Overcoming the problem of multicollinearity in sports performance data: A novel application of partial least squares correlation analysis

To appreciate the influence of contributed determinants on dental care utilization in the context of socio-economic inequalities

BACKGROUND

To appreciate dental care utilization in ‌the context of socio-economic inequalities, it is imperative to identify sources of inequalities and evaluate the extent to which dental care utilization is still related to socio-economic status. This study aimed to quantify the influence of contributed determinants on dental care utilization in the context of socio-economic inequalities amongst adults residing in Tehran metropolis.

METHODS

In this cross-sectional community-based study, a stratified random sample of 1,510 subjects aged over 18 years was investigated by the zero-inflated Poisson analysis to measure the effect of determinants on utilization of dental care, and concentration index as well as the decomposition approach to identify the contributions of deterministic variables to the socio-economic inequality. Data was obtained by employing a phone interview survey. Individuals who were not willing or able to answer the questions in the telephone interview due to hearing or neurological problems did not participate in the interview. Dental care utilization was measured using the number of dental appointments.

RESULTS

Gender (male), oral health-related behaviors (such as brushing and dental flossing), experience of toothache, and concern about dental appearance were associated with an increased likelihood of utilizing dental care. Individuals who belonged to advanced age groups and lived alone significantly underutilized dental care. The concentration index equaling 0.05 (SE = 0.05) corroborates a pro-rich inequality. Decomposition analysis demonstrated the impact of oral health-related behaviors (i.e. dental brushing and use of dental flossing), concern about dental appearance, toothache, gender (male), insurance coverage of dental care, and smoking habit on the poor-rich gap in the dental care utilization.

CONCLUSIONS

The influence of socio-economic inequalities on dental care utilization is discernable along the entire spectrum of socio-economic status. Individuals with lower socio-economic status experience more underutilization of dental care. Community subgroups, particularly the more deprived bracket, require consideration from key stakeholders, including policymakers and health professionals for the enhancement of dental care utilization as revealed by underlying determinants.

A machine learning approach to identify important variables for distinguishing between fallers and non-fallers in older women

Falls are a significant ongoing public health concern for older adults. At present, few studies have concurrently explored the influence of multiple measures when seeking to determine which variables are most predictive of fall risks. As such, this cross-sectional study aimed to identify those functional variables (i.e. balance, gait and clinical measures) and physical characteristics (i.e. strength and body composition) that could best distinguish between older female fallers and non-fallers, using a machine learning approach. Overall, 60 community-dwelling older women (≥65 years), retrospectively classified as fallers (n = 21) or non-fallers (n = 39), attended three data collection sessions. Data (281 variables) collected from tests in five separate domains (balance, gait, clinical measures, strength and body composition) were analysed using random forest (RF) and leave-one-variable-out partial least squares correlation analysis (LOVO PLSCA) to assess variable importance. The strongest discriminators from each domain were then aggregated into a multi-domain dataset, and RF, LOVO PLSCA, and logistic regression models were constructed to identify the important variables in distinguishing between fallers and non-fallers. These models were used to classify participants as either fallers or non-fallers, with their performance evaluated using receiver operating characteristic (ROC) analysis. The study found that it is possible to classify fallers and non-fallers with a high degree of accuracy (e.g. logistic regression: sensitivity = 90%; specificity = 87%; AUC = 0.92; leave-one-out cross-validation accuracy = 63%) using a combination of 18 variables from four domains, with the gait and strength domains being particularly informative for screening programmes aimed at assessing falls risk.

Investigating the effects of athlete-reported pre-training well-being and recovery on subsequent training loads in basketball players

BACKGROUND

Basketball players' external and internal training loads have been extensively monitored. However, no study has evaluated if pre-training athlete-reported conditions influence them. Therefore, this study investigated the effects of athlete-reported pre-training well-being and recovery on subsequent external load intensity, perceived exertion scores and their ratio (efficiency index) in youth basketball training.

