IRMES
                   @
                 INSEP

  Role of Epidemiology
        in Sport
2ème Conferència Internacional ...
CONVENTION IRMES

   Board of
                                Scientific Commitee
 Stake Holders
                   INSEP
...
INSEP Missions

•   (Ré)affirmation de la place centrale du sport de haut niveau

•   Confirmation et adaptation permanent...
INSEP & Health
     Prevention
      Research
        Cure

 INSEP in BEIJING
53% of French Medals
                       4
IRMES
           Missions

Physiopathology in High Level Sport

Performance Epidemiology

Public Health & Prevention
by Ph...
IRMES
        Missions

Physiopathologies HLS
     20 Funded Research Projets
     5 Registries
Performance Epidemiology
 ...
I. Physiopathology
Perspectives 2009
          Physiopathologies HLS
          Projects, studies & registries

-   Volley Ball & Hand arterio...
Volley ball Arteriopathy




             Art médiale : 1.2 mm
High level sport is demanding
Measuring Risks




                  Christopher Reeve
                    1952-2004
Deadly Accidents in Sport
per 100 millions days of exposition to risk



Motorized Sports                              146...
Deadly Accidents in Sport
per 100 millions days of exposition to risk

Hanggliding                           12 000       ...
Deadly Accidents in Sport

Risk = deceleration

 -∆V/∆t (initial speed)

 Distance to ground (g= 9,8 m.s-2)
II. Performance Epidemiology
Performance Epidemiology
    Progression Norms
        100m Men
     210 athletes, 1984-2008
Performance Epidemiology
    Progression Norms
        100m Men
     210 athletes, 1984-2008




                         ...
Performance Epidemiology
    Progression Norms
       100m Women
     105 athletes, 1968-2008




                        ...
100m Women
19 best performers 1920 - 2008




                             ?
SWIMMING & T&F  BEIJING 2008
                    OLYMPIC PERFORMANCES – WORLD RECORDS




                       ‐ 20 à 30...
SWIMMING & T&F  BEIJING 2008
 OLYMPIC PERFORMANCES – WORLD RECORDS
Natation: 22 RM / 32 events
           +0,4%
SWIMMING & T&F  BEIJING 2008
 OLYMPIC PERFORMANCES – WORLD RECORDS
Natation: 22 RM / 32 events
           +0,4%




      ...
BEIJING 2008
Performance Epidemiology



     TRACK & FIELD

       STAGNATION


  Berthelot, PLoS ONE, Feb 2008
BEIJING 2008
Performance Epidemiology


        SWIMMING

      PROGRESSION
        THROUGH
      TECHNOLOGY
  Desgorces, ...
2d GENERATION SWIMSUITS 
                           2008


                    ‐ Gain: 1 à 2% 
                    ‐ Short...
2d GENERATION SWIMSUITS 2008
     WORLD RECORDS PROGRESSION 




               Distances
2d GENERATION SWIMSUITS 2008
     WORLD RECORDS PROGRESSION 




                                  Hommes




            ...
2d GENERATION SWIMSUITS 2008
  WORLD RECORDS PROGRESSION (100‐200m) 




  Free Style   Back
                         Brea...
2d GENERATION SWIMSUITS 2008
     WORLD RECORDS PROGRESSION 
BEIJING 2008
World Records during the Games
BEIJING 2008
World Records during the Games
        Swimsuits impact
THE
   CITIUS
DESPERATELY 
   NEEDS

TECHNOLOGY
IRMES
     Prevention


        PNAPS
  Programme National
Prévention par l’Activité
 Physique ou Sportive

              ...
France
                                Mean Physical Activity
Heures d’activité quotidienne




                          ...
HL Sport TRAINING VOLUME
(h/Y Athlétisme, Natation, Cyclisme, Judo, Escrime, Volley-Ball, Handball)




                  ...
Sport & Physical Activities
                         in developped countries
Heures d’activité quotidienne




           ...
IRMES
     Prevention

15 measures - 235 actions
Public Health Policies
    "Active" Mobility & Work
    Sport – Communiti...
NEW RESEARCH
    PARTNERSHIPS

 Health Professionnals
    Malakoff – Méderic


Adaptation, Performance 
   & Climate Chang...
Risks




                         Intensity


        Understand Athletes
         Health Problems
Risks




                       Intensity


 Facilitate Health through
Physical Activities and Sport
R. Bachelot Health & Sport Ministry
     Julien Bahain Beijing Medalist
Risks




                                        ...
Rien n'est jamais acquis à l'homme




                                           Louis Aragon
                           ...
Contribution of epidemiology in sport practice. Health in High Performance Sport Centres (IAHPSTC)
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Contribution of epidemiology in sport practice. Health in High Performance Sport Centres (IAHPSTC)

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Contribution of epidemiology in sport practice. Health in High Performance Sport Centres (IAHPSTC)

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