In professional football the decline in high-intensity running activities from first to second half is more pronounced in players with a fast muscle typology

Muscle typology is heterogeneous among national level football (soccer) players, but positional differences remain unclear. Furthermore, fast typology (FT) individuals fatigue more than slow typology (ST) individuals in lab conditions. Therefore, we investigated if muscle typology is different between playing positions and if the decay in high-intensity activities from the first to the second half is larger in FT football players than in ST players. We estimated muscle typology in 147 male professional football players by measuring soleus and gastrocnemius muscle carnosine via proton magnetic resonance spectroscopy. Players were classified as ST, intermediate typology (IT) or FT and categorized as goalkeeper, center back, full back, midfielder, winger or forward. Across four seasons in-game distances covered in multiple running speed, acceleration and deceleration zones were collected during the first and second half. We found no differences in muscle typology between positions (p = 0.412). FT players covered 10.9% more high acceleration distance (>3 m.s-2 ) in the first half than ST players (p = 0.021) and high acceleration distance decay was larger for FT players (-12.4%) than ST (-7.7%; p = 0.006) and IT players (-7.3%; p = 0.010). Moreover, the decline in distance covered in several high-intensity zones tended to be larger in FT players (-11.2% high-intensity >15 km.h-1 ; -12.7% high deceleration <-3 m.s-2 ; -11.5% medium acceleration 2-3 m.s-2 ) than in ST players (-7.1% high-intensity; -8.1% high deceleration; -8.1% medium acceleration; 0.05 < p < 0.1). In conclusion, possessing a particular muscle typology is not required to play any football position at the national level. However, there are indications that FT players might fatigue more toward the end of the game compared to ST players.

Multilevel modelling of longitudinal changes in isokinetic knee extensor and flexor strength in adolescent soccer players

The purpose of the study was to model the longitudinal development of knee extension (KE) and flexion (KF) strength in adolescent soccer players. A mixed-longitudinal sample composed of 67 soccer players aged 11.0-13.9 years at baseline was followed on three-to-five occasions over 5 years. Stature, body mass and several skinfold thicknesses were measured. Fat mass was estimated from skinfolds and fat-free mass (FFM) derived. Skeletal age was estimated with the TW2-RUS protocol. An isokinetic dynamometer was used to obtain peak torque of KE and KF from concentric assessments at an angular velocity of 180°/s. Multilevel random effects regression analyses were performed. Among youth soccer players aged 11-16 years, isokinetic strength of the knee muscle groups was reasonably predicted from chronological age (CA), stature and FFM: KE = -66.170 + 5.353 × (CA) + 0.594 × (CA²) + 0.552 × (stature) + 1.414 × (FFM), and KF = -9.356 + 2.708 × (CA) + 1.552 × (FFM). In conclusion, CA per se accounted for annual increments of 5.4 Nm in KE and 2.7 Nm in KF.

Developmental Changes in Isometric Strength: Longitudinal Study in Adolescent Soccer Players

This study aimed to examine longitudinal changes in isometric strength of the knee extensors (ImKE) and knee flexors (ImKF) at 30° and 60°. The sample was composed of 67 players aged 11.0-13.9 years at baseline over five years. Stature, body mass, skinfolds, and isometric strength (ImKE30°, ImKF30°, ImKE60° and ImKF60°) were measured. Fat mass and fat-free mass (FFM) were derived from skinfolds. Skeletal age was obtained using TW2 RUS. Multilevel random effects regression analyses extracted developmental polynomial models. An annual increment on chronological age (CA) corresponded to 5.6 N (ImKE30°: ), 2.7 N (ImKF30°: ), 4.6 N (ImKE60°: ) and 1.5 N (ImKF60°). An increment of 1 kg in FFM predicted isometric strength as follows: 1.2 N (ImKE30°), 2.1 N (ImKF30°), 3.1 N (ImKE60°) and 2.0 N (ImKF60°). The following equations were obtained: ImKE30°=5.759×CA+1.163×FFM; ImKF30°=-19.369+2.691×CA+0.693×CA²+2.108×FFM; ImKE60°=4.553×CA+3.134×FFM; and, ImKF60°=-19.669+1.544×CA+2.033×FFM. Although skeletal maturity had a negligible effect on dependent variables, age and body size, based on FFM, were relevant longitudinal predictors. During adolescence, systematic assessment of knee extensors and knee flexors are strongly recommended to prevent impairment of knee muscle groups.

