cambios en la temporada en los indicadores del stress en futbol profesional_2011
TRANSCRIPT
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Faude O et al. Stress in high level football Int J Sports Med 2011; 32: 259265
accepted after revision
November 13, 2010
Bibliography
DOI http://dx.doi.org/
10.1055/s-0030-1269894
Published online:
January 26, 2011
Int J Sports Med 2011; 32:259265 Georg Thieme
Verlag KG Stuttgart New York
ISSN 0172-4622
Correspondence
Dr. Oliver Faude, PhD
Saarland University
Institute of Sports and
Preventive Medicine
Campus Bldg. B8.2
66123 Saarbrcken
Germany
Tel.: +49/681/302 70405
Fax: +49/681/302 4296
Key words
soccer
overreaching
fatigue
performance
match exposure
recovery
Seasonal Changes in Stress Indicators in High LevelFootball
Up to now, there are only a few studies which
evaluated the psychological and physiological
responses throughout a competitive football sea-
son. Naessens et al. [28] analysed psychological
measures together with nocturnal urinary
noradrenalin excretion 6 times throughout one
season. Based on the finding that changes in
fatigue rate (subscore of the Profile of Mood
States (POMS) questionnaire) was related to
changes in urinary noradrenalin excretion it wassuggested that these means may be useful to
monitor overtraining and overreaching in high-
level football players. Those authors also claimed
that overreaching is not uncommon in football. A
detailed analysis of training and competition
exposure, however, was not conducted in that
study. Filaire and colleagues [9, 10] reported
changes in some haematological, immunological,
hormonal and psychological variables over the
course of one complete season (including a high-
intensity training period) in male professional
football players. They concluded that a combined
psychological (POMS) and physiological moni-
IntroductionDue to the high frequency of regular matches in
modern high level football it is often assumed
that there is danger of too little time remaining
for adequate recovery during intensive competi-
tion periods. Such high demands may have a
negative impact on match performance and
injury risk [5, 7]. In particular, this might be true
for highly demanding competition phasestowards the end of a football season [7]. Monitor-
ing of the recovery-stress state and performance
may be warranted to avoid an imbalance between
stress and recovery and, thus, to prevent exces-
sive fatigue or overtraining [9]. While many stud-
ies have been conducted which evaluated a large
number of physiological correlates for the timely
diagnosis of overreaching and overtraining, no
single valid marker has been established yet [30].
Therefore, it seems worthwhile to approach the
problem of diagnosing fatigue by a multi-dimen-
sional test panel which is easily applicable in
practical settings.
Authors O. Faude1,2, M. Kellmann3,4, T. Ammann2, R. Schnittker2, T. Meyer1,2
Affiliations 1 Institute of Sports and Preventive Medicine, Saarland University, Saarbrcken, Germany; FIFA Medical Centre of Excellence2 Institute of Sports Medicine, Department of Sports and Health, University of Paderborn, Germany3 Ruhr-University of Bochum, Faculty of Sport Science, Germany4 The University of Queensland, School of Human Movement Studies, Australia
Abstract
This study aimed at describing changes in stressand performance indicators throughout a com-
petitive season in high level football. 15 players
(19.5 3.0 years, 181 5 cm, 75.7 9.0 kg) com-
peting under professional circumstances were
tested at baseline and 3 times during the season
2008/09 (in-season 1, 2, 3). Testing consisted of
the Recovery-Stress Questionnaire for Athletes
(Total Stress and Recovery score), vertical jump
tests (counter movement and drop jump (DJ)),
and a maximal ramp-like running test. Average
match exposure was higher during a 3-weeks
period prior to in-season 3 compared to in-sea-
son 1 and 2 (1.5 vs. 1 h/week, p = 0.05). TotalStress score was elevated at in-season 1 and 2
compared to baseline (p < 0.01) with a further
increase at in-season 3 (p < 0.03; generalized
eta squared (2g) = 0.37). Total Recovery scorewas decreased at in-season 1 and 3 compared
to baseline (p < 0.05; 2g = 0.21). Maximal run-
ning velocity (Vmax) and jumping heights were
not significantly affected (2g0.04). Changes
in DJ height and Vmax between baseline and in-
season 3 were correlated with the correspond-
ing changes in Total Stress score (r = 0.55 and
r = 0.61, p < 0.03). Usual match exposure dur-
ing a professional football season does not
induce relevant changes in performance indica-
tors. Accumulated stress and a lack of recovery
towards the end of a season might be indicated
by psychometric deteriorations.
