Background In modern professional soccer, the ability to recover from official match-play and intense training is often considered a determining factor in subsequent performance. Objective To investigate the influence of playing multiple games with a short recovery time between matches on physical activity, technical performance and injury rates. Methods The variation of physical (overall distance, light-intensity, low-intensity, moderate-intensity and high-intensity running) and technical performance (successful passes, balls lost, number of touches per possession and duels won) of 16 international players was examined during three different congested periods of matches (six games in 18 days) from the French League and Cup (n=12), and the UEFA Champions' League (n=6) during the 2011-2012 season and compared with that reported in matches outside these periods. Data were collected using a computerised match analysis system (Amisco). Injury rate, time loss injuries, as well as the mechanism, circumstances and severity of the injury were also analysed. Results No differences were found across the six successive games in the congested period, and between no congested and the three congested periods for all the physical and technical activities. The total incidence of injury (matches and training) across the prolonged congested periods did not differ significantly to that reported in the non-congested periods. However, the injury rate during match-play was significantly higher during the congested period compared with the noncongested period ( p<0.001). The injury rate during training time was significantly lower during the congested period compared with the non-congested periods ( p<0.001). The mean lay-off duration for injuries was shorter during the congested periods compared with the non-congested periods (9.5±8.8 days vs 17.5±29.6 days, respectively p=0.012, effect sizes=0.5). Conclusions Although physical activity, technical performance and injury incidence were unaffected during a prolonged period of fixture congestion, injury rates during training and match-play and the lay-off duration were different to that reported in matches outside this period.

The aim of this study was to examine variations in measures of body composition in elite soccer players. Skinfolds and measures of body mass (BM) recorded on a monthly basis across an entire competitive season in a group of senior professional players (n = 26) were used to estimate percentage body fat (%BF) and provide fat-free body mass (FFBM) values. Mean values in players were compared between 6 specific positional roles (goalkeepers, central and lateral defenders/midfielders and center-forwards). In-season variations in measures were studied by comparing values at 5 separate points across the season. The effects of positional group (goalkeepers, defenders, midfielders, and forwards) and exposure time to play (participation time in training and matches) in relation to in-season variations were also examined. To investigate interseasonal changes, repeated measures were taken in players (n = 9) over 3 consecutive seasons. In relation to positional role, a difference in average %BF and BM values was observed (p < 0.001), with substantial differences observed in goalkeepers, lateral midfielders, and forwards. Across all players, there were significant in-season variations in %BF (between start- and mid-season and mid- and end-season, p < 0.001) and FFBM (between start- and mid-season and start- and end-season, p < 0.001), whereas BM remained unchanged. Further analysis of these fluctuations in %BF and FFBM at different points of the season showed that variations differed across the positional groups (p < 0.01), especially in defenders and midfielders. In contrast, no association was observed between measures and exposure time and no differences were reported across seasons. Practitioners should consider individual positional role when interpreting mean body composition data. They should also take into account positional groups when in-season variations in body composition are identified.

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Background: In elite athletes, training individualization is widely recommended to optimize competitive performance. Previous studies have evidenced the impact of hormonal fluctuations on different performance parameters among female athletes. While consideration of menstrual cycle (MC) phases as a parameter in training individualization strategies is necessary, systematic evidence identifying such impacts in elite athletes should be evaluated.Objective: Systematically review publications that have investigated the link between MC phases and performance in elite female athletes. The overarching aim is to identify whether a consensus across studies exists enabling evidence-based recommendations for training individualization depending on menstrual cycle phases.Methods: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Three major scientific publication databases were searched from inception until November 3, 2020. Studies included focused on the influence of physiological or psychological parameters throughout at least one phase of the menstrual cycle of elite athletes.Results: A total of 780 search results were yielded and 26 references from a past bibliography were added manually. About 662 papers were reviewed of which 218 studies were assessed for eligibility. Of these, only seven (1%) precisely investigated the influence of a performance or physical parameter during at least one menstrual cycle phase. These seven studies included a total of 314 elite female participants (20.58 ± 1.91 years). Three used interviews, questionnaires or prospective analyses of reports. Four conducted several performance tests or included physical measures although only two performed tests during training or before/during competition. Among the seven studies, five performed hormonal testing through sampling of blood, saliva, or urine. The remaining relied on athletes’ menstruation diaries. The current evidence suggests a variable association between menstrual cycle and a few performance-related outcomes, such as endurance or power resistance, ligament stiffness, decision making skills, psychology, or competitiveness.Conclusion: Different sports performance-related parameters are affected during the menstrual cycle among elite athletes, but the parameters themselves and the magnitude and the direction of the effects are inconclusive. Additional longitudinal and prospective studies to systematically monitor on-field performance parameters are urgently required in order to enable recommendations and training individualization in female elite athletes.

Due to the continual physical, physiological, and psychological demands of elite level soccer increasing the incidence and risk of injuries, preventative training programs have become a common feature of soccer players training schedule. The aim of the current investigation was to examine the effectiveness of a structured injury prevention program on the number of muscle injuries and the total number of injuries within elite professional soccer. The present study was conducted over 2 consecutive seasons, of which the first (2008-2009) being the intervention season and the second the control season (2009-2010). In total, 26 and 23 elite male professional soccer players competing within the Scottish Premier League and European competition participated. The training program was performed twice weekly for the entirety of the season (58 prevention sessions). The results revealed an increase in the total number of injuries within the intervention season (88 vs. 72); however, this was largely due to the greater number of contusion injuries sustained within the intervention season (n = 44) when compared with control season (n = 23). Significantly less muscle injuries were observed during the intervention season (moderate effect), and this occurred concomitant with a bigger squad size (large effect, p < 0.001). The findings from this study identify that a multicomponent injury prevention-training program may be appropriate for reducing the number of muscle injuries during a season but may not be adequate to reduce all other injuries.