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