), and "C" (12 years) as well as Allievi "B" (15 years) and "A" (16 years) and "Juniores" (older than 17 years), were evaluated. Statistical analysis tests were computed at p ≤ 0.05, and an analysis of variance for each somatotype was calculated to analyze the main effects and interactions of the factors: categories, subcategories, and playing position. Bonferroni's post hoc analysis was used to identify differences among mean values. Considering all subjects, we have found significant differences in categories, subcategories, and playing position between anthropometric values and a somatotype value of 2.8-3.8-2.9. Significant differences have found among goalkeepers and the others playing position in endomorphy (p ≤ 0.001) and with defenders and midfielders in ectomorphy (p < 0.01) components, whereas no differences in mesomorphy. Analyzing the interaction between subcategories and playing position factors, a significant effect was found only in the endomorphy component (p = 0.05). The analysis of anthropometric characteristic of Italian young soccer players indicates that players have high muscularity value and low adiposity. This study showed the presence of somatotype differences for playing position within categories also in the youngest categories and subcategories, in particular, in the endomorphy component. Young soccer players should be trained with more appropriate and specific training load to avoid the increased injury risk during adolescence.

Physical activity, musculoskeletal disorders, burnout, and work engagement: a cross-sectional study on Italian white-collar employees.

Introduction: Both mental and physical health of office workers had a positive relationship with their work engagement, with the latter relationship being driven by the association of a healthy diet and physical activity (PA). This observational study aimed to investigate the associations between PA levels, musculoskeletal disorders (MSDs), burnout, and work engagement, in a sample of white-collar employees. Methods: A total of 615 workers (age 42.2 ± 9.5 years) successfully completed an online questionnaire comprising work-related information and standardized questionnaires on PA, MSDs, burnout and work engagement. Results: 36.9% of the participants did not meet the PA guidelines, 19.0% adhered to them, and 44.1% exceeded them. A significant portion of participants reported suffering from MSDs, primarily neck/shoulder and/or low back/hip pain. Those exceeding PA guidelines had fewer MSDs compared to non-compliant participants and exhibited better mental health and work engagement. Compliance with PA guidelines was associated with a 38% reduced risk of emotional exhaustion, with an even greater reduction of 47% among those surpassing the guidelines. Discussion: PA could exert a positive effect on physical and mental health of employees, but only if performed above a certain amount. The study supports the need to identify workplaces as suitable for health-focused interventions and lifestyle changes.

Professional football training and recovery: A longitudinal study on the effects of weekly conditioning session and workload variables.

The main purpose of this longitudinal study was to investigate football players' recovery status, through hormonal response, in relation to accumulated workload at two comparable time points of the first (T1) and second half (T2) of the competitive season. Moreover, this study investigated athletes' hormonal response to a typical weekly conditioning session (5 days before match: MD-5), at T1 and T2, to detect changes in players' recovery capability over time. Salivary cortisol (sC) and testosterone (sT) of 24 professional players (27.8 ± 4.1 years of age) were collected before, after, and 24 hours following MD-5 in two comparable microcycles of T1 and T2. GPS training data (total and high-intensity distance) of the 7 and 28 days before sampling were used to obtain athletes' acute and chronic workloads. Results showed a pre-training significant decrease of sT and an increase of sC (p<0.05) in T2, compared to T1. Moreover, athletes showed high sC and low sT levels before, after and 24 hours following MD-5 in T2. Workload analysis revealed significant correlations of chronic load with sC (r = 0.45, p = 0.056) and T/C ratio (r = -0.59; p = 0.007). These results suggested that, in professional football, chronic workload has a greater impact on players' recovery time than acute workload over the sport season. Moreover, athletes' hormonal response to the weekly conditioning session at T2 revealed an altered anabolic/catabolic balance, highlighting the key role of continuous internal and external workload monitoring during the season.

Assessment of Performance in Youth Soccer Players: Should We Consider the Maturation Status?