Mental Fatigue Impairs Soccer-Specific Physical and Technical Performance

PURPOSE

To investigate the effects of mental fatigue on soccer-specific physical and technical performance.

METHODS

This investigation consisted of two separate studies. Study 1 assessed the soccer-specific physical performance of 12 moderately trained soccer players using the Yo-Yo Intermittent Recovery Test, Level 1 (Yo-Yo IR1). Study 2 assessed the soccer-specific technical performance of 14 experienced soccer players using the Loughborough Soccer Passing and Shooting Tests (LSPT, LSST). Each test was performed on two occasions and preceded, in a randomized, counterbalanced order, by 30 min of the Stroop task (mentally fatiguing treatment) or 30 min of reading magazines (control treatment). Subjective ratings of mental fatigue were measured before and after treatment, and mental effort and motivation were measured after treatment. Distance run, heart rate, and ratings of perceived exertion were recorded during the Yo-Yo IR1. LSPT performance time was calculated as original time plus penalty time. LSST performance was assessed using shot speed, shot accuracy, and shot sequence time.

RESULTS

Subjective ratings of mental fatigue and effort were higher after the Stroop task in both studies (P < 0.001), whereas motivation was similar between conditions. This mental fatigue significantly reduced running distance in the Yo-Yo IR1 (P < 0.001). No difference in heart rate existed between conditions, whereas ratings of perceived exertion were significantly higher at iso-time in the mental fatigue condition (P < 0.01). LSPT original time and performance time were not different between conditions; however, penalty time significantly increased in the mental fatigue condition (P = 0.015). Mental fatigue also impaired shot speed (P = 0.024) and accuracy (P < 0.01), whereas shot sequence time was similar between conditions.

CONCLUSIONS

Mental fatigue impairs soccer-specific running, passing, and shooting performance.

Multilevel Development Models of Explosive Leg Power in High-Level Soccer Players

PURPOSE

The aim of the present study was to model developmental changes in explosive power based on the contribution of chronological age, anthropometrical characteristics, motor coordination parameters, and flexibility.

METHODS

Two different longitudinal, multilevel models were obtained to predict countermovement jump (CMJ) and standing broad jump (SBJ) performance in 356 high-level, youth soccer players, age 11-14 yr at baseline. Biological maturity status was estimated (age at peak height velocity [APHV]), and variation in the development of explosive power was examined based on three maturity groups (APHV; earliest < P33, P33 < average < P66, latest > P66).

RESULTS

The best-fitting model for the CMJ performance of the latest maturing players could be expressed as: 8.65 + 1.04 × age + 0.17 × age + 0.15 × leg length + 0.12 × fat-free mass + 0.07 × sit-and-reach + 0.01 × moving sideways. The best models for average and earliest maturing players were the same as for the latest maturing players, minus 0.73 and 1.74 cm, respectively. The best-fitting model on the SBJ performance could be expressed as follows: 102.97 + 2.24 × age + 0.55 × leg length + 0.66 × fat-free mass + 0.16 × sit-and-reach + 0.13 jumping sideways. Maturity groups had a negligible effect on SBJ performance.

CONCLUSIONS

These findings suggest that different jumping protocols (vertical vs long jump) highlight the need for special attention in the evaluation of jump performance. Both protocols emphasized growth, muscularity, flexibility, and motor coordination as longitudinal predictors. The use of the SBJ is recommended in youth soccer identification and selection programs because biological maturity status has no effect on its development through puberty.

