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Institute of Exercise and Sport Sciences, Department of Human Physiology, August Krogh Institute, University of Copenhagen,
Copenhagen, Denmark
Abstract
This review describes when fatigue may develop during soccer games and the potential physiological mechanisms that cause
fatigue in soccer. According to time – motion analyses and performance measures during match-play, fatigue or reduced
performance seems to occur at three different stages in the game: (1) after short-term intense periods in both halves; (2) in
the initial phase of the second half; and (3) towards the end of the game. Temporary fatigue after periods of intense exercise
in the game does not appear to be linked directly to muscle glycogen concentration, lactate accumulation, acidity or the
breakdown of creatine phosphate. Instead, it may be related to disturbances in muscle ion homeostasis and an impaired
excitation of the sarcolemma. Soccer players’ ability to perform maximally is inhibited in the initial phase of the second half,
which may be due to lower muscle temperatures compared with the end of the first half. Thus, when players perform low-
intensity activities in the interval between the two halves, both muscle temperature and performance are preserved. Several
studies have shown that fatigue sets in towards the end of a game, which may be caused by low glycogen concentrations in a
considerable number of individual muscle fibres. In a hot and humid environment, dehydration and a reduced cerebral
function may also contribute to the deterioration in performance. In conclusion, fatigue or impaired performance in soccer
occurs during various phases in a game, and different physiological mechanisms appear to operate in different periods of a
game.
Correspondence: J. Bangsbo, The August Krogh Institute, IFI, Universitetsparken 13, DK-2100 Copenhagen Ø, Denmark. E-mail: jbangsbo@aki.ku.dk
ISSN 0264-0414 print/ISSN 1466-447X online ª 2005 Taylor & Francis Group Ltd
DOI: 10.1080/02640410400021286
594 M. Mohr et al.
experience temporary fatigue during a game. In a Additionally, a weak but significant correlation
recent study, top-class professional male players were (r = 0.41) was found between muscle lactate and
examined in competitive games at the highest decreased sprinting performance after an intense
international level by the use of time – motion video period (Krustrup et al., 2003a). Therefore, it could
analysis (Mohr et al., 2003a). The amount of high- be suggested that temporary fatigue during a game
intensity running in the 5-min period immediately may be related to high muscle lactate concentrations
after the most intense 5-min interval recorded during and/or muscle acidosis, since it has been demon-
the game was observed to be less than the average of strated in vitro that high lactate and low pH impair
the entire game (Figure 1). This phenomenon has muscle performance during intense contractions
also been found in top-class women’s soccer (Fitts, 1994). However, muscle lactate concentra-
(unpublished observations). This finding indicates tions during the game were rather low (on average
that performance was reduced after a period of *20 mmol × kg71 dry weight) compared with those
intense exercise, which could have been a result of found at exhaustion after high-intensity exercise
the natural variation in the intensity in games due to (Bangsbo, Graham, Kiens, & Saltin, 1992a; Bangsbo
tactical or psychological factors. However, in another et al., 1992b; Gaitanos, Williams, Boobis, & Brooks,
study players performed a repeated sprint test 1993). Furthermore, in a study using the Yo-Yo
immediately after a short-term intense period during intermittent recovery test, in which athletes perform
the game and at the end of each half (Krustrup et al., intense intermittent exercise to exhaustion, muscle
2003a). It was shown that after intense periods in the lactate and pH recorded 1.5 min before the point of
first half, the players’ sprint performance was fatigue were not different from those seen at
significantly reduced, whereas at the end of the first exhaustion (Krustrup et al., 2003b). Thus, it is
half the ability to perform repeated sprints was unlikely that elevated muscle lactate and lowered
recovered (Figure 2). Together, these results suggest muscle pH cause fatigue during a soccer game. The
that soccer players experience fatigue temporarily development of fatigue that occurs temporarily
during the game. during a game may be due to low muscle creatine
Average blood lactate concentrations of 3 – phosphate concentrations, since performance in
6 mmol × l71 have been observed during soccer intense intermittent exercise has been demonstrated
games, with individual values above 12 mmol × l71 to be elevated after a period of creatine supplementa-
(Agnevik, 1970; Bangsbo, 1994; Ekblom, 1986; tion (Balsom, Seger, Sjödin, & Ekblom, 1992;
Krustrup et al., 2003a). Such values suggest that Greenhaff, Bodin, Söderlund, & Hultman, 1994).
