Well-being fluctuations and injuries during an entire season in male professional soccer players: an observational study.

This study aimed to describe and relate the well-being perception and injury incidence of soccer players in an entire soccer season. For 37 weeks, twenty-eight male professional soccer players (25.2 ± 4.3 years old; 22.8 ± 1.4 kg/m2) daily scored (from 1: bad; to 5: perfect) well-being perception (fatigue, sleep, muscle soreness, stress and mood and Hooper Index (HI) as general status). Injuries were also registered. Results showed that players had the lowest well-being perception during Preseason (in terms of HI, fatigue, muscle soreness and stress), being lower than EarlySeason (ps < 0.05, ds > 1.0) and/or InSeason (ps < 0.05, ds > 1.0). The injury incidence was 8.3 ± 9.2/1000 h, being always higher in training compared to competition (35.0 vs 11.1/1000 h). A lower stress perception (worse) correlated with a higher rate of new injuries during PreSeason (r = -0.84), while a greater muscle soreness and fatigue correlated with the new injuries occurring in the following week during the whole season (r = -0.38 and r = -0.39, respectively). As a conclusion, the well-being perception of professional soccer players was especially low during Preseason, with fatigue, muscle soreness and stress as the most affected items that correlated with injury incidence.

The role of offensive processes and age development for female soccer players' anticipation.

Anticipation has been confirmed as a more valid measure for recognizing talented athletes than pattern recall alone. Anticipation of offensive processes in soccer, such as counter attacks and positional attacks, is essential for the sport. Additionally, the anticipation of elements such as the soccer ball, offensive and defensive players may also be affected by varied offensive processes. In this study, we combined anticipation with the pattern recall paradigm to measure the perceptual-cognitive skills of female soccer players across different age groups and offensive processes. Adult (U23) and adolescent (U15) female soccer players were recruited to complete the pattern anticipation task using coach-rated video segments. Our results show that adult female soccer players demonstrated greater accuracy in anticipating locations during positional attacks compared to adolescents, but no significant difference was observed during counter attacks. Furthermore, location anticipation accuracy is higher in all groups towards elements of the soccer ball and offensive players, but not defensive players, during counter attacks compared to positional attacks. These findings suggest that positional attack is the main advantage in perceptual-cognitive skills for adult female soccer players. Additionally, offensive processes and elements should be carefully considered when measuring perceptual-cognitive skills.

Imaging of soccer injuries in adolescent female athletes.

Soccer participation is increasing among female adolescents with a concomitant rise of injuries in this group. Age- and sex-related factors, such as the transition from skeletal immaturity to skeletal maturity as well as anatomic, physiologic, neuromuscular, and behavioral differences between females and males, all play a role in injury patterns for these athletes. Anterior cruciate ligament (ACL) tears in this group have received a great deal of attention in the medical literature and the media in recent years with increasing knowledge about causative factors, surgical management, and injury prevention. There have been fewer studies specifically focused on female adolescent soccer players in relation to other types of injuries, such as patellar dislocation/instability; other knee and ankle ligament tears; hip labral tears; muscle strains and tears; and overuse injuries such as apophysitis, patellofemoral pain syndrome, and bone stress injuries. Because imaging plays a critical role in diagnosis of soccer-related injuries in female adolescents, knowledge of the mechanisms of injury, imaging findings, and clinical considerations are essential for radiologists involved in the care of these patients.

Evaluation of Blood Lactate among Different Player Roles: A Pilot Study on Competitive Young Male Soccer Players.

BACKGROUND: Soccer match requires anaerobic and aerobic energetic metabolism. The aim of this pilot study was to investigate the changes in blood lactate concentration in young male soccer players in different playing roles at different time points after the soccer match. METHODS: Following an initial screening of 134 young soccer athletes, 8 male athletes (average age of 15.5 ± 5 SD) were chosen for their characteristics similar to those of competitive athletes. Players were categorized as goalkeeper, central defender, central midfielder, and forward. Blood lactate concentrations were determined using a portable device at different times (10 min, 5 and 16 h) after the soccer match by a maximum effort test on a treadmill. The data were analyzed by one-way analysis of variance ANOVA, followed by Bonferroni's post-hoc test. RESULTS: The following results (mean ± SD) were obtained: VO2max (%) 60.33 ± 3.10; blood lactate (mM) end match (10 min) 2.17 ± 0.78, post-match-early (after 5 h) 2.2 ± 0.42, postmatch-late (16 h) 3.2 ± 0.84. ANOVA analysis indicated that the blood LA concentrations at end-match (10 min) and post-match-early (5 h) were statistically significative lower than those determined at post-match-late (16 h) (p < 0.05). CONCLUSION: These results suggest that aerobic mechanisms can also use LA as an energy source, contributing to the reduction of its blood concentration. This effect can be due to reduced maximal work during a soccer match and to the LA removal during exercise at reduced intensity. These data can provide indications for planning suitable training strategies for young male soccer players.