A longitudinal study investigating the stability of anthropometry and soccer-specific endurance in pubertal high-level youth soccer players

We investigated the evolution and stability of anthropometric and soccer-specific endurance characteristics of 42 high-level, pubertal soccer players with high, average and low yo-yo intermittent recovery test level 1 (YYIR1) baseline performances over two and four years. The rates of improvement were calculated for each performance group, and intra-class correlations were used to verify short- and long-term stability. The main finding was that after two and four years, the magnitudes of the differences at baseline were reduced, although players with high YYIR1 baseline performance still covered the largest distance (e.g., low from 703 m to 2126 m; high from 1503 m to 2434 m over four years). Furthermore, the YYIR1 showed a high stability over two years (ICC = 0.76) and a moderate stability over four years (ICC = 0.59), due to large intra-individual differences in YYIR1 performances over time. Anthropometric measures showed very high stability (ICCs between 0.94 to 0.97) over a two-year period, in comparison with a moderate stability (ICCs between 0.57 and 0.75) over four years. These results confirm the moderate-to-high stability of high-intensity running performance in young soccer players, and suggest that the longer the follow-up, the lower the ability to predict player's future potential in running performance. They also show that with growth and maturation, poor performers might only partially catch up their fitter counterparts between 12 and 16 years. Key pointsYoung, high-level soccer players with a relatively low intermittent-endurance capacity are capable to catch up with their better performing peers after four years.Individual development and improvements of anthropometric and physical characteristics should be considered when evaluating young soccer players.

Longitudinal Development of Explosive Leg Power from Childhood to Adulthood in Soccer Players

The aim of the this study was to investigate the development of explosive leg power by using 2 similar jumping protocols (countermovement jump and standing broad jump) in 555 Belgian, high-level young soccer players, aged between 7 and 20 years. The total sample was divided into 3 longitudinal samples related to growth and maturation (pre-teenchildhood: (6-10 years;), early adolescence: (11-16 years;) and late adolescence: (17-20 years)), and 6 multilevel regression models were obtained. Generally, both jumping protocols emphasized that chronological age, body size dimensions (by means of fat mass in the late childhood and early adolescence groups, fat-free mass in the late adolescence group and stature--(not for CMJ in late childhood group) and fat mass in the late childhood and early adolescence groups, and fat-free mass in the late adolescence group) and motor coordination (one item of a 3-component test battery) are longitudinal predictors of explosive leg power from childhood to young adulthood. The contribution of maturational status was not investigated in this study. The present findings highlight the importance of including non-specific motor coordination in soccer talent development programs.

The Yo-Yo intermittent recovery test level 1 is reliable in young high-level soccer players

The aim of the study was to investigate test reliability of the Yo-Yo intermittent recovery test level 1 (YYIR1) in 36 high-level youth soccer players, aged between 13 and 18 years. Players were divided into three age groups (U15, U17 and U19) and completed three YYIR1 in three consecutive weeks. Pairwise comparisons were used to investigate test reliability (for distances and heart rate responses) using technical error (TE), coefficient of variation (CV), intra-class correlation (ICC) and limits of agreement (LOA) with Bland-Altman plots. The mean YYIR1 distances for the U15, U17 and U19 groups were 2024 ± 470 m, 2404 ± 347 m and 2547 ± 337 m, respectively. The results revealed that the TEs varied between 74 and 172 m, CVs between 3.0 and 7.5%, and ICCs between 0.87 and 0.95 across all age groups for the YYIR1 distance. For heart rate responses, the TEs varied between 1 and 6 bpm, CVs between 0.7 and 4.8%, and ICCs between 0.73 and 0.97. The small ratio LOA revealed that any two YYIR1 performances in one week will not differ by more than 9 to 28% due to measurement error. In summary, the YYIR1 performance and the physiological responses have proven to be highly reliable in a sample of Belgian high-level youth soccer players, aged between 13 and 18 years. The demonstrated high level of intermittent endurance capacity in all age groups may be used for comparison of other prospective young soccer players.

