IOC consensus statement: "training the elite child athlete"

Investigating the interrelationships among food habits, sports nutrition knowledge, and perceived barriers to healthy eating: a study of adolescent swimmers

This cross-sectional study aims to explore the relationships between food habits, perceived barriers to healthy eating, and sports nutrition knowledge among adolescent swimmers. The study focuses on understanding how these factors interact and influence dietary choices in young athletes. A cohort of 52 adolescent swimmers aged 12-18 from Al Hussein Youth Club in Al-Hussein Sport City participated in the study. Data were collected through surveys assessing food habits, perceived barriers to healthy eating, and sports nutrition knowledge. Pearson Correlation analysis was employed to examine associations between variables, and stepwise regression analysis was used to identify predictors of food habits. The analysis revealed a significant positive association between food habits and sports nutrition knowledge (r = 0.393, p = 0.004). Knowledge emerged as a significant positive predictor of food habits (β = 0.393, p = 0.004), highlighting the influential role of sports nutrition knowledge in shaping the dietary choices of adolescent swimmers. However, the introduction of Barriers lacked significance, and individual predictors did not reach statistical significance. These findings underscore the importance of targeted interventions aimed at enhancing nutritional education among adolescent swimmers. Understanding the interplay between knowledge, barriers, and food habits provides valuable insights into the complex dynamics that influence the dietary choices of young athletes. Addressing these factors through tailored educational programs can promote healthier eating habits and optimize performance among adolescent swimmers. This study highlights the critical role of sports nutrition knowledge in shaping the dietary behaviors of adolescent swimmers. By addressing knowledge gaps and overcoming perceived barriers, targeted interventions can help improve food habits and enhance the overall health and performance of young athletes.

Effects of adding high-intensity training during an 8-week period on maximal oxygen uptake in 12-year-old youth athletes

PURPOSE

Maximal oxygen uptake (V̇O2max ) increases during adolescence parallel to the increase in fat-free mass (FFM). How much endurance training adds to this effect is still controversial. Our aim was to investigate if inclusion of high-intensity training (HIT) during an 8-week training period was superior to low-intensity strength and coordination training in 12-year-old youth athletes concerning the effect on V̇O2max .

METHODS

Thirty-five cross-country skiers were randomized into a HIT group (ET) and a strength and coordination group (SC), while 29 less active peers served as controls for growth and maturation (C). Anthropometrics and V̇O2max were assessed before and after the training period, and level of physical activity and training were monitored with accelerometers, training logs and a questionnaire.

RESULTS

The number of weekly training sessions were higher for ET (4.6 ± 1.2) and SC (4.1 ± 1.0) compared with C (1.8 ± 2.0) (p < 0.01), with only ET conducting HIT sessions (1.9 ± 0.2 per week). C spent more time sedentary and less time in moderate and vigorous activity compared with ET (p < 0.05). All groups had a similar %-change pre-post in absolute V̇O2max (mL min-1 ) of 6% ± 6% for ET (p < 0.01), 5% ± 7 for SC (p = 0.14), and 5% ± 13% for C (p = 0.03), with no significant differences between groups. V̇O2max relative to FFM did not change significantly for any groups.

CONCLUSION

The change in V̇O2max paralleled the change in FFM for all groups, questioning the effect of HIT on V̇O2max over an 8-week period in youth athletes.

Energy and Macronutrient Intakes in Young Athletes: A Systematic Review and Meta-analysis

The aim of this study was to conduct a systematic review and meta-analysis of differences in energy and macronutrient intakes between young athletes and non-athletes, considering age, gender and sport characteristics. The study included original research articles that compared energy and macronutrient intakes of 8 to 18-year-old athletes to non-athletes. Mean difference (MD) meta-analyses were performed to quantify energy and macronutrient intake differences between athletes and non-athletes. Eighteen observational studies were included. Results revealed that the energy and carbohydrate consumption of athletes was higher than that of non-athletes (MD=4.65kcal/kg/d, p<0.01 and MD=1.65% of total energy intake, p<0.01, respectively). Subgroup analyses revealed a significant effect of total training time on the observed mean differences between athletes and non-athletes. As practice time increased, the differences between athletes and non-athletes increased for carbohydrate and decreased for protein. Sport type analysis revealed a higher protein intake by mixed sport athletes compared to endurance and power sports. Analyses also indicated an age effect: the older the athletes, the smaller the differences between athletes and non-athletes for energy intake. However, the methods used to match groups and estimate dietary intakes forced us to moderate the results. More rigorous research methods are needed to define the dietary intakes of athletes and non-athletes.

Injury Patterns and Incidence in an Elite Youth Football Academy-A Prospective Cohort Study of 138 Male Athletes

BACKGROUND

There is a lack of evidence regarding injury incidence in German elite youth football academies, and the risk of re-injury is unknown. Therefore, the objectives of this study were (1) to determine injury patterns and incidence in an elite youth football academy in Germany, (2) to monitor overuse-/trauma-related injuries over the course of the season, and (3) determine the risk of re-injury.

METHODS

A prospective cohort study was conducted in the 2012/2013 season among 138 male players from an elite youth football academy in Germany. Injuries were recorded according to the consensus statement on injury definitions and data collection in studies of football injuries. Injury incidence was reported as the number of injuries per 1000 h of exposure and the number of injuries per squad season.

RESULTS

A total of 109 injuries were reported, resulting in a cumulative time-loss of 2536 days. A squad of 25 players sustained 19.7 injuries per season, with an average of 23.3 days (15.7-30.9; 95% CI lower-upper) of absence per injury. Ligament sprains (28%), muscle strains (19%) and physeal injuries (12%) were the most common causes of time-loss. Physeal injuries were the most common severe type of injury (29%), with a mean time-loss of 29.7 days (18.2-41.2; 95% CI lower-upper). Re-injuries accounted for 3% of all injuries and resulted in significantly more time-loss than non-re-injuries (60 vs. 23 days; p = 0.01).

CONCLUSION

In the youth academies studied, a team of 25 players sustained an average of 19.7 injuries per season, resulting in a cumulative time-loss of 459 days. Physeal injuries are a major contributor to severe injuries and therefore require special attention.

Relationship Between Training Load, Neuromuscular Fatigue, and Daily Well-Being in Elite Young Wrestlers

Purpose: This study investigated acute workload (wAW), chronic workload (wCW), acute: chronic workload ratio (wACWR), training monotony (wTM), perceived load training strain indicators (wTS), and countermove- ment jump (CMJ) as indicators of wellness in one season and defined weekly variations. In addition, we analyzed the relationships between training load measurements and weekly reports. Methods: 16 elite young wrestlers were monitored daily with individual observations for 46 consecutive weeks throughout the season. Training load was obtained using the session rating of perceived effort. wSleep, wStress, wFatigue & wMuscle Soreness well-being were monitored daily using the Hooper index. Results: As a result of the analysis, it was found that there is a moderate relationship (r = 0.51, p = .003) between ACWR and w mean load (A.U.) and a high relationship (r = 0.81, p < .001) between monotony and strain. Conclusion: All variables other than ACWR, w mean load, strain, and monotony presented small and statistically insignificant relationships. These results provide coaches and practitioners with new insights into perceived loads and health changes during a season at the elite youth level.

Technique and maximal skiing speed for youth cross-country skiing performance

Introduction

Numerous researches concentrate on examining and preparing high-level male cross-country skiers, with a significant number of tests being conducted on roller skis. However, there is a scarcity of research on the testing and preparation of younger male and female athletes ranging from 10 to 16 years old. The main purpose of this research was to determine if certain cross-country (XC) skiing tests and maturity status are indicators of performance in youth cross-country skiing; to examine any differences in performance between young males and females; and to establish non-invasive diagnostic tools for assessing performance.

Methods

Fifty-eight young XC skiers (36 boys; 12.88 ± 1.19 yrs and 22 girls; 12.79 ± 1.09 yrs) performed specific XC skiing maximal speed tests consisting of short (50 m) flat and uphill distances (30/40 m). Results were correlated with on snow XC skiing performance (P_XC) based on one skating (including an agility parcours) and one classical distance competition.

