Training practices of Filipino athletes during the early COVID-19 lockdown

The imposition of COVID-19 lockdown restricted the daily activities of many people, including athletes. This study investigated the training practices of athletes in the Philippines during the early COVID-19 lockdown. A total of 442 athletes answered an online survey (May-July 2020), with questions pertaining to training practices, such as training frequency and duration. Data were analyzed according to: athlete classification (world-class, international, national, state, or recreational), sport category (individual or team), and sex (male or female). During lockdown, significant reductions in training frequency (except recreational, i.e., lower pre-lockdown training) and duration were observed for all athletic classifications. Similarly, training frequency and duration decreased significantly irrespective of sport category and sex. World class athletes appeared to be less affected by lockdown (types of exercise and specific training) as compared to lower classification athletes. Athletes grouped in accordance with sex and sport category demonstrated little to no difference in training practices during the COVID-19 lockdown. The findings of the current study highlight the challenges experienced by athletes during lockdown, which may aid policy makers in the development of guidelines related to lockdown or lockdown-like situations to establish appropriate support for affected athletes

Training during the COVID-19 lockdown : knowledge, beliefs, and practices of 12,526 athletes from 142 countries and six continents

OBJECTIVE Our objective was to explore the training-related knowledge, beliefs, and practices of athletes and the influence of lockdowns in response to the coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). METHODS Athletes (n = 12,526, comprising 13% world class, 21% international, 36% national, 24% state, and 6% recreational) completed an online survey that was available from 17 May to 5 July 2020 and explored their training behaviors (training knowledge, beliefs/attitudes, and practices), including specific questions on their training intensity, frequency, and session duration before and during lockdown (March–June 2020). RESULTS Overall, 85% of athletes wanted to “maintain training,” and 79% disagreed with the statement that it is “okay to not train during lockdown,” with a greater prevalence for both in higher-level athletes. In total, 60% of athletes considered “coaching by correspondence (remote coaching)” to be sufficient (highest amongst world-class athletes). During lockdown, < 40% were able to maintain sport-specific training (e.g., long endurance [39%], interval training [35%], weightlifting [33%], most (83%) training for “general fitness and health maintenance” during lockdown. Athletes trained alone (80%) and focused on bodyweight (65%) and cardiovascular (59%) exercise/training during lockdown. Compared with before lockdown, most athletes reported reduced training frequency (from between five and seven sessions per week to four or fewer), shorter training sessions (from ≥ 60 to < 60 min), and lower sport-specific intensity (~ 38% reduction), irrespective of athlete classification. CONCLUSIONS COVID-19-related lockdowns saw marked reductions in athletic training specificity, intensity, frequency, and duration, with notable within-sample differences (by athlete classification). Higher classification athletes had the strongest desire to “maintain” training and the greatest opposition to “not training” during lockdowns. These higher classification athletes retained training specificity to a greater degree than others, probably because of preferential access to limited training resources. More higher classification athletes considered “coaching by correspondence” as sufficient than did lower classification athletes. These lockdown-mediated changes in training were not conducive to maintenance or progression of athletes’ physical capacities and were also likely detrimental to athletes’ mental health. These data can be used by policy makers, athletes, and their multidisciplinary teams to modulate their practice, with a degree of individualization, in the current and continued pandemic-related scenario. Furthermore, the data may drive training-related educational resources for athletes and their multidisciplinary teams. Such upskilling would provide athletes with evidence to inform their training modifications in response to germane situations (e.g., COVID related, injury, and illness).A specific funding was provided by the National Sports Institute of Malaysia for this study.The National Sports Institute of Malaysia.https://www.springer.com/journal/40279am2023Sports Medicin

COVID-19 lockdown : a global study investigating athletes’ sport classification and sex on training practices

