A Prospective Cohort Study of Load and Wellness (Sleep, Fatigue, Soreness, Stress, and Mood) in Elite Junior Australian Football Players

2019 ◽  
Vol 14 (6) ◽  
pp. 829-840 ◽  
Author(s):  
Timothy J.H. Lathlean ◽  
Paul B. Gastin ◽  
Stuart V. Newstead ◽  
Caroline F. Finch
Keyword(s):  
Cohort Study ◽  
Confidence Interval ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Perceived Exertion ◽  
Training Session ◽  
Load Ratio ◽  
Rating Of Perceived Exertion ◽  
Football Players ◽  
Australian Football

Purpose:To investigate associations between load (training and competition) and wellness in elite junior Australian Football players across 1 competitive season.Methods:A prospective cohort study was conducted during the 2014 playing season in 562 players from 9 teams. Players recorded their training and match intensities according to the session-rating-of-perceived-exertion (sRPE) method. Based on sRPE player loads, a number of load variables were quantified, including cumulative load and the change in load across different periods of time (including the acute-to-chronic load ratio). Wellness was quantified using a wellness index including sleep, fatigue, soreness, stress, and mood on a Likert scale from 1 to 5.Results:Players spent an average of 85 (21) min in each match and 65 (31) min per training session. Average match loads were 637 (232) arbitrary units, and average training loads were 352 (233) arbitrary units. Over the 24 wk of the 2014 season, overall wellness had a significant linear negative association with 1-wk load (B = −0.152; 95% confidence interval, −0.261 to −0.043;P = .006) and an inverseU-curve relationship with session load (B = −0.078; 95% confidence interval, 0.143 to 0.014;P = .018). Mood, stress, and soreness were all found to have associations with load.Conclusions:This study demonstrates that load (within a session and across the week) is important in managing the wellness of elite junior Australian Football players. Quantifying loads and wellness at this level will help optimize player management and has the potential to reduce the risk of adverse events such as injury.

Training Periodization of Professional Australian Football Players During an Entire Australian Football League Season

2015 ◽  
Vol 10 (5) ◽  
pp. 566-571 ◽  
Author(s):  
Alexandre Moreira ◽  
Johann C. Bilsborough ◽  
Courtney J. Sullivan ◽  
Michael Cianciosi ◽  
Marcelo Saldanha Aoki ◽  
...  
Keyword(s):  
Perceived Exertion ◽  
Training Session ◽  
Training Load ◽  
Rating Of Perceived Exertion ◽  
Football Players ◽  
Training Intensity ◽  
Australian Football League ◽  
Football Team ◽  
Cross Training ◽  
Australian Football

Purpose:To examine the training periodization of an elite Australian Football team during different phases of the season.Methods:Training-load data were collected during 22 wk of preseason and 23 wk of in-season training. Training load was measured using the session rating of perceived exertion (session-RPE) for all training sessions and matches from 44 professional Australian Football players from the same team. Training intensity was divided into 3 zones based on session-RPE (low, <4; moderate, >4 AU and <7 AU; and high, >7 AU). Training load and intensity were analyzed according to the type of training session completed.Results:Higher training load and session duration were undertaken for all types of training sessions during the preseason than in-season (P < .05), with the exception of “other” training (ie, re/prehabilitation training, cross-training, and recovery activities). Training load and intensity were higher during the preseason, with the exception of games, where greater load and intensity were observed during the in-season. The overall distribution of training intensity was similar between phases with the majority of training performed at moderate or high intensity.Conclusions:The current findings may allow coaches and scientists to better understand the characteristics of Australian Football periodization, which in turn may aid in developing optimal training programs. The results also indicate that a polarized training-intensity distribution that has been reported in elite endurance athletes does not occur in professional Australian Football.

scholarly journals Resuming professional football (soccer) during the COVID-19 pandemic in a country with high infection rates: a prospective cohort study

