Recovery during Successive 120-min Football Games: Results from the 120-min Placebo/Carbohydrate Randomized Controlled Trial.

PURPOSE: This study aimed to examine the recovery kinetics (i.e., time-dependent changes) of performance-related variables between two 120-min male football games performed 3 d apart with and without carbohydrate supplementation. METHODS: Twenty male players (20 ± 1 yr; body fat, 14.9% ± 5.1%; maximal oxygen consumption, 59.4 ± 3.7 mL·kg -1 ·min -1 ) participated in two 120-min football games (G1, G2) according to a randomized, two-trial, repeated-measures, crossover, double-blind design. Participants received carbohydrate/placebo supplements during recovery between games. Field activity was monitored during the games. Performance testing and blood sampling were performed before and at 90 and 120 min of each game. Muscle biopsies were collected at baseline and at 90 and 120 min of G1 and pre-G2. RESULTS: Compared with G1, G2 was associated with reduced total distance (10,870 vs 10,685 m during 90 min and 3327 vs 3089 m during extra 30 min; P = 0.007-0.038), average (6.7 vs 6.2 km/h during extra 30-min game-play; P = 0.007) and maximal speed (32.2 vs 30.2 km/h during 90 min and 29.0 vs 27.9 km/h during extra 30 min; P < 0.05), accelerations/decelerations ( P < 0.05), and mean heart rate ( P < 0.05). Repeated sprint ability ( P < 0.001), jumping ( P < 0.05), and strength ( P < 0.001) performance were compromised before and during G2. Muscle glycogen was not restored at G2 baseline ( P = 0.005). Extended game-play reduced lymphocyte, erythrocyte counts, hematocrit, hemoglobin, reduced glutathione ( P < 0.05) and increased delayed onset of muscle soreness, creatine kinase activity, blood glycerol, ammonia, and protein carbonyls ( P < 0.05) before and during G2. Pax7 + ( P = 0.004) and MyoD + cells ( P = 0.019) increased at baseline G2. Carbohydrate supplementation restored performance and glycogen, reduced glycerol and delayed onset of muscle soreness responses, and increased leukocyte counts and Pax7 + and MyoD + cells. CONCLUSIONS: Results suggest that extended football games induce a prolonged recovery of performance, which may be facilitated by carbohydrate supplementation during a congested game fixture.

Bone Health, Body Composition and Physiological Demands in 70-85-Year-Old Lifelong Male Football Players.

The effects of lifelong football training on bone health, body composition and physiological demands were evaluated. A total of 20 veteran football players (VPG; 73.4 ± 3.7 years) and 18 untrained age-matched men (CG; 75.6 ± 4.2 years) were enrolled. Whole-body and regional dual-energy X-ray absorptiometry scans of arms, legs, proximal femur and lower spine (L1-L4) were recorded in all participants. We observerd higher bone mineral density (BMD) in the whole-body, arms and femoral regions and higher bone mineral content (BMC) in the legs and lower spine compared to the CG (p < 0.05), also higher total lean body mass (p < 0.05) and lower total body fat percentage (p < 0.05), were found. No differences in food habits were evidenced between the VPG and the CG, as evaluated using 3-day food records. Resting heart rate (RHR), blood pressure (BP) and activity profile during a football match were recorded using a global positioning system only in the VPG. The mean heart rate (HR)of theoretical maximal HR (ThHRmax), and peak of ThHRmax were 83.9 ± 8.6% and 98.6 ± 10.2%, respectively; the mean of total distance covered was 3666 ± 721 m, and the means of accelerations and decelerations were 419 ± 61 and 428 ± 65, respectively. Lifelong participation in football training improves regional BMD and BMC in legs, femur and lumbar spine compared to the CG. A high number of intense actions in term of HR and accelerations and decelerations suggests an elevated energy expenditure that in turn correlates to the healthier body composition observed in the VPG compared to the CG.

Extended Match Time Exacerbates Fatigue and Impacts Physiological Responses in Male Soccer Players.

