Study of selected health and performance related parameters among football referees of Iranian premier League

The official FIFA survey showed that there are more than 840,000 registered referees. Football refereeing is a physically challenging job. Despite the important role of referees, few studies have focused on them. However, health and fitness of football referees is a major concern due to their older ages and significance of their performance. The aim of this study was to assess the selected parameters of fitness as well as risk factors of musculoskeletal problems among all referees of Iran’s Premier League during season 2009-2010. In a cross- sectional study, all referees selected for the premier league competitions were enrolled. All participants underwent preparticipation evaluation including 7 stations. Among 78 participants (32 center referees and 46 assistant), descriptive data were as below: Age: 37±3.8 y, body mass index: 23.6 (2.1), percent of body fat: 20.7 (3.9) and VO2 max: 59.9 (7.1). Regarding musculoskeletal abnormalities, muscular tightness was observed in 35 cases, including hamstring (18), gastrocnemius (14), iliopsoas (2) and iliotibial band (1). Nine referees showed signs of weak quadriceps femoris. Single leg balance test was abnormal in 56 cases. The average BMI is lower than values reported in similar studies, indicating good anthropometric profile. Although VO2 max has been estimated using indirect method, the average values are comparable to elite-level European referees. Furthermore, musculoskeletal problems are common. It is recommended to incorporate periodic medical evaluation in all pre-season preparations.