heart rate, Sports Science

Almost one year since the last post, lots happened

It is amazing how time flies. I just realised that it is almost one year since my last post. Time has gone so fast, it is incredible. It seems yesterday that we were celebrating the end of the Qatar 2022 World Cup, 2023 came and went incredibly quickly.

Work has been manic as always. A lot of exciting projects conducted, new services added to the hospital and many projects completed and published.

Below a list of papers published in 2023. All work hopefully contributing to advance knowledge in the field. Very importantly, 3 key papers from our services during the FIFA World Cup. For the first time in history one hospital delivered all services to athletes and delegations during a Football World Cup and we have published the data to help future events planning. The papers are all open access, so just click on the links and download/read them.

Management of radiology services during the 2022 FIFA football (soccer) World Cup.

Bordalo M, Evans T, Allenjawi S, Targett S, Dzendrowskyj P, Al-Kuwari AJ, Cardinale M, D’Hooghe P.Skeletal Radiol. 2023 Nov 9. doi: 10.1007/s00256-023-04486-2. Online ahead of print.PMID: 37943308 Review.3CiteShare 

Medical services at the FIFA world cup Qatar 2022.

Schumacher YO, Kings D, Whiteley R, Dharman A, Taqtaq G, Mc Court P, Alkhelaifi K, Targett S, Holtzhausen L, Pieles GE, Dzendrowskyj P, Zikria BA, Bordalo M, Al Hussein I, D’Hooghe P, Al-Kuwari A, Cardinale M.Br J Sports Med. 2023 Oct 27:bjsports-2023-106855. doi: 10.1136/bjsports-2023-106855. Online ahead of print.PMID: 37890964 Free article.4CiteShare 

Imaging-detected sports injuries and imaging-guided interventions in athletes during the 2022 FIFA football (soccer) World Cup.

Bordalo M, Serner A, Yamashiro E, Al-Musa E, Djadoun MA, Al-Khelaifi K, Schumacher YO, Al-Kuwari AJ, Massey A, D’Hooghe P, Cardinale M.Skeletal Radiol. 2023 Sep 16. doi: 10.1007/s00256-023-04451-z. Online ahead of print.PMID: 377158195CiteShare 

Junior to senior transition pathway in Italian Football: The rocky road to the top is not determined by youth national team’s selections.

Boccia G, Brustio PR, Rinaldi R, Romagnoli R, Cardinale M, Piacentini MF.PLoS One. 2023 Jul 18;18(7):e0288594. doi: 10.1371/journal.pone.0288594. eCollection 2023.PMID: 37463153 Free PMC article.6CiteShare 

Thermoregulatory responses during road races in hot-humid conditions at the 2019 Athletics World Championships.

Aylwin P, Havenith G, Cardinale M, Lloyd A, Ihsan M, Taylor L, Adami PE, Alhammoud M, Alonso JM, Bouscaren N, Buitrago S, Esh C, Gomez-Ezeiza J, Garrandes F, Labidi M, Lange G, Moussay S, Mtibaa K, Townsend N, Wilson M, Bermon S, Racinais S.J Appl Physiol (1985). 2023 May 1;134(5):1300-1311. doi: 10.1152/japplphysiol.00348.2022. Epub 2023 Apr 6.PMID: 37022963 Free PMC article.7CiteShare 

Infographic. Oxford consensus on primary cam morphology and femoroacetabular impingement syndrome-natural history of primary cam morphology to inform clinical practice and research priorities on conditions affecting the young person’s hip.

Dijkstra HP, Mc Auliffe S, Ardern CL, Kemp JL, Mosler AB, Price A, Blazey P, Richards D, Farooq A, Serner A, McNally E, Mascarenhas V, Willy RW, Stankovic I, Oke JL, Khan KM, Glyn-Jones S, Clarke M, Greenhalgh T; Young Athlete’s Hip Research (YAHiR) Collaborative.Br J Sports Med. 2023 Mar;57(6):382-384. doi: 10.1136/bjsports-2022-106094. Epub 2023 Jan 17.PMID: 36650034 Free PMC article. No abstract available.8CiteShare 

Oxford consensus on primary cam morphology and femoroacetabular impingement syndrome: part 2-research priorities on conditions affecting the young person’s hip.

