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ORIGINAL ARTICLE  EPIDEMIOLOGY AND CLINICAL MEDICINE 

The Journal of Sports Medicine and Physical Fitness 2022 September;62(9):1237-45

DOI: 10.23736/S0022-4707.21.12690-8

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Blood and performance adaptations to individual training load in professional soccer players: a team study

Vincenzo RAGO 1 , Italo LEO 2, Arcano MARROCCO 3, Riccardo IZZO 3, Cristoforo FILETTI 4, 5

1 Faculty of Health Sciences and Sports, European University, Lisbon, Portugal; 2 Department of Human, Philosophical and Educational Sciences, University of Salerno, Fisciano, Salerno, Italy; 3 Department of Biomolecular Sciences, Carlo Bo University, Urbino, Italy; 4 Department of Performance, Paris Saint-Germain Football Club, Paris, France; 5 Italian School of Sport Sciences and Exercise, Faculty of Medicine and Surgery, University of Tor Vergata, Rome, Italy



BACKGROUND: The aim of this study was to describe seasonal changes in iron storage, hormonal status and functional capacity in relation to accumulated training load in a professional male soccer team.
METHODS: Resting blood samples, countermovement jump (CMJ) and aerobic capacity (45-15 test) were collected over a 6-month period from the start of the preparatory period to the middle-season (E1 to E4) in a professional male soccer team (n=15 outfield players). External training load was regularly quantified using a wearable 10-Hz global positioning system.
RESULTS: One player systematically showed reduced iron storage throughout the season (ferritin <110 μg/L, hemoglobin <14 g/dL). No significant differences in blood and performance parameters were observed throughout the season (P>0.05). However, accumulated total distance and high-intensity distance (above maximal aerobic speed) from E1 to E3 were negatively correlated to changes in hematocrit, hemoglobin and red blood cells (r=-0.85 to -0.67; P<0.05) and positively to changes in ferritin (r=0.63-0.69; P<0.05). Additionally, high-intensity distance covered between E1 and E3 was negatively correlated to changes in testosterone concentrations (r=-0.71 [95% CI -0.93; -0.15]; P=0.021).
CONCLUSIONS: Resting blood parameters and functional capacity of male soccer players appeared to be stable throughout the early competitive period. However, iron storage and hormonal status are likely to be affected by accumulated high-intensity activity performed during practice and competition. Practitioners involved with GPS-based TL monitoring could consider the accumulated amount of high-intensity activity to inform medical staffs about possible changes in oxygen-carrying capacity and anaerobic overtraining.


KEY WORDS: Soccer; Anaerobic threshold; Testosterone; Hematocrit

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