PURPOSE: This study evaluated how extended match time (90 + 30 min) affected physiological responses and fatigue in male soccer players. METHODS: Twenty competitive players (mean ± SD: age, 20 ± 1 yr; maximal oxygen uptake, 59 ± 4 mL·min -1 ·kg -1 ) completed an experimental match with their activity pattern and heart rate assessed throughout the game, whereas countermovement jump performance and repeated sprint ability were tested and quadriceps muscle biopsies and venous blood samples were taken at baseline and after 90 and 120 min of match play. RESULTS: Less high-intensity running (12%) was performed in extra time in association with fewer intense accelerations and decelerations per minute compared with normal time. Peak sprint speed was 11% lower in extra time compared with normal time, and fatigue also manifested in impaired postmatch repeated sprint ability and countermovement jump performance (all P < 0.05). Muscle glycogen declined from 373 ± 59 mmol·kg -1 dry weight (dw) at baseline to 266 ± 64 mmol·kg -1 dw after 90 min, with a further decline to 186 ± 56 mmol·kg -1 dw after extra time ( P < 0.05) and with single-fiber analyses revealing depleted or very low glycogen levels in ~75% of both slow and fast twitch fibers. Blood glucose did not change during the first 90-min but declined ( P < 0.05) to 81 ± 8 mg·dL -1 after extra time. Plasma glycerol and ammonia peaked at 236 ± 33 mg·dL -1 and 75 ± 21 µmol·L -1 after the extra period. CONCLUSIONS: These findings demonstrate exacerbated fatigue after extra time compared with normal time, which seems to be associated with muscle glycogen depletion, reductions in blood glucose levels, and hyperammonemia. Together, this points to metabolic disturbances being a major part of the integrated and multifaceted fatigue response during extended soccer match play.

Acute arm and leg muscle glycogen and metabolite responses to small-sided football games in healthy young men.

PURPOSE: Studies have indicated upper body involvement during football, provoking long-term muscular adaptations. This study aimed at examining the acute metabolic response in upper and lower body skeletal muscle to football training organized as small-sided games (SSG). METHODS: Ten healthy male recreational football players [age 24 ± 1 (± SD) yrs; height 183 ± 4 cm; body mass 83.1 ± 9.7 kg; body fat 15.5 ± 5.4%] completed 1-h 5v5 SSG (4 × 12 min interspersed with 4-min recovery periods). Muscle biopsies were obtained from m. vastus lateralis (VL) and m. deltoideus (DE) pre- and post-SSG for muscle glycogen and metabolite analyses. Blood lactate samples were obtained at rest, middle and end of the SSG. RESULTS: Muscle glycogen in VL decreased (P < 0.01) by 21% and tended (P = 0.08) to decrease in DE by 13%. Muscle lactate increased in VL (117%; P < 0.001) and DE (81%; P < 0.001) during the game, while blood lactate rose threefold. Muscle ATP and PCr were unaltered, but intermuscular differences were detected for ATP at both time points (P < 0.001) and for PCr at pre-SSG (P < 0.05) with VL demonstrating higher values than DE, while muscle creatine rose in VL (P < 0.001) by 41% and by 22% in DE (P = 0.02). Baseline citrate synthase maximal activity was higher (P < 0.05) in VL compared to DE, whereas baseline muscle lactate concentration was higher (P < 0.05) in DE than VL. CONCLUSION: The upper body may be extensively involved during football play, but besides a rise in muscle lactate in the deltoideus muscle similar to the leg muscles, the present study did not demonstrate acute metabolic changes of an order that may explain the previously reported training effect of football play in the upper extremities.

Can psychological characteristics, football experience, and player status predict state anxiety before important matches in Danish elite-level female football players?

Elite football can make players feel nervous, and personality characteristics, as well as experience, affect how well pressure is handled before important games. Studying the psychological characteristics of female football players can provide information on how well psychological pressure is handled and generate knowledge on how to support players in order to improve performance. Based on a sample of 128 female elite football players from 8 top-level teams, the present study investigates whether psychological characteristics and football experience/player stus in elite female football players can predict state anxiety before important matches. Our results outline that high age and national team experience negatively predicted most of the trait anxiety subscales. In line with previous research, no psychological differences were found between goalkeepers, defenders, midfielders, and strikers while starting players revealed to have significantly lower trait anxiety. When measuring before important matches, we found that somatic state anxiety was negatively associated with senior national team experience and positively associated with worry trait anxiety and fear of failure. Cognitive state anxiety was negatively associated with hope for success and positively associated with somatic and worry trait anxiety. Self-confidence was positively associated with youth national team experience and negatively associated with worry trait anxiety. It can be concluded that psychological characteristics and national team experience are both important for optimal state anxiety before important matches in elite-level women's football. Implications for practice and future research are discussed.