PURPOSE : To investigate differences in athletes’ knowledge, beliefs, and training practices during COVID-19 lockdowns with reference to sport classification and sex. This work extends an initial descriptive evaluation focusing on athlete classification. METHODS : Athletes (12,526; 66% male; 142 countries) completed an online survey (May–July 2020) assessing knowledge, beliefs, and practices toward training. Sports were classified as team sports (45%), endurance (20%), power/technical (10%), combat (9%), aquatic (6%), recreational (4%), racquet (3%), precision (2%), parasports (1%), and others (1%). Further analysis by sex was performed. RESULTS : During lockdown, athletes practiced body-weight-based exercises routinely (67% females and 64% males), ranging from 50% (precision) to 78% (parasports). More sport-specific technical skills were performed in combat, parasports, and precision (∼50%) than other sports (∼35%). Most athletes (range: 50% [parasports] to 75% [endurance]) performed cardiorespiratory training (trivial sex differences). Compared to prelockdown, perceived training intensity was reduced by 29% to 41%, depending on sport (largest decline: ∼38% in team sports, unaffected by sex). Some athletes (range: 7%–49%) maintained their training intensity for strength, endurance, speed, plyometric, change-of-direction, and technical training. Athletes who previously trained ≥5 sessions per week reduced their volume (range: 18%–28%) during lockdown. The proportion of athletes (81%) training ≥60 min/session reduced by 31% to 43% during lockdown. Males and females had comparable moderate levels of training knowledge (56% vs 58%) and beliefs/attitudes (54% vs 56%). CONCLUSIONS : Changes in athletes’ training practices were sport-specific, with few or no sex differences. Team-based sports were generally more susceptible to changes than individual sports. Policy makers should provide athletes with specific training arrangements and educational resources to facilitate remote and/or home-based training during lockdown-type events.https://journals.humankinetics.com/view/journals/ijspp/ijspp-overview.xmlhj2023Sports Medicin

Correlation of Hip Passive Range of Motion with Lower Limbs Injuries in Iranian Professional Football Players: Hip ROM correlates with injuries

Introduction: Football is a popular sport with a high injury rate. Lower limb injuries are accounted for 85% of injuries in professional football players. It is important to identify the predisposing factors in professional football players for screening players at an increased risk of injury. Limited hip range of motion (ROM) is one of these factors. This study aimed to evaluate the association between hip passive ROM and lower limb injury in Iranian professional football players. Results: The most common lower limb injuries were ankle and foot injuries (12.4%), groin pain (11.5%) and muscle strain (10.9%), respectively. Non-injured athletes had a significantly higher left abduction and bilateral internal rotation (IR) ROM. right side injury was associated with higher contralateral flexion and external rotation (ER) and left side injury was associated with a significantly higher contralateral extension, abduction, and IR. Restricted hip IR was associated with a higher incidence of groin pain (OR = 2.06), ACL injury (OR = 2.56), and knee injuries (OR = 4.18). A significant correlation was observed between decreased hip ER with muscle strain (OR = 1.89) and knee injuries (OR = 4.25). The higher knee and ACL injuries were also associated with reduced hip abduction (OR = 4.76 and 9.01, respectively). There was no association between ankle and foot injuries and hip passive ROM. Conclusions: This study showed that the hip passive ROM could be used to identify football players at a higher risk of lower limb injuries. Hip rotational ROM and abduction limitation were significantly associated with the incidence of several common football injuries, including groin pain, muscle strain and ACL/knee injuries and precedes their development and could be used as a screening tool for professional athletes

Comparing the Accuracy of Waist-Hip Ratio Calculation by the BIA device versus the Manual Method

Nowadays, the Waist-Hip Ratio is considered one of the most important indices in predicting the risk of cardiovascular diseases. The usual method for calculating this index is by measuring the waist and hip circumferences with a measuring tape. However, bioelectrical impedance analysis (BIA) devices are also capable of calculating this ratio. Hence, the goal of this study was to calculate this ratio with the BIA device and to compare it with the manual method done with measuring tape. A cross-sectional study was conducted on 270 individuals attending the Sports Medicine Department of Taleghani Hospital. Height, weight, waist and hip circumference were measured, and the body mass index (BMI) and waist-hip ratio (WHR) were calculated. Using the BIA technique, the body fat percentage (BFP) and WHR were calculated. The absolute and difference percentage between the values calculated by the device and measuring tape were calculated and the determinant factors of this difference were examined. The mean absolute difference between the two methods was 0.054 and the difference percentage was 0.064. Kappa&rsquo;s correlation coefficient between the two variables was 0.024, which indicates poor correlation between the findings of the two methods. Based on linear regression analysis, BFP, height, BMI, and total body water (TBW) significantly affected the difference percentage. On the contrary, age, waist circumference, hip circumference, and absolute body fat did not have such an effect. The absolute difference was 0.069 in women and 0.05 in men, which was statistically significant (p = 0.025). Taking the manual waist-hip ratio method as the gold standard, the BIA method lacks adequate accuracy. Many variables such as, gender, BFP, TBW, BMI and height affect the accuracy of this method. Hence, until this technique is modified based on the aforementioned variables, we recommend avoiding the application of this method for WHR calculation