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Faude O et al. Stress in high level football Int J Sports Med 2011; 32: 259265
toring (catabolic and anabolic hormones, uric acid) is appropri-
ate to monitor training stress in relation to performance (winning
percentage) in team sports. With regard to psychometric testing
the Recovery-Stress Questionnaire for Athletes enables a detailed
analysis of individual recovery-stress state and has previously
been used to monitor the influence of intense training periods
on psychological variables in different sports [4, 20, 21]. Coutts
et al. [2, 3] observed decrements in strength, speed, power and
maximal running capacity in semi-professional rugby playersafter an intensive 6-weeks training period. Similar changes in
sprint times and jumping height were reported by Kraemer and
colleagues [24] in 11 collegiate football (soccer) players compet-
ing in 19 matches during an 11-week period. As Coutts et al.
[2, 3] intended to induce a state of overreaching and Kraemer
et al. [24] analysed changes over a short season with extraordi-
nary high match exposure, data on performance changes
throughout a usual football season are still lacking.
In light of the described gaps in the existing scientific literature,
the present study aimed at describing changes in stress and per-
formance variables throughout one competitive season in high
level football players by means of a multi-dimensional panel of
diagnostic tools (Recovery-Stress Questionnaire for Athletes(RESTQ-Sport), lower leg explosive power, maximal running
capacity). To adequately simulate elite football, the study was
conducted within a professional setting.
Materials and MethodsStudy design and employed procedures are in accordance with
the Declaration of Helsinki as well as the ethical standards of the
IJSM [16]. The study was approved by the Ethics Committee of
the Medical Faculty of the University of Mnster (Northrhine-
Westphalia, Germany). Each athlete gave his written informed
consent before the start of the study.
Participants and General DesignTwo football teams (32 field players) competing under profes-
sional circumstances on a national level (3rd German league as
well as highest national U-19 league including 4 U-20 and U-19
national team members) conducted a total of 5 tests throughout
one complete season (July 2008 to May 2009 including a short
winter break (23 weeks in December) and a second short prep-
aration period (4 weeks in January), 44 weeks in total). Tests
were performed before the onset of pre-season conditioning as
well as evenly distributed throughout the season (September,November, February, April). There was at least one day between
the tests and the last match and no intensive training session on
the days prior to testing. Testing was conducted in the following
sequence: RESTQ-Sport, vertical jump testing, and a ramp-like
maximal exercise field test.
Players who were injured for more than 2 consecutive weeks
(N = 6) as well as players who changed the team during the sea-
son (N = 5) or missed at least 2 tests for other reasons (private
obligations, minor acute injuries or infections, N = 6) were
excluded. A total of 15 players (19.5 3.0 years, 181 5 cm,
75.7 9.0 kg, including 2 national team players) performed a test
at baseline (before pre-season preparation) as well as 3 times
(in-season 1, 10 weeks after baseline, in-season 2 after 21 weeks,in-season 3 after 36 weeks) during the season. There were no
significant differences at baseline between drop outs and players
who were analysed (p > 0.16). Due to testing schedule some play-
ers conducted the in-season test 2 before and the remaining
players after the winter break. There were no significant differ-
ences between those tests (p > 0.20).
Individual exposure times in training and matches (regular and
friendly matches) were recorded by the coaches. Exposure was
expressed as cumulative individual exposure (training and
match exposure [in hours] from baseline test to specifi
c test day)and acute individual exposure (training and match exposure [in
hours] in the 3 weeks prior to testing).
