An understanding of physical demands during official competitions is essential to achieving the highest performance in handball. The aim of this systematic review was to summarise the available scientific evidence associated with physical demands during official competitions in elite handball according to playing positions, competition level and gender. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 17 studies were selected after a systematic search and selection process of three digital databases: PubMed, Web of Science and Sport Discus. The quality of the selected studies was evaluated using the Strengthening the Reporting of Observational Studies in Epidemiology checklist; the average score was 18.47 points. The sample consisted of 1175 handball players, of whom 1042 were men (88.68%) and 133 were women (11.32%). The results show that an elite handball player covered on average 3664.4 ± 1121.6 m during a match. The average running pace was 84.8 ± 17.2 m∙min⁻¹. The total distance covered was largely greater in national competitions (4506.7 ± 647.9 m) compared with international competitions (2190.3 ± 1950.5 m) (effect size (ES) = 1.2); however, the running pace did not present any significant difference between the international or national level (ES = 0.06). In regard to gender, the total distance covered was moderately greater in female competitions (4549.1 ± 758.6 m) compared with male competitions (3332.6 ± 1257.7 m) (ES = 0.9), and the running pace was largely greater in female competitions (110.5 ± 7.2 m∙min⁻¹) compared with male competitions (78.4 ± 19.7 m∙min⁻¹) (ES = 1.6). In relation to playing position, backs and wings covered a moderately greater total distance (ES = 0.7 and 0.6) and slightly more meters per minute (ES = 0.4 and 0.2) than pivots. Moreover, the technical activity profile differed between playing positions. Backs performed moderately more throws than pivots and wings (ES = 1.2 and 0.9), pivots exhibited largely more body contact than backs and wings, and wings performed moderately more fast breaks (6.7 ± 3.0) than backs (2.2 ± 2.3) (ES = 1.8). Therefore, this research study provides practical applications for handball coaches and strength and conditioning professionals with respect to designing and implementing more individualised training programmes to maximise performance and reduce injury risk.

The spread of COVID-19 has altered sport in Spain, forcing athletes to train at home. The objectives of the study were: (i) to compare training and recovery conditions before and during the isolation period in handball players according to gender and competitive level, and (ii) to analyse the impact of psychological factors during the isolation period. A total of 187 participants (66 women and 121 men) answered a Google Forms questionnaire about demographics, training, moods, emotional intelligence, and resilience sent using the snowball sampling technique. T-test and analysis of variance (ANOVA) were used to compare sport level and gender differences. Linear regressions were used to analyse the psychological influence on training. Handball players reduced training intensity (in the whole sample; p = 0.44), training volume (especially in professional female handball players; p < 0.001), and sleep quality (especially in professional male handball players; p = 0.21) and increased sleep hours (especially in non-professional female players; p = 0.006) during the isolation period. Furthermore, psychological factors affected all evaluated training and recovery conditions during the quarantine, except for sleep quantity. Mood, emotional intelligence, and resilience have an influence on physical activity levels and recovery conditions. In addition, training components were modified under isolation conditions at p < 0.001. We conclude that the COVID-19 isolation period caused reductions in training volume and intensity and decreased sleep quality. Furthermore, psychological components have a significant impact on training and recovery conditions.

Background: The impact on athletes based on grouping methods according to the date of birth within the constituent year, known as the relative effect of age (RAE), is a factor that can influence the achievement of sports success. Many studies have examined the magnitude of this phenomenon in sport; however, the relationship between the RAE and performance in team sports competition has not been accurately evaluated so far. The purpose of this study was to conduct a systematic review on the influence of the RAE on competition performance in team sports through analysis of published peer-reviewed articles from 2000 to 2019. Methods: According to Preferred Reporting Items for Systematic Reviews and Meta-Analysis systematic search guidelines, 19 studies were identified of the 2,093 that were found in the systematic searching process carried out in four databases: Sport Discus, PubMed, Web of Knowledge, and Scopus. The sample of the study was composed by 77,329 players, of which 92.08% were male and 7.92% were female, whereas the recorded performance measurements were 87,556. The relation between relative age effects and competition performance was registered according to constraints-based theoretical model: individual constraints (sample characteristics) and task constraints (sport context). Moreover, study quality analysis, Strengthening the Reporting of Observational Studies in Epidemiology, was carried out. Results: The short-term individual (10.20%) and collective (18.09%) performance was influenced by the RAE, whereas the long-term individual performance (49.71%) was affected by the RAE reverse. However, in 16.99% of the measurements, no relationship was found between the RAE and competition performance. In the analysis by subcategory, the influence of the RAE was higher in men, in adulthood (senior category), in invasion games, and in national contexts. Discussion: The findings clearly demonstrated that the RAE has a great influence on the performance in team sport. Possible implications for policy and practice should be discussed in order to prevent unequal practice based on biased models that prioritize the athlete's current performance and therefore obviate their maturational development. The heterogeneity and variability of the identified results require a relativization of the findings of this study.

