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<article article-type="case-report" dtd-version="1.0" xml:lang="en" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">JSSM</journal-id>
<journal-title-group>
<journal-title>Journal of Sports Science and Medicine</journal-title>
<abbrev-journal-title>J Sports Sci &#x0026; Med</abbrev-journal-title>
</journal-title-group>
<issn pub-type="epub">1303-2968</issn>
<publisher>
<publisher-name>Uludag University</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">jssm-14-98</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Case report</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Relative Match Intensities at High Altitude in Highly-Trained Young Soccer Players (ISA3600)</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Buchheit</surname><given-names>Martin</given-names></name>
<xref ref-type="aff" rid="aff001"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff002"><sup>2</sup></xref>
<xref ref-type="corresp" rid="cor1">&#x2709;</xref>
<bio>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jssm-14-98-g003.tif" mime-subtype="tif"/>
<p><bold>Martin BUCHHEIT</bold></p>
<sec>
<title>Employment</title>
<p>Sport Science Department, Myorobie Association, Montvalezan, France</p>
<p>Performance Department, Paris Saint Germain FC, Saint-Germian-en-Laye, France.</p>
</sec>
<sec>
<title>Degree</title>
<p>PhD</p>
</sec>
<sec>
<title>Research interests</title>
<p>Determinants of team sport physical performance, monitoring and progressive statistics</p>
<p><bold>E-mail:</bold> <email>mb@martin-buchheit.net</email></p>
</sec>
</bio>
</contrib>
<contrib contrib-type="author">
<name><surname>Hammond</surname><given-names>Kristal</given-names></name>
<xref ref-type="aff" rid="aff003"><sup>3</sup></xref>
<bio>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jssm-14-98-g004.tif" mime-subtype="tif"/>
<p><bold>Kristal HAMMOND</bold></p>
<sec>
<title>Employment</title>
<p>PhD Scholar, Institute of Sport, Exercise and Active Living, Victoria University, Melbourne, Australia</p>
</sec>
<sec>
<title>Degree</title>
<p>Bachelor of Applied Science (Hons)</p>
</sec>
<sec>
<title>Research interests</title>
<p>Enhancing athletic performance through environmental manipulation</p>
<p><bold>E-mail:</bold> <email>kristal.hammond@live.vu.edu.au</email></p>
</sec>
</bio>
</contrib>
<contrib contrib-type="author">
<name><surname>Bourdon</surname><given-names>Pitre C.</given-names></name>
<xref ref-type="aff" rid="aff004"><sup>4</sup></xref>
<bio>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jssm-14-98-g005.tif" mime-subtype="tif"/>
<p><bold>Pitre BOURDON</bold></p>
<sec>
<title>Employment</title>
<p>Sport Science Department, ASPIRE Academy, Doha, Qatar</p>
<p>School of Health Sciences, The University of South Australia, Adelaide, Australia</p>
</sec>
<sec>
<title>Degree</title>
<p>PhD</p>
</sec>
<sec>
<title>Research interests</title>
<p>Effects of altitude on performance, determination of total haemoglobin mass, adolescent athletes and the physiology of team sports.</p>
<p><bold>E-mail:</bold> <email>pitre.bourdon@aspire.qa</email></p>
</sec>
</bio>
</contrib>
<contrib contrib-type="author">
<name><surname>Simpson</surname><given-names>Ben M.</given-names></name>
<xref ref-type="aff" rid="aff004"><sup>4</sup></xref>
<bio>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jssm-14-98-g006.tif" mime-subtype="tif"/>
<p><bold>Ben M. SIMPSON</bold></p>
<sec>
<title>Employment</title>
<p>Sport Science Department, ASPIRE Academy, Doha, Qatar</p>
<p>School of Health Sciences, The University of South Australia, Adelaide, Australia</p>
</sec>
<sec>
<title>Degree</title>
<p>MsC</p>
</sec>
<sec>
<title>Research interests</title>
<p>Adolescent athletes, the physiology of team sports, photography and travelling.</p>
<p><bold>E-mail:</bold> <email>ben.simpson3@gmail.com</email></p>
</sec>
</bio>
</contrib>
<contrib contrib-type="author">
<name><surname>Garvican-Lewis</surname><given-names>Laura A.</given-names></name>
<xref ref-type="aff" rid="aff005"><sup>5</sup></xref>
<xref ref-type="aff" rid="aff006"><sup>6</sup></xref>
<bio>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jssm-14-98-g007.tif" mime-subtype="tif"/>
<p><bold>Laura A. Garvican-Lewis</bold></p>
<sec>
<title>Employment</title>
<p>Department of Physiology, Australian Institute of Sport, Canberra, Australia. University of Canberra, Research Institute for Sport and Exercise, Canberra, Australia</p>