Material and ProceduresRecovery-Stress Questionnaire for AthletesThe RESTQ-Sport was developed with particular regard to the
requirements of high performance sports [20, 22, 23]. The
RESTQ-Sport has been used in various sports (e. g., triathlon,
swimming, football, rugby) to monitor the impact of training or
competitive seasons in athletes [20]. The version used in this
study consists of 52 items which can be aggregated to 19 scales.The items have to be self-rated on a 7-point Likert scale ranging
from 0 (never) to 6 (always) indicating how often the subject has
participated in various activities during the past 3 days/nights.
The scale values are calculated by taking the mean of the item
values (2 or 4 per scale). This enables a detailed, multi-dimen-
sional analysis of the individual recovery-stress state. The
RESTQ-Sport consists of 10 stress-associated scales (Total Stress
score, sum of scales 17 and 1315, see Table 1) and 9 recov-
ery-associated scales (Total Recovery score, sum of scales 812
and 1619, see Table 1). The questionnaire shows good relia-
bility as well as construct validity [20, 22, 23]. Players received
detailed instructions prior to the first test and were asked to
complete the RESTQ-Sport at the beginning of all testing ses-sions prior to all other tests and warm-up.
Vertical jump testingLower limb explosive power was assessed using a vertical coun-
ter movement jump (CMJ) and a drop jump (DJ) from a drop
height of 0.35 m. Flight times (t [s]) and contact time were meas-
ured using a contact mat (0.72 0.56 m). The electrical signal
was transmitted to a PC and flight time was recorded (NTG 2.0,
Haynl electronics, Schnebeck, Germany). Jumping height (h)
was calculated according to the formula: h =*9.81 m/s2*t2.
Jumps were performed with the hands placed on the hips. Dur-
ing CMJ players were advised to dip from a standing position and
immediately jump as high as possible. The take off had to bedone as a continuous movement with no observable pause
between downward and upward phases [31]. The drop jumps
had to be performed aiming at maximum height with minimum
contact time [31]. Since the flight time method can be biased by
methodological flaws (e. g. landing with leg or hip flexion, jump-
ing in horizontal direction), an experienced investigator vali-
dated each trial visually. Subjects were instructed to land in a
fully extended position. When a jump deviated from that
instruction, it was not included in the analysis. Both jumps were
performed several times (57) and the best 4 trials were recorded
and averaged for statistical analyses. Reliability of drop jump
height and contact time has previously been shown to be high
(ICC0.98) [11]. Within-subject variation has been shown to beabout 2 % for the CMJ [27].
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Faude O et al. Stress in high level football Int J Sports Med 2011; 32: 259265
Maximal exercise field testMaximal running speed (Vmax) was assessed using an incremen-
tal ramp-like exercise test until volitional exhaustion (mod.
Montreal Track Test [29]). The test was completed on a 200-m
track marked by cones placed every 50 m on a regular soccer
pitch. An artificial turf surface was chosen to minimise the influ-
ence of changing climatic conditions during the season com-
pared to natural grass. Players ran with cleated shoes. Following
an acoustic signal, the subjects performed the incremental field
test, starting from 8.0 km*h1 with speed then increasing by
1.0 km*h1
every minute. The test was terminated when theparticipant failed to reach a marked 5 m zone before the next
cone within the required time for 2 successive 50 m intervals or
if he felt unable to cover another interval at the given speed.
During the test, athletes were verbally encouraged by the techni-
cians and by their coach. If the last step was not completed, Vmax
was calculated according to:
Vmax = Vcompl+ (t/60 s) [km/h]
with Vcompl [km/h] being the last completed step and t [s] the
elapsed time of the uncompleted step.
Vmax during the ramp test has been shown to correlate well with
distances covered at various speeds (total distance, high inten-sity running, very high intensity running; correlation r~0.6) dur-
ing a football match in professional players and, thus, can be
regarded as a valid estimate of football-specific endurance
capacity [29]. Test-retest reliability for the original version of the
Montreal Track test has been reported to be r = 0.97 [25]. Within-
subject variation for peak performance in incremental exercise
tests has been reported to be about 2 % [17].