Dijkstra HP, Mc Auliffe S, Ardern CL, Kemp JL, Mosler AB, Price A, Blazey P, Richards D, Farooq A, Serner A, McNally E, Mascarenhas V, Willy RW, Oke JL, Khan KM, Glyn-Jones S, Clarke M, Greenhalgh T; Young Athlete’s Hip Research (YAHiR) Collaborative.Br J Sports Med. 2022 Dec 6;57(6):342-58. doi: 10.1136/bjsports-2022-106092. Online ahead of print.PMID: 36588402 Free PMC article.9CiteShare 

Oxford consensus on primary cam morphology and femoroacetabular impingement syndrome: part 1-definitions, terminology, taxonomy and imaging outcomes.

Dijkstra HP, Mc Auliffe S, Ardern CL, Kemp JL, Mosler AB, Price A, Blazey P, Richards D, Farooq A, Serner A, McNally E, Mascarenhas V, Willy RW, Oke JL, Khan KM, Glyn-Jones S, Clarke M, Greenhalgh T; Young Athlete’s Hip Research (YAHiR) Collaborative.Br J Sports Med. 2022 Dec 6;57(6):325-41. doi: 10.1136/bjsports-2022-106085. Online ahead of print.

We also delivered an incredible amount of educational activities and contributed to national and international conferences. As usual, many of our educational offerings are available on your youtube channel. I had the chance to travel to South Africa for the annual meeting of the IOC research centres and contribute to further discussion and advancements on injury and illness prevention in Sport. It is always great to be part of such an incredible community trying to advance the knowledge in this field. Hopefully 2024 will see more collaborative projects between our institutions.

This year I also joined the Wellness Foundation as a member of the scientific advisory board. This is a project I am very passionate about, as the mission of the organisation is to encourage the wellness culture, contribute to the education of practitioners and individuals involved in delivering exercise as an intervention to improve people’s health and hopefully develop research projects to advance knowledge and increase the uptake of exercise in various communities. We had a great event in Italy at the Technogym HQ, the 25th wellness congress which attracted may GPs and operators in the wellness world. The details of the event are here. Few weeks later, the Wellness Foundation also launched the publication ‘Exercise is Medicine’. The new edition was released by the Wellness Foundation, with the support of Technogym, global partner of Exercise is Medicine – an initiative of the American College of Sports Medicine, and was supported by THiNKactive, EuropeActive‘s research center, and the Research Centre for Sport Sciences department of King Juan Carlos University. Hopefully this publication will reach many GPs and more patients will be prescribed wih exercise to improve their health.

Despite the work and life challenges, I continued training for triathlons and finally managed to compete in a 70.3 Ironman. The race I was signed up for as a 50th birthday present from my wife was in Bahrain in December. I had a few hiccups training for it due to health and logistics challenges and also a calf strain 13 days before competition. However, I managed to complete the race with an excellent 5h 48min and 17s (for my standards and my injury situation) and enjoyed the course greatly. Swimming in the Reef Island for 1.9km, followed by an iconic 90Km Bike Ride seeing the Bahrain World Trade Center and riding in the F1 circuit, to then finish with 21km run in Reef Island. Hopefully health will still be on my side next year and I hope to do more events with shorter distances and possibly another 70.3 somewhere else in the World.

Sports Science

Another trip around the sun.

Holidays and rest give you time to reflect on many things. This afternoon, while tidying up my computer, I realised it is almost one year since I wrote something on my blog. It’s been quite a year. No wonder time has not been on my side and I have neglected a bit the blog. Every year I realise how much I could write about, but for some reasons, in the last few years, I only made minimal efforts. As a tradition, I will do the last post of the year, to reflect on 2022.

What a year! Started still in the midst of another wave of the pandemic and finished with an incredible Football World Cup in Qatar. Lots of things have happened professionally and personally, as usual some wins, some losses, some good things some not so good. But such is life and we can only play with the cards we get given.

From a professional standpoint it has been quite a challenging year but also a very successful one. Being the leader of a large department in a changing organisation leading into the World Cup is never an easy task, but I am priviledged to have the opportunity and very proud of what my team achieved this year. From a research standpoint, our institution published again >100 scientific papers in peer reviewed journal. This is incredible considering the relatively small size of the research team and the staff turnover in the last two years. The quality of work and the effort was such that the IOC confirmed Aspetar again for another 4 years as one of the only 11 Research Centers in the World until 2026 (if you want to know more about this, read here). Personally, I published two papers on peer reviewed journals this year.

