the huge potential of football in combating life style ... · krustrup et al. 2010 effect of...

Dias 1

Institut for Idræt

The huge potential of football in combating life style diseases

Peter Krustrup

Department of Exercise and Sport Sciences,University of Copenhagen, Denmark

Challenges for Football,

Aarhus, DK, June 21, 2011

Dias 2

Physiological Demands, Fitness and Health Effects

of Recreational Football – 2003-2011

Dias 3Krustrup et al. 2007, 2010a

Relationship between training type, fitness

effects and risk of life-style diseases

Dias 4

Heart rate response to football training

70

80

90

100

110

120

130

140

150

160

170

180

190

0 10 20 30 40 50 60

Training time (min)

Heart

rate

(b

.p.m

.)

-20 0 20 40 60 80 100P

uls

(S

lag

pr.

min

)

90

100

110

120

130

140

150

160

170

Tid (min)

1. halveg 2. halveg

Fodbold - markspiller

30 min gang

- a 40 yr old woman - a 70 yr old man

He

art

ra

te (

b.p

.m.)

Training time (min)

Walking

Football

The first and second

football session

in her life

Dias 5

Heart rate distribution during football training

Randers et al. 2010

For different subject groups

% of maximal heart rate

<70 70-80 80-90 90-95 95-100

% o

f p

layi

ng t

ime

0

10

20

30

40

50

60UF UM MM EM HM C9C12

* *#

#

#

$

$$

¤

+

#

¤

Fig. 5

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Heart rate distribution during football training

Randers et al. 2010

Influence of the number of players

Dias 7

Anaerobic energy turnover during football training

Muscle CP, lactate

and glycogen

Krustrup et al. 2010

Dias 8

Metabolic response to football training

Blood lactate


Blood glucose

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Locomotor actitivities during football training

20-40 yr old untrained men

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Activity

St W J LS MS HS Sp Br

% o

f to

tal p

layi

ng ti

me

0

2

4

6

8

10

20

30

40

50

601 v 1 - UM 3 v 3 - UM 7 v 7 - UM 2 v 2 - UF 4 v 4 - UF 7 v 7 - UF

$$$

¤

¤

#

#

Fig. 4B

Randers et al. 2010

Activity profile during football training

Influence of the number of players

Dias 11

Pedersen et al. 2010

Specific intense actions

during football training

Shots

Headers

Dribbles/turns

Pedersen

et al. 2011

Dias 12

Subjects:

60 untrained men aged 33 (20-43) yrs.

Weight: 83.6 (63.1-118.7) kg, VO2max: 39 (24-45) ml/min/kg

Recreational football (n=13), cont. running (n=13), interval

runnning (n=12), stregth training (n=11), controls (n=11)

12 wk intervention period, training 2-3 times a week

Football, cont. running and strength training: 1 h per session

Same average heart rate in football and cont. running

(82%HRmax). Football as small-sided games (e.g. 6 v 6)

Interval running: 5x2 min, HR>90%HRmax, per session

Fitness and health effects of

recreational football, continuous running,

interval running and strength training

Dias 13

Test day 1:

Medical screening, resting biopsyTest day 2:

DXA scans, treadmill tests Test day 3:

Blood pressure, resting HR,OGTTTest day 4:

Yo-Yo intermittent endurance testTest day 5:

Balance, sprint, jump and strength testTest day 6:

Muscle biopsies and blood samples during training

Testing days

0 wks: Test day 1, 2, 3, 4 og 5.

4 wks: Test day 2, 3, 4, 5 og 6.

12 wks: Test day 1, 2, 3, 4 og 5.

Dias 14

Effects after 12 wks of training

– 4 types of training

Maximal oxygen uptake

Krustrup et al. 2007, 2010a

Muscle mass

Inc

rea

se

in

VO

2 m

ax

(%

)

0

2

4

6

8

10

12

14

16

18

*

**

Jogging Interval running

Football Strength training

ControlIn

cre

ase in

lean

bo

dy m

ass (

kg

)0

1

2

3

**



Control


Dias 15

Effects after 12 wks of training

– 4 types of training

Fat percentage


Bone mass

Ch

an

ge

in

fa

t p

erc

en

tag

e

-4

-3

-2

-1

0

1

*

*



ControlIm

pro

ve

me

nt

(%)