Heart rate was continuously recorded by means of a heart rate
monitor (Polar S610 and S810, Polar Electro, Kempele, Finland).
The highest heart rate before termination was taken as maxi-
mum heart rate (HRmax). Capillary blood samples (20L) were
taken before, directly after termination as well as 2, 4 and 6 min
after cessation from the hyperemized earlobe for determinationof maximal blood lactate concentrations ([bLa]max, enzymatic-
amperometric method, EBIO Plus, Eppendorf, Hamburg, Ger-
many; CV = 2.9 % for lactate values of 7 mmol*L1).
Statistical proceduresExposure times were not normally distributed and, thus, are
presented as medians. To compare exposure data, non-paramet-
ric statistical procedures were used (Friedman test for seasonal
time course, post hoc: Wilcoxon test).
All other variables were normally distributed. To analyse the
time course of changes in all dependent variables during the
whole season a repeated measures analysis of variance was cal-culated. In case of a significant global time effect, the Scheff test
was applied post hoc. Pearsons product moment correlation
was calculated to analyse absolute changes in performance and
psychological parameters between baseline and in-season test 3.
Spearmans rank correlation was used to compare absolute
changes in stress indicators with exposure times.
To assess effect sizes generalized eta squared (2g) was calcu-
lated as this measure has recently been considered most appro-
priate for repeated measures designs [1]. However, up to now 2g
is not very common in exercise science research. These values
will gain meaning when compared with other findings from
similar, future studies [1] and, thus, are mainly reported to
develop a sense for typical strength and responsiveness of thevarious variables used in this study.
An level of p < 0.05 was accepted as statistically significant.
ResultsThere was a continuous increase in exposure times throughout
the season ( Fig. 1). When analysing the 3 weeks period prior
to the tests, there was a tendency for higher exposure times in
regular matches (p = 0.052) and significantly lower training
exposure (p = 0.007) at in-season 3 compared to in-season 1 and
2. Total exposure (matches and training) was not significantly
different during the 3 weeks prior to all tests (p = 0.15).
Table 1 Results of the Recovery-Stress Questionnaire for Athletes throughout the season. Data as mean SD.
N = 15 baseline in-season 1 in-season 2 in-season 3 ANOVA 2g
1 general stress 0.7 0.4* 2.1 1.2 2.2 0.8 2.3 1.1 < 0.001 0.33
2 emotional stress 1.4 0.5* 2.7 1.0 2.6 0.9 3.3 1.3 < 0.001 0.35
3 social stress 1.8 0.5* 2.9 1.0 3.0 0.9 3.0 1.0 < 0.001 0.27
4 conflicts/pressure 1.7 1.0 2.3 0.9 2.4 1.3( + ) 2.8 0.9 + < 0.001 0.14
5 fatigue 1.8 1.1 2.6 1.6 2.4 1.1 2.8 1.0 0.10 0.08
6 lack of energy 1.6 1.0 2.0 0.8 2.2 1.0 2.6 1.2+ 0.02 0.13
7 physical complaints 1.0 0.7 1.3 0.8 1.7 1.0( + ) 2.4 1.2 + ,# < 0.001 0.27
8 success 2.6 0.9 2.3 1.0 2.6 1.0 2.5 0.8 0.73 0.02
9 social recovery 4.0 0.9 3.9 0.9 3.9 1.1 3.2 1.0( + ),(#) 0.02 0.11
10 physical recovery 3.5 1.1 3.1 1.3 3.5 1.2 3.0 0.9 0.34 0.04
11 general well-being 4.4 0.8 3.6 1.0 3.8 1.2 3.3 1.0+ 0.01 0.14
12 sleep quality 4.3 1.3 3.6 1.5 3.6 1.1 3.3 1.1+ 0.03 0.09
13 disturbed breaks 1.3 0.7 1.4 0.9 1.5 0.7 2.3 1.1+ ,#,() 0.006 0.19
14 emotional exhaustion 0.8 0.7* 1.8 1.2 1.6 0.9 2.3 0.9 < 0.001 0.26
15 injury 2.2 1.3 2.0 1.2 1.6 0.8 3.0 1.0(#), 0.003 0.18
16 being in shape 3.7 1.2 3.3 1.1 3.5 1.0 2.9 0.6 0.09 0.09