the anaerobic energy system is highly taxed during In addition, it has been shown that after intense
intense periods of the game. In a recent study of periods in soccer the decrease in muscle creatine
muscle lactate and pH during a soccer match, phosphate is significantly correlated with impairment
muscle lactate rose fourfold compared with resting in sprint ability (Krustrup et al., 2003a). On the other
values after intense periods in both halves. In hand, muscle creatine phosphate was only lowered
concert, muscle acidosis was markedly elevated after by 25%, which in part could be due to the fast
these intense sequences (Krustrup et al., 2003a). recovery of creatine phosphate and the approxi-
mately 20 s delay in collecting the muscle biopsy in
this study. Creatine phosphate may have been
significantly lower in individual muscle fibres, since
the stores of creatine phosphate have been reported
to be almost depleted in individual fibres at the point
of fatigue after intense exercise (Søderlund &
Hultman, 1991). However, during the Yo-Yo
intermittent recovery test, no changes were observed
in muscle creatine phosphate in the final phase of
exercise (Krustrup et al., 2003b), and this fact argues
against creatine phosphate having a potential inhibi-
tory effect on performance during intense
intermittent exercise. Together, these findings sug-
gest that temporary fatigue in soccer is not causally
linked to high muscle lactate, high muscle acidosis or
Figure 1. High-intensity running in the most intense 5-min period low muscle creatine phosphate.
during the game, the following 5-min period as well as the game It has been suggested that the development of
average for elite players during competitive matches (n = 18). *
Significant difference between the 5-min period immediately after
fatigue during high-intensity exercise is related to an
the most intense period during the game and the game average accumulation of potassium in the muscle interstitium
(data from Mohr et al., 2003a). (Bangsbo, Madsen, Kiens, & Richter, 1996; Fitts,
Fatigue in soccer 595
vated concentrations of catecholamine (Bangsbo, game. Recently, muscle tissue obtained before and
1994; Galbo, 1983). The results of studies using after a soccer game was analysed for muscle fibre
dietary manipulation indicate that lowered muscle type specific glycogen depletion, using the PAS-
glycogen contributes to the development of fatigue staining technique (Krustrup et al., 2003a). It was
during long-term intermittent exercise (Balsom, shown that after the game about half of the type I and
Gaintanos, Søderlund, & Ekblom, 1999; Bangsbo, type IIA fibres were almost or completely depleted of
Nørregaard, & Thorsøe, 1992c). In a number of muscle glycogen. Thus, fatigue at the end of soccer
studies, muscle glycogen has been determined games may be caused by glycogen depletion of
before, during and after a game. In a study by Saltin individual muscle fibres. Hypoglycaemia has also
(1973), the muscle glycogen stores were almost been suggested to cause fatigue during long-term
depleted at half time when the pre-match levels were exercise (Fitts, 1994), but the blood glucose con-
low (*200 mmol × kg71 dry weight). When the centration does not reach critical values during a
players started the game with normal muscle glyco- soccer game (Bangsbo, 1994; Ekblom, 1986; Krustr-
gen concentrations (*400 mmol × kg71 dry weight), up et al., 2003a). Other factors such as dehydration
the values were still rather high at half time, but and hyperthermia have also been suggested as agents
below 50 mmol × kg71 dry weight at the end of the responsible for the development of fatigue in the later
game. Others obtained muscle biopsies before and stages of a soccer game (Reilly, 1997). During a
after a game and found the glycogen concentrations soccer game played in a normal thermal environ-
to be *200 mmol × kg71 dry weight after the game ment, many players lose more than 3 litres of fluid
(Jacobs, Westlin, Karlson, Rasmusson, & Houghton, (Bangsbo, 1994; Reilly, 1997), which may have a
1982; Smaros, 1980), indicating that muscle glyco- negative effect on performance towards the end of
gen stores are not always depleted during a soccer the match (Saltin, 1964). It has been demonstrated
that a loss in body mass of only 1 – 2% contributes to
an elevation in core temperature as well as cardio-
vascular strain (Hoffman et al., 1994). In soccer, the
average core temperature ranges from 39.0 to 39.58C
(Ekblom, 1986; Mohr et al., 2004a; Smodlaka,
1978). In these studies, individual values were above
408C, which may be high enough to induce central
fatigue due to a deterioration in cerebral function
(Nybo & Nielsen; 2001). However, Mohr et al.
(2004a) found no differences in core temperature
between the end of the first and the second halves. In
a hot and humid environment, a decrease in body
fluid of 4 – 5 litres (Mustafa & Mahmoud, 1979) can
occur and hyperthermia may become a key factor in
the development of fatigue in the final stage of the
game.
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