Physical performance and loading for six playing positions in elite female football: full-game, end-game, and peak periods.

The present study investigated the position-specific match demands and heart rate response of female elite footballers, with special focus on the full-game, end-game, and peak-intensity periods. In total, 217 match observations were performed in 94 players from all eight teams of the best Danish Women's League, that is, goalkeepers (GK, n = 10), central defenders (CD, n = 23), full-backs (FB, n = 18), central midfielders (CM, n = 28), external midfielders (EM, n = 18), and forwards (FW, n = 11). Positional data (GPS; 10 Hz Polar Team Pro) and HR responses were collected. HRmean and HRpeak were 87%-89% and 98%-99% of HRmax , for outfield players, with no positional differences. CM, EM, and FB covered 8%-14% greater (P < .001) match distances than CD. EM, FW, FB, and CM performed 40%-64% more (P < .05) high-speed running and 41%-95% more (P < .01) very-high-speed running (VHSR) than CD. From the first to the last 15-minute period, total distance, except for FW, number of VHSR, except FB, peak speed and sum of accelerations and sum of decelerations decreased (P < .05) for all outfield positions. In the most intense 5-minute period, EM, FB, and CM performed 25%-34% more (P < .01) HSR than CD, whereas EM, FW, and FB performed 36%-49% more (P < .01) VHSR than CD. In conclusion, competitive elite female matches impose high physical demands on all outfield playing positions, with high aerobic loading throughout matches and marked declines in high-speed running and intense accelerations and decelerations toward the end of games. Overall physical match demands are much lower for central defenders than for the other outfield playing positions, albeit this difference is minimized in peak-intensity periods.

Muscle metabolism and impaired sprint performance in an elite women's football game.

The present study examined skeletal muscle metabolism and changes in repeated sprint performance during match play for n = 20 competitive elite women outfield players. We obtained musculus vastus lateralis biopsies and blood samples before, after, and following intense periods in each half of a friendly match, along with 5 × 30-meter sprint tests and movement pattern analyses (10-Hz S5 Global Positioning System [GPS]). Muscle glycogen decreased by 39% and 42% after an intense period of the second half and after the match, respectively, compared to baseline (p < 0.05). Post-match, 80% type I fibers and 69% type II fibers were almost empty or completely empty of glycogen. Muscle lactate was higher (p < 0.05) after the intense period of the first half and post-match compared to baseline (14.3 ± 4.6 (±SEM) and 12.9 ± 5.7 vs. 6.4 ± 3.7 mmol/kg d.w.). Muscle phosphocreatine was reduced (p < 0.05) by 16% and 12%, respectively, after an intense period in the first and second half compared to baseline. Blood lactate and glucose increased during the match and peaked at 8.4 ± 2.0 and 7.9 ± 1.2 mmol/L, respectively. Mean 5 × 30 m sprint time declined by 3.2 ± 1.7 and 7.0 ± 2.1% after the first and second half, respectively, and 4.7 ± 1.6% (p < 0.05) after an intense period in the first half compared to baseline. In conclusion, match play in elite female football players resulted in marked glycogen depletion in both fiber types, which may explain fatigue at the end of a match. Repeated sprint ability was impaired after intense periods in the first half and after both halves, which may be associated with the observed muscle metabolite perturbations.

Skeletal muscle phenotype and game performance in elite women football players.