17 personal accomplishment 3.5 0.7 2.3 0.8+ 3.0 1.2 2.4 0.8+ 0.001 0.23
18 self-efficacy 4.4 0.9 3.8 1.2 4.1 1.0 3.4 0.5+ ,() 0.006 0.15
19 self-regulation 4.9 0.6 4.3 1.0 4.4 1.0 3.7 0.7+ ,() < 0.001 0.23
2g = generalized eta squared; * = baseline vs. all other tests, + = sign. different from baseline, # = sign. different from in-season 1, = sign. different from in-season 2, (in paren-theses: 0.05 < p < 0.10); scales 17 and 1315 are stress-associated scales and summed up to the Total Stress score; scales 8 12 and 1619 are recovery-associated scales and
summed up to the Total Recovery score
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Faude O et al. Stress in high level football Int J Sports Med 2011; 32: 259265
Recovery-Stress Questionnaire for AthletesSeveral stress scales of the RESTQ-Sport (General Stress, Emo-
tional Stress, Social Stress, Emotional Exhaustion) were signifi-
cantly elevated throughout the whole season compared to
baseline ( Table 1). Furthermore, results from in-season 3 were
significantly deteriorated in 5 scales (Conflicts/Pressure, Lack of
Energy, Sleep Quality, General Well-Being, Personal Accomplish-
ment) compared to baseline and in 6 scales (Physical Complaints,Injury, Disturbed Breaks, Social Recovery, Self-Regulation, Self-
Efficacy) compared to both other in-season tests. The remaining
4 scales (Fatigue, Success, Physical Recovery, Being in Shape)
showed no significant changes throughout the season.
There was a significant main time effect for Total Stress (p < 0.001,
2g= 0.37) and Recovery score (p = 0.001, 2
g= 0.21). Post hoc
testing revealed that Total Stress score was significantly enhanced
at all in-season tests when compared to baseline (p < 0.01) with
a further increase at in-season 3 (p < 0.03, Fig. 2). In addition,
Total Recovery score was decreased at in-season 1 (p = 0.05) and3 (p < 0.001) compared to baseline values and at in-season 3
compared to test 2 (p = 0.06).
Performance Tests
Jumping heights were not significantly affected throughout the
whole season ( Table 2). However, DJ contact time continu-
ously decreased with significantly lower values at in-season 2
(p = 0.02) and 3 (p < 0.001) compared to baseline. There was a sig-
nificant main time effect for the maximal velocity in the ramp
test (p = 0.04). However, post hoc analysis revealed a tendency
for a decrease in Vmax from in-season 1 towards in-season3 (p = 0.08, Table 2). No significant changes in HRmax and
[bLa]max were observed.
Individual reductions in DJ height and Vmax between baseline
and in-season test 3 were significantly correlated with corre-
sponding absolute increases in Total Stress score ( Fig. 3). In
addition, cumulative individual exposure until in-season 3 was
significantly related to absolute changes in Total Stress score
between baseline and in-season 3 ( Fig. 3). Changes in all other
parameters were not significantly related to exposure times
(p > 0.40).
DiscussionThe present study aimed at describing changes in stress indica-
tors during the competitive season in high level football players.
Our data suggest an increase in stress parameters after the prep-
aration period which is mainly displayed by changes in the
recovery-stress state. No relevant effects on physiological per-
formance could be observed throughout the competition period.
Further deteriorations in mood states parameters were apparent
towards the end of the season indicating accumulated stress and
a lack of recovery.