Generic anthropometric and performance characteristics among elite adolescent boys in nine different sports

The aim of the present study was to evaluate the Flemish Sports Compass (FSC), a non-sport-specific generic testing battery. It was hypothesised that a set of 22 tests would have sufficient discriminant power to allocate athletes to their own sport based on a unique combination of test scores. First, discriminant analyses were applied to the 22 tests of anthropometry, physical fitness and motor coordination in 141 boys under age 18 (16.1 ± 0.8 years) and post age at peak height velocity (maturity offset = 2.674 ± 0.926) from Flemish Top Sport Academies for badminton, basketball, gymnastics, handball, judo, soccer, table tennis, triathlon and volleyball. Second, nine sequential discriminant analyses were used to assess the ability of a set of relevant performance characteristics classifying participants and non-participants for the respective sports. Discriminant analyses resulted in a 96.4% correct classification of all participants for the nine different sports. When focusing on relevant performance characteristics, 80.1% to 97.2% of the total test sample was classified correctly within their respective disciplines. The discriminating characteristics were briefly the following: flexibility in gymnastics, explosive lower-limb strength in badminton and volleyball, speed and agility in badminton, judo, soccer and volleyball, upper-body strength in badminton, basketball and gymnastics, cardiorespiratory endurance in triathletes, dribbling skills in handball, basketball and soccer and overhead-throwing skills in badminton and volleyball. The generic talent characteristics of the FSC enable the distinction of adolescent boys according to their particular sport. Implications for talent programmes are discussed.

Characteristics of high-level youth soccer players: variation by playing position

The present study aimed to investigate positional differences in 744 high-level soccer players, aged 8 to 18 years. Players were assigned to six age groups (U9-U19) and divided into four playing positions (goalkeeper (GK), defender (DEF), midfielder (MF) and attacker (ATT)). MANOVA and effect sizes were used to examine anthropometrical and functional characteristics between all positions in all age groups. The main findings of the study were that GKs and DEFs were the tallest and heaviest compared with MFs and ATTs in all age groups. Further, between U9-U15, no significant differences in functional characteristics were found, except for dribbling skill, which MFs performed the best. In the U17-U19 age groups, ATTs seemed to be the most explosive (with GKs), the fastest and the more agile field players. These results suggest that inherent physical capacities (i.e., speed, power, agility) might select players in or reject players from an attacking position, which is still possible from U15-U17. Apparently, players with excellent dribbling skills at younger age are more likely to be selected to play as a MF, although, one might conclude that the typical physical characteristics for different positions at senior level are not yet fully developed among young soccer players between 8 and 14 years.

Reliability and validity of the Yo-Yo intermittent recovery test level 1 in young soccer players

The present study investigated the test-retest reliability from the Yo-Yo IR1 (distance and heart rate responses), and the ability of the Yo-Yo IR1 to differentiate between elite and non-elite youth soccer players. A total of 228 youth soccer players (11-17 years) participated: 78 non-elite players to examine the test-retest reliability within 1 week, added with 150 elite players to investigate the construct validity. The main finding was that the distance covered was adequately reproducible in the youngest age groups (U13 and U15) and highly reproducible in the oldest age group (U17). Also, the physiological responses were highly reproducible in all age groups. Moreover, the Yo-Yo IR1 test had a high-discriminative ability to distinguish between elite and non-elite young soccer players. Furthermore, age-related standards for the Yo-Yo IR1 established for elite and non-elite groups in this study may be used for comparison of other young soccer players.

Relative age, biological maturation and anaerobic characteristics in elite youth soccer players

Being relatively older and having an advanced biological maturation status have been associated with increased likelihood of selection in young elite soccer players. The aims of the study were to investigate the presence of a relative age effect (RAE) and the influence of birth quarter on anthropometry, biological maturity and anaerobic parameters in 374 elite Belgian youth soccer players. The sample was divided into 3 age groups, each subdivided into 4 birth quarters (BQ). Players had their APHV estimated and height, weight, SBJ, CMJ, sprint 5 and 30 m were assessed. Overall, more players were born in BQ1 (42.3%) compared with players born in BQ4 (13.7%). Further, MANCOVA revealed no differences in all parameters between the 4 BQ's, controlled for age and APHV. These results suggest that relatively youngest players can offset the RAE if they enter puberty earlier. Furthermore, the results demonstrated possible differences between BQ1 and BQ4, suggesting that caution is necessary when estimating differences between players because of large discrepancies between statistical and practical significance. These findings also show that coaches should develop realistic expectations of the physical abilities of younger players and these expectations should be made in the context of biological characteristics rather than chronological age-based standards.