-1

0

1

2

3

4

5

* *



Control

Dias 16

Institut for Idræt

Effects of football training – individual responses

Adult men, 12 wks of training, 2-3 times 1 h/wk

Krustrup et al. 2009, 2010

0 wks

Ma

xim

al o

xyg

en

up

take

(m

l/min

/kg

)

0

25

30

35

40

45

50

55

12 wks 0 wks 12 wks

Football group Control group

Maximal oxygen uptake LDL cholesterol

0 wks

LD

L c

ho

lest

ero

l (m

mo

l/l)

0

1

2

3

4

5

12 wks 0 wks 12 wks


Dias 17

Before 3 months

VOVO22max (<35 ml/min/kg)max (<35 ml/min/kg)

Fat percentage (>25%)Fat percentage (>25%)

LDL cholesterol (>2.5 mM)LDL cholesterol (>2.5 mM)

Quad. mass (<2,25 kg)Quad. mass (<2,25 kg)

BP; SBP (>140 mmHg)BP; SBP (>140 mmHg)DBP (>90 mmHg)DBP (>90 mmHg)

Postural balance (>10 falls)Postural balance (>10 falls)

Change

37 players37 players

34 players 34 players



39 players39 players28 players28 players


9 players9 players



5 players5 players

13 players13 players9 players9 players

6 players6 players

+14%+14%

--4.9% 4.9%

--0.4 mM0.4 mM

+18%+18%

--12 mmHg12 mmHg--9 mmHg9 mmHg

8 falls less8 falls less

- for individuals with elevated risk of life-style diseases

Health effects of recreational football

Krustrup et al. 2007, 2009, 2010

Dias 18

Krustrup et al. 2007, Elbe et al. 2010

Rate of perceived exertion

during football trainingH

ow

ha

rd i

s i

t to

tra

in?

VA

S s

co

re (

0-1

0)

0

2

4

6

8

10

*

*



*: Harder than football

Dias 19

Fußball gesünder als Joggen - Bild.T-Online.de Fußball gesünder als Joggen. Besser als Joggen: Bolzen für die Gesundheit ... Für den Sportmediziner Peter Krustrup von der Universität Kopenhagen ein „sehr ... ANSA.it - Scienza - Salute: calcio batte jogging (ANSA) - ROMA, 23 AGO - Secondo uno studio di Peter Krustrup dell'Universita' di Copenhagen il calcio molto piu' del jogging e' un toccasana per la forma ... Il Secolo XIX Web - Salute: calcio meglio del jogging per la forma ... Qual e' il segreto del calcio? "I continui cambi di velocita' sul campo e le azioni ad alta intensita' - spiega Peter Krustrup, curatore dello studio ... Estudio demuestra que correr a largas distancias ayuda a perder grasa El científico Peter Krustrup y sus colegas de la Universidad de Copenhague ... conseguidos tras el estudio: los jugadores de fútbol habían perdido 3.5 kilos ... CNN: Soccer burns more fat than jogging Soccer burns more fat than jogging Author: University of Copenhagen Published on Aug 22, 2007, 06:34. The experiment: Sports scientist Peter Krustrup and ...

يھيUUUUUUUUUUUUUUUUUالثبوليتين أخبUUUUUUUUUUUUUUUUUارSoccer beats jogging for fat burning رةUUدم كUUUUUوز القUUUUركض فUUUUال ... The experiment Sports scientist Peter Krustrup and his colleagues from the ... www.ihealthbulletin.com/blog/ar/

Burn it like Beckham!

We Report. You Decide.

Øverst på formularen

Nederst på formularen

Study: Soccer Better than Jogging for Fat Loss Thursday, September 20, 2007

There's a new slogan for weight-watchers: Burn it like Beckham. A friendly game of soccer, a new study has found, works off more fat and builds up more muscle than jogging.

Soccer players don’t feel the pain!