Meeusen et al. [26] recently defined different stages on the
(over)training continuum. Accordingly, overload training is usu-
ally designed to induce relevant adaptations leading to improvedperformance but results also in reversible acute fatigue. If train-
ing (or competition) stress is continued (possibly together with
further non-sport-specific stressors), temporary performance
decrements can occur. This state has been called functional
overreaching. Further disruptions of the balance between train-
ing or competitive stress and recovery will result in prolonged
performance decrements accompanied by severe changes in
psychological or hormonal parameters (non-functional over-
reaching or overtraining syndrome) [26].
A decreased maximal performance capacity during incremental
exercise tests has been observed in several overtraining studies
in endurance athletes [30]. Coutts et al. [2, 3] reported reduc-
tions in maximal oxygen uptake, maximal aerobic velocity andperformance in a multi-stage fitness test after 6 weeks of over-
350
300 regular matches
friendly matches
training250
200
150
100
50
0
30
25
20
15
10
3wee
ksexposuretime[h]
totale
xposuretime[h]
5
0in-season 1 in-season 2 in-season 3
*
Fig. 1 Total exposure until tests (top) as well as during the 3 weeks
period prior to tests (bottom). * = training exposure significantly different
from in-season 1 and 2; Data as medians with lower and upper quartiles.
50*
*
#
#
(*)
Total Stress scoreTotal Recovery score
40
30
score
20
10
0baseline in-season 1 in-season 2 in-season 3
Fig. 2 Total Stress score and Total Recovery score of the Recovery-Stress
Questionnaire for Athletes throughout the season. #= Total Stress score
significantly different from all other tests; * = Total Recovery score signifi-cantly different between marked tests; (in parentheses: 0.05 < p < 0.10).
Data as mean SD.
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Faude O et al. Stress in high level football Int J Sports Med 2011; 32: 259265
load training in semi-professional rugby players. Thus, a
decreased maximal exercise capacity may also be useful as amarker of overreaching in team sport athletes. It seems, how-
ever, questionable, if the slight reduction in Vmax towards the
end of the season, which was observed in the present study, is
really indicative of overreaching. A slight decrease in endurance
capacity seems also possible.
A negative impact of excessive stress on power abilities has pre-
viously been reported in team sport athletes. For instance, Krae-
mer et al. [24] reported deteriorations in speed, jumping heights
and strength parameters during a 11-weeks competitive period
(including 19 matches) in 11 collegiate football (soccer) players.
Those impairments were considered critical for football players,
particularly during the latter stages of the season [24] . Similarchanges in power parameters after an intensive training period
in rugby players were reported by Coutts et al. [2, 3]. These stud-
ies either intended to induce a state of overreaching [2, 3] or ana-
lysed an 11-weeks period of extraordinary high match exposure
on performance markers [24]. The exact reasons for the reported
deteriorations in speed and power are unknown. In the present
study jumping heights remained unaffected. A significant
decrease in drop jump contact time from baseline to the first in-
season test was observed. This improvement is likely due to the
pre-season training which comprised plyometric training and
football-specific movement pattern including stretch-shorten-
ing-cycle activities. During the season drop jump contact time
remained nearly constant.To summarize, the slight changes in Vmax as well as in drop jump
contact time during the season seem to be of minor practical
relevance. Therefore, when comparing the results of Coutts et al.
[2, 3] and Kraemer et al. [24] with our data, it seems justified to
conclude that on a group average no relevant physiological signs
of fatigue or overreaching were present over the course of the
football season.
More pronounced changes could be observed in the recovery-
stress state. The RESTQ-Sport has been used in different sports
for monitoring the impact of training on mood states [4, 19 21].
Considerable differences in most RESTQ-Sport scales as well as
in Total Stress and Total Recovery scores between baseline and
in-season measurements may refl
ect increased stress during theseason compared to a more recovered state after the transition
period prior to the beginning of the season. However, no extraor-
dinary in-season values were observed. Mean group values for
all subscores were between 2 and 3 (according to sometimes)
for the stress scales and around 4 (according to often) for the
recovery scales on the 7-point Likert scale. Towards the end of
the season further deteriorations in several areas were present.
