Intra- and Inter-week Variations of Well-Being Across a Season: A Cohort Study in Elite Youth Male Soccer Players

This study describes the weekly variations of well-being ratings relative to fatigue (wFatigue), stress (wStress), delayed-onset muscle soreness (wDOMS), sleep quality (wSleep), and Hooper questionnaire (wHQ) throughout the season. In addition, the well-being variables for the playing position in different moments of the season were discussed. Twenty-one elite young soccer players U17 took part in this study. From the beginning of the pre-season, well-being status was monitored daily by the HQ method throughout 36 weeks, including four periods: (1) pre-season, (2) early-season, (3) mid-season, and (4) end-season. Players trained at least 3 times per week throughout the season. The main outcome was that, in weeks 33 and 28, the highest [wFatigue: 15.85 +/- 3.38 arbitrary units (AU); wHQ: 48.86 +/- 9.23 AU] and the lowest (wFatigue: 5.38 +/- 1.88 AU; wHQ: 20.43 +/- 5.49 AU) wFatigue and wHQ occurred, respectively, although the lowest level of wDOMS happened in week 28 (4.86 +/- 2.15 AU), while the highest wDOMS was observed in week 5 (14.65 +/- 4.16 AU). The highest wSleep (13.00 +/- 2.12 AU) and wStress (11.65 +/- 2.92 AU) were observed in weeks 8 and 34, respectively, while the lowest wSleep (5.81 +/- 2.29 AU) and wStress (3.76 +/- 0.94 AU) were marked in week 29 coincidentally. In the HQ between every weekday, except recovery day, and the day of the match (MD), considerable highest HQ was only revealed in 2 days after MD in contrast to overall team comparison. In the present study, we observed that the well-being changes between different phases of the season as well as between weeks and days of the week with the MD are significant. These results provide a great point of view for coaches and practitioners about well-being variations over a season in elite youth soccer level. As a result, coaches will be more aware about non-functional overreaching and taking measures to prevent it

Weekly Variations in the Workload of Turkish National Youth Wrestlers: A Season of Complete Preparation

The authors would like to thank the participants for the time they devoted to this study. Rui Silva: This study made part of one curricular unit of Master in Sports Training at Escola Superior de Desporto e Lazer, Instituto Politécnico de Viana do Castelo, Portugal.The aim of this study was twofold: (1) to describe the weekly acute workload (wAW), chronic workload (wCW), acute/chronic workload ratio (wACWR), training monotony (wTM), and strain (wTS) across the preparation season (PS), and (2) to analyze the variations of wAW, wCW, wACWR, wTM, and training strain (wTS) between periods of PS (early-, mid-, and end). Ten elite young wrestlers were monitored daily during the 32 weeks of the season. Internal loads were monitored using session rating of perceived exertion, and weekly workload measures of wACWR, wTM, and wTS were also calculated. Results revealed that the greatest differences were found between early- and mid-PS for wAW (p = 0.004, g = 0.34), wCW (p = 0.002, g = 0.90), wTM (p = 0.005, g = 0.39), and wTS (p = 0.009, g = -1.1), respectively. The wACWR showed significant differences between early- and end-PS (p <= 0.001, g = -0.30). We concluded that wAW, wCW, and wTM are slightly lower during the first weeks of the PS. The wTM remained relatively high during the entire season, while wAW and wCW remained balanced throughout the PS. The greatest workload changes seem to happen from the early to mid-PS season

Somatotype, accumulated workload, and fitness parameters in elite youth players: associations with playing position

The purpose of this study was three-fold: (1) to describe anthropometric, maturation, and somatotype differences of players based on playing positions; (2) to analyze variations of accumulated load training (AcL) and fitness parameters between playing positions; and finally (3) to explain the variation of maximal oxygen uptake (VO2max) and peak power (PP) through the AcL, body fat (BF), maturity, somatotype and fitness levels. Twenty-seven male youth soccer players under-16 were divided by the following positions participated in this study: six central midfielders, four wingers (WG), five forwards, eight defenders, and four goalkeepers (GK). They were evaluated on two occasions: pre-season and after-season. Height, sitting height, body mass, BF, girths, percentage of BF (BF%), lean body mass, maturity, somatotype, sprint test, change of direction test, Yo-Yo intermittent recovery test level 1, Wingate, PP, VO2max and fatigue index were assessed. Then, AcL was monitored during training sessions. The main results revealed significant differences between player positions for maturity offset (p = 0.001), for BF (p = 0.006), BF% (p = 0.015), and lean body mass kg (p = 0.003). Also, there were significant differences for AcL and fatigue index in pre-season between player positions (p &lt; 0.05). In addition, there were some significant differences in pre- and after-season for VO2max and PP between player positions (p &lt; 0.05). In conclusion, GK showed higher values in anthropometric, body composition variables and maturity offset compared to the other positions, while WG presented lower levels of BF. In pre-season, there were more differences by player positions for the different variables analyzed than after-season that reinforces the tactical role of the positions, and the emphasis in increased load in the beginning of the season. This study could be used by coaches, staff, and researchers as a reference for athletes of the same sex, age, and competitive level

Association between Training Load and Well-Being Measures in Young Soccer Players during a Season