2021 ◽  
pp. bjsports-2020-103724
Author(s):  
Yorck Olaf Schumacher ◽  
Montassar Tabben ◽  
Khalid Hassoun ◽  
Asmaa Al Marwani ◽  
Ibrahim Al Hussein ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Preventive Measures ◽  
Clinical Symptoms ◽  
Severe Illness ◽  
Football Players ◽  
Professional Football ◽  
Infection Rates ◽  
High Infection

ObjectivesThe risk of viral transmission associated with contact sports such as football (soccer) during the COVID-19 pandemic is unknown. The aim of this study was to describe the infective and immune status of professional football players, team staff and league officials over a truncated football season resumed at the height of the COVID-19 pandemic in a country with high infection rates and to investigate the clinical symptoms related to COVID-19 infection in professional football players.MethodsProspective cohort study of 1337 football players, staff and officials during a truncated football season (9 weeks) with a tailored infection control programme based on preventive measures and regular SARS-CoV-2 PCR swab testing (every 3–5 days) combined with serology testing for immunity (every 4 weeks). Clinical symptoms in positive participants were recorded using a 26-item, Likert-Scale-based scoring system.ResultsDuring the study period, 85 subjects returned positive (cycle threshold (cT) ≤30) or reactive (30<cT<40) PCR tests, of which 36 were players. The infection rate was consistent with that of the general population during the same time period. More than half of infected subjects were asymptomatic, and the remaining had only mild symptoms with no one requiring hospitalisation. Symptom severity was associated with lower cT values. Social contacts and family were the most common sources of infection, and no infection could be traced to training or matches. Of the 36 infected players, 15 presented positive serology during the study period.ConclusionFootball played outdoors involving close contact between athletes represents a limited risk for SARS-CoV-2 infection and severe illness when preventive measures are in place.

scholarly journals Association between maternal gluten intake and type 1 diabetes in offspring: national prospective cohort study in Denmark

BMJ ◽  
2018 ◽  
pp. k3547 ◽  
Author(s):  
Julie C Antvorskov ◽  
Thorhallur I Halldorsson ◽  
Knud Josefsen ◽  
Jannet Svensson ◽  
Charlotta Granström ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Cohort Study ◽  
Confidence Interval ◽  
Prospective Cohort Study ◽  
Food Frequency Questionnaire ◽  
Prospective Cohort ◽  
Hazard Ratio ◽  
Adjusted Hazard Ratio ◽  
Food Frequency

Abstract Objective To examine the association between prenatal gluten exposure and offspring risk of type 1 diabetes in humans. Design National prospective cohort study. Setting National health information registries in Denmark. Participants Pregnant Danish women enrolled into the Danish National Birth Cohort, between January 1996 and October 2002, Main outcome measures Maternal gluten intake, based on maternal consumption of gluten containing foods, was reported in a 360 item food frequency questionnaire at week 25 of pregnancy. Information on type 1 diabetes occurrence in the participants’ children, from 1 January 1996 to 31 May 2016, were obtained through registry linkage to the Danish Registry of Childhood and Adolescent Diabetes. Results The study comprised 101 042 pregnancies in 91 745 women, of whom 70 188 filled out the food frequency questionnaire. After correcting for multiple pregnancies, pregnancies ending in abortions, stillbirths, lack of information regarding the pregnancy, and pregnancies with implausibly high or low energy intake, 67 565 pregnancies (63 529 women) were included. The average gluten intake was 13.0 g/day, ranging from less than 7 g/day to more than 20 g/day. The incidence of type 1 diabetes among children in the cohort was 0.37% (n=247) with a mean follow-up period of 15.6 years (standard deviation 1.4). Risk of type 1 diabetes in offspring increased proportionally with maternal gluten intake during pregnancy (adjusted hazard ratio 1.31 (95% confidence interval 1.001 to 1.72) per 10 g/day increase of gluten). Women with the highest gluten intake versus those with the lowest gluten intake (≥20 v <7 g/day) had double the risk of type 1 diabetes development in their offspring (adjusted hazard ratio 2.00 (95% confidence interval 1.02 to 4.00)). Conclusions High gluten intake by mothers during pregnancy could increase the risk of their children developing type 1 diabetes. However, confirmation of these findings are warranted, preferably in an intervention setting.