Results

The key findings of this research were: 1) Age and maturity status were associated to boys'and girls' P_XC; 2) Significant moderate to high correlations between girls' and boys' short duration XC skiing sprint performance 30-50 m (double poling (DP) flat and uphill, free skating, leg skating and V1 uphill skating) and P_XC were revealed; 3) In general, the best prediction for P_XC (Boys and Girls) was found to be the asymmetrical uphill (V1 40 m uphill) sub-technique; and 50 m DP (flat) while Boys' P_XC was determined by V1 skating and girls' performance mainly by 50 m free skating (flat); 4) When using maturity offset as a confounding variable, boys' and girls' P_XC was still highly associated with short duration skiing tests.

Discussion

In conclusion, the use of simple, non-invasive XC skiing sprint tests for evaluating P_XC can be beneficial for ski clubs, specialized schools, or skiing federations in identifying and training young talented skiers. Further, this result demonstrates that skiing abilities such as short duration maximal speed and the proper use of different sub-techniques at high speeds during XC skiing is an important performance prerequisite.

Heart Rate Variability in Elite International ITF Junior Davis Cup Tennis Players

The aim of the present study was to investigate the evolution of the HRV during an international team tennis tournament in elite junior tennis players. A total of 11 tennis players, with a mean age of 15.36 (0.67) from six nationalities, participated in this cross-sectional study. Participants were measured one day before the event, before the first match, and before the second match of the ITF Junior Davis Cup event. Each of the registers lasted 5 min and the time domain, frequency domain and non-linear variables were extracted. The tournament took place in Valencia (Spain). Results showed that there was not a significant decrease in the heart rate variability (HRV) induced by precompetitive stress. However, significant differences (p-value < 0.05) were found between baseline and second match pre-competition HRV values in low frequency (LFNu) (p-value = 0.008) and high frequency (HFNu) power (p-value = 0.008), LF/HF ratio (p-value = 0.008) and Sample Entropy (SampEn) (p-value = 0.033) variables. Furthermore, cognitive anxiety (measured by CSAI-2r) (p-value = 0.017) and anxiety (measured by STAI-S) (p-value = 0.042) were higher before the first match than before the second match. Coaches and physical trainers could use HRV to control and manage the precompetitive anxiety of junior tennis players. The experience in international tournaments and the familiarization with the environment in the second match could explain these results.

The incidence and burden of injuries in elite English youth female soccer players

This study aimed to investigate the incidence, severity and burden of injury in English elite youth female soccer players. Qualified therapists at six English girls' academies prospectively recorded all injuries that required medical attention or caused time loss for matches and training in 375 elite youth female soccer players (under-10 [U10], U12, U14 and U16) during the 2019/2020 season. One hundred- and eleven time-loss injuries (52 from training, 59 from matches) were sustained, resulting in 1,946 days absent (779 days from training injuries, 1,167 days from match injuries) from soccer activities. The injury incidence for matches (9.3/1000 hours, 95% CIs: 7.2-11.9) was significantly greater than training (1.1/1000 hours, 95% CIs: 0.9-1.5, p < 0.001). Additionally, the injury burden for matches (183 days lost/1000 hours, 95% CIs: 142-237) was significantly greater than training (17 days lost/1000 hours, 95% CIs: 13-22, p < 0.001). Injury incidence and burden were greatest in the U16 age group and were found to increase with age. Whilst injury incidence and burden are greater in matches than training, a large proportion of preventable injuries, soft-tissue and non-contact in nature, were sustained in training. Findings provide comparative data for elite youth female soccer players.

Significant Energy Deficit and Suboptimal Sleep During a Junior Academy Tennis Training Camp

PURPOSE

To assess the training load, energy expenditure, dietary intake, and sleep quality and quantity of junior tennis players during a tennis training camp.

METHODS

Ten junior academy tennis players (14 [1] y) completed a 6-day camp with daily morning and afternoon training. Players wore accelerometer watches to measure activity energy expenditure and sleep. Global positioning system units were worn to monitor external training load (distance covered, maximum velocity, and PlayerLoad™). Dietary intake was obtained from a food diary and supplementary food photography.

RESULTS

Players covered significantly more distance and had higher PlayerLoad™ during morning sessions than afternoon sessions (5370 [505] m vs 4726 [697] m, P < .005, d = 3.2; 725 [109] a.u. vs 588 [96] a.u., P < .005, d = 4.0). Players also ran further (5624 [897] m vs 4933 [343] m, P < .05, d = 1.0) and reached higher maximum velocities (5.17 [0.44] m·s-1 vs 4.94 [0.39] m·s-1, P < .05, d = 0.3) during simulated match play compared with drill sessions. Mean daily energy expenditure was 3959 (630) kcal. Mean energy intake was 2526 (183) kcal, resulting in mean energy deficits of 1433 (683) kcal. Players obtained an average of 6.9 (0.8) hours of sleep and recorded 28 (7) nightly awakenings.

CONCLUSIONS

Junior academy tennis players failed to achieve energy balance and recorded suboptimal sleep quantity and quality throughout the training camp.

The relative age effect in the Gaelic Athletic Association (GAA): A mixed methods approach

In the Gaelic Athletic Association (GAA), Talent Academies (TAs) and senior teams cater for high performing players, however only two previous studies have quantified the relative age effect (RAE; i.e., a selection bias favouring those born near the beginning of the cut-off date) in these cohorts. Additionally, no studies to date have explored stakeholder understanding of the RAE using qualitative methods. This study aimed to: (a) quantify the RAE in TAs and senior teams, and (b) investigate stakeholder perspectives of the talent development environment, providing practical insight into the RAE. A mixed methods sequential explanatory study design was employed. Phase one involved a retrospective analysis of longitudinal data for the frequency and distribution of births using TA (n=12,445) and senior (n=8,752) players. Phase two comprised two focus groups of key stakeholders [coaches (n=4) and Talent Development Leaders (n=4)] at TA and senior level. Analysis revealed a significant difference between TA birth quarter (BQ) distributions compared with expected distributions across all age groups (P<0.001; BQ1=30.4% vs. BQ4=17.6%), while at senior level, there were no significant differences between observed and expected BQ distributions (χ² (df=3) =3.812, P=0.282). In phase two, inductive analysis revealed three higher order themes: (a) understanding of the RAE, (b) selection criteria, and (c) player characteristics. The GAA are encouraged to reflect on the practice of chronological age band grouping, investigate possible solutions to limit the effects of the RAE, and offer support programmes to educate key stakeholders on the potential impact of the RAE on talent development.

SafeSport: Perceptions of Harassment and Abuse From Elite Youth Athletes at the Winter Youth Olympic Games, Lausanne 2020

OBJECTIVE

To analyze the Winter Youth Olympic Games (YOG) 2020 athletes' understanding and perceptions of harassment and abuse in sport and their knowledge of reporting mechanisms.

DESIGN

A cohort study.

SETTING

The Winter YOG2020 in Lausanne, Switzerland.

PARTICIPANTS

Accredited athletes at the YOG2020.

INTERVENTION

An athlete safeguarding educational program was delivered at the YOG2020. Participating athletes were encouraged to answer a survey embedded in the safeguarding educational materials during the YOG.

MAIN OUTCOME MEASURES

Perception of occurrence of harassment and abuse as well as knowledge of the term "safe sport" and reporting mechanisms.

RESULTS

The survey response rate of athletes attending the Safe Sport Booth was 69%. When asked to define Safe Sport, 10% of athletes at the YOG2020 correctly identified a sport environment free from harassment and abuse, 20% identified fair play/antidoping, and 19% safety. When presented with the definition of harassment and abuse, 30.4% expressed surprise, in contrast to 46% in the summer YOG2018. A third (32%) reported that harassment and abuse was either "likely" or "very likely" present in their sport, which was similar to the YOG2018 (34%). The group of athletes not knowing where to go to report harassment and abuse was greater than in the YOG2018 (26% vs 11%). There were no differences in responses between competitive sex (boys' vs girls' events) or type of sport (team vs individual).

CONCLUSIONS

Outcomes of this study, such as the development of youth-friendly terminology and emphasizing mechanisms for reporting of harassment and abuse, should inform the development of safeguarding educational materials for youth athletes.

Systematic Review of Health Organization Guidelines Following the AMSSM 2019 Youth Early Sport Specialization Summit

CONTEXT

Youth sport specialization may place young athletes at increased risk for negative impacts to their physical and/or psychological health. In response to these health concerns, several health organizations have created guidelines and position statements to guide parents and practitioners toward best practices for management of the young athlete.

