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

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