scholarly journals Incidence of VTE in asymptomatic children with deficiencies of antithrombin, protein C, and protein S: a prospective cohort study

2020 ◽  
Vol 4 (21) ◽  
pp. 5442-5448
Author(s):  
Daniela Tormene ◽  
Elena Campello ◽  
Chiara Simion ◽  
Giacomo Turatti ◽  
Michelangelo Marobin ◽  
...  
Keyword(s):  
Cohort Study ◽  
Confidence Interval ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Protein C ◽  
Protein S ◽  
Healthy Children ◽  
Thrombotic Risk ◽  
Asymptomatic Children ◽  
Risk Period

Abstract Although antithrombin, protein C, and protein S defects are well-recognized inherited risk factors for venous thromboembolism (VTE) in adults, whether they predispose children to these vascular disorders as well is undefined. In a prospective cohort study, we assessed the incidence of spontaneous and risk period–related VTE in children who were family members of adults who, after an episode of symptomatic VTE, had then been identified as carriers of these abnormalities. A total of 134 children from 87 families were enrolled. Seventy (51.5%) of these children were carriers of an inherited defect, and the remaining 64 were not; the mean observation period was 4 years (range, 1-16 years) and 3.9 years (range, 1-13), respectively. Sixteen risk periods were experienced by carriers, and 9 by noncarriers. Six VTE occurred in the 70 carriers during 287 observation-years, accounting for an annual incidence of 2.09% patient-years (95% confidence interval, 0.8-4.5), compared with none in the 64 noncarriers during 248 observation-years. Of the 14 children with thrombophilia who experienced a risk period for thrombosis, 4 (28.6%) developed a VTE episode. The overall incidence of risk-related VTE was 25% per risk period (95% confidence interval, 6.8-64). In conclusion, the thrombotic risk in otherwise healthy children with severe inherited thrombophilia does not seem to differ from that reported for adults with the same defects. Screening for thrombophilia in children who belong to families with these defects seems justified to identify those who may benefit from thromboprophylaxis during risk periods for thrombosis.

scholarly journals Test Characteristics of Perirectal and Rectal Swab Compared to Stool Sample for Detection of Fluoroquinolone-Resistant Escherichia coli in the Gastrointestinal Tract

2005 ◽  
Vol 49 (2) ◽  
pp. 798-800 ◽  
Author(s):  
Ebbing Lautenbach ◽  
Anthony D. Harris ◽  
Eli N. Perencevich ◽  
Irving Nachamkin ◽  
Pam Tolomeo ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Cohort Study ◽  
Gastrointestinal Tract ◽  
Confidence Interval ◽  
Stool Sample ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Rectal Swab ◽  
Test Characteristics ◽  
Gut Colonization

ABSTRACT Among 63 patients enrolled in a prospective cohort study of gut colonization with fluoroquinolone-resistant Escherichia coli, the sensitivity of perirectal swab compared to stool sample was 90% (95% confidence interval [CI], 70 to 99%) and the specificity was 100% (95% CI, 91 to 100%). For rectal swab, the sensitivity was 90% (95% CI, 68 to 99%) and the specificity was 100% (95% CI, 91 to 100%).