OBJECTIVE

To systematically review and synthesize current organizations' recommendations and guidelines regarding youth sport specialization.

DATA SOURCES

English-language articles from January 1, 2000, to December 31, 2018, in the NCBI Pubmed, Embase, Cochrane, CINAHL, and SPORTDiscus databases.

STUDY SELECTION

Articles that reported on recommendations or interventions by health organizations or health representatives of sports organizations. A total of 56 articles were assessed, with 11 meeting inclusion eligibility criteria.

STUDY DESIGN

Systematic review.

LEVEL OF EVIDENCE

Level 4.

DATA EXTRACTION

Two investigators independently identified all recommendations within the results that fit within a 15-item framework encompassing 4 domains: Psychological Development/Approach, Physical Development/Load, Facilities and Resources, and Timing and Monitoring of Specialization.

RESULTS

Recommendations across organizations were primarily clustered in the Physical Development/Load (43%), Facilities and Resources (48%), and Sport Specialization (55%) domains. In contrast, the Psychological Development/Approach domain had fewer recommendations (20%). The most common recommendations endorsed concepts: "Monitor athlete well-being," "Youth athletes need access to well-trained, quality coaches," "Multi-sport participation," "Limit early organized participation and/or training," and "Parents require awareness of training, coaching, and best practices." The level of evidence provided to support a given recommendation varied significantly. The level of detail and the consistency of terms used throughout the results were typically low. Recommendations were frequently made without reference to potential outcome measures or specific strategies that could be used for practical implementation in the community.

CONCLUSION

There was broad representation of different aspects of specialization but limited consistency between health organization guidelines. Adopting a framework for recommendations as used in this review could assist organizations in structuring future recommendations that are specific, measurable, and framed in a manner that will promote action in the youth sport community.

'The Little Engine That Could': A Qualitative Study of Medical Service Access and Effectiveness among Adolescent Athletics Athletes Competing at the Highest International Level

Little is known about provision of medical services to adolescents prior to participating in international top-level sports. This study aimed to investigate experiences of medical service provision among high-level adolescent athletics (track and field) athletes from three continents. A thematic narrative analysis was applied to data collected from 14 athletes by semi-structured interviews. Although competing at the highest international level, these adolescent athletes had difficulties making sense of symptoms of ill health, especially on their own. With increasing exercise loads, the athletes’ medical support needs had extended beyond the capacity of parents and local communities. As there was no organized transfer of the responsibility for medical support to sports organizations, the athletes often had to manage their health problems by themselves. There were major variations among the adolescent athletes with regards to medical service access and quality. The services used ranged from sophisticated computer-assisted biomechanical analyses to traditional healers. Decreased exercise load was the common sports injury treatment. The results of this study demonstrate how the ethical standards underpinning youth sports as well as the equal provision of medical services to adolescents are challenged across the world. Further research on health service provision to adolescent top-level athletes is warranted.

Validity and repeatability of the Pediatric Allergy Questionnaire for Athletes (AQUAped) for the screening of atopy

BACKGROUND

High atopy prevalence has been reported in athletes. Having an age-specific questionnaire for predicting atopy is important for an optimal management of young athletes. The study objectives were as follows: (i) developing a scoring system for the Pediatric Allergy Questionnaire for Athletes (AQUAped); (ii) identifying the optimal age target within the range 7-14 years; (iii) assessing AQUAped validity and repeatability in the identified target population.

METHODS

A total of 133 young athletes (age 7-14 years) were recruited. Following a screening visit, the participants filled AQUAped at baseline (T0) and after 7 days (T1), concomitantly undergoing skin prick testing. Using atopy as the gold standard (positivity to ≥1 aeroallergen), the 12 core items were scored based on their likelihood ratios, and a total score was calculated. The optimal cut-off was identified based on the Youden's criterion. The repeatability of AQUAped was assessed through the intra-cluster correlation coefficient (ICC). The optimal age target was identified as the largest age range associated with an acceptable cross-validated area under the receiver operating characteristic curve (AUC ≥ 0.70) and an excellent ICC (≥0.75).

RESULTS

Forty (30%) children were atopic; the optimal age target was 10-14 years (cross-validated AUC = 0.70, ICC = 0.81). AQUAped total score ranged from -26 to 75, and only 5% of non-atopic children had AQUAped ≥ 24. AQUAped ≥ 2 had 82% specificity, 60% sensitivity, and 74% overall accuracy.

CONCLUSION

Developing and testing a scoring system for AQUAped showed that it is a valid and reliable tool for the screening of atopy in young athletes aged 10-14 years.

Prediction of Upper Respiratory Illness Using Salivary Immunoglobulin A in Youth Athletes

PURPOSE

To evaluate the relative importance and predictive ability of salivary immunoglobulin A (s-IgA) measures with regards to upper respiratory illness (URI) in youth athletes.

METHODS

Over a 38-week period, 22 youth athletes (age = 16.8 [0.5] y) provided daily symptoms of URI and 15 fortnightly passive drool saliva samples, from which s-IgA concentration and secretion rate were measured. Kernel-smoothed bootstrapping generated a balanced data set with simulated data points. The random forest algorithm was used to evaluate the relative importance (RI) and predictive ability of s-IgA concentration and secretion rate with regards to URI symptoms present on the day of saliva sampling (URIday), within 2 weeks of sampling (URI2wk), and within 4 weeks of sampling (URI4wk).

RESULTS

The percentage deviation from average healthy s-IgA concentration was the most important feature for URIday (median RI 1.74, interquartile range 1.41-2.07). The average healthy s-IgA secretion rate was the most important feature for URI4wk (median RI 0.94, interquartile range 0.79-1.13). No feature was clearly more important than any other when URI symptoms were identified within 2 weeks of sampling. The values for median area under the curve were 0.68, 0.63, and 0.65 for URIday, URI2wk, and URI4wk, respectively.

CONCLUSIONS

The RI values suggest that the percentage deviation from average healthy s-IgA concentration may be used to evaluate the short-term risk of URI, while the average healthy s-IgA secretion rate may be used to evaluate the long-term risk. However, the results show that neither s-IgA concentration nor secretion rate can be used to accurately predict URI onset within a 4-week window in youth athletes.

Injury incidence and burden in a youth elite football academy: a four-season prospective study of 551 players aged from under 9 to under 19 years

OBJECTIVE

Investigate the incidence and burden of injuries by age group in youth football (soccer) academy players during four consecutive seasons.

METHODS

All injuries that caused time-loss or required medical attention (as per consensus definitions) were prospectively recorded in 551 youth football players from under 9 years to under 19 years. Injury incidence (II) and burden (IB) were calculated as number of injuries per squad season (s-s), as well as for type, location and age groups.

RESULTS

A total of 2204 injuries were recorded. 40% (n=882) required medical attention and 60% (n=1322) caused time-loss. The total time-loss was 25 034 days. A squad of 25 players sustained an average of 30 time-loss injuries (TLI) per s-s with an IB of 574 days lost per s-s. Compared with the other age groups, U-16 players had the highest TLI incidence per s-s (95% CI lower-upper): II= 59 (52 to 67); IB=992 days; (963 to 1022) and U-18 players had the greatest burden per s-s: II= 42.1 (36.1 to 49.1); IB= 1408 days (1373 to 1444). Across the cohort of players, contusions (II=7.7/s-s), sprains (II=4.9/s-s) and growth-related injuries (II=4.3/s-s) were the most common TLI. Meniscus/cartilage injuries had the greatest injury severity (95% CI lower-upper): II= 0.4 (0.3 to 0.7), IB= 73 days (22 to 181). The burden (95% CI lower-upper) of physeal fractures (II= 0.8; 0.6 to 1.2; IB= 58 days; 33 to 78) was double than non-physeal fractures.

SUMMARY

At this youth football academy, each squad of 25 players averaged 30 injuries per season which resulted in 574 days lost. The highest incidence of TLI occurred in under-16 players, while the highest IB occurred in under-18 players.

