Association between physical demands, skin temperature and wellbeing status in elite football players.

The demanding nature of elite football requires players to be closely monitored to ensure optimal performance and minimize injury risk. This study aimed to evaluate the relationship between physical demands, skin temperature, and well-being status in 30 elite football players over a 12-week competitive period. Thermography assessments, weekly Well-being questionnaires, and daily training and match load recordings were used to gather data. Results indicated that along the microcycles there was a decrease in high-intensity accelerations and decelerations distance completed, while maintaining other high-intensity actions. Furthermore, it was found that high-intensity movements contribute to the generation of thermal asymmetries in the thighs; the adductor thermal asymmetry showed a positive relationship with stress and muscle soreness, the knee thermal asymmetry had a positive relationship with fatigue and a negative relationship with rest and quality of rest, and finally the hamstrings muscles exhibited significant differences between the thermal asymmetry groups, with the high asymmetry completing less high intensity actions than the low asymmetry group. In conclusion, this study highlights the interconnections between physical demands, skin temperature, and well-being in elite football players and provides valuable insights for coaches and trainers in their efforts to optimize performance and health.

Can Adipose Tissue Influence the Evaluation of Thermographic Images in Adolescents?

Infrared thermography (IRT) is a technology easy to use for clinical purposes as a pre-diagnostic tool for many health conditions. However, the analysis process of a thermographic image needs to be meticulous to make an appropriate decision. The adipose tissue is considered a potential influence factor in the skin temperature (Tsk) values obtained by IRT. This study aimed to verify the influence of body fat percentage (%BF) on Tsk measured by IRT in male adolescents. A total of 100 adolescents (16.79 ± 0.97 years old and body mass index of 18.41 ± 2.32 kg/m²) was divided into two groups through the results of a dual-energy X-ray absorptiometry analysis: obese (n = 50, %BF 30.21 ± 3.79) and non-obese (n = 50, %BF 11.33 ± 3.08). Thermograms were obtained by a FLIR T420 infrared camera and analyzed by ThermoHuman® software version 2.12, subdividing the body into seven regions of interest (ROI). The results showed that obese adolescents presented lower mean Tsk values than the non-obese for all ROIs (p < 0.05), with emphasis on the global Tsk (0.91 °C) and anterior (1.28 °C) and posterior trunk (1.18 °C), with "very large" effect size values. A negative correlation was observed in all the ROI (p < 0.01), mainly in the anterior (r = -0.71, p < 0.001) and posterior trunk (r = -0.65, p < 0.001). Tables of thermal normality were proposed for different ROIs according to the classification of obesity. In conclusion, the %BF affects the registered Tsk values in male Brazilian adolescents assessed by IRT.

Can the body mass index influence the skin temperature of adolescents assessed by infrared thermography?

Infrared thermography (IRT) is a technology that has been used as an auxiliary tool in the diagnostic process of several diseases and in sports monitoring to prevent injuries. However, the evaluation of a thermogram can be influenced by several factors that need to be understood and controlled to avoid a misinterpretation of the thermogram and, consequently, an inappropriate clinical action. Among the possible factors that can affect IRT are anthropometric factors, especially those related to body composition. Based on these, our objective was to verify the influence of Body Mass Index (BMI) on skin temperature (Tsk) in male adolescents. One hundred male adolescents (age: 16.83 ±â€¯1.08 years; body mass: 66.51 ±â€¯13.35 kg; height: 1.75 ±â€¯7.04 m and BMI: 21.57 ±â€¯4.06 kg/m2) were evaluated and divided into three groups, based on the World Health Organization (WHO) proposed classification ranges: underweight (n = 33), normal weight (n = 34) and overweight/obesity (n = 34). Thermograms were obtained using the FLIR T420 thermal imager after a period of acclimatization of the subjects in a controlled environment (temperature: 21.3 ±â€¯0.7 °C and humidity: 55.3 ±â€¯2.2%); they were evaluated using the ThermoHuman® software, integrating the original regions of interest (ROI) into seven larger ROIs. The results showed that underweight individuals had higher Tsk values than normal weight and overweight/obese individuals for all evaluated ROIs, and overweight/obese individuals had lower Tsk values than normal weight individuals for most evaluated ROIs, except for arms region. BMI showed a correlation of -0.68 and -0.64 for the anterior and posterior regions of the trunk, respectively. Thermal normality tables were proposed for various ROIs according to BMI classification. Our study demonstrated that BMI can affect the Tsk values assessed by IRT and needs to be considered to interpret the thermograms.