METHODS

The external load (EL) intensity (EL∙min-1), ratings of perceived exertion (RPE) and efficiency index (EL∙min-1:RPE) of 15 youth basketball players (age: 15.2±0.3 years) were monitored during team-based training sessions. Before each session, players reported their levels of perceived recovery (using a modified 10-point Total Quality Recovery, TQR, scale), fatigue, sleep quality, muscle soreness, mood, and stress. Statistical analyses were performed via linear mixed models.

RESULTS

EL∙min-1 was higher when player reported better pre-training recovery (P= 0.001). Higher RPE scores and lower efficiency indexes were registered in players reporting better pre-training conditions, respectively. Specifically, RPE scores were higher when players reported better TQR, fatigue, muscle soreness and stress scores (all P<0.05), while training efficiency was, conversely, lower in correspondence of better TQR and sleep (all P<0.05).

CONCLUSIONS

This study identified influences of athlete-reported pre-training well-being and recovery on subsequent external intensity, RPE and efficiency index in youth basketball players. Recovery and well-being indicators could be monitored seen their influence on subsequent training loads. Current findings can be considered by basketball sport scientist when selecting athlete monitoring questionnaires and when interpreting training load outputs.

Methods of Monitoring Internal and External Loads and Their Relationships with Physical Qualities, Injury, or Illness in Adolescent Athletes: A Systematic Review and Best-Evidence Synthesis

BACKGROUND

With the increasing professionalisation of youth sports, training load monitoring is increasingly common in adolescent athletes. However, the research examining the relationship between training load and changes in physical qualities, injury, or illness in adolescent athletes is yet to be synthesised in a systematic review.

OBJECTIVE

The aim of this review was to systematically examine the research assessing internal and external methods of monitoring training load and physical qualities, injury, or illness in adolescent athletes.

METHODS

Systematic searches of SPORTDiscus, Web of Science, CINAHL and SCOPUS were undertaken from the earliest possible records to March 2022. Search terms included synonyms relevant to adolescents, athletes, physical qualities, injury, or illness. To be eligible for inclusion, articles were required to (1) be original research articles; (2) be published in a peer-reviewed journal; (3) include participants aged between 10 and 19 years and participating in competitive sport; (4) report a statistical relationship between a measure of internal and/or external load and physical qualities, injury or illness. Articles were screened and assessed for methodological quality. A best-evidence synthesis was conducted to identify trends in the relationships reported.

RESULTS

The electronic search yielded 4125 articles. Following screening and a review of references, 59 articles were included. The most commonly reported load monitoring tools were session ratings of perceived exertion (n = 29) and training duration (n = 22). Results of the best-evidence synthesis identified moderate evidence of positive relationships between resistance training volume load and improvement in strength, and between throw count and injury. However, evidence for other relationships between training load and change in physical qualities, injury, or illness were limited or inconsistent.

CONCLUSIONS

Practitioners should consider monitoring resistance training volume load for strength training. Additionally, where appropriate, monitoring throw counts may be useful in identifying injury risk. However, given the lack of clear relationships between singular measures of training load with physical qualities, injury, or illness, researchers should consider multivariate methods of analysing training load, as well as factors that may mediate the load-response relationship, such as maturation.

Corpus callosum structural characteristics in very preterm children and adolescents: Developmental trajectory and relationship to cognitive functioning

Previous studies suggest that structural alteration of the corpus callosum, i.e., the largest white matter commissural pathway, occurs after a preterm birth in the neonatal period and lasts across development. The present study aims to unravel corpus callosum structural characteristics across childhood and adolescence in very preterm (VPT) individuals, and their associations with general intellectual, executive and socio-emotional functioning. Neuropsychological assessments, T1-weighted and multi-shell diffusion MRI were collected in 79 VPT and 46 full term controls aged 6-14 years. Volumetric, diffusion tensor and neurite orientation dispersion and density imaging (NODDI) measures were extracted on 7 callosal portions using TractSeg. A multivariate data-driven approach (partial least squares correlation) and a cohort-based age normative modelling approach were used to explore associations between callosal characteristics and neuropsychological outcomes. The VPT and a full-term control groups showed similar trends of white-matter maturation over time, i.e., increase FA and reduced ODI, in all callosal segments, that was associated with increase in general intellectual functioning. However, using a cohort-based age-related normative modelling, findings show atypical pattern of callosal development in the VPT group, with reduced callosal maturation over time that was associated with poorer general intellectual and working memory functioning, as well as with lower gestational age.

