Reliability of Two Recently Developed Procedures Assessing Biological Maturity by Ultrasound Imaging-A Pilot Study.

During puberty, the biological maturity of children of the same chronological age differs. To generate equal opportunities for talent selection in youth sports, the athlete's biological maturity should be considered. This is often assessed with a left hand and wrist radiography. Alternatively, ultrasound (US) could be advantageous, especially by avoiding ionizing radiation. This pilot study aimed to assess intrarater and interrater reliability of an experienced and a non-experienced examiner in an US-based examination of the knee in 20 healthy females (10-17 years). Epiphyseal closure at five anatomical landmarks was staged (stages 1-3) and its interrater and intrarater reliabilities were analyzed using Cohen's kappa (k). Interrater reliability of the calculation of the ossification ratio (OssR) was analyzed using the Bland-Altman method and intraclass correlation coefficients (ICCs). Interrater reliability for the stages was almost perfect for four landmarks. Interrater reliability ranged from k = 0.69 to k = 0.90. Intrarater reliability for the stages was almost perfect for four landmarks. Intrarater reliability ranged from k = 0.70 to k = 1.0. For the OssR, ICC was 0.930 and a minimal detectable change of 0.030 was determined. To conclude, experienced and non-experienced examiners can reliably assign individuals to different ossification stages and calculate an OssR using US-based imaging of the knee.

Why age categories in youth sport should be eliminated: Insights from performance development of youth female long jumpers.

Long-term sports participation and performance development are major issues in popular sports and talent development programs. This study aimed to provide longitudinal trends in youth female long jump performance development, participation, and relative age effects (RAEs), as longitudinal data for female athletes are missing. 51'894 season's best results of female long jump athletes (n = 16'189) were acquired from the Swiss Athletics online database and analyzed within a range of 6-22 years of age. To examine longitudinal performance development and RAEs, data from athletes who participated in at least three seasons were selected (n = 41'253) and analyzed. Performance development was analyzed using age groups (AGs) and exact chronological age (CA) at competition. Differences between performances of birth quarters were analyzed using 83% confidence intervals (CIs) and smallest worthwhile change. Odds ratios (ORs) with 95% CI were used to quantify RAEs. With the traditional classification into age groups (AG), performances of athletes born between January and March (Q1) were significantly better than those born between October and December (Q4) from U8 to U17. Using exact CA resulted in similar performances in Q1 and Q4 until the U20 age category. The peak of participation was reached in the U12 category, and then decreased until the U23 category with a substantial drop at U17. Significant RAEs were observed from U8 to U19 and at U22. RAEs continuously decreased from U8 (large effect) to U14 (small effect). The present results show that differences in performance arise from the comparison of athletes in AGs. Thus, going beyond AGs and using exact CA, Q4 athletes could benefit from a realistic performance comparison, which promotes fair performance evaluation, un-biased talent development, realistic feedback, and long-term participation.

Ultrasound Imaging-Based Methods for Assessing Biological Maturity during Adolescence and Possible Application in Youth Sport: A Scoping Review.

Bone maturity is an indicator for estimating the biological maturity of an individual. During adolescence, individuals show heterogeneous growth rates, and thus, differences in biological maturity should be considered in talent identification and development. Radiography of the left hand and wrist is considered the gold standard of biological maturity estimation. The use of ultrasound imaging (US) may be advantageous; however, its validity and reliability are under discussion. The aims of this scoping review are (1) to summarize the different methods for estimating biological maturity by US imaging in adolescents, (2) to obtain an overview of the level of validity and reliability of the methods, and (3) to point out the practicability and usefulness of ultrasound imaging in the field of youth sports. The search included articles published up to November 2022. The inclusion criteria stipulated that participants had to fall within the age range of 8 to 23 years and be free of bone disease and fractures in the region of interest. Nine body regions were investigated, while the hand and wrist were most commonly analyzed. US assessment methods were usually based on the estimation of a bone maturity stage, rather than a decimal bone age. Furthermore, 70% of the assessments were evaluated as applicable, 10% expressed restraint about implementation, and 20% were evaluated as not applicable. When tested, inter- and intra-rater reliability was high to excellent. Despite the absence of ionization, low costs, fast assessment, and accessibility, none of the US assessments could be referred to as a gold standard. If further development succeeds, its application has the potential to incorporate biological age into selection processes. This would allow for more equal opportunities in talent selection and thus make talent development fairer and more efficient.

Comparing cross-sectional and longitudinal tracking to establish percentile data and assess performance progression in swimmers.

