Int J Sports Med 2015; 36(13): 1112-1117
DOI: 10.1055/s-0035-1555778
Clinical Sciences
© Georg Thieme Verlag KG Stuttgart · New York

Anthropometric Injury Risk Factors in Elite-standard Youth Soccer

G. L. J. Kemper
1   University of Groningen, University Medical Center Groningen, Department Human Movement Sciences, The Netherlands
2   Physiotherapy, Saxion University of Applied Sciences, Enschede, Netherlands
,
A. van der Sluis
1   University of Groningen, University Medical Center Groningen, Department Human Movement Sciences, The Netherlands
4   School of Sports Studies, Hanze University of Applied Sciences, Groningen, Netherlands
,
M. S. Brink
1   University of Groningen, University Medical Center Groningen, Department Human Movement Sciences, The Netherlands
4   School of Sports Studies, Hanze University of Applied Sciences, Groningen, Netherlands
,
C. Visscher
1   University of Groningen, University Medical Center Groningen, Department Human Movement Sciences, The Netherlands
,
W. G. P. Frencken
1   University of Groningen, University Medical Center Groningen, Department Human Movement Sciences, The Netherlands
3   Football Club Groningen, Groningen, Netherlands
4   School of Sports Studies, Hanze University of Applied Sciences, Groningen, Netherlands
,
M. T. Elferink-Gemser
1   University of Groningen, University Medical Center Groningen, Department Human Movement Sciences, The Netherlands
5   Institute for Studies in Sports and Exercise, HAN University of Applied Sciences, Nijmegen, Netherlands
› Author Affiliations
Further Information

Publication History



accepted after revision 26 May 2015

Publication Date:
10 August 2015 (online)

Abstract

The aim of the study was to investigate whether an increased risk of injury occurrence can be determined through frequent anthropometric measurements in elite-standard youth soccer players. Over the course of one season, we followed 101 male elite-standard youth soccer players between 11 and 19 years of age. Height and body mass were monitored at monthly measurement intervals and fat percentage was assessed every 3 months by use of the sum of skinfold method. Growth in height (cm), alternations in body mass index (kg/m2), fat percentage and fat-free mass index (kg/m2) were calculated. Injuries were recorded in accordance with the recommendations of the FIFA Consensus Model for Injury Registration. Odds ratio scores and 95% confidence intervals were calculated using binary logistic regression analyses. The following anthropometric injury risk factors were identified: ≥ 0.6 centimeter growth per month (p=0.03; OR=1.63; 95% CI: 1.06–2.52), ≥ 0.3 kg/m2 increase of body mass index value per month (p=0.03; OR=1.61; 95% CI: 1.04–2.49) and low fat percentage; i. e., < 7% for players aged 11–16 and < 5% for players over 16 years (p=0.01; OR=1.81; 95% CI: 1.18–2.76). Individual monitoring of anthropometrics provides useful information to determine increased risk of injury occurrence in elite-standard youth soccer.

