contribution of epidemiology in sport practice. health in high performance sport centres (iahpstc)
DESCRIPTION
TRANSCRIPT
IRMESIRMES@ @
INSEPINSEP
Role of Epidemiologyin Sport
2ème Conferència Internacional de Països EsportiusINEFC, Barcelona
November 25th 2008
CONVENTION IRMESCONVENTION IRMESCONVENTION IRMES
INSEP
INSEP
MedicalDepartment
CIMS APHPHÔTEL-DIEU
Other Partners
Paris DescartesUniversityINSERM
Scientific CommiteeBoard of
Stake Holders
Conventions
2
INSEP Missions
• (Ré)affirmation de la place centrale du sport de haut niveau
• Confirmation et adaptation permanente du « double projet » (« projet de vie »)
• Définition et mise en œuvre d’une stratégie de développement très volontariste en matière de relations internationales
• Adaptation of « Health » (nouveaux locaux, modernisation des matériels, création de l’IRMES, partenariat APHP, réflexion sur l’organisation du Département Médical)
• Rôle accordé à la Research (en interne [mise à niveau des matériels], en externe [réseau])
INSEP & HealthPreventionResearch
Cure
INSEP in BEIJING53% of French Medals
4
IRMESIRMESMissionsMissions
Physiopathology in High Level Sport
Performance Epidemiology
Public Health & Preventionby Physical Activities & Sport
5
IRMESIRMESMissionsMissions
Physiopathologies HLS20 20 FundedFunded ResearchResearch ProjetsProjets5 5 RegistriesRegistries
Performance EpidemiologyNew New IndicatorsIndicators & & NormsNorms
Sport & PreventionPNAPSPNAPS
I. Physiopathology
Perspectives 2009Perspectives 2009
Physiopathologies HLSProjects, studies & registries
- Volley Ball & Hand arteriopathy FFVB- Genetic Mutations in HLS- Growth & chondroplasts in Gym FFG- Knee ligament rupture women basket FFBB- Neck trauma FFJ- Endocrinology in football FFF- Nutrition and Weight FFSA- Traumatology women Rugby FFR- Horse accidents FFE- Psychological follow up UVSB- Inserm Sudden death registry AFLD- Hypoxia room FFS WADA
Volley ball Arteriopathy
Art médiale : 1.2 mm
High level sport is demanding
Measuring Risks
Christopher Reeve
1952-2004
per 100 millions days of exposition to risk
Motorized Sports 146Horse riding 34Rugby 16Gymnastics 4.8Football 3.8Tennis 0.7
Deadly Accidents in Sport
Fuller, Clin J Sport Med 2007
per 100 millions days of exposition to risk
Hanggliding 12 000 20 death /yMotorized Sports 146 20 000 licHorse riding 34Rugby 16Gymnastics 4.8Football 3.8Tennis 0.7
Deadly Accidents in Sport
Fuller, Clin J Sport Med 2007
Risk = deceleration
-∆V/∆t (initial speed)
Distance to ground (g= 9,8 m.s-2)
Deadly Accidents in Sport
II. Performance Epidemiology
Performance EpidemiologyProgression Norms
100m Men210 athletes, 1984-2008
Performance EpidemiologyProgression Norms
100m Men210 athletes, 1984-2008
Usain BOLTCoherent ?
Performance EpidemiologyProgression Norms
100m Women105 athletes, 1968-2008
SA FraserUncoherent ?
100m Women19 best performers 1920 - 2008
?
SWIMMING & T&F BEIJING 2008OLYMPIC PERFORMANCES – WORLD RECORDS
‐ 20 à 30 Recordsdont les 2/3 en natation
‐ 75% des épreuves d’athlétismen’évoluent plus
‐ La natation progresse encoreen raison de sa technologie
8/8/8 Le monde
SWIMMING & T&F BEIJING 2008OLYMPIC PERFORMANCES – WORLD RECORDS
Natation: 22 RM / 32 events+0,4%
Athlétisme: 5 RM / 47 events‐3,3%
Natation: 22 RM / 32 events+0,4%
SWIMMING & T&F BEIJING 2008OLYMPIC PERFORMANCES – WORLD RECORDS
BEIJING 2008Performance Epidemiology
TRACK & FIELD
STAGNATION
Berthelot, PLoS ONE, Feb 2008
BEIJING 2008Performance Epidemiology
SWIMMING
PROGRESSIONTHROUGH
TECHNOLOGY
Desgorces, PLoS ONE, Nov 2008
2d GENERATION SWIMSUITS 2008
‐ Gain: 1 à 2% ‐ Short Distances‐ « Profiled » styles : FS & Back
Olympic podiumswill be Speedo
AFP, Mars 2008
2d GENERATION SWIMSUITS 2008WORLD RECORDS PROGRESSION
Distances
2d GENERATION SWIMSUITS 2008WORLD RECORDS PROGRESSION
Hommes
Distances
2d GENERATION SWIMSUITS 2008WORLD RECORDS PROGRESSION (100‐200m)
Free Style BackBreast Fly
2d GENERATION SWIMSUITS 2008WORLD RECORDS PROGRESSION
BEIJING 2008World Records during the Games
BEIJING 2008World Records during the Games
Swimsuits impact
THECITIUS
DESPERATELY NEEDS
TECHNOLOGY
33
IRMESIRMESPreventionPrevention
PNAPSProgramme National
Prévention par l’ActivitéPhysique ou Sportive
France
Heu
res
d’a
ctiv
ité
quotidie
nne
FranceFranceMeanMean PhysicalPhysical ActivityActivity
HL Sport TRAINING VOLUME(h/Y Athlétisme, Natation, Cyclisme, Judo, Escrime, Volley-Ball, Handball)
x10
Substitution
Heu
res
d’a
ctiv
ité
quotidie
nne
Sport & Sport & PhysicalPhysical ActivitiesActivitiesin in developpeddevelopped countries countries
PA/10
Spx10
37
IRMESIRMESPreventionPrevention
15 measures - 235 actions Public Health Policies
"Active" Mobility & WorkSport – CommunitiesPartnerships
New ProfessionsHealth Education
NEW RESEARCHNEW RESEARCHPARTNERSHIPSPARTNERSHIPS
Health ProfessionnalsMalakoff – Méderic
Adaptation, Performance & Climate ChangeCREAL, Barcelone
University St Joseph Beyrouth, Libanon
Risks
Intensity
Understand AthletesHealth Problems
Risks
Intensity
Facilitate Health throughPhysical Activities and Sport
Understand Athletes Health& Facilitate Health Comportments
through Physical Activities and Sport
Intensity
Risks
R. Bachelot Health & Sport Ministry
Julien Bahain Beijing Medalist
Rien n'est jamais acquis à l'homme
Louis Aragon La Diane Française, 1946