At in-season 3 players had the highest cumulated as well as the
highest acute match exposition. A moderate correlation was
observed between cumulated total football exposure and abso-
lute changes in Total Stress score. Furthermore, both participat-
ing teams were involved in the struggle against relegation. It
may be speculated that this could at least partly be responsiblefor the observed changes in the recovery-stress state. In particu-
4
2
0
r = 0.55,
r = 0.61,
r = 0.52,
p = 0.03
p = 0.02
p = 0.05
2
DJheight[cm]
Vmax
[km+h1]
Totalexposure[h]
4
6
8
10
1.0
0.5
0.0
0.5
1.0
1.5
450
400
350
300
250
200
150
5 0 5 10 15 20 25
5 0 5 10 15 20 25
5 0 5
RESTQ-Sport Total Stress score
RESTQ-Sport Total Stress score
RESTQ-Sport Total Stress score
10 15 20 25
Fig. 3 Correlations between absolute changes (baseline to in-season
test 3) in RESTQ-Sport Total Stress score and absolute changes in drop
jump height (DJ, top), maximal ramp test velocity (Vmax, middle) and
cumulative total exposure (bottom). RESTQ-Sport = Recovery-Stress
Questionnaire for Athletes.
Table 2 Results of the
performance tests throughout
the season. Data as mean SD.
N = 15 baseline in-season 1 in-season 2 in-season 3 ANOVA 2g
CMJ height [cm] 36.4 2.5 36.4 2.7 36.6 3.4 36.7 4.0 0.96 0.002
DJ height [cm] 34.6 3.4 34.9 4.2 34.2 4.7 33.4 4.6 0.21 0.02
DJ contact time [ms] 217 38* 203 26 198 34 192 28 < 0.001 0.08
Vmax [km*h1] 18.0 0.8 18.3 0.7 18.0 0.8 17.9 0.9(#) 0.08 0.04
HRmax [min1] 194 8 192 7 192 6 191 6 0.31 0.03
[bLa]max [mmol*L1] 11.2 2.0 10.7 2.2 10.3 2.1 10.3 2.0 0.23 0.03
2g = generalized eta squared; CMJ = counter movement jump, DJ = drop jump, V max = maximal velocity, HRmax= maximal heart rate,[bLa]max = maximal blood lactate concentration. * = baseline vs. in-season 2 and 3,
#
= sign. different from in-season 1, (in parentheses:0.05 < p < 0.10)
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lar, the observed deteriorations in scales like Self-Efficacy, Self-
Regulation, Conflicts/Pressure, Emotional Exhaustion, Social
Recovery and Personal Accomplishment might have been influ-
enced by this fact.
Psychological deteriorations are among the first signs of over-
reaching in endurance sports [30]. Thus, the observed changes
might be interpreted as beginning overreaching, although no
physiological impairments were present. Whereas the mean
group scores are not extraordinary, individual players could beidentified who showed a diminished recovery-stress state.
Therefore, individual changes of the recovery-stress state might
indicate which players are at risk for developing (non-functional)
overreaching. In this regard the correlations between changes in
Total Stress score and DJ height and Vmax are of interest. Indi-
viduals with the greatest increase in stress state showed also the
most pronounced impairments in reactive power and maximal
running capacity.
In football deteriorations on a group level might have an impor-
tant impact on team performance. However, the early recogni-
tion of individual impairments seems to be more relevant to
identify players who are at risk of developing a state of (non-
functional) overreaching. Both psychometric questionnaires(intentional manipulation, for instance because players fear that
the coach will make substitutions [30]) as well as maximal per-
formance testing (repeated maximal effort necessary) are sus-
ceptible for methodological biases when frequent testing is
intended. Thus, a combined assessment of psychological and
performance measures might be recommended for practical
purposes.