</sec>
<sec>
<title>Degree</title>
<p>PhD</p>
</sec>
<sec>
<title>Research interests</title>
<p>Environmental physiology, hematological adaptations to training, iron metabolism and anti doping.</p>
<p><bold>E-mail:</bold> <email>laura.garvican@gmail.com</email></p>
</sec>
</bio>
</contrib>
<contrib contrib-type="author">
<name><surname>Schmidt</surname><given-names>Walter F.</given-names></name>
<xref ref-type="aff" rid="aff007"><sup>7</sup></xref>
<bio>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jssm-14-98-g008.tif" mime-subtype="tif"/>
<p><bold>Walter Schmidt</bold></p>
<sec>
<title>Employment</title>
<p>Department of Sports Medicine / Sports Physiology, University of Bayreuth, Germany</p>
</sec>
<sec>
<title>Degree</title>
<p>PhD</p>
</sec>
<sec>
<title>Research interests</title>
<p>Cardio-vascular physiology, altitude physiology, endurance performance, anti-doping research</p>
<p><bold>E-mail:</bold> <email>walter.schmidt@uni-bayreuth.de</email></p>
</sec>
</bio>
</contrib>
<contrib contrib-type="author">
<name><surname>Gore</surname><given-names>Christopher J.</given-names></name>
<xref ref-type="aff" rid="aff005"><sup>5</sup></xref>
<xref ref-type="aff" rid="aff008"><sup>8</sup></xref>
<bio>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jssm-14-98-g009.tif" mime-subtype="tif"/>
<p><bold>Christopher J. GORE</bold></p>
<sec>
<title>Employment</title>
<p>Department of Physiology, Australian Institute of Sport, Canberra, Australia</p>
</sec>
<sec>
<title>Degree</title>
<p>PhD</p>
</sec>
<sec>
<title>Research interests</title>
<p>Altitude training, anti-doping, and measurement precision</p>
<p><bold>E-mail:</bold> <email>chris.gore@ausport.gov.au</email></p>
</sec>
</bio>
</contrib>
<contrib contrib-type="author">
<name><surname>Aughey</surname><given-names>Robert J.</given-names></name>
<xref ref-type="aff" rid="aff003"><sup>3</sup></xref>
<bio>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jssm-14-98-g010.tif" mime-subtype="tif"/>
<p><bold>Robert J. AUGHEY</bold></p>
<sec>
<title>Employment</title>
<p>Institute of Sport, Exercise and Active Living, Victoria University, Melbourne, Australia</p>
</sec>
<sec>
<title>Degree</title>
<p>PhD</p>
<p><bold>E-mail:</bold> <email>robert.aughey@vu.edu.au</email></p>
</sec>
</bio>
</contrib>
</contrib-group>
<aff id="aff001"><label>1</label><institution>Sport Science Department, Myorobie Association</institution>, <addr-line>Montvalezan, France</addr-line></aff>
<aff id="aff002"><label>2</label><institution>Performance Department, Paris Saint Germain FC, Saint-Germain-en-Laye</institution>, <addr-line>France</addr-line></aff>
<aff id="aff003"><label>3</label><institution>Institute of Sport, Exercise and Active Living, Victoria University</institution>, <addr-line>Melbourne, Australia</addr-line></aff>
<aff id="aff004"><label>4</label><institution>ASPIRE Academy for Sports Excellence</institution>, <addr-line>Doha, Qatar</addr-line></aff>
<aff id="aff005"><label>5</label><institution>Department of Physiology, Australian Institute of Sport</institution>, <addr-line>Canberra, Australia</addr-line></aff>
<aff id="aff006"><label>6</label><institution>University of Canberra, Research Institute for Sport and Exercise</institution>, <addr-line>Canberra, Australia</addr-line></aff>
<aff id="aff007"><label>7</label><institution>Department of Sports Medicine / Sports Physiology, University of Bayreuth</institution>, <addr-line>Germany</addr-line></aff>
<aff id="aff008"><label>8</label><institution>Exercise Physiology Laboratory, Flinders University</institution>, <addr-line>Adelaide, Australia</addr-line></aff>
<author-notes>
<corresp id="cor1">&#x2709;Performance Department, Paris Saint Germain FC, 4a avenue du president Kennedy, 78100 Saint-Germain-en-Laye, France</corresp>
</author-notes>
<pub-date pub-type="collection">
<month>03</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>01</day>
<month>03</month>
<year>2015</year>
</pub-date>
<volume>14</volume>
<issue>1</issue>
<fpage>98</fpage>
<lpage>102</lpage>
<history>
<date date-type="received">
<day>14</day>
<month>05</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>07</day>
<month>11</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>&#x00A9; Journal of Sports Science and Medicine</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<abstract>