Obstacles and opportunities for injury prevention in professional football in Qatar: exploring the implementation reality

Background Research focusing on reducing the risk of injuries has increased over the last two decades showing that prevention implementation in real life is challenging.Objective To explore the experience and opinions of professional football stakeholders regarding injuries, their prevention and the implementation of preventive measures.Design Qualitative study.Setting Technical and medical staff from Qatar’s premier football league.Participants 22 professionals from 6 teams.Main outcome Semistructured interviews were transcribed verbatim and analysed using the thematic analysis method.Results All the participants acknowledged the importance of injury prevention. They mentioned teamwork, trust and communication as critical factors for a successful injury prevention implementation. Teams’ doctors see themselves mainly involved in the treatment and recovery process, and to a lesser degree, in the prevention process. Physiotherapists defined their primary responsibilities as screening for injury risk and providing individual exercises to players. The participants declared that the fitness coach is responsible for injury prevention implementation. All stakeholders reported that the fitness coach plays a vital role in communication by bridging the head coach and the medical staff. Stakeholders reported that the Qatari football league has a very particular context around the player, such as socioecological factors influencing injury prevention implementation.Conclusions The fitness coach plays a vital role in the injury prevention implementation system, as one of the key actors for the process, as well as the bridge between the medical team and the head coach, resulting from their better communication with the head coaches. The findings support considering and understanding the contextual factors during the development of preventive strategies in football

Obstacles and opportunities for injury prevention in professional football in Qatar: Exploring the implementation reality

Background Research focusing on reducing the risk of injuries has increased over the last two decades showing that prevention implementation in real life is challenging. Objective To explore the experience and opinions of professional football stakeholders regarding injuries, their prevention and the implementation of preventive measures. Design Qualitative study. Setting Technical and medical staff from Qatar's premier football league. Participants 22 professionals from 6 teams. Main outcome Semistructured interviews were transcribed verbatim and analysed using the thematic analysis method. Results All the participants acknowledged the importance of injury prevention. They mentioned teamwork, trust and communication as critical factors for a successful injury prevention implementation. Teams' doctors see themselves mainly involved in the treatment and recovery process, and to a lesser degree, in the prevention process. Physiotherapists defined their primary responsibilities as screening for injury risk and providing individual exercises to players. The participants declared that the fitness coach is responsible for injury prevention implementation. All stakeholders reported that the fitness coach plays a vital role in communication by bridging the head coach and the medical staff. Stakeholders reported that the Qatari football league has a very particular context around the player, such as socioecological factors influencing injury prevention implementation. Conclusions The fitness coach plays a vital role in the injury prevention implementation system, as one of the key actors for the process, as well as the bridge between the medical team and the head coach, resulting from their better communication with the head coaches. The findings support considering and understanding the contextual factors during the development of preventive strategies in football

Ramadan Observance Exacerbated the Negative Effects of COVID-19 Lockdown on Sleep and Training Behaviors: A International Survey on 1,681 Muslim Athletes

Methods From an international sample of athletes (n = 3,911), 1,681 Muslim athletes (from 44 countries; 25.1 ± 8.7 years, 38% females, 41% elite, 51% team sport athletes) answered a retrospective, cross-sectional questionnaire relating to their behavioral habits pre- and during- COVID-19 lockdown, including: (i) Pittsburgh sleep quality index (PSQI); (ii) insomnia severity index (ISI); (iii) bespoke questions about training, napping, and eating behaviors, and (iv) questions related to training and sleep behaviors during-lockdown and Ramadan compared to lockdown outside of Ramadan. The lockdown reduced sleep quality and increased insomnia severity (both p 0.05). Muslim athletes reported longer (p < 0.001; d = 0.29) and later (p < 0.001; d = 0.14) daytime naps, and an increase in late-night meals (p < 0.001; d = 0.49) during- compared to pre-lockdown, associated with lower sleep quality (all p < 0.001). Both sleep quality (χ2 = 222.6; p < 0.001) and training volume (χ2 = 342.4; p < 0.001) were lower during-lockdown and Ramadan compared to lockdown outside of Ramadan in the Muslims athletes. Conclusion Muslim athletes reported lower sleep quality and higher insomnia severity during- compared to pre-lockdown, and this was exacerbated by Ramadan observance. Therefore, further attention to Muslim athletes is warranted when a circadian disrupter (e.g., lockdown) occurs during Ramadan