We combined game activity analyses with skeletal muscle phenotypes and comprehensive physiological testing to elucidate factors of importance for physical performance in elite women's football. GPS-data from an experimental game, sprint and endurance testing, and muscle tissue analysis of metabolic enzyme activity, protein expression and fiber type composition were completed for international top-level women players (n = 20; age; 23 ± 4 yrs, height; 166 ± 10 cm, weight; 60 ± 8 kg; VO2max ; 51 ± 6 ml/min/kg). Muscle monocarboxylate transporter 4 (MCT4) protein expression explained 46% of the variance in total game distance, while the ability to maintain high-intensity running (HIR) during the final 15 min of the game correlated to myosin heavy chain 1 (MHCI) and Na+ -K+ ATPase ß1, FXYD1 (phospholemman) and superoxide dismutase 2 (SOD2) protein expression (range: r = 0.51-0.71; all p < 0.05). Total HIR distance correlated with (MHCIIa) protein expression (r = 0.51; p < 0.05), while muscle Na+ /H+ exchanger 1 (NHE1) protein explained 36% of the variance in game sprint distance (p < 0.05). Total game accelerations (actions >4 m/s2 ) correlated with platelet endothelial cell adhesion molecule (PECAM-1) protein expression (r = 0.51; p < 0.05), while concentric knee flexor strength explained 42-62% of the variance in intense decelerations (>4 m/s2 ). In conclusion, for elite women players' game endurance performance and resistance to end-game fatigue were affected by monocarboxylate transporter expression and myosin heavy chain profile. HIR was also correlated to ion transporter expression and muscle antioxidative capacity. Finally, the importance of functional strength and measures of muscle vascularization in relation to total game decelerations and accelerations, respectively, illustrates the complex physiological demands in elite women's football.

Exercise Intensity and Technical Involvement in U9 Team Handball: Effect of Game Format.

The purpose of this study was to quantify the exercise intensity and technical involvement of U9 boys' and girls' team handball during different game formats, and the differences between genders. Locomotor activity (total distance, distance in speed zones, accelerations, and decelerations), heart rate (HR), and technical involvement (shots, goals, and duels) metrics were collected during various 15 min game formats from a total of 57 Danish U9 players (37 boys and 20 girls). Game formats were a small size pitch (20 × 13 m) with 3 vs. 3 players and offensive goalkeepers (S3 + 1) and 4 vs. 4 players (S4), a medium size pitch (25.8 × 20 m) with 4 vs. 4 (M4) and 5 vs. 5 (M5) players, and a large size pitch (40 × 20 m) with 5 vs. 5 (L5) players. Boys and girls covered a higher total distance (TD) of high-speed running (HSR) and sprinting during L5 games compared to all other game formats (p < 0.05; ES = (-0.9 to -2.1), (-1.4 to -2.8), and (-0.9 to -1.3) respectively). Players covered the highest amount of sprinting distance in L5 games compared to all other game formats (p < 0.01; ES = 0.8 to 1.4). In all the game formats, players spent from 3.04 to 5.96 min in 180-200 bpm and 0.03 min to 0.85 min in >200 bpm of the total 15 min. In addition, both genders had more shots in S3 + 1 than M5 (p < 0.01; ES = 1.0 (0.4; 1.7)) and L5 (p < 0.01; ES = 1.1 (0.6; 2.2)). Team handball matches have high heart rates, total distances covered, and high-intensity running distances for U9 boys and girls irrespective of the game format. Locomotor demands appeared to be even higher when playing on larger pitches, whereas the smaller pitch size and fewer players led to elevated technical involvement.

Fitness and Performance Testing of Male and Female Beach Soccer Players-A Preliminary Investigation.

Purpose: This study aimed to compare performance on sand and a firm surface and to describe the physical capacity of male and female beach soccer players. Methods: Sixty-six male and 29 female competitive beach soccer players voluntarily participated in this study. Firstly, within-subjects test scores were compared to scores on a firm surface (criterion validity; n = 15 men) and reconducted on a second occasion (reliability; n = 51 men). Secondly, the best score on sand was retained to compare test performance between ages (classified as below 20, 20-30, and above 30 years) and sexes. Performance assessments included sprint time over 5 and 15 m (once on a firm surface and twice on sand), standing long jump (SLJ, once on a firm surface and twice on sand) and Yo-Yo intermittent recovery level 1 (Yo-Yo IR1, once on a firm surface and once on sand; only data for men were available). Results: Five-m sprint and Yo-Yo IR1 performance on sand were not correlated to performance on a firm surface (P > 0.05). Test-retest reliability was acceptable for the 15-m sprint and SLJ tests (ICC > 0.90; CV < 5%). Performance in 15-m sprint and maximal sprinting speed were moderately lower in male players aged above 30 years. compared to players aged below 30 years (d = 0.35-0.42; P < 0.05). Irrespective of the age group, weight-bearing power-based performance mass was moderately to very largely higher in male players than in female players (d = 0.42-0.88; P < 0.05). Conclusions: The lack of a consistent relationship between performance on sand and on a firm surface might indicate the need to develop specific test batteries for sand-based athletes. Age-related differences in physical performance were evident only in sprint capacity. Further studies are warranted to elucidate our preliminary findings and to develop the sand specific tests.