Developing web-based health guidance for coaches and parents in child athletics (track and field)

The aim of this study was to develop athletics health guidance (AHG) aimed at supporting coaches and parents involved in organized child athletics by providing practical advice and tools for the management of the most common health problems experienced in athletics by the 12- to 15-year olds. The study used participatory action research (PAR) and an established health service guideline development procedure modified to fit AHG development in child athletics. A sequential process consisting of four steps with associated subgoals was employed. The collected data were structured according to the AHG development steps and analyzed using qualitative methods. The most common health concern identified was injuries related to growth and overuse. No randomized controlled studies investigating injury prevention programs or any existing concepts/guidelines in child athletics were found that could be used in the development of the AHG. A requirements document was instead defined in a nominal group process and used for the AHG development. The areas included in the final AHG were as follows: training youth athletes, growth and puberty, recovery, injury prevention, injuries and illnesses, mental illness, safe sport, and anti-doping. The evidence regarding health issues in child athletics is limited, indicating that actions to support good health in the sport are currently based essentially on best practice. The long-term aim of the AHG and associated website is to systematically create and introduce conditions that can bridge the "know-do gap" and provide coaches and parents with easy-to-access and up-to-date knowledge in the field of child athlete health in athletics.

Training Schedule and Sleep in Adolescent Swimmers

PURPOSE

Insufficient sleep duration may affect athletic performance and health. Inconsistent sleep pattern also has negative health effects, but studies on athletes' intraindividual sleep variability are scarce. The aim of this research was to compare total sleep time (TST) and variability (TST-variability), wakening after sleep onset, and sleep efficiency, during nights preceding early morning practices with other nights, and to investigate sleep characteristics of nights following a day with early morning only, evening only, or both a morning and an evening session in adolescent swimmers.

METHODS

Wrist-worn accelerometers were used to measure 1 week of sleep in 108 swimmers (mean age 16.1 [2.6] y) in Iceland. Adjusted regression analyses and linear mixed models were used to explore associations of training schedules with TST, TST-variability, wakening after sleep onset, and sleep efficiency.

RESULTS

Mean TST was 6:32 (h:min) (±39 min) and TST-variability was 63 minutes (±25 min). TST decreased and TST-variability increased with more early morning practices. TST preceding early training was 5:36 and 5:06 in <16- and ≥16-year-olds, respectively, shorter than on nights preceding later or no morning training (P < .001).

CONCLUSION

Swimmers have extremely short TST preceding early morning sessions and increased TST-variability with more early morning sessions.

#SafeSport: safeguarding initiatives at the Youth Olympic Games 2018

BACKGROUND

Little is known about athletes' understanding of safe sport and occurrence of harassment and abuse in elite youth sport.

OBJECTIVE

To evaluate the IOC Safe Sport educational experience at the Youth Olympic Games 2018 in Buenos Aires and to ascertain the athletes' (1) understanding of what constitutes harassment and abuse, (2) perception of the occurrence in their sport, and (3) knowledge of where to report.

METHODS

Athletes visiting the IOC Safe Sport Booth answered a survey related to athletes' (1) understanding of harassment and abuse in sport, (2) perception of the occurrence of harassment and abuse in their sport, and (3) knowledge of where to report. Experts and volunteers answered an email survey on their experience.

RESULTS

The response rate was 71.8%. When asked to define 'safe sport', the athletes mainly relate the concept to general physical and environmental safety, fair play and clean sport, rather than sport free from harassment and abuse. Almost half (46%) of the athletes expressed surprise by the definition of behaviours of harassment and abuse within sport. When asked if harassment and/or abuse occur in their sport, 47.5% reported 'no' or 'not likely', while 34% stated 'likely' or 'very likely'; 19% were 'unsure'. The majority (63%) of athletes knew where to seek help. Three quarters (71%) of the athletes rated the educational materials as 'good' to 'excellent'. The experts and volunteers believed the intervention would result in change in athletes' awareness, knowledge and behaviour.

CONCLUSIONS

This multinational cohort of elite youth athletes is not knowledgeable of the concept of harassment and abuse in sport, despite there being a significant perception of occurrence of harassment and abuse in their sports.

THE RELATIONSHIP BETWEEN WOMEN´S ARTISTIC GYMNASTICS TECHNICAL SKILL, PHYSICAL PERFORMANCE TEST RESULTS AND SUCCESS IN COMPETITIONS IN FINLAND

The aim of this study was to find out the potential of the Minoritest to identify the most likely talented gymnasts to join the national team pre-training group in Finland. The study examined the relationships between gymnasts´ (N=215, age 10–13) Minoritest results (2006–2010) and success in competitions after the Minoritests until the end of 2016. The competition results were also compared between the gymnasts who had participated in the test and a random number (N=180) of gymnasts who had not. According to this study, the majority (92%) of the best gymnasts in competitions had participated in the Minoritest. 39% of the best in competitions were among the top 10 in the Minoritest. The test results from the technical skills showed a significant connection to the average competition results in all age groups and to the average competition level in the 10–12-year-olds. The test results of the flexibility section did not show relation to competition success. The test results of the strength section showed a significant connection to the average competition results and to the average competition level in the 10–11-year-olds. In the 12–13-year-olds the test results of the strength section showed a relation to the average competition level. According to this study Minoritest success have a positive connection to the future competition success. However, the relation cannot be considered unequivocal. The test results of the strength section can be considered a significant section for the 10–11-year-olds to predict future potential to succeed.  

Relationships Between Training Load, Sleep Duration, and Daily Well-Being and Recovery Measures in Youth Athletes

PURPOSE

To assess the relationships between training load, sleep duration, and 3 daily well-being, recovery, and fatigue measures in youth athletes.

METHODS

Fifty-two youth athletes completed 3 maximal countermovement jumps (CMJs), a daily well-being questionnaire (DWB), the perceived recovery status scale (PRS), and provided details on their previous day's training loads (training) and self-reported sleep duration (sleep) on 4 weekdays over a 7-week period. Partial correlations, linear mixed models, and magnitude-based inferences were used to assess the relationships between the predictor variables (training and sleep) and the dependent variables (CMJ, DWB, and PRS).

RESULTS

There was no relationship between CMJ and training (r = -.09; ±.06) or sleep (r = .01; ±.06). The DWB was correlated with sleep (r = .28; ±.05, small), but not training (r = -.05; ±.06). The PRS was correlated with training (r = -.23; ±.05, small), but not sleep (r = .12; ±.06). The DWB was sensitive to low sleep (d = -0.33; ±0.11) relative to moderate; PRS was sensitive to high (d = -0.36; ±0.11) and low (d = 0.29; ±0.17) training relative to moderate.

CONCLUSIONS

The PRS is a simple tool to monitor the training response, but DWB may provide a greater understanding of the athlete's overall well-being. The CMJ was not associated with the training or sleep response in this population.

Race Profiles of Rowers During the 2014 Youth Olympic Games

Cerasola, D, Cataldo, A, Bellafiore, M, Traina, M, Palma, A, Bianco, A, and Capranica, L. Race profiles of rowers during the 2014 Youth Olympic Games. J Strength Cond Res 32(7): 2055-2060, 2018-Among the different factors affecting the outcome of elite rowing competitions, pacing strategy plays a relevant role. The purpose of this study was to analyze the race profiles of youth athletes competing at the 2014 Youth Olympic Games over a distance of 1,000 m. According to the competition outcome of sculling and sweep events, 96 youth (17-18 years) rowers (48 male and 48 female) were divided into winner (W), not winner (NW), qualified (Q), and not-qualified (NQ) athletes. The time during the 1,000-m race distance was considered at 0-500 m (T1) and 500-1000 m (T2). The average speed of T1 and T2 were normalized in relation to the average speed of the whole race. In both sexes, W rowers showed higher (p > 0.05) T2 values (100.8 ± 0.9%) with respect to T1 (99.2 ± 0.9%) ones. Female athletes showed a higher (p ≤ 0.05) T1 with respect to T2 in NW, Q, and NQ, whereas male athletes exhibited a higher T1 (p ≤ 0.05) than T2 speed only in NQ. While to be admitted to the final phase of the competition, the rowers tended to favor a positive race strategy (88%); during the final phase, a difference (p = 0.43) emerged for outcome, with the majority of medalists (67%) adopting a negative race strategy. These results suggest that winners have applied a different race strategy compared with the other groups in consequence to a higher efficiency of anaerobic metabolism.