 
  • References

  • 1 Arnason A, Sigurdsson SB, Gudmundsson A, Holme I, Engebretsen L, Bahr R. Risk factors for injuries in football. Am J Sports Med 2004; 32: 5-16
  • 2 Beunen G. Adolescent growth and motor performance: a longitudinal study of Belgian boys. Champaing, 2: Human Kinetics; 1988
  • 3 Blimkie CJ, Lefevre J, Beunen G, Renson R, Dequeker J, Van Damme P. Fractures, physical activity, and growth velocity in adolescent Belgian boys. Med Sci Sports Exerc 1993; 25: 801-808
  • 4 Bradburry S. Histology for medical students. London & Tonbridge: Heinemann medical books; 1973: 87
  • 5 Brink MS, Visscher C, Arends S, Zwerver J, Post WJ, Lemmink KA. Monitoring stress and recovery: new insights for the prevention of injuries and illnesses in elite youth soccer players. Br J Sports Med 2010; 44: 809-815
  • 6 Brito J, Malina RM, Seabra A, Massada JL, Soares JM, Krustrup P, Rebelo A. Injuries in Portuguese youth soccer players during training and match play. J Athl Train 2012; 47: 191-197
  • 7 Buchheit M, Mendez-Villanueva A. Reliability and stability of anthropometric and performance measures in highly-trained young soccer players: effect of age and maturation. J Sports Sci 2013; 31: 1332-1343
  • 8 Cerquides J, Mantaras RL. Proposal and empirical comparison of a parallelizable distance-based discretization method. In KDD97: third international conference on knowledge discovery and data mining 1997; 139-142
  • 9 Comfort E, Abrahamson P. Sport rehabilitation and injury prevention. Chichester: Wiley-Blackwell; 2010: 245-274
  • 10 Deurenberg P, Pieters JJL, Hautvast JGAJ. The assessment of the body fat percentage by skinfold thickness measurements in childhood and young adolescence. Br J Nutr 1990; 63: 293-303
  • 11 DiFiori JP. Evaluation of overuse injuries in children and adolescents. Curr Sports Med Rep 2010; 9: 372-378
  • 12 DiFiori JP, Benjamin HJ, Brenner JS, Gregory A, Jayanthi N, Landry GL, Luke A. Overuse injuries and burnout in youth sports: a position statement from the American Medical Society for Sports Medicine. Br J Sports Med 2014; 48: 287-288
  • 13 Durnin J, Womersley J. The assessment of the amount of fat in the human body from measurements of skinfold thickness. Br J Nut 1967; 21: 681-689
  • 14 Flachsmann R, Broom N, Hard A, Moltschaniwskyi G. Why is the adolescent joint particularly susceptible to osteochondral shear fracture?. Clin Orthop Relat Res 2000; 381: 212-221
  • 15 Ford K, Myer G, Hewett T. Longitudinal effects of maturation on lower extremity joint stiffness in adolescent athletes. Am J Sports Med 2010; 38: 1829-1837
  • 16 Frankena K, Graat EA. Multivariate Analysis: Logistic Regression. In Application of Quantitative Methods in Veterinary Epidemiology. Wageningen: Wageningen Pers; 1997: 135-169
  • 17 Fuller CW, Ekstrand J, Junge A, Andersen TE, Bahr R, Dvorak J, Hägglund M, McCrory P, Meeuwisse WH. Consensus statement on injury definitions and data collection. Scand J Med Sci Sports 2006; 16: 83-92
  • 18 Hawkins D, Metheny J. Overuse injuries in youth sports: biomechanical considerations. Med Sci Sports Exerc 2001; 33: 1701-1707
  • 19 Hammami MA, Ben Abderrahmane A, Nebigh A, Le Moal E, Ben Ounis O, Tabka Z, Zouhal H. Effects of a soccer season on anthropometric characteristics and physical fitness in elite young soccer players. J Sports Sci 2013; 31: 589-596
  • 20 Harriss DJ, Atkinson G. Ethical Standards in Sport and Exercise Science Research: 2014 Update. Int J Sports Med 2013; 34: 1025-1028
  • 21 Hopkins WG. Measures of reliability in sports medicine and science. Sports med 2000; 30: 1-15
  • 22 Jackowski SA, Faulkner RA, Farthing JP, Kontulainen SA, Beck TJ, Baxter-Jones AD. Peak lean tissue mass accrual precedes changes in bone strength indices at the proximal femur during the pubertal growth spurt. Bone 2009; 44: 1186-1190
  • 23 Johnson A, Doherty PJ, Freemont A. Investigation of growth, development, and factors associated with injury in elite schoolboy footballers: a prospective study. BMJ 2009; 26: 338 b490