<p>To compare relative match intensities of sea-level versus high-altitude native soccer players during a 2-week camp at 3600 m, data from 7 sea-level (Australian U17 National team, AUS) and 6 high-altitude (a Bolivian U18 team, BOL) native soccer players were analysed. Two matches were played at sea-level and three at 3600 m on Days 1, 6 and 13. The Yo-Yo Intermittent recovery test (vYo-YoIR1) was performed at sea-level, and on Days 3 and 10. Match activity profiles were measured via 10-Hz GPS. Distance covered >14.4 km.h<sup>-1</sup> (D>14.4 km&#x00B7;h<sup>-1</sup>) and >80% of vYo-YoIR1 (D>80%vYo-YoIR1) were examined. Upon arrival at altitude, there was a greater decrement in vYo-YoIR1 (Cohen&#x2019;s <italic>d</italic> +1.0, 90%CL &#x00B1; 0.8) and D>14.4 km&#x00B7;h<sup>-1</sup> (+0.5 &#x00B1; 0.8) in AUS. D>14.4 km.h<sup>-1</sup> was similarly reduced relative to vYo-YoIR1 in both groups, so that D>80%vYo-YoIR1 remained similarly unchanged (-0.1 &#x00B1; 0.8). Throughout the altitude sojourn, vYo-YoIR1 and D>14.4 km&#x00B7;h<sup>-1</sup> increased in parallel in AUS, so that D>80%vYo-YoIR1 remained stable in AUS (+6.0%/match, 90%CL &#x00B1; 6.7); conversely D>80%vYo-YoIR1 decreased largely in BOL (-12.2%/match &#x00B1; 6.2). In sea-level natives competing at high-altitude, changes in match running performance likely follow those in high-intensity running performance. Bolivian data confirm that increases in &#x2018;fitness&#x2019; do not necessarily translate into greater match running performance, but rather in reduced relative exercise intensity.</p>
<p><boxed-text position="float">
<caption><title>Key points</title></caption>
<list list-type="bullet">
<list-item><p>When playing at high-altitude, players may alter their activities during matches in relation to their transient maximal physical capacities, possibly to maintain a &#x2018;tolerable&#x2019; relative exercise intensity.</p></list-item>
<list-item><p>While there is no doubt that running performance <italic>per se</italic> in not the main determinant of match outcomes (Carling, 2013), fitness levels influence relative match intensity (Buchheit et al., 2012, Mendez-Villanueva et al., 2013), which in-turn may impact on decision making and skill performance (Rampinini et al., 2008).</p></list-item>
<list-item><p>In the context of high-altitude competitions, it is therefore recommended to arrive early enough (i.e., ~2 weeks) to allow (at least partial) acclimatisation, and in turn, allow sea-level native players to regulate their running activities in relation to both actual game demands and relative match intensity.</p></list-item>
</list>
</boxed-text></p>
</abstract>
<kwd-group>
<title>Key words</title>
<kwd>Association football</kwd>
<kwd>hypoxia</kwd>
<kwd>match running performance</kwd>
</kwd-group>
<counts>
<fig-count count="10"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="15"/>
<page-count count="5"/>
</counts>
</article-meta>
</front>
<body>
<sec id="sec1-1">
<title>Introduction</title>
<p>High-altitude is known to impair aerobically-related exercise performance (Gore et al., <xref ref-type="bibr" rid="ref8">2008</xref>). In highly-trained soccer players competing at 3600 m, large and moderate decreases in high-intensity intermittent running performance (Buchheit et al., <xref ref-type="bibr" rid="ref1">2013</xref>) and high-speed running distance during matches (Aughey et al., <xref ref-type="bibr" rid="ref1">2013</xref>) have been reported, respectively. Interestingly, despite the lower altitude-induced impairment in physical capacity observed in high-altitude versus sea-level natives (Buchheit et al., <xref ref-type="bibr" rid="ref1">2013</xref>), the majority of game running activities were reduced by a similar amount (Aughey et al., <xref ref-type="bibr" rid="ref1">2013</xref>). While this may be suggestive of differences in relative exercise intensity (Mendez-Villanueva et al., <xref ref-type="bibr" rid="ref12">2013</xref>), this has not, to date, been clearly examined. Further, little is known regarding the time course of relative match intensities with altitude acclimatisation. The aim of the present case study was to compare relative match intensities of sea-level vs. high-altitude native players during a 2-week camp at 3600 m (Gore et al., <xref ref-type="bibr" rid="ref1">2013</xref>).</p>
</sec>
<sec sec-type="methods" id="sec1-2">