A multi-club analysis of the locomotor training characteristics of elite female soccer players

OBJECTIVE

Quantifying differences in locomotor characteristics of training between two competition levels and between training days within elite female soccer players.

METHODS

Foot-mounted inertial measurement unit (Playermaker) data were collected from 293 players from three Women's Super League (WSL; n = 76) and eight Women's Championship (WC; n = 217) teams over a 28-week period. Data were analysed using partial least squares correlation analysis to identify relative variable importance and linear mixed effects models to identify magnitude of effects.

RESULTS

WSL players performed more high-speed running distance (HSR; >5.29 m∙s^-1), sprint distance (SpD; >6.26 m∙s^-1), acceleration (ACC; >3 m∙s^-2) and deceleration (DEC; <-3 m∙s^-2) distance than WC players. The largest difference between WSL and WC in HSR and HSR per minute occurred on MD-4, (354.7 vs. 190.29 m and 2.8 vs. 1.7 m∙min^-1). On MD-2, WSL players also covered greater SpD (44.66 vs. 12.42 m), SpD per minute (0.38 vs. 0.11 m∙min^-1) and HSR per minute (1.67 vs. 0.93 m∙min^-1). Between training days both WSL and WC teams reduced HSR and SpD but not ACC and DEC distance from MD-4 to MD-2, with MD-4 the highest training day of the week.

CONCLUSION

MD-4 is a key training day discriminating between competitive level. HSR and SpD volume and intensity is tapered in WSL and WC players, however there is less clear taper of ACC or DEC. As such, WC teams could increase the volume and intensity of HSR on MD-4 to mimic locomotor activities of those at a higher standard.

Quality of life and cognitive assessment in healthy older Asian people with early and moderate chronic kidney disease: The NAHSIT 2013–2016 and validation study

Background

Taiwan has the highest prevalence of chronic kidney disease (CKD). Impaired cognition and quality of life are significant phenomena in the late stages of CKD. We sought to obtain an overview and the attributable effect of impaired glomerular filtration on multiple domains in cognition and dimensions of quality of life for community-based healthy older adults in Taiwan.

Methods

The study was derived from the Nutrition and Health Survey in Taiwan (NAHSIT) 2013–2016, a nationwide cross-sectional study conducted to sample healthy, community-based older adults aged ≥65 years in Taiwan. Participants were categorized into four CKD groups: CKD stage 1, stage 2, stages 3a and 3b, and stages 4–5. The Mini-Mental State Examination (MMSE) and the QoL questionnaire derived from the 12-item Short Form Health Survey (SF-12) were measured. Generalized linear mixed models (GLMMs) and principal component regressions were employed for the analysis and validation, respectively.

Results

Participants with moderate CKD (stages 3a and 3b) showed deficits in global MMSE, domain orientation to time, calculation, complex commands, and role-physical and vitality in QoL questionnaires. In GLMMs, impaired eGFR per 30 mL/min/1.73 m² was associated with lower global MMSE scores (β = -0.807, standard error [SE] = 0.235, P = 0.0007), domain orientation to time (β = -0.155, SE = 0.047, P = 0.0011), calculation (β = -0.338, SE = 0.109, P = 0.0020), complex commands (β = -0.156, SE = 0.079, P = 0.0494), and role-physical (β = -2.219, SE = 0.779, P = 0.0046) dimensions of QoL.

Conclusions

Elderly Han Chinese adults with moderately impaired renal filtration could manifest cognitive deficits in orientation to time, calculation, and impaired quality of life in physical role functioning.