Interestingly, deteriorations in the recovery-stress state towards
the end of the season were particularly present in scales like
Physical Complaints and Injury (indicating muscle stiffness and
vulnerability to injury). Junge et al. [18] observed that nearly
80 % of football players from the 3 highest Czech divisions suf-
fered from physical complaints with about half of those playersreporting muscle/tendon pain. The authors concluded that the
prevalence of such complaints should be considered in medical
care of football players. In addition, Ekstrand et al. [7] observed
that about 30 % of the players who played regularly in interna-
tional matches during the end of the season were injured during
the FIFA World Cup 2002. An influence of accumulated stress
and fatigue at the end of the season on injury proneness (in par-
ticular to muscle or overuse injuries) should, thus, be consid-
ered. This might be important because muscle injuries are the
most common injury type in high level male football [6, 8, 14] . In
accordance with Ekstrand et al. [7] it can be concluded that play-
ers may cope with high demands in the short-term (here: 3
weeks). However, negative impact of accumulated fatigue onperformance and injury proneness in the long-term cannot be
ruled out.
Limitations of the StudyAlthough our participants were playing at a national level, the
question remains whether the present results can be easily
transferred to professional football at the international level.
Average match and training exposure of the players in the
present study (1 to 1.5 match hours and 6 training hours per
week) is comparable to that of professional football players com-
peting at the highest level in the UEFA Champions League (41match hours and 213 training hours during a 44 weeks season
[6]). Nevertheless, these are average values and in single players
exposure times can be considerably higher [6, 7] . Moreover, no
statement with regard to the influence of training and match
intensity on the analysed parameters can be made from the
present data. Additionally, further stressors (e. g. mass media,
financial burdens, frequent travelling) have to be considered in
elite players which necessitates careful transfer of our results.
Further research is necessary for evaluating stress in more out-
standing players. Otherwise, professional players are probablyvery carefully monitored while, for instance, high level youth
players are also exposed to a high number of matches but medi-
cal and scientific support is less common. Thus, the present
results are certainly of interest for this population, too.
A further limitation might be seen in the choice of parameters
which were assessed in the present study. Exercise-induced
fatigue is a complex phenomenon resulting in symptoms of sev-
eral organ systems. A huge amount of possible markers has been
investigated during the past decades, including biochemical,
immunological, vegetative, hormonal, physiological, and psy-
chological parameters [12, 15, 26, 30]. The present study was not
designed as a broad based analysis of a wide variety of parame-
ters. In contrast, it was intended to assess stress and fatigue witha well-founded economical test panel which can be easily applied
in daily practice.
In addition to the chosen performance parameters, match analy-
sis may be seen as the best indicator of real competition per-
formance in football players and, thus, might be considered for
future research in this area. Such an approach, however, is very
complex and expensive. Moreover, as match performance char-
acteristics of football players are dependent on the opponent
and on tactical aspects and high-intensity activities during
match play show high match-to-match variability [13], it seems
questionable, whether such an approach would have benefit in
detecting acute fatigue-induced performance decrements.
Conclusions and Future PerspectivesFrom the results of the present study it is concluded that usual
match exposure under professional circumstances does not
induce relevant physiological signs of overreaching in high level
football players on a group level. Nonetheless, accumulated
stress and a lack of recovery towards the end of a season might
be indicated by deteriorations in the recovery-stress state. Com-
bined psychological and performance testing is recommended
to identify single players who are at risk for developing over-
reaching.
Future research should be designed to focus on individualresponses to excessive overload, on the transferability of the
results to the elite level, on a possible link between overreaching
and injury proneness as well as on appropriate interventions to
avoid severe deteriorations.
AcknowledgementsWe thank all players as well as the coaches of the participating
clubs. Oliver Faude received a Joo Havelange scholarship from
FIFA (Federation International de Football Associations, Zurich,
Switzerland) and the International Centre for Sports Studies
(CIES, Neuchatel, Switzerland) for this project.
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Faude O et al. Stress in high level football Int J Sports Med 2011; 32: 259265
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