The influence of training load, exposure to match play and sleep duration on daily wellbeing measures in youth athletes

This study assessed the influence of training load, exposure to match play and sleep duration on two daily wellbeing measures in youth athletes. Forty-eight youth athletes (age 17.3 ± 0.5 years) completed a daily wellbeing questionnaire (DWB), the Perceived Recovery Status scale (PRS), and provided details on the previous day's training loads (TL) and self-reported sleep duration (sleep) every day for 13 weeks (n = 2727). Linear mixed models assessed the effect of TL, exposure to match play and sleep on DWB and PRS. An increase in TL had a most likely small effect on muscle soreness (d = -0.43;± 0.10) and PRS (d = -0.37;± 0.09). Match play had a likely small additive effect on muscle soreness (d = -0.26;± 0.09) and PRS (d = -0.25;± 0.08). An increase in sleep had a most likely moderate effect on sleep quality (d = 0.80;± 0.14); a most likely small effect on DWB (d = 0.45;± 0.09) and fatigue (d = 0.42;± 0.11); and a likely small effect on PRS (d = 0.25;± 0.09). All other effects were trivial or did not reach the pre-determined threshold for practical significance. The influence of sleep on multiple DWB subscales and the PRS suggests that practitioners should consider the recovery of an athlete alongside the training stress imposed when considering deviations in wellbeing measures.

Training Load, Immune Status, and Clinical Outcomes in Young Athletes: A Controlled, Prospective, Longitudinal Study

Introduction: Beside positive effects on athlete's health, competitive sport can be linked with an increased risk of illness and injury. Because of high relative increases in training, additional physical and psychological strains, and an earlier specialization and professionalization, adolescent athletes needs an increased attention. Training can alter the immune system by inducing a temporary immunosuppression, finally developing infection symptoms. Previous studies identified Epstein Barr Virus (EBV) as potential indicator for the immune status. In addition to the identification of triggering risk factors for recurrent infections, the aim was to determine the interaction between training load, stress sense, immunological parameters, and clinical symptoms.

Methods: A controlled, prospective, longitudinal study on young athletes (n = 274, mean age: 13.8 ± 1.5 yrs) was conducted between 2010 and 2014. Also 285 controls (students, who did not perform competitive sports, mean age: 14.5 ± 1.9 yrs) were recruited. Athletes were examined 3 times each year to determine the effects of stress factors (training load: training hours per week [Th/w]) on selected outcome parameters (clinical [susceptibility to infection, WURSS-21: 21-item Wisconsin Upper Respiratory Symptom Survey], immunological, psychological end points). As part of each visit, EBV serostatus and EBV-specific IgG tiers were studied longitudinally as potential immune markers.

Results: Athletes (A) trained 14.9 ± 5.6 h weekly. Controls (C) showed no lower stress levels compared to athletes (p = 0.387). Twelve percent of athletes reported recurrent infections (C: 8.5%, p = 0.153), the presence of an upper respiratory tract infection (URTI) was achieved in 30.7%. EBV seroprevalence of athletes was 60.3% (C: 56.6%, p = 0.339). Mean EBV-specific IgG titer of athletes was 166 ± 115 U/ml (C: 137 ± 112 U/ml, p = 0.030). With increasing Th/w, higher stress levels were observed (p < 0.001). Analyzes of WURSS-21 data revealed no relationship to training load (p = 0.323). Also, training load had no relation to EBV serostatus (p = 0.057) or the level of EBV-specific IgG titers (p = 0.364).

Discussion: Young elite athletes showed no increased sense of stress, no higher prevalence of recurrent infections, and no different EBV-specific serological parameters compared to controls. Also, no direct relationship between training loads, clinical complaints, and EBV-specific immune responses was found. With increasing training loads athletes felt more stressed, but significant associations to EBV-specific serological parameters were absent. In summary, EBV serostatus and EBV-specific IgG titers do not allow risk stratification for impaired health. Further investigations are needed to identify additional risk factors and immune markers, with the aim to avoid inappropriate strains by early detection and following intervention.

"The Early Specialised Bird Catches the Worm!" - A Specialised Sampling Model in the Development of Football Talents

Characteristics of learning activities in early sport participation play a key role in the development of the sporting talent. Therefore, pathways of specialisation or diversification/sampling are as well debated as the implementation of practice- or play-oriented activities. The related issues are currently perceived as a two-dimensional construct of domain specificity and performance orientation. In this context, it has been shown that early specialisation, with experiences in practice and play, has led to Swiss junior national team football players reaching higher success levels as adults. This study aimed to examine whether a similar approach improves chances of even being selected for junior national teams from a broader sample. Hence, 294 youth players answered retrospective questionnaires on their early sport participation when entering the Swiss football talent development programme. Using the person-oriented Linking of Clusters after removal of a Residue (LICUR) method, volumes of in-club practice, free play and activities besides football until 12 years of age were analysed along with age at initial club participation. According to the results, clusters of Football enthusiasts (p = 0.01) with the most free play and above average in-club practice and Club players (p = 0.02) with the most in-club practice and average free play had a greater chance of reaching junior national team level. Thus, high levels of domain-specific activities seem to increase the chances of junior national team participation. Furthermore, the most successful constellation (Football enthusiasts) may illustrate the relevance of domain-specific diversity, induced by several types of practice and play. In line with previous studies, specialising in football and sampling different experiences within this specific domain seems to be the most promising pathway. Therefore, we argue that the optimal model for the development of football talents is a specialised sampling model.

National Strength and Conditioning Association Position Statement on Long-Term Athletic Development

There has recently been a growing interest in long-term athletic development for youth. Because of their unique physical, psychological, and social differences, children and adolescents should engage in appropriately prescribed exercise programs that promote physical development to prevent injury and enhance fitness behaviors that can be retained later in life. Irrespective of whether a child is involved in organized sport or engages in recreational physical activity, there remains a need to adopt a structured, logical, and evidence-based approach to the long-term development of athleticism. This is of particular importance considering the alarmingly high number of youth who fail to meet global physical activity recommendations and consequently present with negative health profiles. However, appropriate exercise prescription is also crucial for those young athletes who are physically underprepared and at risk of overuse injury because of high volumes of competition and an absence of preparatory conditioning. Whether the child accumulates insufficient or excessive amounts of exercise, or falls somewhere between these opposing ends of the spectrum, it is generally accepted that the young bodies of modern day youth are often ill-prepared to tolerate the rigors of sports or physical activity. All youth should engage in regular physical activity and thus should be viewed as "athletes" and afforded the opportunity to enhance athleticism in an individualized, holistic, and child-centered manner. Because of emerging interest in long-term athletic development, an authorship team was tasked on behalf of the National Strength and Conditioning Association (NSCA) to critically synthesize existing literature and current practices within the field and to compose a relevant position statement. This document was subsequently reviewed and formally ratified by the NSCA Board of Directors. A list of 10 pillars of successful long-term athletic development are presented, which summarize the key recommendations detailed within the position statement. With these pillars in place, it is believed that the NSCA can (a) help foster a more unified and holistic approach to long-term athletic development, (b) promote the benefits of a lifetime of healthy physical activity, and

The elite young athlete: strategies to ensure physical and emotional health

This article presents a current review of the risk of physical and psychological injury associated with participation in elite youth sport, and suggests strategies to ensure the physical and emotional health of these young athletes. Although there is lack of epidemiological data, especially with regard to psychological injury, preliminary data suggest that the risk of injury is high in this population. While there is lack of incident and follow-up data, there is also concern regarding burnout, disordered eating, and the long-term consequences of injury. Modifiable injury risk factors identified include postural control, competition anxiety, life events, previous injury, and volume of training. There are presently no studies designed to determine the effectiveness of injury prevention measures in elite youth sports. However, there is adequate evidence arising from injury prevention studies of youth sports participants - including neuromuscular training, protective equipment, mental training to enhance self-esteem, and sport rules modification - to prevent injuries in elite youth sports settings. Although not tested, psychosocial prevention strategies such as adoption of task-oriented coping mechanisms, autonomous support from parents, and a proactive organizational approach also show promise in injury prevention.