The influence of biological maturity status on talent identification and development in youth soccer has been debated extensively. Alternative methods have thus recently emerged to estimate maturity status, such as the Pubertal Development Scale (PDS), but their relationship with physical capabilities of young soccer players still needs to be determined. The present study investigated the relationships of different PDS-derived pubertal status measures, chronological age, and relative age with selected performance variables in youth soccer. Sixty-one male soccer players were assessed for physical capabilities using field tests for sprinting, vertical jumps (countermovement jump, CMJ), intermittent high-intensity endurance, and repeated sprint ability. Chronological age was defined as the number of days since birth, and relative age was defined in terms of age quarters. PDS-derived measures of puberal status, otherwise, were determined as an average PDS score, a PDS category score, and a pubertal category. Chronological age, relative age, and measures of pubertal status were scarcely related (p > 0.05) to selected measures of soccer performance. Significant correlations were only found between different measures of pubertal status and the variable "work" in the CMJ test (range r = 0.33-0.36; p < 0.01) and between chronological age and CMJ height (r = -0.297; p = 0.02). The present results suggest that physical performance of young soccer players is poorly related to chronological age, relative age, and pubertal status. Potential effects of biological maturity status on physical capabilities may not be easily identifiable in a group of young soccer players narrowed in terms of chronological age and training status.

Chronological age, relative age, pubertal development, and their impact on countermovement jump performance in adolescent football players: An integrative analysis.

This paper examined the relationship among countermovement jump (CMJ), football category, chronological age, relative age, and pubertal development status to investigate which parameter could be better associated with jumping performance. We tested 259 young male football players (14.9 ± 1.8 yrs; 169.7 ± 9.8 cm; 60.6 ± 11.3 kg; 20.9 ± 2.6 kg m-2) belonging to elite football academies. One-sample chi-square tests were used to test the uniformity of distributions of the proportions of players in each year quarter (relative age effect, RAE) for the whole sample and stratified for each football age category (U14, U15, U17, and U19). One-way ANOVAs were used to test the associations among a) categories, RAE, and CMJ, and b) the pubertal status category and CMJ. Pearson's correlation assessed the relationship among variables. The birth distribution among the year's quarters significantly differed from the expected proportion of 25 % of participants each quarter (χ 2 = 41.74; p < 0.001), highlighting the presence of a relative age effect. Results indicate that age significantly influences CMJ (F (6,231) = 8.85, p < 0.001, η2 p = 0.187), and a significant interaction effect (age × birth quarter) was found. Coaches, strength and conditioning trainers, and scouts should be aware of physical and biological players' maturation.

Changes in jump, sprint, and coordinative performances after a senior soccer match.

This study aimed to verify the short-term after effects of a soccer match on senior players' all-out and interlimb coordination performances. Right before (prematch) and after (postmatch) a match, 10 senior (52.3 ± 10.2 years) male soccer players were administered jump (countermovement jump [CMJ]; repeated jump [RJ]), sprint (10 m and 10 m while dribbling the ball [10 mDB]), in-phase (IP) and antiphase (AP) interlimb coordination (synchronized hand and foot flexions and extensions at 80, 120, 180 bpm). Heart rate (HR) responses and subjective rating of perceived exertion (RPE) and rating of muscle pain (RMP) were used to evaluate the intensity of the friendly match. During the match, HR >85% of individual HRmax occurred for 50% of playing time. Subjective ratings at the end of the match were 12.9 ± 2.2 pt and 2.7 ± 2.2 pt for RPE and RMP, respectively. Postmatch CMJ, 10 m, 10 mDB, AP, IP 80 bpm, and IP 120 bpm performances did not show any difference with respect to prematch values, whereas improvements (p < 0.05) in RJ (prematch: 17.4 ± 3.9 cm; postmatch: 19.3 ± 4.8 cm) and IP 180 bpm (prematch: 30.4 ± 15.1 second; postmatch: 50.3 ± 18.9 second) emerged. These findings indicate that senior soccer players are able to cope with the high demands of match play and suggest that an acute bout of intense exercise has an arousing effect that counteracts fatigue effects and facilitates the performance of old trained individuals on complex motor behaviors relying on central executive control. In considering that players consider soccer as highly motivating, with advancing years this sport could help players in preserving high mental and physical functions and maintaining active engagement in life through social interactions.

Acute Effects of Fitlight Training on Cognitive-Motor Processes in Young Basketball Players.