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Recent publications

Dias 22Krustrup et al. 2007, 2010a

Relationship between training type, fitness

effects and risk of life-style diseases

Dias 23

Effects of football training

on maximal oxygen uptake20-50 yr old untrained women

2 times 1 h per wk, 16 wks


2.3 times 1 h per wk, 12 wks

Bangsbo et al. 2010Krustrup et al. 2010

Ma

xim

al o

xyg

en

up

take

(m

l/min

/kg

)012

32

33

34

35

36

37

38

39

40

41 0 wks 4 wks 12 wks

*

*

*

*

#

#

Football Running ControlFootball

Maxim

al

oxyg

en

up

take (

ml/

min

/kg

)

0

36

38

40

42

44

46

480 wks 4 wks 12 wks *

* * *

§+

+

Running Control

Dias 24


on Yo-Yo IE2 performance

20-50 yr old untrained women




Yo

-Yo

IE

2 p

erf

orm

an

ce (

m)

0

50

100

150

200

250

300

350

400 0 wks 4 wks 12 wks

**

#

#

Football Running Control

Yo

-Yo

IE

2 p

erf

orm

an

ce (

m)

0

200

400

600

800

1000

12000 wks 4 wks 12 wks

*

** *

#§



Dias 25


on 30-m sprint performance

20-50 yr old untrained women




*

Football Running

30-m

sp

rin

tin

g s

peed

(km

/h)

0,0

22,0

22,5

23,0

23,5

24,00 wks 12 wks §*

Football Running

30-m

sp

rin

tin

g s

peed

(km

/h)

0,0

17,0

17,5

18,0

18,5

19,0

19,5

20,0

20,5

21,0

0 wks 12 wks

*§

*


Dias 26

Effects of 12 wks of football training

- muscular adaptations

20-45 yr old men


Cit

rate

syn

tha

se

ac

tivit

y (

uM

/g d

.w./

min

)

0

25

30

35

40

45

500 wks 4 wks 12 wks

**

+


Muscle enzyme activity Muscle capillarisation

Dias 27


- muscular adaptations, 20-45 yr old men

Krustrup et al. 2009, 2010

Lean body mass Muscle fibre area

Me

an

mu

sc

le f

ibre

siz

e (

mm

2)

0

4500

4750

5000

5250

5500

5750

6000

6250

0 wks 4 wks 12 wks

*+


Dias 28


- fat oxidation during exercise

20-45 yr old men

Krustrup

et al. 2010

Dias 29

Institut for Idræt

Health Effects of Women’s Football

Dias 30

Subjects:

70 utrained premenopausal women

aged 37 (21-47) yrs, weight 67.4 (51.3-97.4) kg,

VO2max: 33 (24-40) ml/min/kg

Experimental groups:

Football (n=25), Continuous running (n=25),

Control (n=20). Drop-out: 2, 3 and 1

Training:

2x1 hour per week for 16 weeks.

Same average heart rate: 82% of HRmax.

Randomized controlled

training study

Dias 31

Football Jogging Control

Ch

an

ge

in v

BM

D T

ota

l (%

)

-1

0

1

2

3

4Left tibia Right tibia

*

*

20-50 yr old women 16 wks,

1.9 x 1h per wk


Effect of Women’s Football

Maximal oxygen uptake Bone mineral density

Helge et al. 2010

Dias 32

Long-term cardiac adaptationsPre-menopausal women, 2x1 h per wk, 16 months


Dias 33

Blood pressure

Krustrup et al.

2010

20-50 yr old women 16 wks, 1.9 x 1h per wk

Dias 34

# p<0.05 compared to baseline

§p<0.05 delta values compared to DAG

Effect of football training for 30-55 yr old

men with mild-to-moderate hypertension

Andersen et al. 2010

Cardiac structure Results after 12 weeks of football training in hypertensive men

pre football post football pre control post kontrol

RV

DD

(m

m.)

0

20

30

40

50

*

Increased right ventricular sizeRVDD

*,§ P<0.05 compared to baseline

E/a-

ratioImproved diastolic function

Pre Football Post Football Pre DAG Post DAG

E / A

0,0

0,5

1,0

1,5

2,0

2,5

§

Dias 36

March 4, 2010, 2:25 pm Health Gains for Grown Up

Soccer Players

Adults who regularly kick around a soccer ball with friends have better heart and bone health, a new study found. Being a soccer mom usually means carpooling kids to games and watching them play. But new research shows that women who join in the fun and kick around a soccer ball can dramatically improve their bone and heart health.