Comparison of body composition and muscle mass by age in amateur soccer players.

[Purpose] This study aimed to elucidate the changes in body composition components associated with aging in amateur male soccer players. Specifically, we investigated the alterations in the phase angle and regional muscle mass distribution. [Participants and Methods] The study included a cohort of 163 male participants categorized into three age groups: U15 (12-15 years), U18 (16-18 years), and O19 (≥19 years). Precise body composition assessments were performed, employing the InBodyS10 body composition scale. [Results] The findings revealed substantial age-related disparities in various body composition parameters. Data revealed a consistent trend of increasing basic body composition metrics with age. Notably, the body fat percentage progressively increased with age. Muscle mass and phase angle exhibited age-related increases with nuanced variations in different anatomical regions. [Conclusion] In the general Japanese population, muscle mass tends to decrease with age after 18 years. However, in this study on amateur soccer players, we observed a plateau in the height and lower limb phase angle around the age of 18 years, whereas muscle mass exhibited an increasing trend.

Relationship between dynamic visual acuity and static visual acuity, refractive error, and binocular vision in elite soccer players.

CLINICAL RELEVANCE: In many sports, dynamic visual acuity is used. In order to improve dynamic visual acuity, it is important to understand the aspects of the visual system that can cause compromise. BACKGROUND: To investigate the parameters of the visual system that may influence dynamic visual acuity in professional soccer players. METHODS: In 2022, 40 professional players were analysed. Screening consisted of a survey, the measurement refractive error, and static and dynamic visual acuity and the binocular vision parameters. All athletes were men with a mean age of 24.9 ± 4.8 years. RESULTS: The mean refractive error was -0.29 ± 0.61D, and 22.5% of athletes are myopic only and 7.5% hyperopic. Static visual acuity was R: -0.037 ± 0.094 LogMAR , L: -0.036 ± 0.098 LogMAR. Dynamic visual acuity was 0.154 ± 0.118 LogMAR . There is a positive and moderate correlation between monocular static visual acuity and dynamic visual acuity, with r = 0.524 (r2 = 0.275 , p < 0.001) for the right eye and r = 0.553 (r2 = 0.306, p < 0.001) for the left eye. For the component of astigmatism (J = 0) and for stereopsis in distance vision, the correlation was, r = -0.472 (r2 = 0.223, p = 0.002) and r = -0.467 (r2 = 0.218, p = 0.002), respectively. CONCLUSION: Athletes with lower static visual acuity in distance vision, or with worse stereopsis in distance vision or more myopic astigmatism, have lower dynamic visual acuity than other athletes.

Unlocking the Potential: Increasing Muscle Strength in Lower Limbs of Youth Soccer Players over Five Weeks through Mat Pilates Training-A Pilot Study.

The interest in soccer generally starts during childhood, with children and young people often looking for opportunities in sports. New exercise techniques can be effective in improving training. The aim of this study was to compare the effects on the strength and physical posture of a group practicing Pilates with another not practicing Pilates, both undergoing continuous football training. In this controlled randomized clinical trial, the participants were 15 soccer club members, who had a training frequency of least three times weekly. The sample was divided into a control group (n = 7) of players who did not undergo any therapeutic intervention (only the usual training) and a Pilates group (n = 8) of players who participated in the mat Pilates program. The intervention consisted of fifteen sessions. Postural evaluations were performed using biophotogrammetry and force analysis. Significant improvements were obtained in terms of increased muscle strength (p = 0.001) for the Pilates group, but there were no significant postural alterations when comparing the two groups. Five weeks of mat Pilates was sufficient to increase lower limb muscle strength in young football players. This pilot study indicates that Mat Pilates as a method that could be planned to be included in training.