Relationship Between Pretraining Subjective Wellness Measures, Player Load, and Rating-of-Perceived-Exertion Training Load in American College Football

2018 ◽  
Vol 13 (1) ◽  
pp. 95-101 ◽  
Author(s):  
Andrew D. Govus ◽  
Aaron Coutts ◽  
Rob Duffield ◽  
Andrew Murray ◽  
Hugh Fullagar
Keyword(s):  
Muscle Soreness ◽  
Perceived Exertion ◽  
Training Session ◽  
College Football ◽  
Training Load ◽  
Rating Of Perceived Exertion ◽  
Football Players ◽  
Unit Increase ◽  
Relationship Of ◽  
The Relationship

Context:The relationship between pretraining subjective wellness and external and internal training load in American college football is unclear.Purpose:To examine the relationship of pretraining subjective wellness (sleep quality, muscle soreness, energy, wellness Z score) with player load and session rating of perceived exertion (s-RPE-TL) in American college football players.Methods:Subjective wellness (measured using 5-point, Likert-scale questionnaires), external load (derived from GPS and accelerometry), and s-RPE-TL were collected during 3 typical training sessions per week for the second half of an American college football season (8 wk). The relationship of pretraining subjective wellness with player load and s-RPE training load was analyzed using linear mixed models with a random intercept for athlete and a random slope for training session. Standardized mean differences (SMDs) denote the effect magnitude.Results:A 1-unit increase in wellnessZscore and energy was associated with trivial 2.3% (90% confidence interval [CI] 0.5, 4.2; SMD 0.12) and 2.6% (90% CI 0.1, 5.2; SMD 0.13) increases in player load, respectively. A 1-unit increase in muscle soreness (players felt less sore) corresponded to a trivial 4.4% (90% CI −8.4, −0.3; SMD −0.05) decrease in s-RPE training load.Conclusion:Measuring pretraining subjective wellness may provide information about players’ capacity to perform in a training session and could be a key determinant of their response to the imposed training demands American college football. Hence, monitoring subjective wellness may aid in the individualization of training prescription in American college football players.

scholarly journals The Quantification of Within-Week Session Intensity, Duration, and Intensity Distribution Across a Season in Australian Football Using the Session Rating of Perceived Exertion Method

2018 ◽  
Vol 13 (7) ◽  
pp. 940-946 ◽  
Author(s):  
Farhan Juhari ◽  
Dean Ritchie ◽  
Fergus O’Connor ◽  
Nathan Pitchford ◽  
Matthew Weston ◽  
...  
Keyword(s):  
Intensity Distribution ◽  
Mixed Models ◽  
High Intensity ◽  
Perceived Exertion ◽  
Linear Mixed Models ◽  
Training Session ◽  
Rating Of Perceived Exertion ◽  
Moderate Intensity ◽  
Low Intensity ◽  
Australian Football

Context: Team-sport training requires the daily manipulation of intensity, duration, and frequency, with preseason training focusing on meeting the demands of in-season competition and training on maintaining fitness. Purpose: To provide information about daily training in Australian football (AF), this study aimed to quantify session intensity, duration, and intensity distribution across different stages of an entire season. Methods: Intensity (session ratings of perceived exertion; CR-10 scale) and duration were collected from 45 professional male AF players for every training session and game. Each session’s rating of perceived exertion was categorized into a corresponding intensity zone, low (<4.0 arbitrary units), moderate (≥4.0 and <7.0), and high (≥7.0), to categorize session intensity. Linear mixed models were constructed to estimate session duration, intensity, and distribution between the 3 preseason and 4 in-season periods. Effects were assessed using linear mixed models and magnitude-based inferences. Results: The distribution of the mean session intensity across the season was 29% low intensity, 57% moderate intensity, and 14% high intensity. While 96% of games were high intensity, 44% and 49% of skills training sessions were low intensity and moderate intensity, respectively. Running had the highest proportion of high-intensity training sessions (27%). Preseason displayed higher training-session intensity (effect size [ES] = 0.29–0.91) and duration (ES = 0.33–1.44), while in-season game intensity (ES = 0.31–0.51) and duration (ES = 0.51–0.82) were higher. Conclusions: By using a cost-effective monitoring tool, this study provides information about the intensity, duration, and intensity distribution of all training types across different phases of a season, thus allowing a greater understanding of the training and competition demands of Australian footballers.

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