Associations between refined athlete monitoring measures and individual match performance in professional Australian football

The purpose of this study was to assess relationships between measures of training load, training response and neuromuscular performance and changes in individual match performance in professional Australian football. Data were collected from 45 professional Australian footballers from one club during the 2019 competition season. External load was measured by GPS technology. Internal load was measured via session rate of perceived exertion (sRPE). Perceptual wellness was measured via pre-training questionnaires (1-5 Likert scale rating of soreness, sleep, fatigue, stress and motivation). Percentage of maximum speed was calculated relative to individual maximum recorded during preseason testing. Rolling derivative training load measures (7-day and 28-day) were calculated. Principal Component Analysis (PCA) identified eight uncorrelated components. PCA factor loadings were used to calculate summed variable covariates and single variables were chosen from components based on practicality and statistical contribution. Associations between covariates and performance were determined via linear Generalised Estimating Equations. Performance was assessed via Player Ratings from a commercial statistics company. Seven-day total distance, IMA event count and sRPE load showed significant positive relationships with performance (18-23% increase in performance z-score). No other covariates displayed significant associations with performance. Individual relative increases in training load within the 7-day period prior to a match may be beneficial for enhancing individual performance.

Quantifying Fatigue in the Rugby Codes: The Interplay Between Collision Characteristics and Neuromuscular Performance, Biochemical Measures, and Self-Reported Assessments of Fatigue

Locomotor and collision actions that rugby players complete during match-play often lead to substantial fatigue, and in turn, delays in recovery. The methods used to quantify post-match fatigue and recovery can be categorised as subjective and objective, with match-related collision characteristics thought to have a primary role in modulating these recovery measures. The aim of this review was to (1) evaluate how post-match recovery has been quantified in the rugby football codes (i.e., rugby league, rugby union, and rugby sevens), (2) to explore the time-course of commonly used measures of fatigue post-match, and (3) to investigate the relationships between game-related collisions and fatigue metrics. The available evidence suggests that upper-, and lower-body neuromuscular performance are negatively affected, and biomarkers of muscular damage and inflammation increase in the hours and days following match-play, with the largest differences being at 12–36 h post-match. The magnitude of such responses varies within and between neuromuscular performance (Δ ≤ 36%, n = 13 studies) and tissue biomarker (Δ ≤ 585%, n = 18 studies) measures, but nevertheless appears strongly related to collision frequency and intensity. Likewise, the increase in perceived soreness in the hours and days post-match strongly correlate to collision characteristics across the rugby football codes. Within these findings, there are specific differences in positional groups and recovery trajectories between the codes which relate to athlete characteristics, and/or locomotor and collision characteristics. Finally, based on these findings, we offer a conceptual model of fatigue which details the multidimensional latent structure of the load to fatigue relationship contextualised to rugby. Research to date has been limited to univariate associations to explore relationships between collision characteristics and recovery, and multivariate methods are necessary and recommended to account for the latent structures of match-play external load and post-match fatigue constructs. Practitioners should be aware of the typical time windows of fatigue recovery and utilise both subjective and objective metrics to holistically quantify post-match recovery in rugby.

Differences in topological properties of functional brain networks between menstrually-related and non-menstrual migraine without aura

Menstrually-related migraine without aura refers to a specific type of migraine that is associated with the female ovarian cycle. Compared with non-menstrual migraine without aura, in menstrually-related migraine without aura, there are additional attacks of migraine outside of the menstrual period. Menstrually-related migraine without aura tends to be less responsive to acute treatment and more prone to relapse than non-menstrual migraine without aura. Currently menstrually-related migraine without aura is treated no differently from any other migraine but, the differences in the central mechanisms underlying menstrually-related migraine without aura and non-menstrual migraine without aura remain poorly understood. Here, using resting-state functional magnetic resonance imaging and graph theory approaches, we aimed to explore the differences in topological properties of functional networks in 51 menstrually-related migraine without aura patients and 47 non-menstrual migraine without aura patients. The major finding of our study was that significant differences in topological properties between the two groups were mainly evident in the nodal centrality of the inferior frontal gyrus and the thalamus. Nodal centrality in inferior frontal gyrus was negatively correlated with Headache Impact Test questionnaire scores in the menstrually-related migraine without aura patients. Partial least squares correlation analysis revealed enhanced correlations of inferior frontal gyrus to pain-related behavior in the non-menstrual migraine without aura group, while within the menstrually-related migraine without aura group these effects were non-significant. These results indicate that the regulatory mechanisms in the central nervous system may differ between the two subtypes of migraine. The results provide novel insights into the pathophysiology of different subtypes of migraine, and could help us to enhance their clinical diagnosis and treatment.