Effects of Hardaliye, a Fermented Grape Drink, on Oxidative Stress, Lipid Profile, and Blood Pressure in Young Soccer Players: A Randomized Controlled Trial.

OBJECTIVE: Hardaliye, a traditional fermented grape juice, can prevent imbalances in the antioxidant defense systems of soccer players. Hardaliye is mainly produced through the fermentation of grapes, sour cherry leaves, and mustard seeds and is consumed as a drink. This study was aimed at investigating the effects of hardaliye consumption on oxidative stress parameters, lipid profile, and blood pressure in young elite soccer players. METHODS: In this single-blind, randomized, placebo-controlled, parallel-design study, while the participants in one of the groups consumed 250 mL/d of hardaliye drink (Hardaliye Group), the participants in the other group consumed placebo drink (Placebo Group) for 28 days. Three-day food record and blood samples were taken from the soccer players and their blood pressure was measured. RESULTS: Nutrient intakes in both groups were similar at the beginning and end of the study (p > 0.05). Dietary carbohydrates and vitamin A, E, and C intakes were below the recommended levels in both groups. Hardaliye consumption significantly increased the serum total antioxidant capacity level but significantly decreased serum total oxidation status, oxidative stress index, malondialdehyde, and nitric oxide levels compared to the Placebo Group (p < 0.05). Lipid parameters and diastolic blood pressure levels were not significantly different between the groups (p > 0.05). Hardaliye consumption significantly decreased systolic blood pressure compared to that in the Placebo Group (p < 0.05). CONCLUSION: Hardaliye consumption in young elite soccer players showed antioxidative effects and decreased systolic blood pressure but did not affect their lipid profiles.

Differences and relationship in functional movement screen (FMS™) scores and physical fitness in males and female semi-professional soccer players.

Background: Soccer is the world's most popular sport for both men and women. Tests of athletic and functional performance are commonly used to assess physical ability and set performance goals. The Functional Movement Screen (FMS™) is a widely used seven-test battery developed by practitioners to provide interpretable measure of movement quality. The main objective of the present study was twofold, to analyze the relationship between FMS™ results from male and female soccer players and to compare their physical performance in different tests. Methods: A total of twenty-eight semi-professional soccer players: fourteen male (age: 21.29 ± 1.64 years; weight: 70.66 ± 5.29 kg; height: 171.86 ± 5.35 cm; BMI: 20.90 ± 2.22 kg/m2) and fourteen females (age: 20.64 ± 1.98 years; weight: 63.44 ± 5.83 kg; height: 166.21 ± 12.18 cm; BMI: 23.02 ± 2.50 kg/m2) were recruited for this study. A paired sample t-test was used for determining differences as a repeated measures analysis. All the participants conducted the following tests: The Functional Movement Test (FMS™), 10-m linear sprint, 5-0-5 COD Test and Yo-Yo Intermittent Recovery Test-Level 1 (YYIRT Level 1). Results: A t-test with data from 505 COD (change of direction) test showed significant differences between groups, p = 0.001, d = 1.11, revealing faster times in male soccer players (2.50 ± 0.19) in respect with female soccer players (2.70 ± 0.17). Crucially, a t-test with data from FMS did not reveal significant differences between groups. Multiple regression for V02max revealed significant effects (r = 0.55, r2 = 0.30, adjusted r2 = 0.24, F = 5.21, p = 0.04 and standard error = 2.20). On the other hand, multiple regression for 10-m sprint showed significant effects (r = 0.58, r2 = 0.33, adjusted r2 = 0.28, F = 5.98, p = 0.03). The impact of these factors on the correlation between FMS™ scores and physical performance measures can vary among individuals. Discussion/Conclusion: This study demonstrates the necessity of utilizing and applying multiple field-based tests to evaluate the movement and capabilities of physical performance in sports. Crucially, consider individual variations and factors such as training background, fitness level, and sport-specific demands when interpreting the relationship between the FMS™ and physical performance in both sexes.

Influence of conflicting prior information on action anticipation in soccer players: an ERP study.