A longitudinal study of multidimensional performance characteristics related to physical capacities in youth handball

Longitudinal research provides valuable information about change and progress towards elite performance. Unfortunately, there is a lack of longitudinal research in handball. In this study, 94 youth handball players (oldest group: n = 41; age 15-17 and youngest group: n = 53; age 13-15) were followed over a three-year period. Repeated measures ANCOVA was conducted to reveal longitudinal changes in anthropometry and physical performance between elite and non-elite players, controlling for maturation. Maturation effects were found for anthropometry (P < 0.01) and some physical performance measures in strength and speed (P < 0.05). The lack of significant interaction effects revealed that during the three years of the study the elite players did not improve their physical performance more rapidly than the non-elites. Furthermore, they had a similar anthropometric profile to the non-elites. Elite players performed better on the Yo-Yo Intermittent Recovery test (P < 0.01; on average 24.0 in the youngest group and 25.2% in the oldest group over the three years) and on the speed and coordination items (P < 0.05; shuttle run: 3.6 and 5.1%; cross hopping: 11.0 and 14.8%, handball-specific shuttle run: 7.6 and 7.7%; slalom dribble test: 10.7 and 8.9%; sprint 30 m: 4.9 and 3.9%). Additionally, Yo-Yo performance and coordination with and without a ball were the most discriminating factors between the playing levels. In conclusion, youth coaches and scouts within team handball should recognise the importance of good skills and an excellent endurance for talent identification purposes.

Relative age effect and Yo-Yo IR1 in youth soccer

The aims of the study were to investigate the presence of a relative age effect and the influence of birth quarter on anthropometric characteristics, an estimation of biological maturity and performance in the Yo-Yo Intermittent Recovery Test level 1 in 606 elite, Flemish youth soccer players. The sample was divided into 5 chronological age groups (U10-U19), each subdivided into 4 birth quarters. Players had their APHV estimated and height, weight and Yo-Yo IR1 performance were assessed. Differences between quarters were investigated using uni- and multivariate analyses. Overall, significantly (P<0.001) more players were born in the first quarter (37.6%) compared to the last (13.2%). Further, no significant differences in anthropometric variables and Yo-Yo IR1 performance were found between the 4 birth quarters. However, there was a trend for players born in the first quarter being taller and heavier than players born in the fourth quarter. Players born in the last quarter tended to experience their peak in growth earlier, this may have enabled them to compete physically with their relatively older peers. Our results indicated selection procedures which are focused on the formation of strong physical and physiological homogeneous groups. Relative age and individual biological maturation should be considered when selecting adolescent soccer players.

Which bioequivalence study for a racemic drug? Application to milnacipran

Milnacipran, a new non tricyclic antidepressant drug, is a racemic mixture (F2207) composed of two enantiomers: F2695 and F2696, both demonstrated to be active. A randomized open label, single-dose latin square study was undertaken in 24 healthy volunteers to compare, based on racemate data, the relative bioavailability of two new formulations to that of a reference formulation. Later on, as suggested by actual regulatory trend, analysis was carried out on enantiomer data, although in a supportive way. Bioequivalence was assessed on calculation of 90% confidence intervals for log-transformed Cmax and AUC(0-infinity) and on Wilcoxon test for Tmax with a 5% level of significance. Based on racemate data, both test formulations were demonstrated to be equivalent to the reference capsule in terms of Cmax and AUC-(0-infinity). Differences in Tmax reached statistical significance, although their mean magnitude was small, and probably not relevant when related to antidepressant long-term therapy. When considering the test capsule - reference capsule comparison, the equivalence demonstrated for the racemate reflect that of each enantiomer. On the contrary, equivalence between the test tablet and the reference capsule demonstrated for the racemate, is not supported by both enantiomers as Cmax of F2696 fails to reach bioequivalence criteria, making more uncertain the conclusion of bioequivalence. From this experience, it seems than when equivalence is demonstrated close to the limits for the racemate, it is difficult, especially for a low variability drug such as milnacipran, to comply with equivalence criteria for both enantiomers.