This study aimed to analyze the correlations among weekly (w) acute workload (wAW), chronic workload (wCW), acute/chronic workload ratio (wACWR), training monotony (wTM), training strain (wTS), sleep quality (wSleep), delayed onset muscle soreness (wDOMS), fatigue (wFatigue), stress (wStress), and Hooper index (wHI) in pre-, early, mid-, and end-of-season. Twentyone elite soccer players (age: 16.1 ± 0.2 years) were monitored weekly on training load and well-being for 36 weeks. Higher variability in wAW (39.2%), wFatigue (84.4%), wStress (174.3%), and wHI (76.3%) at the end-of-season were reported. At mid-season, higher variations in wSleep (59.8%), TM (57.6%), and TS (111.1%) were observed. Moderate to very large correlations wAW with wDOMS (r = 0.617, p = 0.007), wFatigue, wStress, and wHI were presented. Similarly, wCW reported a meaningful large association with wDOMS (r = 0.526, p < 0.001); moderate to very large associations with wFatigue (r = 0.649, p = 0.005), wStress, and wHI. Moreover, wTM presented a large correlation with wSleep (r = 0.515, p < 0.001); and a negatively small association with wStress (r = −0.426, p = 0.003). wTS showed a small to large correlation with wSleep (r = 0.400, p = 0.005) and wHI; also, a large correlation with wDOMS (r = 0.556, p = 0.028) and a moderate correlation with wFatigue (r = 0.343, p = 0.017). Wellness status may be considered a useful tool to provide determinant elite players’ information to coaches and to identify important variations in training responses

Comparison of Running Distance Variables and Body Load in Competitions Based on Their Results: A Full-Season Study of Professional Soccer Players

The aims of this study were to compare the external workload in win, draw and defeat matches and to compare first and second halves in the Iranian Premier League. Observations on individual match performance measures were undertaken on thirteen outfield players (age, 28.6 ± 2.7 years; height, 182.1 ± 8.6 cm; body mass, 75.3 ± 8.2 kg; BMI, 22.6 ± 0.7 kg/m2 ) competing in the Iranian Premier League. High-speed activities selected for analysis included total duration of matches, total distance, average speed, high-speed running distance, sprint distance, maximal speed and GPS-derived body load data. In general, there were higher workloads in win matches when compared with draw or defeat for all variables; higher workloads in the first halves of win and draw matches; higher total distance, high-speed running distance and body load in the second half in defeat matches. Specifically, lower average speed was found in matches with a win than with draw or defeat (p < 0.05). Sprint distance was higher in the first half of win than defeat matches and high-speed running distance was lower in draw than defeat matches (all, p < 0.05). In addition, first half presented higher values for all variables, regardless of the match result. Specifically, high-speed running distance was higher in the first half of matches with a win (p = 0.08) and total distance was higher in the first half of matches with a draw (p = 0.012). In conclusion, match result influences the external workload demands and must be considered in subsequent training sessions and matches

Comparison of Knee and Hip Kinematics during Landing and Cutting between Elite Male Football and Futsal Players

To design an accurate sport injury prevention program, alterations in the knee and hip kinematic variables involved in injury mechanisms should be known. The main purpose of the current study was to compare knee and hip kinematic variables during landing and cutting among male football and futsal players, and to discuss them within an injury description frame. Twenty football (20.5 ± 2.1 years., 74.5 ± 6.9 kg and 1.79 ± 0.07 m) and twenty futsal players (20.3 ± 2.0 years., 73.5 ± 7.1 kg and 1.78 ± 0.07 m), with at least three years’ experience of playing in the Kerman Province League, participated in this study. Hip flexion, knee flexion and knee valgus angle during two main movements with risk of injury, such as landing and cutting, were measured using a motion capture system with passive markers at 120-Hz sampling frequency. Landing and cutting maneuvers were administered in as natural way as possible. Results showed significant differences in landing and cutting maneuvers between groups in hip flexion, knee flexion and knee valgus angle. Results indicated that footballers have less extension of hip and knee joints than futsal players in landing maneuvers, which may be due to the higher requirement of jumping−landing maneuvers when playing football. In cutting maneuvers, footballers showed less hip and knee flexion than futsal players, whereas the knee valgus angle in cutting maneuvers was lower in futsal players. More information on the injury mechanisms of landing and cutting in football and futsal are needed to improve the design of injury prevention programs

Shoulder Kinematics and Symmetry at Different Load Intensities during Bench Press Exercise

This study aimed to analyze between-shoulder kinematics symmetry at different load intensities considering full range of movement (ROM), mean and maximum velocities (VMEAN, VMAX), and accelerations (AMEAN, AMAX) of shoulders during phases 2 (characterized by positive acceleration and negative velocity, eccentric) and 3 (characterized by positive acceleration and velocity, concentric) of bench press exercise (BP); as well as to compare unilateral kinematics variables between the different load intensity intervals. Twenty-seven participants were evaluated during phases 2 and 3 of BP at different load intervals: interval 1 (55–75% 1-repetition maximum: 1RM), interval 2 (75–85% 1RM) and interval 3 (85–100% 1RM). Kinematics variables were determined using the Xsens MVN Link System. Results showed that full ROM was higher in left than right shoulder at all intensities (p = 0.008–0.035). VMEAN, VMAX, AMEAN, and AMAX were different in both shoulders for interval 3 during phase 2 and were lower as load intensity increased in both shoulders (p = 0.001–0.029). During phase 3, only VMAX on interval 2 was different between shoulders. Moreover, VMEAN, VMAX, AMEAN, and AMAX were greater during interval 1 compared with the others in both shoulders (p = 0.001–0.029). Therefore, there exists a kinematics asymmetry between both shoulders during phases 2 and 3 of bench press, although the acceleration was similar during both phases at all load intensities. Moreover, kinematic parameters differ between loads of 55–75% RM compared to 75–100% RM loads

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research