Dias 37

Fitness and health effects of football

training for other subject groups

School kids

9 and 12 yrsHomeless men

20-50 yrs

Elderly men

70 yrs

Dias 38

Type of School Sport

Football Basket Hockey Gymn Circuit tr Wii Box Wii Ten

Me

an

he

art

ra

te (

% o

f m

ax

ima

l H

R)

0

40

50

60

70

80

90

#

# # #

#

#: Lower than football

Heart rate response to various school sports

Mean heart rate

Type of School Sport

Football Basket Hockey Gymn Circuit tr Wii Box Wii Ten

He

art

ra

te >

90

% H

Rm

ax

(%

to

tal

tim

e)

0

5

10

15

20

25

30

#

##

##

#: Lower than football

HR > 90%HRmax

Bendiksen et al. 2011

Dias 39

Effect on physical fitness of a

short-term ball-game intervention

Yo-Yo IRm performance

0 wks

Yo-

Yo

IR1m

per

form

ance

(m

)

0

200

400

600

800

1000 2x45 min/wk AHI 1x45 min/wk AMI, CON

6 wks

#*

Dias 40

Yo-Yo IRm test performance (m)

0 200 400 600 800 1000 1200 1400 1600 1800

VO

2m

ax (

ml/m

in/k

g)

0

35

40

45

50

55

60

65

70

y=0.0116x+42.3,r=0.68, p<0.002

Relationship between the Yo-Yo IR1m

and maximal oxygen uptake

Ahler et al. 2011

Bendiksen et al. 2011

Dias 41

30 yr old untrained

men

Nu

mb

er

of

fall

s i

n t

he

Fla

min

go

te

st

(n)

0

5

10

15

20

25

30

35

40

70 yr old football players

70 yr olduntrained

men

##

Postural balance(number of falls)

Ra

pid

mu

sc

le f

orc

e,

RF

D (

Nm

/s/k

g)

0

2

4

6

8

10

12

14

16

##

30 yr old untrained

men

70 yr old football players

70 yr olduntrained

men

Rapid muscle force

Sundstrup et al. 2010

Balance and strength for 70 year old football players

- in comparison to untrained men aged 30 and 70

Dias 42

1) Recreational soccer is easy to organise as intense, variable and

joyful training for untrained children, teens, adults and elderly

2) The intensity of small-sided soccer games is high and the

perceived exertion is moderate – even for participants with no

prior soccer experience and/or poor technical skills

3) Recreational soccer stimulates cardio-vascular, metabolic and

musculo-skeletal fitness for untrained individuals

4) Recreational soccer training causes multiple positive effects

on cardio-vascular risk factors: VO2max, heart function, muscle

capillarisation, BP, fat oxidation, fat mass and cholesterol

5) Regular soccer training causes muscle hypertrophy, elevates BMD

and improves muscle strength and postural balance, suggesting

that soccer training can lower the risk of falls and fractures

Conclusion

Dias 43

Thank you!

Dias 44

Dias 45

Focus and motivation

People play for fun, for their

team mates and for the game itselfM and not for the doctor

Dias 46

Testing and training in Women’s Soccer

Dias 47

Institut for Idræt

Fitness and Health Effects of Women’s Soccer

Dias 48

Heart rate response to football training

Week 1

Me

an

he

art

ra

te (

b.p

.m.)

0

140

150

160

170

180

190

Week 12


From week 1 to week 12 in a training intervention

Dias 49

Institut for Idræt

Effects of football training –individual responses

Krustrup et al. 2010, Randers et al. 2011

LDL cholesterol

0 wks

LD

L c

ho

lest

ero

l (m

mo

l/l)

0

1

2

3

4

5

12 wks 0 wks 12 wks


30 adult men, 12 wks of training, 2-3 times 1 h/wk

Dias 50


on blood pressure

20-50 yr old untrained women20-45 yr old untrained menFig. 1A

Sys

tolic

blo

od

pre

ssure

(m

mH

g)

085

90

95

100

105

110

115

120

125

130

135

140

* *

FG 0 wks

FG 16 wks

RG 0 wks

RG 16 wks

CO 0 wks

CO 16 wksFig. 1B

Dia

stolic

blo

od p

ress

ure

(m

mH

g)

050

55

60

65

70

75

80

85

90

95

100

*

FG 0 wks

FG 16 wks

RG 0 wks

RG 16 wks

CO 0 wks

CO 16 wks

Krustrup et al. 2010Krustrup et al. 2009

Dias 51

Effect of Women’s Soccer

on muscle strength

Helge et al. 2010

Dias 52

Institut for Idræt

Effect of recreational football on reflex

response to sudden trunk loading

Pedersen et al. 2009

the huge potential of football in combating life style ... · krustrup et al. 2010 effect of...

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