<title>Methods</title>
<sec id="sec2-1">
<title>Subjects and design</title>
<p>The variables shown in the present case report were collected as a part of a larger study (Gore et al., <xref ref-type="bibr" rid="ref1">2013</xref>), from which some of the data have already been published separately (Buchheit et al., <xref ref-type="bibr" rid="ref1">2013</xref>, Gore et al., <xref ref-type="bibr" rid="ref1">2013</xref>, Sargent et al., <xref ref-type="bibr" rid="ref1">2013</xref>, Wachsmuth et al., <xref ref-type="bibr" rid="ref1">2013</xref>). For a full description of the experimental schedule, refer to the publication of Gore et al. (<xref ref-type="bibr" rid="ref1">2013</xref>). Data from 7 sea-level (Australian U17 National team, AUS) and 6 high-altitude (a Bolivian U18 team, BOL) native soccer players, who participated in a competitive soccer camp and participated in all games were (re)analysed. Both teams played two matches at sea-level and then three matches at 3600 m, on Days 1, 6 and 13 at altitude. As this was a training camp, the recovery procedures following each match were restricted to optimal (and consistent following all games) hydration, nutrition and sleep. All matches were also followed by a light training session the next day.</p>
<p>All players performed the Yo-Yo Intermittent recovery test level 1 (final velocity, vYo-YoIR1 (Bangsbo, Iaia et al. <xref ref-type="bibr" rid="ref2">2008</xref>)) at sea-level, and on Days 3 and 10 at altitude. All players were well familiar with this test; i.e., they had all performed the test several times before. Match variables and vYo-YoIR1 from Day-1 and Day-3, and Day-10 and Day-13, were paired. The expected vYo-YoIR1 at Day-6 was linearly interpolated for each player. Match activity profiles were measured via GPS (MinimaxX Team Sports 4.0, 10 Hz, Catapult Innovations, Melbourne, Australia). Distance covered at speeds greater than 14.4 km.h<sup>-1</sup> (D>14.4 km&#x00B7;h<sup>-1</sup>) and 80% of vYo-YoIR1 (>80%vYo-YoIR1) during the first half of these games were examined (the first half of each game only was analysed because of the large number of player substitutions in the second halves). Data from the two sea-level games
were averaged.</p>
</sec>
<sec id="sec2-2">
<title>Statistical analyses</title>
<p>Data in the text and figures are presented as means with standard deviations (SD) and 90% confidence limits/intervals (CL/CI), respectively. All data were first log-transformed to reduce bias arising from non-uniformity of error. Between-team differences and differences in the change in the different variables were standardised using Cohen&#x2019;s effect size principle (Hopkins et al., <xref ref-type="bibr" rid="ref10">2009</xref>). Probabilities were used to make a qualitative probabilistic mechanistic inference about the true changes: if the probabilities of the effect being substantially greater and smaller than the smallest worthwhile change (0.2 x baseline between-players SD) were both >5%, the effect was reported as unclear; the effect was otherwise clear and reported as the magnitude of the observed value. The scale was as follows: 25&#x2013;75%, possible; 75&#x2013;95%, likely; 95&#x2013;99%, very likely; >99%, almost certain (Hopkins et al., <xref ref-type="bibr" rid="ref10">2009</xref>). Finally, the trend in relative match intensity throughout the camp was assessed using within-player linear regression using percentage changes in D>80%vYo-YoIR1 over the successive matches.</p>
</sec>
</sec>
<sec id="sec1-3">
<title>Results</title>
<p>The vYo-YoIR1 and match running performance of both teams are shown in <xref ref-type="fig" rid="fig001">Figure 1</xref>. BOL performed moderately better at altitude, and ran largely-to-moderately more than their AUS counterparts. D>80%vYo-YoIR1 was moderately greater in BOL at sea-level and during the first altitude game.</p>
<p>Upon arrival at altitude, there was a greater decrement in both vYo-YoIR1 (very likely, Cohen&#x2019;s +1.0 90CL &#x00B1; 0.8) and D>14.4 km&#x00B7;h<sup>-1</sup> (possible, +0.5 &#x00B1; 0.8) in AUS compared with BOL (<xref ref-type="fig" rid="fig001">Figure 1</xref>, A and B and <xref ref-type="fig" rid="fig002">Figure 2</xref>); however, D>14.4 km&#x00B7;h<sup>-1</sup> was reduced by a similar amount relative to vYo-YoIR1 in both groups, so that D>80%vYo-YoIR1 remained similarly unchanged in both groups (unclear, -0.1 &#x00B1; 0.8, <xref ref-type="fig" rid="fig001">Figure 1</xref>, C, and <xref ref-type="fig" rid="fig002">Figure 2</xref>). Throughout the camp, there was a gradual increase in vYo-YoIR1 and D>14.4 km&#x00B7;h<sup>-1</sup> in AUS, which led to a stable D>80%vYo-YoIR1 (unclear, +6.0%/match, 90CL &#x00B1; 6.7). In contrast, BOL showed no clear change in D>14.4 km&#x00B7;.h<sup>-1</sup>, so that D>80%vYo-YoIR1 decreased largely (-12.2%/match &#x00B1; 6.2).</p>