To provide percentile curves for short-course swimming events, including 5 swimming strokes, 6 race distances, and both sexes, as well as to compare differences in race times between cross-sectional analysis and longitudinal tracking, a total of 31,645,621 race times of male and female swimmers were analyzed. Two percentile datasets were established from individual swimmers' annual best times and a two-way analysis of variance (ANOVA) was used to determine differences between cross-sectional analysis and longitudinal tracking. A software-based percentile calculator was provided to extract the exact percentile for a given race time. Longitudinal tracking reduced the number of annual best times that were included in the percentiles by 98.35% to 262,071 and showed faster mean race times (P < 0.05) compared to the cross-sectional analysis. This difference was found in the lower percentiles (1st to 20th) across all age categories (P < 0.05); however, in the upper percentiles (80th to 99th), longitudinal tracking showed faster race times during early and late junior age only (P < 0.05), after which race times approximated cross-sectional tracking. The percentile calculator provides quick and easy data access to facilitate practical application of percentiles in training or competition. Longitudinal tracking that accounts for drop-out may predict performance progression towards elite age, particularly for high-performance swimmers.

Normative data and percentile curves for long-term athlete development in swimming.

OBJECTIVES: To provide normative data and establish percentile curves for long-course (50 m pool length) swimming events and to compare progression of race times longitudinally for the various swimming strokes and race distances. DESIGN: Descriptive approach with longitudinal tracking of performance data. METHODS: A total of 2,884,783 race results were collected from which 169,194 annual best times from early junior to elite age were extracted. To account for drop-outs during adolescence, only swimmers still competing at age of peak performance (21-26 years) were included and analyzed retrospectively. Percentiles were established with z-scores around the median and the Lambda-Mu-Sigma (LMS) method applied to account for potential skewness. A two-way analysis of variance (ANOVA) with repeated measure and between-subject factor was applied to compare race times across the various events and age groups. RESULTS: Percentile curves were established based on longitudinal tracking of race times specific to sex, swimming stroke, and race distance. Comparing performance progression, race times of freestyle sprint events showed an early plateau with no further significant improvement (p > 0.05) after late junior age (15-17 years). However, the longer the race distance, the later the race times plateaued (p < 0.05). Female swimmers generally showed an earlier performance plateau than males. Backstroke and freestyle showed an earlier performance plateau compared to the other swimming strokes (p < 0.05). CONCLUSIONS: Performance progression varied between sex, swimming strokes, and race distances. Percentile curves based on longitudinal tracking may allow an objective assessment of swimming performance, help discover individual potentials, and facilitate realistic goal setting for talent development.

Origins of Relative Age Effects in Youth Football-A Nationwide Analysis.

Introduction: Relative age effects (RAEs) refer to the overrepresentation of players born earlier in the selection year compared to late-born players within the same age category. To date, the origins and mechanisms of RAEs are still unclear. To evaluate the development of RAEs in terms of age group and selection level, we analyzed data of all registered child and adolescent football players in Switzerland. Methods: Age category, selection level, and birthdate from all licensed 101,991 Swiss child and youth football players assigned to a specific team [9,149 girls (9.0%) and 92,842 boys (91.0%); age range: 4.6-19.6 years] were analyzed. Additionally, out of 1,128 clubs, 54 clubs provided their documented waiting lists (1,224 players). Birthdate distributions were split by age category, sex, and birth quarter (Q1 = January to March, Q4 = October to December). RAEs were calculated using odds ratios (Q1 vs. Q4) with 95% confidence intervals (95% CI). Results: We found small RAEs among U8 players (OR 1.44 [95% CI 1.31, 1.59]) and U10 (OR 1.24 [95% CI 1.16, 1.32]). The RAE was negligible in all other age categories, independent of gender. In children's football, 5,584 (71.3%) teams performed selections. In teams without selection, there were no obvious RAEs. However, teams with selections for the same age category showed small RAEs with an overrepresentation of Q1 athletes in the first team (OR = 1.29 [95% CI 1.24, 1.35]) and inverse RAEs with an underrepresentation of Q1 athletes in the last team (OR = 0.85 [95% CI 0.82, 0.89]). Only small RAEs were observed on the waiting lists for the U8 (OR = 1.48 [1.13, 1.95]). Discussion and Conclusion: RAEs have a small, but consistent effect on participation in Swiss children's football at the grassroots level. Contrary to expectations, no inverse RAEs were found on the waiting lists. Nonetheless, first time coach selections seem to be the origin of RAEs. To protect young athletes from discrimination, RAE biases should be analyzed and eliminated at all stages of sport participation, selection, and dropout situations. Modifications to the organizational structure of sport and athlete development systems are recommended to prevent RAE-related discrimination in youth sports.