On-Ice and Off-Ice Fitness Profiles of Elite and U20 Male Ice Hockey Players of Two Different National Standards.

Vigh-Larsen, JF, Haverinen, MT, Panduro, J, Ermidis, G, Andersen, TB, Overgaard, K, Krustrup, P, Parkkari, J, Avela, J, Kyröläinen, H, and Mohr, M. On-ice and off-ice fitness profiles of elite and U20 male ice hockey players of two different national standards. J Strength Cond Res 34(12): 3369-3376, 2020-Differences in body composition and performance were investigated between elite and U20 male ice hockey players of 2 different national standards. One hundred seventy-nine players were recruited from the highest Finnish (n = 82) and Danish (n = 61) national level, as well as from 1 U20 team from Finland (n = 19) and Denmark (n = 17). Body composition and countermovement jump performance (CMJ) were measured off-ice in addition to on-ice assessments of agility, 10- and 30-m sprint performance, and endurance capacity (the maximal Yo-Yo Intermittent Recovery Level 1 Ice Hockey Test, Yo-Yo IR1-IHmax). Large differences in on-ice performances were demonstrated between Finnish and Danish elite players for agility, 10- and 30-m sprint performance (2-3%, P ≤ 0.05), and Yo-Yo IR1-IHmax performance (15%, P ≤ 0.05). By contrast, no differences (P > 0.05) were present between elite players for CMJ ability or body composition. However, elite players possessed more body and muscle mass than U20 players. Finally, the Finnish U20 cohort had a similar performance level as the Danish elite players and superior 10-m sprint performance, whereas the Danish U20 level was inferior to the other groups in every performance assessment (P ≤ 0.05). In conclusion, on-ice speed and endurance differ markedly between elite players of 2 different national standards with no distinction in body composition or CMJ ability. Moreover, the most consistent difference between U20 and senior elite players was related to body and muscle mass. These results highlight the usefulness of on-ice assessments and suggest the importance of on-ice high-intensity training in elite players in addition to training targeted the development of lean body mass in youth prospects.

Anthropometric and fitness associations in U17 Italian football players.

BACKGROUND: The purpose of this study was to determine possible relationships between anthropometric characteristics and functional capacities in young football (soccer) players. METHODS: Anthropometric characteristics, estimated peak height velocity (PHV), muscular endurance (sit-up), lower-limb power (countermovement jump, CMJ), sprint time over 5 and 15 m (T5 and T15), agility (Arrowhead agility test), repeated sprint ability (RSA), intermittent recovery capacity (Yo-Yo intermittent recovery test, Yo-Yo IR1) and technical skills (short dribbling tests) were assessed in a group of U17 players (N.=47) competing at regional level. Magnitude-based inferences were used for analyses. RESULTS: Players with later PHV had greater muscle endurance (r [90% CIs] =0.41 [0.18; 0.59]) and CMJ (r=0.47 [0.25; 0.64]). Body mass, height and percentage of fat mass were positively associated to T5 and T15 (r=0.24-0.47). CMJ was moderately associated with agility, T5, T15 and Yo-Yo IR1 performance (r=-0.42 [-0.60; -0.19], -0.57 [-0.71; -0.38], 0.35[0.11; 0.54], respectively). Quickest players over 15 m were also the most agile and the most capable to perform intermittent recovery exercise (r=0.30-0.36). No significant correlations were found for RSA and other variables. CONCLUSIONS: Body size is likely detrimental for power-related capacities (tallest and heaviest players reported the lowest sprint performance). Notwithstanding, sprint and jump were related to greater intermittent recovery performance. However, caution should be taken when generalizing our findings, given our reduced sample size. In addition, our observed correlations were of small-to-moderate magnitude, and therefore, future research should explore further determinants of functional capacities in these age-group players.