Cognitive-motor training could be used to improve open-skill sport performances, increasing cognitive demands to stimulate executive function (EF) development. Nevertheless, a distributed training proposal for the improvement of EFs is increasingly difficult to combine with seasonal sport commitments. This study aimed to investigate whether a massed basketball training program enriched with Fitlight training can improve EFs and motor performance. Forty-nine players (age = 15.0 ± 1.5 yrs) were assigned to the control and Fitlight-trained (FITL) groups, which performed 3 weeks of massed basketball practice, including 25 min per day of shooting sessions or Fitlight training, respectively. All athletes were tested in cognitive tasks (Flanker/Reverse Flanker; Digit Span) and fitness tests (Agility T-test; Yo-Yo IR1). During the intervention, exercise/session perceived effort (eRPE/sRPE) and enjoyment were collected. RM-ANOVA showed significant EFs scores increased in both groups over time, without differences between the groups. Moreover, an increased sRPE and eRPE appeared in the FITL group (p = 0.0001; p = 0.01), with no group differences in activity enjoyment and fitness tests. Three weeks of massed basketball training improved EFs and motor performance in young players. The additional Fitlight training increased the perceived cognitive effort without decreasing enjoyment, even if it seems unable to induce additional improvements in EFs.

Use of Streptococcus salivarius K12 in supporting the mucosal immune function of active young subjects: A randomised double-blind study.

Introduction: Upper respiratory tract infections (URTI) are the most common illnesses affecting athletes, causing absences from training and competition. Salivary immunoglobulin A (sIgA) is the main immune factor in saliva, and a consistent association between low concentrations of sIgA and an increased incidence of URTIs has been reported. The oral probiotic Streptococcus salivarius K12 has been suggested to have the potential to improve oral diseases and mucosal barrier function. However, the effects of this probiotic on active young subjects performing a high-intensity training (HIT) program have not been investigated. Methods: Active young students were randomised into a treated group (S. salivarius K12) and a control (placebo) group and asked to take the product daily for 30 days. After this period, participants performed a graded exercise test and five HIT sessions, all within 3 days. They were also asked to complete the Wisconsin Upper Respiratory Symptom Survey daily to monitor URTI's presence. Before and after the 30 days, and at 0h, 24h and 72h after the last training session, saliva samples were collected to quantify sIgA level, secretion rate, and flow. The effect of S. salivarius K12 intake on these parameters was tested using an ANOVA for repeated measures. Results: Twenty (M = 14, F = 6) young subjects (23.5 ± 2.3 years old) participated in the study. The total accumulated training load (sRPE) in the supplementation period was similar in the two groups (treated: 4345 ± 3441 AU; control: 4969 ± 4165 AU; p > 0.05). Considering both sIgA level and secretion rate, significant time (F(4,15) = 3.38; p = 0.037; F(4,15) = 6.00; p = 0.004) and time×group interactions (F(4,15) = 2.49; p = 0.049; F(4,15) = 5.01; p = 0.009) were reported, with the treated group showing higher sIgA levels at 72h post-exercise and increased secretion rate both at 0h and 72h. The number of URTI episodes was similar in the treated and control groups (χ² = 1.83; p > 0.05). Conclusion: This study demonstrates that relatively short-term S. salivarius K12 supplementation increased sIgA level and secretion in healthy subjects performing a demanding exercise-training programme composed of HIT sessions.

Going Vegan for the Gain: A Cross-Sectional Study of Vegan Diets in Bodybuilders during Different Preparation Phases.

Numerous athletes compete at a high level without consuming animal products; although a well-planned vegan diet might be appropriate for all stages of the life cycle, a few elements need to be addressed to build a balanced plant-based diet for an athlete, particularly in bodybuilding, in which muscle growth should be maximised, as athletes are judged on their aesthetics. In this observational study, nutritional intakes were compared in a cohort of natural omnivorous and vegan bodybuilders, during two different phases of preparation. To this end, 18 male and female bodybuilders (8 vegans and 10 omnivores) completed a food diary for 5 days during the bulking and cutting phases of their preparation. A mixed-model analysis was used to compare macro- and micronutrient intakes between the groups in the two phases. Both vegans and omnivores behaved similarly regarding energy, carbohydrate, and fat intakes, but vegans decreased their protein intake during the cutting phase. Our results suggest that vegan bodybuilders may find difficulties in reaching protein needs while undergoing a caloric deficit, and they might benefit from nutritional professionals' assistance to bridge the gap between the assumed proteins and those needed to maintain muscle mass through better nutrition and supplementation planning.

Short High-Intensity Interval Exercise for Workplace-Based Physical Activity Interventions: A Systematic Review on Feasibility and Effectiveness.