The following one was part of the Doha 2019 study conducted during the World Championships

Association between thermal responses, medical events, performance, heat acclimation and health status in male and female elite athletes during the 2019 Doha World Athletics Championships.

Racinais S, Havenith G, Aylwin P, Ihsan M, Taylor L, Adami PE, Adamuz MC, Alhammoud M, Alonso JM, Bouscaren N, Buitrago S, Cardinale M, van Dyk N, Esh CJ, Gomez-Ezeiza J, Garrandes F, Holtzhausen L, Labidi M, Lange G, Lloyd A, Moussay S, Mtibaa K, Townsend N, Wilson MG, Bermon S.Br J Sports Med. 2022 Apr;56(8):439-445. doi: 10.1136/bjsports-2021-104569. Epub 2022 Feb 14.PMID: 35165084 

This one was with my Italian colleagues continuing the work on understanding talent pathways in swimming

Don’t Throw the Baby Out With the Bathwater: Talent in Swimming Sprinting Events Might Be Hidden at Early Age.

Brustio PR, Cardinale M, Lupo C, Boccia G.Int J Sports Physiol Perform. 2022 Jul 26:1-8. doi: 10.1123/ijspp.2021-0530. Online ahead of print.PMID: 35894878

If you want to know more about the papers published by Aspetar, we do (I think) a great job in summarising and making such papers accessible on our website and our youtube channel.

I also co-edited with my colleague and friend Professor Warren Gregson a special issue of the Aspetar Sports Medicine Journal on Sports Science in Football and also wrote an article on technology in Football. I am glad we did it, this is the last project for Warren in Qatar and he will move back to the UK in 2023. Looking forward to more collaborations with him and his new colleagues in the future.

You can access all the content for free here.

Scientific Support services in Aspetar have also developed, and we managed to create a new facility and service for the World Cup and beyond. If you want to know more about Aspetar’s scientific support you can read more here. If you want to know more about our new recovery center you can see a short clip here. We continue supporting athletes in their quest for excellence and/or to make sure they recovery from injuries and get back to performance.

I was priviledged to be invited to speak to a few conferences again in Qatar and internationally as well as organising a Football Symposium. The highlight for me was to return to Budapest 20 years after defending my PhD thesis to give a talk on Sports Science and Research in High Performance Sport. I got the chance to see again my mentor Prof. Tihanyi and friends I had not seen for years. Also, it was an opportunity for me to see the university campus and how it is evolving after so many years. Finally, I had the chance to visit Neka, the Hungarian National Handball Academy on Lake Balaton as part of the conference. What an incredible place, I was glad to see that Handball is finally developing the concept of handball academies creating opportunities for young players to study and develop as sports people.

The last few months of the year were fully dedicated to the World Cup. I had the priviledge to be a member of the Aspetar Task Force leading the planning and delivery of Aspetar’s medical services at the FIFA World Cup. It was hard work, but we managed to provide a comprehensive support as well as a couple of interesting research projects which I hope you will read more about in the next few months. The World Cup in Qatar was an amazing event. From a professional stadpoint, after having been involved for many years providing scientific support to a participating team (e.g. World/Continental championships/Olympic Games), this was the second opportunitity to work on the other side of the fence working to develop and deliver services to colleagues and teams of different nations/teams. Challenges bring opportunities, and knowing what teams and collagues need when travelling to competitions abroad gave me the right platform to help organise and deliver the best possible services. This was made easier by the wonderful colleagues I had the possibility to work with (you know who you are ;-)) and gave me also another chance to learn about different aspects (I love microsoft sharepoint sites integrations now, with microsoft apps/powerbi/calendars etc. :-)).

I had the possibility to see a few matches as a spectator in between work shifts and towards the end of the tournament and I loved every minute of it! The event was incredibly well organised and the atmosphere in the stadiums was amazing and super safe.