Anthropometric and Functional Profile of Selected vs. Non-Selected 13-to-17-Year-Old Soccer Players.

The purpose of this study was to compare anthropometric and functional profiles of 13-to-17-year-old soccer players according to their competitive level. Height, body mass, percentage of body fat, countermovement jump height, change of direction ability, 5- and 15-m sprint times, repeated sprint ability (RSA), intermittent recovery performance, and dribbling skills were collected in 115 young Italian soccer players. Players were divided into selected (i.e., competing at national level, n = 17 U15 and 47 U17) and non-selected (i.e., competing at regional level, n = 43 U15 and 8 U17) groups. U17 selected players were taller, quicker over 5 and 15 m, more agile, and had better RSA, prolonged intermittent recovery ability, and dribbling skills than their non-selected counterparts (d = 0.28-0.55, p < 0.05). In particular, selected players showed lower times on the first three and the last shuttle of the RSA test (d = 0.28-0.34, p < 0.05). No significant differences were observed in U15 players (p > 0.05). Discriminant analysis revealed that dribbling skills, 15-m sprint time, and height best discriminate U17 players by competitive level (p < 0.001). Anthropometric characteristics and functional abilities can discriminate across competitive standards between male U17 but not U15 soccer players. In particular, these findings suggest the importance of dribbling skills, 15-m sprint, and height in U17 players.

Muscle Metabolism and Fatigue during Simulated Ice Hockey Match-Play in Elite Players.

PURPOSE: The present study investigated muscle metabolism and fatigue during simulated elite male ice hockey match-play. METHODS: Thirty U20 male national team players completed an experimental game comprising three periods of 8 × 1-min shifts separated by 2-min recovery intervals. Two vastus lateralis biopsies were obtained either during the game (n = 7) or pregame and postgame (n = 6). Venous blood samples were drawn pregame and at the end of the first and last periods (n = 14). Activity pattern and physiological responses were continuously monitored using local positioning system and heart rate recordings. Further, repeated-sprint ability was tested pregame and after each period. RESULTS: Total distance covered was 5980 ± 199 m with almost half the distance covered at high skating speeds (>17 km·h). Average and peak on-ice heart rate was 84% ± 2% and 97% ± 2% of maximum heart rate, respectively. Muscle lactate increased (P ≤ 0.05) more than fivefold and threefold, whereas muscle pH decreased (P ≤ 0.05) from 7.31 ± 0.04 pregame to 6.99 ± 0.07 and 7.13 ± 0.11 during the first and last periods, respectively. Muscle glycogen decreased by 53% postgame (P ≤ 0.05) with ~65% of fast- and slow-twitch fibers depleted of glycogen. Blood lactate increased sixfold (P ≤ 0.05), whereas plasma free fatty acid levels increased 1.5-fold and threefold (P ≤ 0.05) after the first and last periods. Repeated-sprint ability was impaired (~3%; P ≤ 0.05) postgame concomitant with a ~10% decrease in the number of accelerations and decelerations during the second and last periods (P ≤ 0.05). CONCLUSIONS: Our findings demonstrate that a simulated ice hockey match-play scenario encompasses a high on-ice heart rate response and glycolytic loading resulting in a marked degradation of muscle glycogen, particularly in specific sub-groups of fibers. This may be of importance both for fatigue in the final stages of a game and for subsequent recovery.

Adapted recreational football small-sided games improve cardiac capacity, body composition and muscular fitness in patients with type 2 diabetes.