BACKGROUND: Workplace exercise interventions showed good results, but lack of time was often reported as a barrier to participation. To overcome this problem, several studies attempted to implement short high-intensity interval training (HIT) within the workplace. OBJECTIVES: The aim of this systematic review is to explore the feasibility and effectiveness of HIT interventions within the workplace setting. DATA SOURCES: A systematic literature search was conducted in PubMed and SPORTDiscus to identify articles related to HIT within the workplace. STUDY ELIGIBILITY CRITERIA: Only interventions that consisted of HIT programmes within the workplace and tested at least one physiological, psychological, or work-related outcome were included. RESULTS: Seven studies (317 participants) met the inclusion criteria. HIT interventions lasted 6-12 weeks, with a frequency of 2-4 sessions/week and a duration of 8-30 min per session. Feasibility was qualitatively investigated in four studies, with key positive aspects reported for HIT time-appeal, the sense of competence driven by individual intensity, and improved intention to exercise; five studies reported adherence rates > 80%. Small-to-large effect sizes were reported for improvements in cardiorespiratory and muscular fitness. Small-to-medium effect sizes were reported for blood parameters and health-related quality of life. CONCLUSIONS: HIT interventions in the workplace showed limited effectiveness in improving health-related outcomes, while promising results regarding feasibility were reported, mainly due to the time-efficiency and the positive post-exercise psychosocial responses. However, further high-quality studies involving more participants are still needed to make firm conclusions on HIT effectiveness and feasibility compared to other types of exercise in this context.

Effects of competition level on the centre forward role of men's water polo.

This study aimed to compare specific technical and tactical indicators of the team and centre forward role of Euro League, and Italian Serie A1, Serie A2, and Serie B men's water polo club competitions. A notational analysis was performed on 21 water polo matches to evaluate the occurrence of technical and tactical team and centre forward indicators, highlighting differences among championships according to chi-square analyses. Differences emerged for Counterattack (P < 0.001) and Power-Play (P < 0.001) possessions, Even (P < 0.001; Euro League: 3 ± 1, Serie A1: 3 ± 2, Serie A2: 3 ± 2, Serie B: 6 ± 4) and Power-Play (P = 0.001) goals, and exclusions and penalties (P = 0.008) of the team during Even possessions. Relatively to the role analyses, effects emerged for perimeter players playing events (P = 0.049), as well as for centre forwards' goals (P = 0.007) and exclusions and penalties (P < 0.001; Euro League: 8 ± 1, Serie A1: 6 ± 2, Serie A2: 6 ± 2, Serie B: 3 ± 2) occurring at the end of Even possessions. Therefore, in Euro League, and Italian Serie A1 and Serie A2, teams perform a high occurrence of Power-Play possessions following up an exclusion, especially achieved by the centre forward during Even possessions, while, in Italian Serie B, goals were mostly scored during Even possessions, with a relevant contribution from the centre forward role.

Heart rate responses and technical-tactical aspects of official 5-a-side youth soccer matches played on clay and artificial turf.

Using a randomized crossover design, this study aimed to compare the heart rate (HR) responses and match analysis parameters (i.e., type of action; the number of players involved in an action; the number of passes performed in a collective action; precision of the shots; lost balls; ball interceptions; dribblings; and tackles) of official 5-a-side youth male soccer matches played over 2 pitch surface (i.e., clay vs. artificial turf) conditions. Twenty-two young male soccer players (age 8.3 ± 0.4 years) engaged in 2 consecutive 15-minute periods in each experimental condition. During the match, 53% of HR responses exceeded 85% of the individual HR(peak). No difference emerged between both pitch surfaces and match periods for HR and match analysis indicators. The two 15-minute periods resulted in being appropriate for 8-year-old players, in resembling the intensity of play and the intermittent nature of adult soccer. The similar HR responses and technical-tactical patterns observed on the 2 surfaces indicate that youth match play is not affected by differences in pitch surface. To support the development of individual and team skills of young soccer players, coaches are advised to prioritize game knowledge based on divergent thinking and experience, rather than traditional teaching based on instructions.

A New Strategy for Somatotype Assessment Using Bioimpedance Analysis: Stratification According to Sex.