Monitoring of in-season neuromuscular and perceptual fatigue in youth rugby players

The purpose of this study was to examine both short- and long-term neuromuscular and perceptual fatigue in youth rugby players during a seven-week in-season mesocycle. Eleven male youth rugby players (age 16.9 ± 0.8 years) were assessed for countermovement jump (CMJ), reactive strength index (RSI) and leg stiffness to monitor neuromuscular performance, together with a well-being questionnaire to monitor perceptual fatigue. Players trained and competed throughout a seven-week block with test variables measured at baseline and 24 h pre- and post-matches played in weeks 1, 4 and 7. Players trained on average 9.7 ± 1.1 h per week and competed in 10.5 ± 1.9 games over the seven-week block. Pre- to post-match reductions were significant across all games for CMJ, RSI and well-being (all P < 0.05), ranging from likely to almost certain negative reductions. Well-being and RSI demonstrated non-significant (P < 0.05) unclear or inconsistent changes when comparing pre-match scores to baseline. Significant reductions to baseline were observed pre-match for CMJ (weeks 4 and 7) and stiffness (week 7), representing very likely to almost certain negative long-term decrements. CMJ, RSI and well-being were all sensitive to detecting post-match fatigue. Importantly, CMJ and stiffness were sensitive to detecting accumulated fatigue over a seven-week period, whereas RSI and well-being were not. Consequently, either a CMJ or leg stiffness should be monitored to detect long-term, accumulated fatigue in academy rugby players.

International Olympic Committee consensus statement: harassment and abuse (non-accidental violence) in sport

Despite the well-recognised benefits of sport, there are also negative influences on athlete health, well-being and integrity caused by non-accidental violence through harassment and abuse. All athletes have a right to engage in ‘safe sport’, defined as an athletic environment that is respectful, equitable and free from all forms of non-accidental violence to athletes. Yet, these issues represent a blind spot for many sport organisations through fear of reputational damage, ignorance, silence or collusion. This consensus statement extends the 2007 IOC Consensus Statement on Sexual Harassment and Abuse in Sport, presenting additional evidence of several other types of harassment and abuse—psychological, physical and neglect. All ages and types of athletes are susceptible to these problems but science confirms that elite, disabled, child and lesbian/gay/bisexual/trans-sexual (LGBT) athletes are at highest risk, that psychological abuse is at the core of all other forms and that athletes can also be perpetrators. Harassment and abuse arise from prejudices expressed through power differences. Perpetrators use a range of interpersonal mechanisms including contact, non-contact/verbal, cyber-based, negligence, bullying and hazing. Attention is paid to the particular risks facing child athletes, athletes with a disability and LGBT athletes. Impacts on the individual athlete and the organisation are discussed. Sport stakeholders are encouraged to consider the wider social parameters of these issues, including cultures of secrecy and deference that too often facilitate abuse, rather than focusing simply on psychopathological causes. The promotion of safe sport is an urgent task and part of the broader international imperative for good governance in sport. A systematic multiagency approach to prevention is most effective, involving athletes, entourage members, sport managers, medical and therapeutic practitioners, educators and criminal justice agencies. Structural and cultural remedies, as well as practical recommendations, are suggested for sport organisations, athletes, sports medicine and allied disciplines, sport scientists and researchers. The successful prevention and eradication of abuse and harassment against athletes rests on the effectiveness of leadership by the major international and national sport organisations.

Safeguarding the child athlete in sport: a review, a framework and recommendations for the IOC youth athlete development model

Participation in sport has many physical, psychological and social benefits for the child athlete. A growing body of evidence indicates, however, that sport participation may have inherent threats for the child’s well-being. The subject of safeguarding children in sport has seen an increase in scientific study in recent years. In particular, there is increasing emphasis on identifying who is involved in abuse, the context of where it occurs and the identification of the various forms of abuse that take place in the sporting domain. Safeguarding principles developed by the International Safeguarding Children in Sport Founders Group are presented along with 8 underlying pillars which underpin the successful adoption and implementation of safeguarding strategies. This safeguarding model is designed to assist sport organisations in the creation of a safe sporting environment to ensure that the child athlete can flourish and reach their athletic potential through an enjoyable experience. The aim of this narrative review is to (1) present a summary of the scientific literature on the threats to children in sport; (2) introduce a framework to categorise these threats; (3) identify research gaps in the field and (4) provide safeguarding recommendations for sport organisations.

Effects and dose-response relationships of resistance training on physical performance in youth athletes: a systematic review and meta-analysis

Objectives

To quantify age, sex, sport and training type-specific effects of resistance training on physical performance, and to characterise dose–response relationships of resistance training parameters that could maximise gains in physical performance in youth athletes.

Design

Systematic review and meta-analysis of intervention studies.

Data sources

Studies were identified by systematic literature search in the databases PubMed and Web of Science (1985–2015). Weighted mean standardised mean differences (SMD_wm) were calculated using random-effects models.

Eligibility criteria for selecting studies

Only studies with an active control group were included if these investigated the effects of resistance training in youth athletes (6–18 years) and tested at least one physical performance measure.

Results

43 studies met the inclusion criteria. Our analyses revealed moderate effects of resistance training on muscle strength and vertical jump performance (SMD_wm 0.8–1.09), and small effects on linear sprint, agility and sport-specific performance (SMD_wm 0.58–0.75). Effects were moderated by sex and resistance training type. Independently computed dose–response relationships for resistance training parameters revealed that a training period of >23 weeks, 5 sets/exercise, 6–8 repetitions/set, a training intensity of 80–89% of 1 repetition maximum (RM), and 3–4 min rest between sets were most effective to improve muscle strength (SMD_wm 2.09–3.40).

Summary/conclusions

Resistance training is an effective method to enhance muscle strength and jump performance in youth athletes, moderated by sex and resistance training type. Dose–response relationships for key training parameters indicate that youth coaches should primarily implement resistance training programmes with fewer repetitions and higher intensities to improve physical performance measures of youth athletes.

Long-term athletic development, part 2: barriers to success and potential solutions

The first installment of this two-part commentary reviewed existing models of long-term athletic development. However, irrespective of the model that is adopted by practitioners, existing structures within competitive youth sports in addition to the prevalence of physical inactivity in a growing number of modern-day youth may serve as potential barriers to the success of any developmental pathway. The second part of this commentary will initially highlight common issues that are likely to impede the success of long-term athletic development programs and then propose solutions that will address the negative impact of such issues.

The relationship between workloads, physical performance, injury and illness in adolescent male football players

BACKGROUND

The expectation that training enhances performance is well explored in professional sport. However, the additional challenges of physical and cognitive maturation may require careful consideration when determining workloads to enhance performance in adolescents.

OBJECTIVE

The objective of this study was to determine the state of knowledge on the relationship between workloads, physical performance, injury and/or illness in adolescent male football players.

METHODS

A systematic review of workloads, physical performance, injury and illness in male adolescent football players was conducted. Studies for this review were identified through a systematic search of six electronic databases (Academic Search Complete, CINAHL, PsycINFO, PubMed, SPORTDiscus, and Web of Science). For the purpose of this review, load was defined as the cumulative amount of stress placed on an individual from multiple training sessions and games over a period of time, expressed in terms of either the external workloads performed (e.g., resistance lifted, kilometres run) or the internal response (e.g., heart rate, rating of perceived exertion) to that workload.

RESULTS

A total of 2,081 studies were initially retrieved from the six databases, of which 892 were duplicates. After screening the titles, abstracts and full texts, we identified 23 articles meeting our criteria around adolescent football players, workloads, physical performance, injury and/or illness. Seventeen articles addressed the relationship between load and physical performance, four articles addressed the relationship between load and injury and two articles addressed both. A wide range of training modalities were employed to improve the physical performance of adolescent football players, with strength training, high-intensity interval training, dribbling and small-sided games training, and a combination of these modalities in addition to normal football training, resulting in improved performances on a wide range of physiological and skill assessments. Furthermore, there was some (limited) evidence that higher workloads may be associated with the development of better physical qualities, with one study demonstrating enhanced submaximal interval shuttle run performance with each additional hour of training or game play. Of the few studies examining negative consequences associated with workloads, increases in training load led to increases in injury rates, while longer training duration was associated with a greater incidence of illness.

CONCLUSION

The combined capacity for adolescent males to grow, train and improve physical performance highlights and underscores an exciting responsiveness to training in the football environment. However, the capacity to train has some established barriers for adolescents experiencing high workloads, which could also result in negative consequences. Additional research on stage-appropriate training for adolescent male footballers is required in order to address the knowledge gaps and enhance safe and efficient training practices.