</sec>
<sec id="sec1-4">
<title>Discussion</title>
<p>Our data show that in soccer players competing at high-altitude, changes in match running performance upon arrival may mirror those of high-intensity intermittent running performance, irrespective of players&#x2019; altitude experience. For instance, the ratio between the changes in vYo-YoIR1 and actual match running performance impairment upon arrival were comparable between each team (<xref ref-type="fig" rid="fig001">Figure 1</xref>, A and B); the changes during the first game in relative match intensity were therefore not substantially different between the two teams (<xref ref-type="fig" rid="fig001">Figure 1</xref>, C and <xref ref-type="fig" rid="fig002">Figure 2</xref>). Throughout the acclimatisation period, the rate of improvement of vYo-YoIR1 and match running performance was similar in the Australian players (<xref ref-type="fig" rid="fig001">Figure 1</xref> A and B), leading to an unchanged relative match intensity (+6.0%/match, 90CL &#x00B1; 6.7). While limited, given the reduced number of players and games examined, but considering that players rarely use their full capacities during games (Carling, <xref ref-type="bibr" rid="ref6">2013</xref>, Mendez-Villanueva et al., <xref ref-type="bibr" rid="ref12">2013</xref>), these present data suggest that sea-level natives may regulate their activities during (high-altitude) games to maintain a &#x2018;tolerable&#x2019; relative exercise intensity. The observation that changes in fitness (as assessed by vYo-YoIR1) were followed by comparable changes in absolute match running performance is consistent with the data reported in junior soccer players after their pre-season training (Impellizzeri et al., <xref ref-type="bibr" rid="ref11">2006</xref>). Our results contrast however with other longitudinal data on young players, where the magnitude of the changes in match running activities tended to be lower than those in fitness (Buchheit et al., <xref ref-type="bibr" rid="ref5">2012</xref>). These discrepancies could be related to the actual origin of the changes in fitness (i.e. acutely induced by change on O<sub>2</sub> availability vs. training-induced improvements in cardiovascular function) and the period of interest (pre- versus in-season versus short camp). In the aforementioned study in young players (Buchheit et al., <xref ref-type="bibr" rid="ref5">2012</xref>), the effect of fitness changes on match running performance were position-dependent, which could not be examined in the present study due to limited sample sizes and reduced number of matches. All players included in the present analysis however played in the same position during all 5 games, and only the first half of the game was analysed, which may reduce the match-to-match variability in the responses (i.e., different pacing strategies can occur in the second half due to tactical adjustments in relation to match scores) (Bradley and Noakes, <xref ref-type="bibr" rid="ref3">2013</xref>).</p>
<p>Interestingly, the Bolivian players ran consistently more than the Australian players at altitude (<xref ref-type="fig" rid="fig001">Figure 1</xref>, B), but in contrast to the Australians, they showed a stable match running performance throughout the three games. While these differences in match running performance can obviously be related to specific team tactics (i.e., Australians were requested to play conservatively during the first game (Aughey et al., <xref ref-type="bibr" rid="ref1">2013</xref>)), the large magnitude of the changes suggests that altitude had likely affected both teams responses. Since their physical capacity (as assessed by vYo-YoIR1) gradually improved with re-acclimatisation, this lead to a progressive reduction in relative match running intensity (<xref ref-type="fig" rid="fig001">Figure 1</xref>, C and <xref ref-type="fig" rid="fig002">Figure 