Does perceived wellness influence technical-tactical match performance? A study in youth international rugby using partial least squares correlation analysis

The purpose of this study was to determine the relationship between matchday wellness status and a technical-tactical performance construct during rugby match-play. One hundred and thirty-three male rugby union players (73 forwards and 60 backs) from five under-18 national squads who participated in the under-18 Six Nations competition completed a subjective wellness questionnaire on each matchday morning. Players subjectively rated each item (sleep quality, fatigue, muscle soreness, stress and mood) on a five-point Likert scale to calculate their daily wellness status (i.e. difference between matchday and baseline perceived wellness). Technical-tactical performance during match-play was quantified by coding individual key performance indicators (e.g. number of carries, number of tackles). Partial least squares correlation analysis (PLSCA) was employed to compute the latent variables of perceived wellness status (X matrix) and technical-tactical performance (Y matrix) for each player observation (n = 271). The latent variables are a construct of each variable group, enabling higher dimensional data to be visualised more simply. Linear mixed-effect models were later conducted to assess the relationships between the latent variables. The effect of perceived wellness status on technical-tactical performance was statistically significant in forwards (p = .042), not statistically significant in backs (p = .120) and accounted for 4.9% and 1.9% variance in the technical-tactical performance construct, respectively. The findings of this study suggest that perceived wellness status can influence technical-tactical match performance, but the practical significance of these findings should be interpreted with caution given the amount of variance in technical-tactical performance accounted by the models.

Latent variable dose-response modelling of external training load measures and musculoskeletal responses in elite rugby league players

Establishing dose-response relationships between training load and fatigue can help the planning of training. The aim was to establish the relative importance of external training load measurements to relate to the musculoskeletal response on a group and individual player level. Sixteen elite male rugby league players were monitored across three seasons. Two- to seven-day exponential weighted averages (EWMA) were calculated for total distance, and individualised speed thresholds (via 30-15 Intermittent Fitness Test) derived from global positioning systems. The sit and reach, dorsiflexion lunge, and adductor squeeze tests represented the musculoskeletal response. Partial least squares and repeated measures correlation analyses established the relative importance of training load measures and then investigated their relationship to the collective musculoskeletal response for individual players through the construction of latent variables. On a group level, 2- and 3-day EWMA total distance had the highest relative importance to the collective musculoskeletal response (p < 0.0001). However, the magnitude of relationships on a group (r value = 0.20) and individual (r value = 0.06) level were trivial to small. The lack of variability in the musculoskeletal response over time suggest practitioners adopting such measures to understand acute musculoskeletal fatigue responses should do so with caution.

A prospective study of risk factors for hamstring injury in Australian football league players

This study aimed to explore the association between hamstring strength, age and lower limb soft tissue injury history and subsequent hamstring injury among Australian Football League (AFL) players. This prospective cohort study recruited 125 players from three professional AFL teams. Eccentric knee flexor strength was assessed while performing the Nordic hamstring exercise in pre-season, and injury data were collected retrospectively (hamstring, groin, calf, quadriceps and knee), and prospectively (hamstring injuries) for one AFL playing season. Fourteen players (11%) sustained a hamstring injury in the subsequent playing season. Nordic strength was not significantly associated with future hamstring injury (Odds Ratio (OR) 1.9, p = 0.36), whereas player age greater than 25 years (OR = 2.9, p < 0.05), report of a hamstring injury within the previous year (OR = 3.7, p = 0.01), or greater than 1-year (OR = 3.6, p = 0.01), a previous groin (OR = 8.6, p < 0.01) or calf injury (OR = 4.6, p = 0.01) were factors significantly associated with subsequent hamstring injury. Based on these findings, increasing age and previous hamstring, groin and calf injury are all associated with an elevated risk of subsequent hamstring injury in AFL players.