Body composition assessment is a relevant element in the biomedical field, in research and daily practice in the medical and nutritional fields, and in the management of athletes. This paper aimed to operate in an Italian sample investigating the possibility of predicting the somatotype from bioimpedance analysis and comparing the predicted results with those obtained from anthropometric measurements. This observational study was conducted with retrospective data collected from 2827 subjects. The somatotype of each subject was calculated both with the Heath−Carter method and by a multiple regression model based on bioimpedance and anthropometric parameters. Somatotypes (endomorph, mesomorph, and ectomorph) were predicted with a high goodness of fit (R2 adjusted > 0.80). Two different somatocharts were obtained from anthropometric measures and bioimpedance parameters and subsequentially compared. Bland−Altman plots showed acceptable accuracy. This study could be a first step in developing a new approach that allows the detection of a subject's somatotype via bioimpedance analysis, stratified according to sex, with a time-saving and more standardized procedure. It would allow, for example, during the COVID-19 pandemic, to minimize operator−patient contact in having measurements.

Accuracy of the "International Criteria" for ECG screening in athletes in comparison with previous published criteria: rationale and design of a diagnostic meta-analysis.

INTRODUCTION: The impact of the International Criteria for ECG interpretation in athletes has further improved the diagnostic accuracy of the 12-lead ECG use for preparticipation screening (PPS); moreover, these criteria have been evaluated in different populations of athletes and settings proving good results. EVIDENCE ACQUISITION: We aimed to perform a comprehensive review of the use of the International Criteria for ECG interpretation in athletes, stemming from a systematic review to diagnostic meta-analysis, limiting our inclusion only to observational studies to determine the diagnostic accuracy of ECG for detecting cardiac anomalies related to sudden cardiac death in athletes. EVIDENCE SYNTHESIS: This meta-analysis is expected to include several important studies related to PPS on different populations of athletes comparing different ECG criteria and detail important data on the diagnostic accuracy of ECG in PPS. Furthermore, we intend to highlight the advantage of using ECG in PPS. CONCLUSIONS: The present diagnostic meta-analysis results will aid sports medicine physicians and cardiologist in adhering to the most accurate criteria for ECG evaluation in athletes and it may help to solve controversies aroused regarding the excess cost of ECG in PPS related to the amount of false positive cases.

Coordination of soccer players during preseason training.

This study aimed to verify whether coordination improves as a result of a preseason soccer training. During 5 experimental sessions (days 1, 6, 11, 15, and 19), 16 semiprofessional male soccer players (22.0 ± 3.6 years) were administered 3 specific soccer tests (speed dribbling, shooting a dead ball, and shooting from a pass) and an interlimb coordination test (total duration of a trial: 60 seconds), consisting of isodirectional and nonisodirectional synchronized (1:1 ratio) hand and foot flexions and extensions at an increasing velocity of execution (80, 120, and 180 b·min(-1)). Furthermore, subjective ratings were monitored to assess the recovery state (RestQ) of the players, their perceived exertion (rating of perceived exertion [RPE]) for the whole body, and the perceived muscle pain (rating of muscle pain [RMP]) for the lower limbs and the internal training load by means of the session-RPE method. The ratios between post and pretraining RPE and RMP increased only during the first 2 experimental sessions and decreased after the second week of the training camp (p = 0.001). The Rest-Q showed increases (p < 0.05) for general stress, conflict/pressure, social recovery, and being in shape dimensions. Conversely, decreases (p < 0.05) were observed for social stress, fatigue, physical complaints dimensions. Throughout the preseason, the players improved their speed dribbling (p = 0.03), Shooting from a Pass (p = 0.02), and interlimb coordination (p < 0.0001) performances. These coordination tests succeeded in discriminating coordination in soccer players and could integrate field test batteries during the whole soccer season, because they were easily and inexpensively administrable by coaches.

Preventing and Monitoring Work-Related Diseases in Firefighters: A Literature Review on Sensor-Based Systems and Future Perspectives in Robotic Devices.

In recent years, the necessity to prevent work-related diseases has led to the use of sensor-based systems to measure important features during working activities. This topic achieved great popularity especially in hazardous and demanding activities such as those required of firefighters. Among feasible sensor systems, wearable sensors revealed their advantages in terms of possibility to conduct measures in real conditions and without influencing the movements of workers. In addition, the advent of robotics can be also exploited in order to reduce work-related disorders. The present literature review aims at providing an overview of sensor-based systems used to monitor physiological and physical parameters in firefighters during real activities, as well as to offer ideas for understanding the potentialities of exoskeletons and assistive devices.