Paediatric exercise training in prevention and treatment

Exercise training is an underused intervention in paediatric healthcare. This is surprising, since initial evidence demonstrates its effectiveness and safety; furthermore it confers socioeconomic benefits for healthcare systems. Pilot studies have assessed and confirmed the feasibility of exercise training in many paediatric disease settings. However, more research is needed to understand the pathophysiology, quantify treatment effects and monitor outcomes. A concerted effort from researchers, health professionals and police makers will be necessary to make exercise training an evidence-based and cost-effective intervention in paediatric care.

Diurnal patterns of salivary alpha-amylase and cortisol secretion in female adolescent tennis players after 16 weeks of training

We examined the effects of 16 weeks of training on diurnal pattern of salivary alpha-amylase (sAA), cortisol, and the ratio of sAA over cortisol (AOC) in 12 national adolescent female tennis players. Stress and recovery were also evaluated using the Recovery-Stress-Questionnaire for Athletes-RESTQ-Sport. Data were collected after a 2-week rest (January, W0), and 4 months after W0 (W16). Subjects collected five saliva samples throughout a day. While all participants displayed the previously shown decrease after awakening in adolescents at W0, they showed a rise in the alpha-amylase awakening response and a higher alpha-amylase activity output (p<0.01) at W16 compared to W0. For the daily rhythm of cortisol we found subjects having a low overall output of salivary cortisol (p<0.01) and a blunted response to awakening at W16. Furthermore, an increase in the ratio AOC at W16, and a negative correlation between this ratio and Sport-specific recovery score. Our findings offer support for the hypothesis that increase of training load during the study period induced asymmetry activation between the two stress systems, in relation to psychological alterations and performance decrease. These results provide encouragement to continue exploring the impact of training program using a psychobiological approach among young athletes in order to prevent fatigue and preserve the health of these athletes.

An examination of the training profiles and injuries in elite youth track and field athletes

Australian track and field has a strong focus on State and National elite youth programmes as the development pathway to elite senior international competition. Yet, there are no clearly defined parameters for appropriate training volumes, training intensities or competition schedules for youth athletes. This study sought to examine the training profiles of, and injuries suffered by, elite youth track and field athletes between the ages 13 and 17 years. The participants were 103 elite NSW athletes (age 17.7 ± 2.4 years, 64% girls) who recalled, through a questionnaire, their training profiles (frequency, volume and intensity) and injuries (type, site and severity) at three age groups: 13-14 years, 15-16 years and at 17 years of age. Eighty-one athletes (78.6%) sustained 200 injuries (time loss > 3 weeks) that were predominantly classified as overuse (76%) with 17.3% of athletes retiring due to injuries prior to turning 18 years. The results, analysed using t-test, one-way analysis of variance and chi-square analysis, showed that injured athletes trained at a higher intensity at 13-14 years (p < 0.01), completed more high-intensity training sessions at 13-14 years (p < 0.01) and 15-16 years (p < 0.05) and had a higher yearly training load at 13-14 years (p < 0.01). There was a significant relationship between forced retirement and having sustained an overuse injury (p<0.05). These findings suggest that monitoring by coaches and athletes of training loads, intensity and the number of hard sessions completed each week is warranted to minimise injuries sustained by 13-16 year old athletes.

Time-motion analysis of youth Olympic Taekwondo combats

This study aimed to analyze the time-motion structure of combat phases (fighting: F, nonfighting: NF, and stoppage time: ST) during semifinal and final matches (three 1.5-minute rounds, with 1-minute rest in between) of the 2010 Italian Taekwondo Cadet (age 13-14 years) Championship (adolescent boys, n = 40; adolescent girls, n = 28) in relation to gender (adolescent boys and girls) and grouped weight division (light, middle, and heavy) of athletes. Regardless of gender, grouped weight division, round, and tournament stage, differences (p < 0.001, effect size range: 1.92-3.02) emerged for frequency of occurrence of combat phases (F: 42.4 ± 0.5%; NF: 44.5 ± 0.7%; ST: 13.1 ± 0.9%) and their mean duration (F: 2.8 ± 1.0 seconds; NF: 6.5 ± 1.8 seconds; ST: 13.7 ± 5.0 seconds). A 1:2 F to NF ratio was found, whereas a 1:3 ratio emerged when F was considered in relation to the sum of NF and ST. During F phase, 5 ± 1 tactical movements and 4 ± 1 technical exchanges were performed, lasting 0.6 ± 0.1 seconds and 0.7 ± 0.1 seconds, respectively. These findings mirrored the intermittent nature of youth combat, characterized by a high occurrence of tactical movements and technical exchanges during F phase. The lack of differences for round and tournament stages indicates a limited tactical capability of young athletes in adopting specific match strategies, independently from gender and weight divisions of the athletes. To prepare young athletes to handle the technical-tactical demands of the match, coaches could include 7-9 circuit stations of specific taekwondo sequences of attack and counter attack techniques.

The effect of age on discrete kinematics of the elite female tennis serve

The importance of the flat serve in tennis is well documented, with an abundance of research evaluating the service technique of adult male players. Comparatively, the female and junior serves have received far less attention. Therefore, the aims of this study were to quantify the flat serve kinematics in elite prepubescent, pubescent, and postpubescent female tennis players. Full body, racket, and ball kinematics were derived using a 22-camera Vicon motion capture system. Racket velocity was significantly lower in the prepubescent group than in the two older groups. In generating racket velocity, the role of the serving arm appears to become more pronounced after the onset of puberty, whereas leg drive and "shoulder-over-shoulder" rotation mature even later in development. These factors are proposed to relate to strength deficits and junior players' intentions to reduce the complexity of the skill. Temporally, coupling perception (cues from the ball) and action (body movements) are less refined in the prepubescent serve, presumably reducing the "rhythm" (and dynamism) of the service action. Practically, there appears scope for equipment scaling to preserve kinematic relevance between the junior and senior serve and promote skill acquisition.

Youth sport specialization: how to manage competition and training?

A prevailing theory (and practical application) is that elite performance requires early childhood skill development and training across various domains, including sport. Debate continues whether children specializing early (ie, training/competition in a single sport) have true advantage compared with those who sample various sports early and specialize in a single sport later (adolescence). Retrospective data and case studies suggest either model yields elite status depending upon the sport category (ie, situational: ball games, martial arts, fencing; quantitative: track and field, swimming, skiing; or qualitative: gymnastics, diving, figure skating). However, potential risks of early specialization include greater attrition and adverse physical/emotional health outcomes. With the advent of the IOC Youth Olympic Games, increased emphasis on global youth competition has unknown implications but also represents a potential platform for investigation. Modification of youth competition formats should be based upon multidisciplinary research on psychophysiological responses, and technical-tactical behaviors during competition. The assumption that a simple scaled-down approach of adult competitions facilitates the development of technical/tactical skills of youth athletes is not necessarily substantiated with field-based research. Relatively little evidence exists regarding the long-term effects of rigorous training and competitive schedules on children in specific sports. It is clear that more prospective studies are needed to understand the training dose that optimally develops adaptations in youth without inducing dropout, overtraining syndrome, and/or injury. Such an approach should be sport specific as well as gender based. Until such evidence exists, coaches and sport administrators will continue to rely upon their sport-specific dogma to influence programmatic development of our most vulnerable population.

Influence of resistance training on cardiorespiratory endurance and muscle power and strength in young athletes

The purpose of this study was to investigate the influence of additional resistance training on cardiorespiratory endurance in young (15.8 ± 0.8 yrs) male basketball players. Experimental group subjects (n=23) trained twice per week for 12 weeks using a variety of general free-weight and machine exercises designed for strength acquisition, beside ongoing regular basketball training program. Control group subject (n=23) participated only in basketball training program. Oxygen uptake (VO(2max)) and related gas exchange measures were determined continuously during maximal exercise test using an automated cardiopulmonary exercise system. Muscle power of the extensors and flexors was measured by a specific computerized tensiometer. Results from the experimental group (VO(2max) 51.6 ± 5.7 ml.min(-1).kg(-1) pre vs. 50.9 ± 5.4 ml.min(-1).kg(-1) post resistance training) showed no change (p>0.05) in cardiorespiratory endurance, while muscle strength and power of main muscle groups increased significantly. These data demonstrate no negative cardiorespiratory performance effects on adding resistance training to ongoing regular training program in young athletes.