Objective: Prior probability information and visual kinematic information are essential for action anticipation in athletes. The aims of this study were to examine how conflicting prior information influences anticipatory judgment in athletes vs. non-athletes and to explore the underlying cognitive mechanisms. Methods: The aim of Experiment 1 was to determine the moment when prior information influenced action anticipation in athletes vs. non-athletes. To that end, 17 semi-elite soccer goalkeepers and 18 non-athletes received prior information about the probability of the direction that a player on a video would kick a ball into the goal. Participants then anticipated the trajectory of the ball when the action of the player's kick on the video was truncated at the moment the foot contacted the ball (time T) or one frame (T-1; 50 ms) or two frames (T-2; 100 ms) before the foot-ball contact. The aim of Experiment 2 was to elucidate the adaptive cognitive-motor behavior exhibited by highly trained soccer players at the moment when their anticipatory performance was most influenced by prior information. Experiment 2 included 27 different semi-elite soccer players with many years of experience as a goalkeeper and 27 different non-athletes. Participants anticipated the direction of the kick when the kinematic action of the kicker at the moment the anticipatory performance of the participants was most influenced by prior information (as determined in Experiment 1) was congruent, incongruent, or neutral. Action anticipation accuracy and response time were evaluated for both experiments, whereas event-related potential components N1, N2, and P3 were assessed only in Experiment 2. Results: The results of Experiment 1 showed that anticipatory accuracy was significantly higher among athletes than non-athletes and that anticipatory accuracy with directional information given was significantly higher than that when no prior information was given or when prior information without directional information was given (p < 0.001) for both T-1 (p's ≤ 0.034) and T-2 (p's < 0.001) occlusion points. In Experiment 2 using those two video occlusion times, the amplitude of the N1 component, which reflects selective attention to stimulus properties, was significantly higher in athletes than in non-athletes (p < 0.001). The amplitude of the N2 component, which has been associated with conflict monitoring, for the incongruent condition was significantly higher than that for both neutral (p < 0.001) and congruent (p < 0.001) conditions in athletes. Non-athletes exhibited no significant N2 amplitude differences for any prior information condition. Conclusion: Integrating prior information enhanced action anticipation in semi-elite soccer players, particularly 50 and 100 ms before the foot-ball contact. Semi-elite soccer players prioritized early selective attention and conflict monitoring of kinematic information, facilitating action anticipation using the prior information.

Rehabilitation of Soccer Players' Knee Injuries: Cartilage Reconstruction, Anterior Cruciate Ligament Surgery, and Intensive Recovery-A Pilot Study.

Knee injuries, particularly anterior cruciate ligament (ACL) damage and cartilage defects, are highly prevalent among athletes and affect their sports performance and long-term joint function. The purpose of this research was to evaluate the effectiveness of a comprehensive combination therapy approach for individuals with ACL and cartilage injuries. Twelve professional soccer players aged 18 to 30 years underwent bone-tendon-bone ACL reconstruction, microfracture cartilage repair surgery, and hyaluronic acid scaffold treatment. Early postoperative rehabilitation included immediate supervised physiotherapy and complete weight bearing. Follow-up assessments involved clinical evaluations, functional joint assessments, and magnetic resonance imaging (MRI) scans to measure cartilage defect repair and symptom alleviation. The results showed that patients resumed pain-free activities within 3-4 weeks and returned to their pre-injury level within 4.5 months. MRI demonstrated the absence of inflammatory reactions, repair of marrow edema, and the emergence of new cartilage. Six months and one year after surgery, the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Short Form (36) Health Survey (SF-36) questionnaire results demonstrated considerable improvement in patients' health condition and quality of life. Overall, the study suggests that the combination of Hyalofast membranes, microfracture surgery, tissue adhesive, and intensive postoperative physical therapy may be a potential alternative to commonly used treatments for patients with ACL rupture, allowing them to recover efficiently and return to sports activities.

Quantification of training load across two competitive seasons in elite senior and youth male soccer players from an English Premiership club.