This study examines the relative age effect (RAE) and its impact on the performance of elite male (n = 3,358) and female (n = 3,273) handball players in the U-19 (n = 2,188), U-21 (n = 2,031), and senior (n = 2,412) categories of the 2013/2014, 2015/2016 and 2017/2018 World Handball Championships organised by the International Handball Federation (IHF). The distribution of the players´ birth dates (by quartile: Q, and semester: S) by categories, handball playing positions, and membership of continental federations, were analysed for each of the three two-year periods in which the World Handball Championships took place. Differences between the observed and expected birth dates were tested using a chi-square goodness of fit test, and subsequent calculations were tested using odds ratios. The Spearman’s correlation coefficient was applied to test the correlation between the relative age of the athletes and (their) performance parameters. The results revealed a prevalence of the RAE on both male and female in the U-19 and U-21 categories (p<0.001), and a stabilisation of the RAE throughout the period analysed (2013/14-2017/2018). The RAE was not found in the female senior category (2013, 2015 and 2017) or male senior category (2013) (p>0.05). All playing positions were impacted by the RAE (p<0.001), and especially strong effect sizes were noted for male pivots (Vc = 0.66/0.68/0.60) and female center backs (Vc = 0.71/0.65/0.71). In our analysis of the handball continental federations, the RAE was found in all regions, except Oceania (p>0.05). The RAE also affected athlete performance: the oldest athletes played more minutes and achieved better performances. The RAE was associated with the final placement of the teams in each championship category, except in the male youth category. The findings clearly demonstrated that the RAE has a significant impact on the selection of male and female athletes to international competitions and the performance of both men and women in international handball. The potential implications of these findings for policy and practice are discussed.

Lower limb injuries are frequent in handball and a serious hindrance to athletic performance. The aim of this systematic review was to synthesize the available research on the prevalence of lower limb injuries in handball players according to sex and competitive level. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis, 19 studies were selected after a systematic search and selection process of three digital databases: Scopus, PubMed, and Web of Science. Furthermore, a study quality analysis using an ‘Extension for Sports Injury and Illness Surveillance of the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE-SIIS)’ was carried out. The sample consisted of 7110 male and female handball players registering 4483 injuries in their lower limbs. The results showed a high incidence of knee injuries (30.23%) and ankle injuries (24.80%), especially in the ligaments, such as the talofibular and the anterior cruciate ligaments. Considering sex and competitive level, knee injuries accounted for 47.02% of injuries among women, while among men, ankle injuries were most prevalent (34.22%) in international competitions. Additionally, the most common cause of injuries was trauma (85.61%). The findings highlighted that the prevalence of lower limb injuries varies greatly according to the characteristics of the sample and injury. Therefore, the study underlines the importance that sports practitioners (physical trainers, readapters, and physiotherapists) adapt training protocols to reduce injury incidence in the most affected body areas or tissues.

Relative age effects (RAEs) appear consistently prevalent throughout the youth basketball literature. However, the selection into and successful transition out of a national talent pathway in basketball is yet to be explored. Thus, the primary aim of this study was to explore the influence of relative age, gender, and playing time based on the selection into the Regional Talent Hubs and Basketball England youth teams (U16, U18, and U20) and the successful transition into the England National Senior Teams. Participants who were selected into the male (n = 450) and female (n = 314) Basketball England Talent Pathway were allocated into one of three cohorts: (a) Regional Talent Hubs (U12 to U15; n = 183), (b) England National Youth Teams (U16, U18, and U20; n = 537), and (c) England National Senior Teams (n = 44). A chi-square test was used to compare the birth quarter (BQ) distributions of each cohort against the expected distributions, with a Cramer’s V (Vc) used to interpret effect sizes. Odds ratios (OR) and 95% confidence intervals were also calculated to compare the likelihood of each BQ being represented. Males revealed significant RAEs across both the Regional Talent Hubs (p < 0.001, Vc > 0.29, OR = 10) and England National Youth Teams (p < 0.001, Vc > 0.17, OR = 3.1). In comparison, females only had significant RAEs in the Regional Talent Hubs (p < 0.001, Vc > 0.29, OR = 2.3). Despite RAEs being prevalent throughout youth levels, there were no significant differences in the BQ distribution based on playing time and those who made the successful transition to the England National Senior Teams. These findings demonstrate the potential mechanisms of RAEs in basketball, as well as the impetus to explore more equitable competition structures within the England Basketball Talent Pathway.