  • 24 Le Gall F, Carling C, Reilly T. Biological maturity and injury in elite youth football. Scand J Med Sci Sports 2007; 17: 564-572
  • 25 Le Gall F, Carling C, Williams M, Reilly T. Anthropometric and fitness characteristics of international, professional and amateur male graduate soccer players from an elite youth academy. J Sci Med Sport 2010; 13: 90-95
  • 26 Malina RM, Bouchard C, Bar-or O. Growth, Maturation and Physical Activity. 2nd Edition Champaign: Human Kinetics; 2004: 277-333
  • 27 Malina RM, Morano PJ, Barron M, Miller SJ, Cumming SP. Growth status and estimated growthrate of youth football players. Clin J Sport Med 2005; 3: 125-132
  • 28 Malina RM. Body composition in athletes: assessment and estimated fatness. Clin Sports Med 2007; 26: 37-68
  • 29 Malina RM, Geithner CA. Body composition of young athletes. Am J Lifestyle Med 2011; 3: 262-278
  • 30 Meltzer S, Fuller C. Sports nutrition, a practical guide to eating for sport. London: New Holland publishers; 2005: 125-146
  • 31 Nagelkerke N. A note on a general definition of the coefficient of determination. Biometrika 1991; 78: 691-692
  • 32 Nakase J, Aiba T, Goshima K, Takahashi R, Toratani T, Kosaka M, Ohashi Y, Tsuchiya H. Relationship between the skeletal maturation of the distal attachment of the patellar tendon and physical features in preadolescent male football players. Knee Surg Sports Traumatol Arthrosc 2014; 22: 195-199
  • 33 Oppliger RA, Case HS, Horswill CA, Landry GL, Shelter AC. American College of Sports Medicine position stand: weight loss in wrestlers. Med Sci Sports Exerc 1996; 28: 9-12
  • 34 Philippaerts RM, Vaeyens R, Janssens M, Renterghem B, Matthys D, Craen R, Borgois J, Vrijens J, Beunen G, Malina R. The relationship between peak height velocity and physical performance in youth soccer players. J Sports Sci 2006; 24: 221-230
  • 35 Price RJ, Hawkins RD, Hulse MA, Hodson A. The Football Association medical research programme: an audit of injuries in academic youth football. Br J Sports Med 2004; 38: 466-471
  • 36 Quatman-Yates CC, Quatman CE, Meszaros AJ, Paterno MV, Hewett TE. A systematic review of sensorimotor function during adolescence: a developmental stage of increased motor awkwardness?. Br J Sports Med 2012; 46: 649-655
  • 37 Rebelo A, Brito J, Maia J, Coelho-e-Silva MJ, Figueiredo AJ, Bangsbo J, Malina RM, Seabra A. Anthropometric characteristics, physical fitness and technical performance of under-19 soccer players by competitive level field position. Int J Sports Med 2013; 34: 312-317
  • 38 Reilly T, George K, Marfell-Jones M, Scott M, Sutton L, Wallace JA. How well do skinfold equations predict percent body fat in elite soccer players. Int J Sports Med 2009; 30: 607-613
  • 39 Ross WD, Marfell-Jones MJ. Kinanthropometry, physiological testing of the high-performance athlete. MacDougall JD, Wenger HA, Green HJ. Human Kinetics Books 1991; 223-308
  • 40 Salvo VD, Benito PJ, Calderon FJ, Di Salvo M, Pigozzi F. Activity profile of elite goalkeepers during football match-play. J Sports Med Phys Fitness 2008; 48: 443-446
  • 41 Tanner JM. Growth at adolescence. 2nd Edition Oxford: Blackwell Scientific publications, and Springfield Thomas; 1962: 313
  • 42 Van der Sluis A, Elferink-Gemser MT, Coelho-e-Silva MJ, Nijboer JA, Brink MS, Visscher C. Sport injuries aligned to peak height velocity in talented pubertal soccer players. Int J Sports Med 2014; 35: 351-355
  • 43 Van der Sluis A, Elferink-Gemser MT, Brink MS, Visscher C. Importance of peak height velocity timing in terms of injuries in talented soccer players. Int J Sports Med 2015; 36: 327-332
  • 44 Valente-dos-Santos J, Coelho-e-Silva MJ, Simoes F, Figueiredo AJ. Modeling developmental changes in functional capacities and soccer-specific skills in male players aged 11-17 years. Pediatr Exerc Sci 2012; 24: 603-621