This study aimed to compare the daily training load (TL) in first-team and U-18 soccer players from an English Premiership club. 36 first-team (age 23.2 ± 5.9 years, weight 75.2 ± 8.1 kg, height 1.83 ± 0.06 m), and 22 U-18 players (age 17.5 ± 1.1 years, weight 71.1 ± 8.2 kg, height 1.78 ± 0.08 m) participated. GPS metrics were measured during all pitch training sessions throughout the 2020-21 and 2021-22 seasons. Linear mixed-effect model analyses revealed that, irrespective of training day, U-18 players covered greater total and explosive distance than first-team players, and performed a higher number of accelerations and decelerations, whereas first-team players covered greater sprint distance. Irrespective of the team, all examined variables were greater at match-day (MD)-3, while the number of accelerations and decelerations were higher at MD-4. Significant team-by-training day interactions revealed that U-18 players covered greater total and high-intensity distances than first-team players at MD-4, MD-2, and MD-1, whereas first-team players covered greater total and high-intensity distances at MD-3. Sprint distance was greater for first-team players at MD-3 and MD-4, while explosive distance was greater for U-18 players at MD-2. Also, U-18 players performed a higher number of accelerations than first-team players at MD-3 and MD-2, and a higher number of decelerations at MD-4. The present results provide novel information on TL patterns in English Premiership soccer and contribute to understanding how training methods to physically develop players are implemented in different countries and leagues.

Daytime sleepiness in Chinese professional, semi professional and students soccer players in the Shanghai lockdown.

PURPOSE: April-May 2021 Shanghai city was under strict lockdown. Soccer players suffered from the restrictions, being unable to train and have a social life. The aim of this study was to compare differences in daytime sleepiness between genders and qualification levels in a cohort university Chinese soccer player under 0 Covid policy restrictions in the urban area of Shanghai. METHODS: 491 questionnaires of Epworth Sleepiness Scales (ESS) were compiled online by male and female Soccer Students (SS), Semi-Professional players (SP) and Professional Players (PP) during the ongoing restriction measures post Shanghai lockdown. ANOVA was performed for players levels and gender. RESULTS: Significant differences were found between the 3 levels and between males and females. PP showed a very low score in the ESS (5,97) well below the threshold of 8 for daytime sleepiness, while SS and SP showed an ESS score above the threshold. Female showed higher scores in comparison to males. Differences between males and females reflect the confinement conditions in the ESS items, showing more difference in the item of ESS which are related with indoor situations. CONCLUSIONS: This study shows the first data on sleepiness in Chinese soccer players of different level of qualification immediately post lockdown condition. Professional male's players sleepiness was lower, than females, SS and SP after the exceptional lockdown measures. The reasons can reside in the more ordered lifestyle of PP in comparison to SS and SP, which mitigated the effects of the lockdown. Our results suggest that measures to improve sleep in females' soccer player should be adopted if these exceptional conditions will happen again.

Is there a relationship between executive functions and resilience in youth elite soccer players?

BACKGROUND: While the relationship between cognitive performance and sport performance in youth elite soccer players has proponents as well as opponents, many aspects of this relationship remain unclear. Therefore, this quasi-experimental study wants to contribute to this relationship including the psychological aspect of resilience when investigating youth elite soccer players during an assessment selection for a representative team. METHODS: Questionnaires as well as computer-based tests were conducted. RESULTS: Results of this study showed no relationship between resilience and executive function in youth elite soccer players. Furthermore, no differences in executive functions or in resilience were found between those players who are selected for a representative team and those who were not selected. CONCLUSION: The results indicate that further research needs to be conducted to clarify possible relationships in more detail.

Normative data in resting and maximum heart rates and a prediction equation for young Tunisian soccer players: a cross-sectional study.

Heart rate (HR) is an important indicator of work intensity during physical activity. Maximum heart rate (MHR) is a physiological measure that is frequently used as a benchmark for maximal exercise intensity. The aim of this study was to establish reference curves for maximum heart rate (MHR) and resting heart rate (RHR) and to develop an estimated equation for Tunisian adolescent footballers. The study involved 801 adolescent players, aged 11 to 18, who belonged to five Tunisian first-division soccer teams. The LMS method was used for smoothing the curves and the multivariate linear regression to develop a prediction equation of MHR. Our results showed that MHR and RHR reference curves decrease with age. The values of the median curves of MHR and RHR ranged from 208.64 bpm (11 years) to 196.93 (18 years) and 73.86 (11 years) to 63.64 (18 years), respectively. The prediction equation obtained from the model was MHR= 225.08 - 1.55 X Age (years) (R2 = 0.317; P < 0.001; standard error of the estimate (SEE) = 5.22). The comparisons between the estimated values and the measured values have found that our model (- 0.004 ±5.22 bpm) was to be more accurate than two other widely known models. BOX's equation underestimates the measured MHR values by -3.17 ± 5.37 bpm and TANAKA's equation overestimates by + 4.33 ±5.5 bpm. The reference curves can be used by coaches and physical trainers to classify the resting heart rate (RHR) and maximum heart rate (MHR) of each adolescent player, track their evolution over time, and design tailored training programs with specific intensities for Tunisian soccer players.

