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  • 8/7/2019 Cambios en La Temporada en Los Indicadores Del Stress en Futbol Profesional_2011

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    Training & Testing 259

    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

    [email protected]

    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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