Unfortunately, the foreign press run a campaign against Qatar that was an utter disgrace. So many lies and non-factual statements that it would require pages and pages of blogs to discuss this. I will keep the blog clean from any political conversation, what I can say is that the amount of incorrect information was staggering and unfair to a country who has been developing a lot in the last 10 years since I arrived. My plea to the readers is to fact-check the statements about Qatar (you can do it in many places but you can start here, here, here). Argentina lifted the trophy after the most exciting final ever.

And yes, I predicted in some way Argentina’s success in a Facebook message after they beat Italy in Wembley in June 🙂

Sports Science produced some great new papers and new ideas. This will require another blog article. In the last few months I have developed an interest on muscle injuries (also because i have got a few…), and I am involved in a few research projects to understand them better, improve the diagnosis and try to find therapeutic approaches to accelerate recovery and return to play. So whatch this space in the future for some ramblings about it. I am already looking forward to an exciting 2023 in terms of learning and research opportunities.

Sadly, like every year, we lost few friends and family. I don’t want to list them all here, but I would like to pay tribute to a friend and colleague. Dr Louis Passfield passed away recently unexpectedly. Louis was one of the nicest individuals I had the chance to meet and work with not only on research projects but also in preparation for the Beijing Olympics when he was the lead scientist for British Cycling. He was always full of ideas and great insights and a pleasure to spend time with every time we had a chance at a conference or a meet. He left us a great scientific and human legacy. We shared a lot of common interest, one of them being cycling. Rest in peace my friend. It was an honour to get to know you.

Sports Science

New year, still with a pandemic, winter Olympics and more

Here we are in 2022. We were all hoping for many things to change, and it seems we are all still stuck with the same issues we had last year. The pandemic is still affecting our daily lives, travelling is still challenging, and every nation is going through patterns of openings and lockdowns. While science continues to progress and provides even strong evidence that the vaccines are working (for a list of all trials and approved vaccines, you can go here), sport keeps moving. Yesterday Beijing had the opening ceremony of the Winter Olympics, and competitions have already started. I have to say that it was a bit surreal for me to look at the birds’ nest as the opening venue, since the last time I was in the stadium it was for the Beijing 2008 summer Olympics.

The atmosphere was always electric in the bird’s nest in 2008
Heading to the stadium in 2008 with Team GB

China has managed to be one of the few countries in the World able to organise both ‘versions’ of the Olympic Games: Summer and Winter and I am sure we will see again incredible performances and amazing stories. However, organising an Olympic Games edition during a pandemic is not easy, and sadly I have seen already a number of athletes, coaches and support staff unable to reach China due to a positive COVID test. The usual question before each Olympic edition is: who is going to win the most medals?

Gracenote is predicting another domination of Norway, and a close battle between Canada and USA for the 4th place with Germany and Russia predicted to occupy the 2nd and 3rd place in the medal table. I think this will be a highly unpredictable edition of the Winter Olympics since nobody really knows what is going to happen with COVID despite all restrictions in place. 308 cases have been reported so far in the Olympic bubble, and cases are likely to rise. I will write more about the results in the next few days.

Work-wise, it has been a pretty busy few months following the FIFA Arab cup, we are getting ready to support the World Cup in November this year. So, the next few months will be for sure pretty hard. Unfortunately the wonderful 7th AFC medical conference had to be postponed to 2023 due to che challenges of the Omicron variant. However, we are confident that next year we can resume this great event and welcome the sports medicine community back in Qatar with a fantastic conference.

Research activities, projects and dissemination of scientific findings are progressing well despite all the challenges. Aspetar has published 139 scientific papers this year thanks also to the extensive collaboration network with colleagues around the World. This was recently reported in various media outlets in the region as well as on Al Kass TV and it is great to be part of such an exciting community in Aspire Zone Foundation. If you have not seen any of our events yet, you can access them recorded on our You Tube Channel here. Keep watching this space for more research news as we have many papers under review at the moment on many topics and a special issue of the Aspetar Sports Medicine Journal.

There is unfortunately something very sad to report. Last month a dear colleague and friend passed away. Prof. Kevin Tipton is not with us anymore. Other colleagues have written fantastic tributes to Kevin, so I will avoid doing it here. However, I would like to say that Kevin was not only an incredible scientist but also a very humble and generous human being. He wrote a fantastic chapter for the strength and conditioning book I edited with Rob Newton and Ken Nosaka and he leaves an outstanding legacy. We will all miss you Tipper, thanks for the memories and your outstanding research.