2</xref>). The possible explanations for the lack of an increase match running performance in the Bolivians, despite their improved fitness, are multiple and remain unclear without additional technical and tactical data. We can nevertheless speculate that since they had to compete against the Australians, who were experiencing a large decrease in their running performance, the Bolivians were probably not required to run as much as they could. These results therefore confirm that increases in &#x2018;fitness&#x2019; do not necessarily translate into greater match running performance, but rather in reduced relative exercise intensity (Buchheit et al., <xref ref-type="bibr" rid="ref5">2012</xref>, Mendez-Villanueva et al., <xref ref-type="bibr" rid="ref12">2013</xref>).</p>
<p>It is however worth noting that the present case report suffers from a couple of limitations, including the limited number of players and matches analysed. For instance, because of the large match-to-match substitutions, we could only use the data from a sub-group of 13 players per match (7 and 6 for each group). Additionally, because of obvious logistical and physiological reasons, only one match was played at each time point at altitude. Because of the substantial match-to-match variability in match running performance (Gregson et al., <xref ref-type="bibr" rid="ref9">2010</xref>), the observed trend in match running activity should therefore be viewed with caution. While some physiological measures reflecting the acclimation process of both teams were not reported in the present case report, they were partially in line with the recovery of high-intensity running performance (vYo-YoIR1). For further details, the reader is referred to the companion papers of the present case report (Buchheit et al., <xref ref-type="bibr" rid="ref1">2013</xref>, Wachsmuth et al., <xref ref-type="bibr" rid="ref1">2013</xref>). Finally, the lack of tactical/technical analyses during matches prevents a comprehensive examination of the effect of altitude on matches outcome; winning in soccer is actually about scoring more goals that the opponent, not about running more <italic>per se</italic>.</p>
</sec>
<sec id="sec1-5">
<title>Conclusion</title>
<p>When playing at high-altitude, players may regulate their activities during matches in relation to their transient maximal physical capacities, possibly to maintain a &#x2018;tolerable&#x2019; relative exercise intensity. Adjustments in match running performance are also likely to occur to follow that of the opposing team; the fitter team may then end up by running at a relatively lower intensity, but not necessarily by covering more distance.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The authors thank the players and coaches for their enthusiastic participation.</p>
</ack>
<ref-list>
<title>References</title>
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</back>
<floats-group>
<fig id="fig001" position="float">
<label>Figure 1.</label>
<caption><p><bold>Values are mean with 90% confidence intervals. High-intensity running performance (vYo-YoIR1, A) and distance covered above 14.4 km.h<sup>-1</sup> (D>14.4 km&#x00B7;h<sup>-1</sup>, B) and above 80% of vYo-YoIR1 (D>80% vYo-YoIR1, C) during matches at sea-level (SL) and at altitude (Day-1, Day-6 and Day-13) in the Australian (AUS) and Bolivian (BOL) players. See methods for the exact timing of the different performance measures.</bold> The magnitude of between-team difference on each testing/match day is shown by the number of &#x2018;*&#x2019; symbols, with 1 and 2 symbols referring to clear moderate and large differences. Note that vYo-YoIR1 values at ALT2 have been interpolated (see methods).</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jssm-14-98-g001.tif" mime-subtype="tif"/>
</fig>
<fig id="fig002" position="float">
<label>Figure 2.</label>
<caption><p>Standardized differences in the change (90% confidence intervals) between Bolivian (BOL) and Australian (AUS) players in high-intensity running performance (vYo-YoIR1) and distance covered above 14.4 km&#x00B7;h<sup>-1</sup> (D>14.4 km&#x00B7;h<sup>-1</sup>) and above 80% of vYo-YoIR1 (D>80% vYo-YoIR1) during matches both upon arrival and throughout the camp (Acclimatization trend).</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jssm-14-98-g002.tif" mime-subtype="tif"/>
</fig>
</floats-group>
</article>