BACKGROUND: The usefulness of adapted small-sided games (SSGs) in improving cardiac function in subjects with T2DM is still debated. Here we evaluated the effects of 18 weeks indoor muscular activation training (6 weeks; IMA) followed by adapted SSGs football training (12 weeks) on cardiac function, muscular fitness, body composition and adiponectin expression in sedentary T2DM volunteers. METHODS: Six T2DM patients underwent IMA protocol of 6 weeks, twice a week followed by 12 weeks SSGs (5-a-side, once a week) training. Glucose, lipid profile and serum homocysteine concentration, body composition (BC), bone mineral density (DEXA), were determined at baseline and after 18 weeks (IMA+SSGs). VO2max and muscular fitness were recorded at baseline and after IMA (6 weeks) and SSGs (12 weeks), respectively. RESULTS: No significant differences were found for VO2max and muscular fitness after 6weeks of IMA. After 18 weeks (6 weeks IMA + 12 weeks SSGs) of training, significant improvements were found in the following parameters: work capacity, VO2peak, Ventilation (VEpeak), breathing reserve consumption and oxygen uptake efficiency slope (P<0.05); leg fitness (P<0.05), BC (P<0.05), vertebral column T-score (P<0.01) and adiponectin (total and high-molecular-weight; P<0.05). Compared to baseline, a reduction in serum homocysteine occurred after 18 weeks of training (P<0.05). CONCLUSIONS: We evidenced that weekly adapted SSGs friendly football matches for 12 weeks improve cardiorespiratory capacity and the expression of independent markers associated with cardiovascular risk in T2DM patients, suggesting an overall reduced CVD-risk in these patients. These preliminary data encourage us to test the efficacy of this type of exercise in a larger population.

The "11 for Health in Denmark" intervention in 10- to 12-year-old Danish girls and boys and its effects on well-being-A large-scale cluster RCT.

BACKGROUND: The present study investigates the well-being effects for 10- to 12-year-old children  who participated in the school-based intervention "11 for Health in Denmark," which comprises physical activity (PA) and health education. Subgroup analyses were carried out for boys and girls. METHOD: Three thousand sixty-one children were randomly assigned to an intervention group (IG) or a control group (CG) by 5:1 cluster randomization by school. 2533 children (mean age 11.5 ± 0.4; 49.7% boys) were assigned to IG and 528 children (mean age 11.4 ± 0.5; 50.8% boys) were assigned to CG. IG participated in the "11 for Health in Denmark" 11-week program, consisting of 2 × 45 min per week of football drills, small-sided games, and health education. CG did not participate in any intervention and continued with their regular education. Before and after the intervention period, both groups answered a shortened version of the multidimensional well-being questionnaire KIDSCREEN-27. RESULTS: The "11 for Health in Denmark" intervention program had a positive effect on physical well-being in girls (IG: 48.6 ± 8.5 to 50.2 ± 9.3), whereas the improvement was not significant in boys. The program also had a positive impact on well-being scores for peers and social support (IG: 50.2 ± 10.2 to 50.8 ± 10.1), though when analyzed separately in the subgroups of boys and girls the changes were not significant. No between-group differences were found for psychological well-being or school environment. CONCLUSION: The intervention program had a positive between-group effect on physical well-being in girls, whereas the change was not significant in boys. The overall scores for peers and social support improved during the intervention period, but no subgroup differences were found.

The Arrowhead Agility Test: Reliability, Minimum Detectable Change, and Practical Applications in Soccer Players.

Rago, V, Brito, J, Figueiredo, P, Ermidis, G, Barreira, D, and Rebelo, A. The arrowhead agility test: Reliability, minimum detectable change, and practical applications in soccer players. J Strength Cond Res 34(2): 483-494, 2020-Four independent studies were conducted to examine the utility of the arrowhead agility test (AAT) to measure change of direction (COD) capacity in soccer players, specifically, (a) intersession reliability and minimum detectable change (n = 24); (b) power-dependent abilities associated with AAT performance (n = 56); and (c) fatigue sensitivity (n = 20); differences between competitive levels and age groups (n = 264). Irrespective of the AAT outcome measure (skillful side, less-skillful side, sum of both), intersession reliability and the ability to detect changes in performance were good (ICC = 0.80-0.83; CV = 1.25-2.21%; smallest worthwhile change, 0.06-0.12 >SEM, 0.01-0.03) except for the asymmetry index. A 15-m sprint explained a significant amount of variance in COD (p < 0.01; R = 0.42). Arrowhead agility test performance did not change from the prematch toward half time (p = 0.21). However, reduced COD performance was observed after an intense period in the second half and after the game, compared with prematch and half-time performance (p < 0.05; effect size [ES] = -0.85 to 0.42). Irrespective of age group, national players were more agile than regional players (p < 0.05; ES = -1.97 to -0.36). Moreover, independently of their competitive level, senior and U18 players had a better performance than U16 (p < 0.05; ES = -2.33 to -0.84), whereas no significant differences were observed between senior and U18. Percentiles were also reported in the results. The AAT is reliable to measure COD in soccer players. The test may simultaneously encompass 15-m sprint testing but should be implemented independently to countermovement jump. Furthermore, the test is sensitive to match-induced fatigue during the second half and discriminates players from different competitive levels.