An Evaluation of Training Load Measures for Drills in Women's Collegiate Lacrosse

PURPOSE

To statistically evaluate the internal and external load metrics in different types of lacrosse drills.

METHODS

A total of 25 Division I collegiate female lacrosse players wore a heart rate monitor and a global positioning system during preseason training sessions. Seven measures determined training load, 2 internal measures and 5 external measures, across 5 different types of drills: stickwork, small-sided games, individual skills, conditioning, and team drills. Principal component analysis was used to determine which internal and external load variables were most associated with each drill type.

RESULTS

Stickwork extracted 2 principal components, explaining 45% and 17% of the variance. Small-sided games extracted 1 principal component, explaining 51% of the variance. Individual skills extracted 2 components, explaining 39% and 22% of the variance. Conditioning extracted 2 components, explaining 44% and 24% of the variance. Team drills extracted 2 components, explaining 52% and 18% of the variance.

CONCLUSIONS

In 4 out of 5 training modes, the inclusion of both internal and external training-load measures was necessary to accurately decipher training load. For most drills, the first component is related to measures of external load, and the second component described the balance between internal and external load measures. Small-sided games extracted only external measures including the following: accelerations, total distance, and average speed. These results show that a combination of internal and external load measures is required to determine training load during certain training modes. This information can help coaches make decisions about desired training load for practice sessions.

Data Reduction Approaches to Athlete Monitoring in Professional Australian Football

PURPOSE

To apply data reduction methods to athlete-monitoring measures to address the issue of data overload for practitioners of professional Australian football teams.

METHODS

Data were collected from 45 professional Australian footballers from 1 club during the 2018 Australian Football League season. External load was measured in training and matches by 10-Hz OptimEye S5 and ClearSky T6 GPS units. Internal load was measured via the session rate of perceived exertion method. Perceptual wellness was measured via questionnaires completed before training sessions with players providing a rating (1-5 Likert scale) of muscle soreness, sleep quality, fatigue, stress, and motivation. Percentage of maximum speed was calculated relative to individual maximum velocity recorded during preseason testing. Derivative external training load measures (total daily, weekly, and monthly) were calculated. Principal-component analyses (PCAs) were conducted for Daily and Chronic measures, and components were identified via scree plot inspection (eigenvalue > 1). Components underwent orthogonal rotation with a factor loading redundancy threshold of 0.70.

RESULTS

The Daily PCA identified components representing external load, perceived wellness, and internal load. The Chronic PCA identified components representing 28-d speed exposure, 28-d external load, 7-d external load, and 28-d internal load. Perceived soreness did not meet the redundancy threshold.

CONCLUSIONS

Monitoring player exposure to maximum speed is more appropriate over chronic than short time frames to capture variations in between-matches training-cycle duration. Perceived soreness represents a distinct element of a player's perception of wellness. Summed-variable and single-variable approaches are novel methods of data reduction following PCA of athlete monitoring data.

On the effects of hard and soft equality constraints in the iterative outlier elimination procedure

Reliability analysis allows for the estimation of a system’s probability of detecting and identifying outliers. Failure to identify an outlier can jeopardize the reliability level of a system. Due to its importance, outliers must be appropriately treated to ensure the normal operation of a system. System models are usually developed from certain constraints. Constraints play a central role in model precision and validity. In this work, we present a detailed investigation of the effects of the hard and soft constraints on the reliability of a measurement system model. Hard constraints represent a case in which there exist known functional relations between the unknown model parameters, whereas the soft constraints are employed where such functional relations can be slightly violated depending on their uncertainty. The results highlighted that the success rate of identifying an outlier for the case of hard constraints is larger than soft constraints. This suggested that hard constraints be used in the stage of pre-processing data for the purpose of identifying and removing possible outlying measurements. After identifying and removing possible outliers, one should set up the soft constraints to propagate their uncertainties to the model parameters during the data processing.