Assessment of stress response and its interrelationship with external load in female soccer players.

INTRODUCTION AND OBJECTIVE: The study aimed to evaluate the physiological stress response, i.e. internal load to intermittent and continuous exercise performed during the treadmill running in professional female soccer players, and additionally to determine the most appropriate method for assessing load in the athletes. MATERIAL AND METHODS: Six professional female athletes (age 25.3±1.8 years, height 168.4±2.7 cm, weight 64.8±5.8 kg, maximal oxygen consumption (V˙ O2max) 64±4.1 mlÛ°kg-1Û°min-1, and heart rate (HRmax) 195±1.8 b.p.m.) performed a series of preseason treadmill tests. HR and V˙ O2max were measured in the athletes during intermittent load (increase and decrease of running time and treadmill speed) and an incremental load (gradual increases running time, treadmill speed and a treadmill incline angle). Banister's, Edwards', Stagno's and Lucia's training impulse (TRIMP) quantification methods were used to assess internal load. The relationships between V˙ O2max and above-mentioned TRIMPs load indicators were calculated using Pearson's correlation coefficient. RESULTS: Large, very large and near perfect correlations between TRIMP and V˙ O2max were observed during intermittent and incremental load (range r = 0.712 - 0.852 and r =563 - 930; p < 0.05, respectively). Correlations between other TRIMPs and V˙ O2max demonstrated moderate, small and negative small relationships. CONCLUSIONS: Changes in HR and oxygen consumption registered during intermittent or gradually increasing load conditions could be evaluated using the TRIMP method for both types of activities, and this method could potentially be useful for the testing of high-intensity intermittent physical fitness of players before the soccer season.

Cognitive Impairment and Self-Reported Dementia in UK Retired Professional Soccer Players: A Cross Sectional Comparative Study.

BACKGROUND: Previous studies based on death certificates have found professional soccer players were more likely to die with neurodegenerative diseases, including dementia. Therefore, this study aimed to investigate whether retired professional male soccer players would perform worse on cognitive tests and be more likely to self-report dementia diagnosis than general population control men. METHODS: A cross-sectional comparative study was conducted between August 2020 and October 2021 in the United Kingdom (UK). Professional soccer players were recruited through different soccer clubs in England, and general population control men were recruited from the East Midlands in the UK. We obtained self-reported postal questionnaire data on dementia and other neurodegenerative diseases, comorbidities and risk factors from 468 soccer players and 619 general population controls. Of these, 326 soccer players and 395 general population controls underwent telephone assessment for cognitive function. RESULTS: Retired soccer players were approximately twice as likely to score below established dementia screening cut-off scores on the Hopkins Verbal Learning Test (OR 2.06, 95%CI 1.11-3.83) and Verbal Fluency (OR 1.78, 95% CI 1.18-2.68), but not the Test Your Memory, modified Telephone Interview for Cognitive Status, and Instrumental Activities of Daily Living. Analyses were adjusted for age, education, hearing loss, body mass index, stroke, circulatory problems in the legs and concussion. While retired soccer players were younger, had fewer cardiovascular diseases and other morbidities and reported healthier lifestyles, 2.8% of retired soccer players reported medically diagnosed dementia and other neurodegenerative disease compared to 0.9% of controls (OR = 3.46, 95% CI 1.25-9.63) after adjustment for age and possible confounders. CONCLUSIONS: UK male retired soccer players had a higher risk of performing below established cut-off scores of dementia screening tests and were more likely to self-report medically diagnosed dementia and neurodegenerative diseases, despite having better overall physical health and fewer dementia risk factors. Further study is needed to determine specific soccer-related risk factors.

The association of dietary insulin load and dietary insulin index with body composition among professional soccer players and referees.