Effects of a 6-Week Faroese Chain Dance Programme on Postural Balance, Physical Function, and Health Profile in Elderly Subjects: A Pilot Study.

The present pilot study investigates the impact of a Faroese chain dance intervention on health profile, mobility, and postural balance in elderly subjects. Healthy elderly subjects (n=27; age 75 ± 5 yrs) were randomised into an intervention group (IG) and a control group (CG). IG performed twice-weekly sessions of Faroese chain dance over 6 weeks. Dancing sessions lasted 30 min in the initial 3 weeks and 45 min in the final 3 weeks. Health profile was determined before and after intervention by measuring blood pressure, resting heart rate, muscle mass, and body fat content. Postural balance was evaluated using the Berg Balance Scale (BBS) and Fullerton Advanced Balance Scale (FAB) tests, while mobility was assessed using the Short Physical Performance Battery (SPPB), the Timed Up & Go (TUG) test, the 6-min walk test, and the 30-s sit-to-stand test. Systolic and diastolic blood pressure were lowered (9 ± 6 and 6 ± 3 mmHg, respectively) in IG, with a tendency (P=0.07) for a greater change score than in CG. Mean arterial pressure declined (P<0.05) by 7 ± 3 mmHg in IG, which tended (P=0.09) to be greater than in CG. IG improved (P<0.05) on BBS and FAB scores by 3.6 ± 2.1% and 15.8 ± 8.3%, with the change score for FAB being greater (P<0.05) than in CG (0.3 ± 1.6). Moreover, the postintervention SPPB score was improved (P<0.05) more in IG (13.9 ± 7.4%) compared to CG, while performance in the 30-s sit-to-stand, 6-min walk, and TUG tests improved (4-15%; P<0.05) in IG only. Body fat content was reduced (P<0.05) from 36.3 ± 2.8% to 34.8 ± 2.8% in IG, with no between-group differences and no change in CG (34.1 ± 2.8% to 33.7 ± 3.1%). In conclusion, a 6-week Faroese chain dance programme lowers blood pressure and improves postural balance and physical function in elderly.

Activity Profile, Heart Rate, Technical Involvement, and Perceived Intensity and Fun in U13 Male and Female Team Handball Players: Effect of Game Format.

The aim of the study was to compare the activity pattern, heart rate (HR), technical involvement, and subjective perceptions in U13 boys and girls playing team handball in five game formats. Activity pattern, heart rate (HR), technical involvement, perceived fun, and exertion were recorded from four girls teams (n = 24) and four boys teams (n = 24) played during a 1-day tournament consisting of five different game formats of 15-min duration: Medium court size, 4v4 (M4v4), 5v5 (M5v5), and 6v6 (M6v6), and large court size, 5v5 (L5v5) and 6v6 (L6v6). Girls covered more total distance (TD) and high-speed running (HSR, 13-17.9 km·h-1) on the large court compared to the medium court (p < 0.05; ES = 2.1-3.1 and 1.2-2.5, respectively). Boys covered more distance as HSR and sprinting on the large court compared to the medium court, but only more TD on the large court compared to the medium court with the same number of players, (p < 0.05; ES = 1.0-1.8, 1.0-1.8, and 1.1-1.8, respectively). Team handball for U13 boys and girls is a high-intensity activity irrespective of court size. Increasing the court size with a fixed number of players increased the total distance and HSR, whereas manipulating the number of players on a fixed court size appears to influence technical involvement.