Influencia de los parámetros antropométricos y la composición corporal en las imágenes termográficas / Influência de parâmetros antropométricos e de composição corporal em imagens termográficas / Influence of anthropometric parameters and body composition in thermographic images

La termografía infrarroja está siendo utilizada en la actualidad para medir la temperatura de la piel (Tsk) tanto en medicina como en ciencias delejercicio. Sin embargo, para obtener una imagen termográfica de calidad, es necesario tener en cuenta factores que intervienen para evitar unainterpretación errónea de los resultados observados, incluidos los factores antropométricos y de la composición corporal. Por lo tanto, el objetivo de estarevisión narrativa, es establecer cómo los parámetros antropométricos y de composición corporal pueden afectar los valores de Tsk, repercutiendo así enla evaluación de las imágenes termográficas. Los resultados de este estudio apuntan a un alto nivel de influencia de la superficie corporal y,especialmente, de la cantidad de grasa corporal en el patrón de normalidad esperado de la Tsk evaluada por termografía infrarroja, siendo los sujetos conmayor cantidad de grasa corporal quienes presentan menores valores de Tsk comparados con los de menor cantidad de grasa, algo que deberíaconsiderarse al evaluar a la población general y a los atletas con diferentes patrones de composición corporal.(AU)

Infrared thermography has been recently used to measure skin temperature (Tsk) in both medicine and sports medicine. However, to obtain a qualitythermographic image, it is necessary to observe intervening factors to avoid misinterpretation of the results, including anthropometric and bodycomposition factors. Therefore, the objective of this narrative review is to establish how anthropometric and body composition parameters can affect theTsk response, thus influencing the assessement of thermographic images. The results of this study point to a high level of influence of the body surfaceand, especially, of the amount of body fat in the expected Tsk pattern of normality evaluated by infrared thermography, being the subjects with higheramount of body fat who present lower Tsk values compared to those with lower body fat, which is something that should be considered when evaluatingthe general population and athletes with different body composition patterns.(AU)

A termografia infravermelha tem sido empregada de forma mais recente para mensurar a temperatura da pele (Tsk) sendo utilizada na medicina etambém na medicina esportiva. Entretanto, para se obter uma imagem termográfica de qualidade, vários fatores intervenientes precisam ser observadospara que se evite um erro de interpretação sobre os resultados observados, dentre eles os fatores antropométricos e de composição corporal. Assim que,o objetivo desta revisão narrativa é estabelecer de que forma os parâmetros antropométricos e de composição corporal podem afetar a resposta da Tsk,impactando assim na avaliação de imagens termográficas. Têm-se como principais conclusões que as evidências apontam para um elevado nível deinfluência da superfície corporal e especialmente da quantidade de gordura corporal sobe o padrão de normalidade esperada da Tsk avaliada portermografía infravermelha, de modo que indivíduos com maior quantidade de gordura corporal apresentam valores menores de Tsk quando comparadosa indivíduos com menor quantidade, devendo assim ser considerado ao avaliar a população em geral e atletas com diferentes padrões de gorduracorporal.(AU)

Can body mass index influence the skin temperature of adolescents? A preliminary study with the use of infrared thermography / O índice de massa corporal pode influenciar a temperatura da pele de adolescentes? Um estudo preliminar com o uso da termografia infravermelha

Abstract Infrared thermography (IRT) has been used to assess skin temperature (Tsk), especially during the COVID-19 pandemic, as an important tool in medical screening not only of the general population, but also of young athletes. However, the subcutaneous adipose tissue can act as an insulator when the Tsk is assessed by IRT, modifying the normal Tsk data and leading to their misinterpretation. Considering that the body mass index (BMI) is an important predictor of obesity, the objective of this study was to verify if the Tsk measured by IRT is affected by the BMI in adolescents. A preliminary study was carried out being four participants intentionally selected, all 16 years old, each one classified in a different BMI range according to the criteria of the World Health Organization for the adolescent population: underweight, healthy weight, overweight and obesity. Four thermograms of each participant were recorded and the ThermoHuman® software was used to evaluate 82 regions of interest (ROI), which were integrated into 6 body regions. Using healthy weight subjects as a reference, it was found a progressive reduction in Tsk in all ROI compared to overweight and obese participants, with emphasis on the anterior region of the trunk (3.04% and 6.69% less respectively), and an increase in the Tsk of all body regions for the underweight subject. There are indications that BMI can influence the Tsk value in adolescents and should be taken into account when analyzing thermograms for a correct evaluation of thermal normality.