BACKGROUND: There has been limited research undertaken about the association of dietary insulin load (DIL) and dietary insulin index (DII) with body composition in non-athletic adults, however, to the best of our knowledge No previous study has investigated such an association in an athletic population. PURPOSE: The aim of this study was to explore the association of DII and DIL with body compositions in male and female soccer players and referees. METHODS: The cross-sectional study was conducted on 199 professional male and female soccer players and referees. A 147-item semi-quantitative food frequency questionnaire (FFQ) was adopted to congregate the participants' dietary data. Body composition was measured using InBody to gain a detailed understanding of fat mass, percent body fat (PBF), lean mass, percent muscle mass (PMM), and bone mineral content (BMC). Waist circumference (WC), hip circumference (HC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) were obtained from all participants. Other body composition parameters include a body shape index (ABSI), abdominal volume index (AVI), body adiposity index (BAI), body roundness index (BRI), conicity index (CI), weight-adjusted waist index (WWI) and waist-to-hip-to-height ratio (WHHR) were calculated using a particular defined formula. RESULTS: Results of multiple linear regression revealed that there is a significant association between DIL and BMI (P = 0.04) in < 18 male soccer players, CI (P = 0.04) and WWI (P = 0.03) in ≥ 18 female soccer players, PBF (P = 0.02), PMM (P = 0.01) and WWI (P = 0.01) in ≥ 18 female soccer players. Nevertheless, no significant associations between DIL and body composition parameters were found in the referees. Additionally, there is a significant association between DII and BMC (P = 0.02) in male soccer referees, however, no significant associations were found in young soccer players and female athletes. CONCLUSION: This study demonstrates that DIL is positively associated with BMI, CI, and WWI in male soccer players and PBF, and WWI in female soccer players. Although, there was an observed negative association between DIL and PMM in females. In addition, a significant negative association between DII and BMC was observed in male soccer players.

Female athlete triad cross-sectional study of soccer players by level of competition.

[Purpose] To determine the actual status of the Female Athlete Triad (low energy availability, menstrual dysfunction, and bone mineral density loss) in soccer players. [Participants and Methods] The survey was conducted between February 1 and March 1, 2022. It included 115 females between the ages of 12 and 28 registered with the Japan Football Association, from teams at different levels. [Results] Players in the top league did not differ in height and weight but were older and had a better understanding of caloric intake. There were no differences in amenorrhea or history of bone fractures based on league. [Conclusion] Of the female soccer players in the four different levels of competition, only the players in the top league had a better understanding of available energy and took preventive measures against the Female Athlete Triad.

Majority of competitive soccer players return to soccer following hip arthroscopy for femoroacetabular impingement: female and older aged players are less likely to return to soccer.

PURPOSE: To determine return to soccer rates and soccer performance in a large cohort of competitive soccer players after hip arthroscopic surgery for the treatment of femoroacetabular impingement (FAI) and to identify possible risk factors associated with not returning to soccer. METHODS: An institutional hip preservation registry was retrospectively reviewed for patients identified as competitive soccer players who underwent primary hip arthroscopy for FAI performed between 2010 and 2017. Patient demographics and injury characteristics as well as clinical and radiographic findings were recorded. All patients were contacted for return to soccer information using a soccer-specific return to play questionnaire. Multivariable logistic regression analysis was used to identify potential risk factors for not returning to soccer. RESULTS: Eighty-seven competitive soccer players (119 hips) were included. 32 players (37%) underwent simultaneous or staged bilateral hip arthroscopy. The mean age at surgery was 21.6 ± 7.0 years. Overall, 65 players (74.7%) returned to soccer, of which 43 players (49% of all included players) returned to pre-injury level of play or better. Most common reasons for not returning to soccer were pain or discomfort (50%) followed by fear of re-injury (31.8%). The mean time to return to soccer was 33.1 ± 26.3 weeks. Among 22 players who did not return to soccer, 14 (63.6%) reported satisfaction from surgery. Multivariable logistic regression analysis revealed female players (odds ratio [OR] = 0.27; confidence interval [CI] = 0.083 to 0.872; p = 0.029) and older aged players (OR = 0.895; 95% CI = 0.832 to 0.963; p = 0.003) were less likely to return to soccer. Bilateral surgery was not found to be a risk factor. CONCLUSION: Hip arthroscopic treatment for FAI in symptomatic competitive soccer players allowed three-quarters of them to return to soccer. Despite not returning to soccer, two-thirds of players who did not return to soccer were satisfied with their outcome. Female and older aged players were less likely to return to soccer. These data can better guide clinicians and soccer players with realistic expectations related to the arthroscopic management of symptomatic FAI. LEVEL OF EVIDENCE: III.