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  • 1. IRMES @ INSEP Role of Epidemiology in Sport 2ème Conferència Internacional de Països Esportius INEFC, Barcelona November 25th 2008
  • 2. CONVENTION IRMES Board of Scientific Commitee Stake Holders INSEP INSEP Paris Descartes INSERM University Medical Department Other Conventions Partners CIMS APHP HÔTEL-DIEU 2
  • 3. 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])
  • 4. INSEP & Health Prevention Research Cure INSEP in BEIJING 53% of French Medals 4
  • 5. IRMES Missions Physiopathology in High Level Sport Performance Epidemiology Public Health & Prevention by Physical Activities & Sport 5
  • 6. IRMES Missions Physiopathologies HLS 20 Funded Research Projets 5 Registries Performance Epidemiology New Indicators & Norms Sport & Prevention PNAPS
  • 7. I. Physiopathology
  • 8. Perspectives 2009 Physiopathologies HLS Projects, 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
  • 9. Volley ball Arteriopathy Art médiale : 1.2 mm
  • 10. High level sport is demanding
  • 11. Measuring Risks Christopher Reeve 1952-2004
  • 12. Deadly Accidents in Sport per 100 millions days of exposition to risk Motorized Sports 146 Horse riding 34 Rugby 16 Gymnastics 4.8 Football 3.8 Tennis 0.7 Fuller, Clin J Sport Med 2007
  • 13. Deadly Accidents in Sport per 100 millions days of exposition to risk Hanggliding 12 000 20 death /y Motorized Sports 146 20 000 lic Horse riding 34 Rugby 16 Gymnastics 4.8 Football 3.8 Tennis 0.7 Fuller, Clin J Sport Med 2007
  • 14. Deadly Accidents in Sport Risk = deceleration -∆V/∆t (initial speed) Distance to ground (g= 9,8 m.s-2)
  • 15. II. Performance Epidemiology
  • 16. Performance Epidemiology Progression Norms 100m Men 210 athletes, 1984-2008
  • 17. Performance Epidemiology Progression Norms 100m Men 210 athletes, 1984-2008 Usain BOLT Coherent ?
  • 18. Performance Epidemiology Progression Norms 100m Women 105 athletes, 1968-2008 SA Fraser Uncoherent ?
  • 19. 100m Women 19 best performers 1920 - 2008 ?
  • 20. SWIMMING & T&F  BEIJING 2008 OLYMPIC PERFORMANCES – WORLD RECORDS ‐ 20 à 30 Records dont les 2/3 en natation ‐ 75% des épreuves d’athlétisme n’évoluent plus ‐ La natation progresse encore en raison de sa technologie 8/8/8 Le monde
  • 21. SWIMMING & T&F  BEIJING 2008 OLYMPIC PERFORMANCES – WORLD RECORDS Natation: 22 RM / 32 events +0,4%
  • 22. SWIMMING & T&F  BEIJING 2008 OLYMPIC PERFORMANCES – WORLD RECORDS Natation: 22 RM / 32 events +0,4% Athlétisme: 5 RM / 47 events ‐3,3%
  • 23. BEIJING 2008 Performance Epidemiology TRACK & FIELD STAGNATION Berthelot, PLoS ONE, Feb 2008
  • 24. BEIJING 2008 Performance Epidemiology SWIMMING PROGRESSION THROUGH TECHNOLOGY Desgorces, PLoS ONE, Nov 2008
  • 25. 2d GENERATION SWIMSUITS  2008 ‐ Gain: 1 à 2%  ‐ Short Distances ‐ « Profiled » styles : FS & Back Olympic podiums will be Speedo AFP, Mars 2008
  • 26. 2d GENERATION SWIMSUITS 2008 WORLD RECORDS PROGRESSION  Distances
  • 27. 2d GENERATION SWIMSUITS 2008 WORLD RECORDS PROGRESSION  Hommes Distances
  • 28. 2d GENERATION SWIMSUITS 2008 WORLD RECORDS PROGRESSION (100‐200m)  Free Style Back Breast Fly
  • 29. 2d GENERATION SWIMSUITS 2008 WORLD RECORDS PROGRESSION 
  • 30. BEIJING 2008 World Records during the Games
  • 31. BEIJING 2008 World Records during the Games Swimsuits impact
  • 32. THE CITIUS DESPERATELY  NEEDS TECHNOLOGY
  • 33. IRMES Prevention PNAPS Programme National Prévention par l’Activité Physique ou Sportive 33
  • 34. France Mean Physical Activity Heures d’activité quotidienne France
  • 35. HL Sport TRAINING VOLUME (h/Y Athlétisme, Natation, Cyclisme, Judo, Escrime, Volley-Ball, Handball) x10
  • 36. Sport & Physical Activities in developped countries Heures d’activité quotidienne Spx10 PA/10 Substitution
  • 37. IRMES Prevention 15 measures - 235 actions Public Health Policies "Active" Mobility & Work Sport – Communities Partnerships New Professions Health Education 37
  • 38. NEW RESEARCH PARTNERSHIPS Health Professionnals Malakoff – Méderic Adaptation, Performance  & Climate Change CREAL, Barcelone University St Joseph  Beyrouth, Libanon
  • 39. Risks Intensity Understand Athletes Health Problems
  • 40. Risks Intensity Facilitate Health through Physical Activities and Sport
  • 41. R. Bachelot Health & Sport Ministry Julien Bahain Beijing Medalist Risks Intensity Understand Athletes Health & Facilitate Health Comportments through Physical Activities and Sport
  • 42. Rien n'est jamais acquis à l'homme Louis Aragon La Diane Française, 1946