Pharmacokinetics of milnacipran in renal impairment

The pharmacokinetics of a single 50 mg dose of milnacipran, a new non tricyclic antidepressant drug, were compared in 8 chronic renal failure subjects (Clc(reat) between 9 to 84.5 ml.min(-1)) and in 6 healthy volunteers. Concentrations of unchanged (F2207 racemate and F2695 and F2696, enantiomers) and glucuroconjugated drug (main metabolite) were measured using HPLC and GC-MS. As for drugs mainly eliminated via renal route, the pharmacokinetics of milnacipran were markedly affected by impaired renal function with the elimination half-life of severely impaired subject being approximately three times that of the control group. Milnacipran apparent total clearance and renal clearance were positively correlated with glomerular filtration rate, while non-renal clearance and apparent volume of distribution were unaffected by renal impairment. Plasma concentrations of the glucuroconjugate were gradually increased in plasma, while its total urine excretion remained unchanged. As for the racemate, pharmacokinetics of each enantiomer were modified by renal failure, although, as predictable from its higher renal clearance value, it was more marked for F2696 than for F2695. Considering that modifications were shown to be proportional to the degree of renal impairment and that milnacipran presents low variability, the necessary dose adjustment is therefore easy to predict.

Pharmacokinetics of milnacipran in liver impairment

The pharmacokinetics of single 50 mg oral and intravenous doses of milnacipran, a new non tricyclic antidepressant drug, were compared in 11 chronic liver impaired (LI) subjects and in 6 control subjects. Hepatic impairments, classified according to the PUGH scale were moderate (1 grade A), intermediate (6 grade B) and severe (4 grade C). Concentrations of unchanged drug and its conjugated form (its main metabolite) were measured in plasma and urines. In control subjects, milnacipran present high absolute bioavailability (mean value of 90%). Around 50% of the dose are excreted in urines as unchanged, while around 14% are excreted as glucuroconjugate. The remaining is composed of free and conjugated phase I inactive metabolites. Administration of milnacipran in LI subjects results in non significant changes in its pharmacokinetics, although its variability is increased. Unchanged drug exposure is not modified in LI subjects, while plasma levels of the conjugate are slightly decreased compared to the control group. This could either be due to a slight reduction in the conjugation process, or to a change in the distribution of the drug as urine excretion of both unchanged and conjugated forms are not modified compared to the control group. A few LI subjects present supra-bioavailability resulting in higher drug exposure after oral administration than after intravenous infusion. These modifications are not clinically relevant as drug exposure of the parent drug is not modified. As the unchanged drug is the only compound responsible for the activity of milnacipran, no dosage adjustment is needed in patients presenting liver impairment.

Validity of N-acetyl-beta-D-glucosaminidase (NAG) determination in assessing netilmicin nephrotoxicity in preterm babies

The supposed nephrotoxicity of netilmicin has been assessed in preterm neonates using the urinary excretion of a lysosomal enzyme as marker: N-acetyl-beta-D-glucosaminidase (NAG). 17 male preterm neonates with birth weight appropriate for gestational age were enrolled in a study where 9 received netilmicin therapy since the first day of life and 8 served as control group. We observed a significant increase in urinary NAG/creatinine ratio during the postnatal days in the netilmicin group babies followed by a regular decrease during the days after the end of therapy. If this increase in lysosomal enzymuria such as NAG could reflect netilmicin nephrotoxicity on the proximal tubular cell, many questions remain unanswered about the exact significance of this finding. In particular, its relation with tubular cell dysfunction remains to be established.