Locomotor characteristics of the women's inaugural super league competition and the rugby league world cup

Understanding the locomotor characteristics of competition can help rugby league (RL) coaches optimise training prescription. To date, no research exists on the locomotor characteristics of women's RL. The aim was to compare whole match and peak locomotor characteristics of women's RL competition at international (RL World Cup [WRLWC]) and domestic level (Super League [WSL]). Microtechnology data were collected from 58 players from 3-WSL clubs and 1-WRLWC team. Participants were classified into forwards (n = 30) and backs (n = 28). Partial least squares correlation analysis established which variables were important to discriminate between the level of competition (international vs. domestic) and positional group (forwards vs. backs). Linear mixed-effects models estimated the differences between standards of competition and positional group for those variables. International forwards were most likely exposed to greater peak 1-min average acceleration (standardised mean difference = 1.23 [0.42 to 2.04]) and peak 3-min average acceleration (1.13 [0.41 to 1.85]) than domestic forwards. International backs likely completed greater peak 1-min average acceleration (0.83 [0.08 to 1.58]) than domestic backs and possibly greater high-speed-distances (0.45 [-0.17 to 1.07]). Findings highlight the need for positional specific training across levels to prepare representative players for the increased match characteristics of international competition.

Prior workload has moderate effects on high-intensity match performance in elite-level professional football players when controlling for situational and contextual variables

This investigation examined the effect of prior workload on high-intensity football match performance. Player load variables were recorded using a global positioning system and converted into composite variables: rolling season accumulated load (AL), exponentially weighted moving average acute, chronic and acute:chronic workload ratio (A:C). Match-play high-intensity performance-per-minute: accelerations (ACC), sprints, high-speed running (HSR) and high metabolic load (HMLd) distances; and situational and contextual variables were recorded for all games. Partial least squares modelling, and backward stepwise selection determined the most parsimonious model for each performance variable. Quadratic relationships of small to moderate effect sizes were identified for sprint AL and sprint performance, HSR AL and HSR performance, acute HMLd and HMLd performance, acute sprint load and ACC performance and A:C sprint load and ACC performance. Match performance was typically greatest between the mean and +1SD. High chronic HMLd, and combined acceleration and deceleration (ACC+DEC) load exerted small beneficial effects on HMLd and HSR performance, whereas high acute load exerted trivial to moderate negative effects. High sprint A:C exerted a small beneficial effect on sprint performance and playing position exerted small effects on HSR and HMLd performance. Prior workload has trivial to moderate effects on high-intensity match performance in professional players.

Perceived Injustice Mediates the Relationship Between Perceived Childhood Neglect and Current Function in Patients with Chronic Pain: A Preliminary Pilot Study

Cumulative evidence supports the association between perceived childhood neglect and adulthood psychological and physical health. To date, pathways mediating this association remain largely unknown, though other evidence suggests that negative patterns of appraisal, including injustice perception related to pain, may be shaped by prior adverse social experiences. Consequently, the current study examined perceived injustice about chronic pain as a possible factor connecting childhood neglect and pain-related outcomes, given its relevance for both adaptation to chronic pain and to prior adverse life experiences. Patients (n = 742) visiting a tertiary pain clinic completed a survey administered via the Collaborative Health Outcomes Information Registry. Path modeling analyses were used to examine perceived injustice as a mediator of the relationships between childhood neglect and affective distress and physical function, after controlling for pain intensity and pain catastrophizing. Patients endorsing childhood neglect reported higher levels of perceived injustice and worse affective distress and physical function. Further, inclusion of perceived injustice as a mediator fully accounted for the relationship between neglect and current levels of physical function, and accounted for a significant proportion of the relationship between neglect and current levels of affective distress. These preliminary findings suggest that perceived injustice appears to be a more proximal factor by which prior experiences of neglect may adversely affect adaptation to chronic pain. Given the single-item assessment of childhood neglect and cross-sectional nature of the current findings, further research may focus on replicating these findings in longitudinal studies with validated measures and examining other adverse social experiences (e.g., abuse, social disparities) that may contribute to injustice perception and poor pain-related outcomes.