Rethinking Giftedness and Gifted Education

For nearly a century, scholars have sought to understand, measure, and explain giftedness. Succeeding theories and empirical investigations have often built on earlier work, complementing or sometimes clashing over conceptions of talent or contesting the mechanisms of talent development. Some have even suggested that giftedness itself is a misnomer, mistaken for the results of endless practice or social advantage. In surveying the landscape of current knowledge about giftedness and gifted education, this monograph will advance a set of interrelated arguments: The abilities of individuals do matter, particularly their abilities in specific talent domains; different talent domains have different developmental trajectories that vary as to when they start, peak, and end; and opportunities provided by society are crucial at every point in the talent-development process. We argue that society must strive to promote these opportunities but that individuals with talent also have some responsibility for their own growth and development. Furthermore, the research knowledge base indicates that psychosocial variables are determining influences in the successful development of talent. Finally, outstanding achievement or eminence ought to be the chief goal of gifted education. We assert that aspiring to fulfill one’s talents and abilities in the form of transcendent creative contributions will lead to high levels of personal satisfaction and self-actualization as well as produce yet unimaginable scientific, aesthetic, and practical benefits to society.

To frame our discussion, we propose a definition of giftedness that we intend to be comprehensive. Giftedness is the manifestation of performance that is clearly at the upper end of the distribution in a talent domain even relative to other high-functioning individuals in that domain. Further, giftedness can be viewed as developmental in that in the beginning stages, potential is the key variable; in later stages, achievement is the measure of giftedness; and in fully developed talents, eminence is the basis on which this label is granted. Psychosocial variables play an essential role in the manifestation of giftedness at every developmental stage. Both cognitive and psychosocial variables are malleable and need to be deliberately cultivated.

Our goal here is to provide a definition that is useful across all domains of endeavor and acknowledges several perspectives about giftedness on which there is a fairly broad scientific consensus. Giftedness (a) reflects the values of society; (b) is typically manifested in actual outcomes, especially in adulthood; (c) is specific to domains of endeavor; (d) is the result of the coalescing of biological, pedagogical, psychological, and psychosocial factors; and (e) is relative not just to the ordinary (e.g., a child with exceptional art ability compared to peers) but to the extraordinary (e.g., an artist who revolutionizes a field of art).

In this monograph, our goal is to review and summarize what we have learned about giftedness from the literature in psychological science and suggest some directions for the field of gifted education. We begin with a discussion of how giftedness is defined (see above). In the second section, we review the reasons why giftedness is often excluded from major conversations on educational policy, and then offer rebuttals to these arguments. In spite of concerns for the future of innovation in the United States, the education research and policy communities have been generally resistant to addressing academic giftedness in research, policy, and practice. The resistance is derived from the assumption that academically gifted children will be successful no matter what educational environment they are placed in, and because their families are believed to be more highly educated and hold above-average access to human capital wealth. These arguments run counter to psychological science indicating the need for all students to be challenged in their schoolwork and that effort and appropriate educational programing, training and support are required to develop a student’s talents and abilities. In fact, high-ability students in the United States are not faring well on international comparisons. The scores of advanced students in the United States with at least one college-educated parent were lower than the scores of students in 16 other developed countries regardless of parental education level.

In the third section, we summarize areas of consensus and controversy in gifted education, using the extant psychological literature to evaluate these positions. Psychological science points to several variables associated with outstanding achievement. The most important of these include general and domain-specific ability, creativity, motivation and mindset, task commitment, passion, interest, opportunity, and chance. Consensus has not been achieved in the field however in four main areas: What are the most important factors that contribute to the acuities or propensities that can serve as signs of potential talent? What are potential barriers to acquiring the “gifted” label? What are the expected outcomes of gifted education? And how should gifted students be educated?

In the fourth section, we provide an overview of the major models of giftedness from the giftedness literature. Four models have served as the foundation for programs used in schools in the United States and in other countries. Most of the research associated with these models focuses on the precollegiate and early university years. Other talent-development models described are designed to explain the evolution of talent over time, going beyond the school years into adult eminence (but these have been applied only by out-of-school programs as the basis for educating gifted students).

In the fifth section we present methodological challenges to conducting research on gifted populations, including definitions of giftedness and talent that are not standardized, test ceilings that are too low to measure progress or growth, comparison groups that are hard to find for extraordinary individuals, and insufficient training in the use of statistical methods that can address some of these challenges.

In the sixth section, we propose a comprehensive model of trajectories of gifted performance from novice to eminence using examples from several domains. This model takes into account when a domain can first be expressed meaningfully—whether in childhood, adolescence, or adulthood. It also takes into account what we currently know about the acuities or propensities that can serve as signs of potential talent. Budding talents are usually recognized, developed, and supported by parents, teachers, and mentors. Those individuals may or may not offer guidance for the talented individual in the psychological strengths and social skills needed to move from one stage of development to the next. We developed the model with the following principles in mind: Abilities matter, domains of talent have varying developmental trajectories, opportunities need to be provided to young people and taken by them as well, psychosocial variables are determining factors in the successful development of talent, and eminence is the aspired outcome of gifted education.

In the seventh section, we outline a research agenda for the field. This agenda, presented in the form of research questions, focuses on two central variables associated with the development of talent—opportunity and motivation—and is organized according to the degree to which access to talent development is high or low and whether an individual is highly motivated or not.

Finally, in the eighth section, we summarize implications for the field in undertaking our proposed perspectives. These include a shift toward identification of talent within domains, the creation of identification processes based on the developmental trajectories of talent domains, the provision of opportunities along with monitoring for response and commitment on the part of participants, provision of coaching in psychosocial skills, and organization of programs around the tools needed to reach the highest possible levels of creative performance or productivity.

The German Young Olympic Athletes' Lifestyle and Health Management Study (GOAL Study): design of a mixed-method study

BACKGROUND

In order to perform at top levels, elite athletes have to both protect and risk their health at the same time. Adolescent elite athletes have the additional challenge of coping with substantial physical, psychological and social transformations. The contradictory phenomenon of protecting and risking the adolescent athletes' health in sports challenges the development of health promotion and protection strategies. The GOAL Study (German Young Olympic Athletes' Lifestyle and Health Management Study) analyzes the individual and organizational management of health in adolescent elite sports.

METHODS/DESIGN

We combine quantitative and qualitative approaches in a mixed-method study. This allows us to gather a broad range of representative information on squad athletes from all Olympic disciplines as well as in-depth information on four selected Olympic disciplines (artistic gymnastics, biathlon, handball and wrestling). Within the quantitative section we attempt to identify the young athletes' health and nutrition behavior, their subjective health state and their lay health representations, health-related social networks, and structures of medical attendance. 1138 national team level athletes born between 1992 and 1995 from 51 Olympic disciplines responded to the questionnaire (response rate: 61,75%). The qualitative section investigates the meaning and relevance of health and nutrition within the athletes' sports specific surroundings, the impact of biographic backgrounds on individual health behavior, and sports specific cultures of health, nutrition and risk. We interviewed 24 athletes and 28 coaching and medical experts, and carried out 14 multi-day participant observations at training sessions and competitions.

CONCLUSIONS

The studies' results will serve as the basis for developing tailored health promotion strategies to be in cooperation with German elite sports associations.

Talent development in adolescent team sports: a review

Traditional talent development pathways for adolescents in team sports follow talent identification procedures based on subjective games ratings and isolated athletic assessment. Most talent development models are exclusive rather than inclusive in nature. Subsequently, talent identification may result in discontentment, premature stratification, or dropout from team sports. Understanding the multidimensional differences among the requirements of adolescent and elite adult athletes could provide more realistic goals for potential talented players. Coach education should include adolescent development, and rewards for team success at the adolescent level should reflect the needs of long-term player development. Effective talent development needs to incorporate physical and psychological maturity, the relative age effect, objective measures of game sense, and athletic prowess. The influences of media and culture on the individual, and the competing time demands between various competitions for player training time should be monitored and mediated where appropriate. Despite the complexity, talent development is a worthy investment in professional team sport.