Resumo A termografia infravermelha (TI) tem sido uma técnica empregada para avaliar a temperatura da pele (TP), especialmente durante a pandemia do COVID-19. Contudo, existem indicações que o tecido adiposo subcutâneo pode agir como uma camada isolante, alterando o comportamento da TP, o que pode dificultar a interpretação da normalidade térmica. Tendo em vista que o índice de massa corporal (IMC) é considerado um importante preditor de obesidade, o objetivo deste estudo foi verificar se a TP sofre interferência de diferentes classificações de IMC em adolescentes. Foram selecionados 4 participantes de maneira intencional, todos com 16 anos, cada um foi classificado em uma diferente faixa de IMC para população de adolescentes segundo a classificação proposta pela Organização Mundial de Saúde para essa idade: baixo peso, peso normal, sobrepeso e obesidade. Foram feitos quatro termogramas, avaliados no software ThermoHuman®, que avalia 82 regiões corporais de interesse (RCI), que foram integradas em 6 regiões corporais. Utilizando os indivíduos com peso normal como referência, foi encontrada uma redução progressiva na TP comparada aos participantes com sobrepeso e obesidade, com ênfase para a região anterior de tronco (3.04% e 6.69% menores, respectivamente), e um aumento na TP de todas as regiões corporais comparadas ao sujeito com baixo peso. Isso indica que o IMC pode influenciar nos valores da TP em adolescentes e deve ser levado em consideração para uma avaliação correta da normalidade térmica.

Infrared Thermography Protocol on Reducing the Incidence of Soccer Injuries.

CONTEXT: Infrared thermography has been used to detect skeletal muscle overload and fatigue in athletes, but its use in injury prevention in professional soccer has not been studied to date. OBJECTIVES: To establish a novel injury prevention program based on infrared thermography and to determine its influence on the injury incidence in professional soccer players in the preseason. DESIGN: A cross-sectional, prospective study design was used to compare a conventional injury prevention program (CPP) applied over the first preseason and an infrared thermography injury prevention program (IRTPP) carried out in the following preseason. SETTING: Soccer training ground. PARTICIPANTS: Twenty-four players belonging to a first division soccer team from Spain. MAIN OUTCOME MEASURES: Injury incidences of each player were recorded according to the Orchard Sports Injury Classification System (version 10.0) convention to determine the injury classification, location, and type. RESULTS: The incidence of injuries decreased from 15 injuries in the CPP preseason (0.63 [0.77] injuries per player) to 6 injuries in the second preseason when the IRTPP was applied (0.25 [0.53] injuries per player). The days of absence due to injuries also decreased from the CPP preseason (156 d, 10.4 [11.0] d per injury) to the IRTPP preseason (14 d, 2.3 [2.8] d per injury). The injury severity also decreased from the first preseason to the second preseason, and fewer musculoskeletal injuries in the thigh, hip, and groin were reported. CONCLUSIONS: The implementation of an IRTPP can reduce the presence of injuries by identifying players potentially at risk and as a result, reducing the injury severity and days lost as a consequence.

Thermographic imaging in sports and exercise medicine: A Delphi study and consensus statement on the measurement of human skin temperature.

The importance of using infrared thermography (IRT) to assess skin temperature (tsk) is increasing in clinical settings. Recently, its use has been increasing in sports and exercise medicine; however, no consensus guideline exists to address the methods for collecting data in such situations. The aim of this study was to develop a checklist for the collection of tsk using IRT in sports and exercise medicine. We carried out a Delphi study to set a checklist based on consensus agreement from leading experts in the field. Panelists (n = 24) representing the areas of sport science (n = 8; 33%), physiology (n = 7; 29%), physiotherapy (n = 3; 13%) and medicine (n = 6; 25%), from 13 different countries completed the Delphi process. An initial list of 16 points was proposed which was rated and commented on by panelists in three rounds of anonymous surveys following a standard Delphi procedure. The panel reached consensus on 15 items which encompassed the participants' demographic information, camera/room or environment setup and recording/analysis of tsk using IRT. The results of the Delphi produced the checklist entitled "Thermographic Imaging in Sports and Exercise Medicine (TISEM)" which is a proposal to standardize the collection and analysis of tsk data using IRT. It is intended that the TISEM can also be applied to evaluate bias in thermographic studies and to guide practitioners in the use of this technique.

Thermal body patterns for healthy Brazilian adults (male and female).

The aim of this study was to establish the skin temperature (Tsk) thermal profile for the Brazilian population and to compare the differences between female and male Brazilian adults. A total of 117 female and 103 male were examined with a thermographic camera. The Tsk of 24 body regions of interest (ROI) were recorded and analyzed. Male Tsk results were compared to female and 10 ROI were evaluated with respect to the opposite side of the body (right vs. left) to identify the existence of significant contralateral Tsk differences (ΔTsk). When compared right to left, the largest contralateral ΔTsk was 0.3°C. The female vs. male analysis yielded significant differences (p<0.05) in 13 of the 24 ROI. Thigh regions, both ventral and dorsal, had the highest ΔTsk by sex (≈1.0°C). Tsk percentile below P5 or P10 and over P90 or P95 may be used to characterize hypothermia and hyperthermia states, respectively. Thermal patterns and Tsk tables were established for Brazilian adult men and women for each ROI. There is a low Tsk variation between sides of the body and gender differences were only significant for some ROIs.