Mortality of elite football players in Portugal and spain

Authors

  • Onofre Simões Universidade de Lisboa (Portugal)
  • Inês Marques Actuary at Closer Consulting (Portugal)

DOI:

https://doi.org/10.26360/2020_6

Keywords:

elite football players, mortality measures, Portugal, Spain

Abstract

The health benefits of physical activity have been demonstrated. However, there is a growing debate over the potential adverse effects of strenuous physical activity, particularly at a professional level. The goal of this work is to investigate whether elite athletes live longer than general populations, by a comprehensive survival analysis of two populations of professional foot- ball players. Lifespan data of Portuguese and Spanish football players, who have represented the national teams, were collected. The mortality of each cohort is then compared to that of the respective standard population, using data available in the Human Mortality Database and four different approaches. At the end, a comparison between the mortality of Portuguese and Spanish football players is also carried out.

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References

Abel, E. L., and Kruger, M.L. (2005). Longevity of major league baseball players. Research in Sports Medicine, 13(1), 1–5.

Andersen, P. K. (2013). Decomposition of number of life years lost according to causes of death. Statistics in Medicine, 32, 5278–285.

Antero-Jacquemin, J., Pohar-Perme, M., Rey, G., Toussaint, J.F., and Latouche, A. (2018). The heart of the matter: years-saved from cardiovascular and cancer deaths in an elite athlete cohort with over a century of follow-up, European Journal of Epidemiology, 33 (6), 531–43.

Baron, S.L., Hein, M. J., Lehman, E., and Gersic, C.M. (2012). Body mass index, playing position, race, and the cardiovascular mortality of retired professional football players. The American Journal of Cardiology, 109, 889–96.

Beaglehole, R., and Stewart, A. (1983). The longevity of international rugby players. The New Zealand Medical Journal, 96, 513–15.

Belli, S. and Vanacore, N. (2005). Proportionate mortality of Italian soccer players: is amyotrophic lateral sclerosis an occupational disease?, European Journal of Epidemiology, 20, 237–42.

Breslow, N. E., and Day, N. E. (1987), “Rates and Rate Standardization”, in Statistical Methods in Cancer Research: Volume II—The Design and Analysis of Cohort Studies. International Agency for Research on Cancer, Lyon: Oxford University press, 48–82.

Cox, D. R. (1972). Regression models and life-tables. Journal of the Royal Statistical Society, Series B (Methodological), Vol. 34, No. 2, 187-220.

Ederer, F., Axtell, L. M., and Cutler S. J. (1961). The relative survival rate: a statistical methodology. National Cancer Institute. Monograph, 6, 101–21.

Ederer, F., and Heise, H (1959). – The effect of eliminating deaths from cancer on general population survival rates, Methodological Note 11, End Results Evaluation Section. National Cancer Institute.

Gajewski, A. K., and Poznańska, A. (2008). Mortality of top athletes, actors and clergy in Poland: 1924–2000 follow-up study of the long term effect of physical activity. European Journal of Epidemiology, 23 (5), 335–40.

Hakulinen, T. (1982). Cancer survival corrected for heterogeneity in patient withdrawal. Biometrics, 38, 933–42.

Hurley, B. and Reuter, I. (2011). Aging, Physical Activity, and Disease Prevention. Journal of Aging Research, 2011, 1–2.

IFOA (2011). Core Reading: Subject CT5. The Actuarial Education Company. Institute and Faculty of Actuaries.

Kalist, D. E., and Peng, Y. (2007). Does education matter? Major league baseball players and longevity. Death Studies, 31(7), 653–70.

Keiding, N. (1987). The method of expected number of deaths,1786-1886-1986. International Statistical Review, 55(1), 1–20.

Klugman, S. A., Panjer, H. H., and Willmot, G. E. (2008), Loss Models: from data to decisions, 3rd ed., Hoboken NJ., John Wiley & Sons.

Knez, W. L., Coombes, J. S., and Jenkins, D. G. (2006). Ultra-endurance exercise and oxidative damage: implications for cardiovascular health. Sports Medicine, 36, 429–41.

Koning, R., Matheson, V., Nathan, A., and Pantano, J. (2014). The long-term game: an analysis of the life expectancy of national football league players. International Journal of Financial Studies, 2 (1), 168–178.

La Gerche A., Boyle, A., Wilson, A. M., and Prior, D. L. (2004). No evidence of sustained myocardial injury following an Ironman distance triathlon. International Journal of Sports Medicine, 25 (1), 45–9.

La Gerche, A., Burns, A. T., Mooney, D. J., Inder, W. J., Taylor, A. J., Bogaert, J., MacIsaac, A. I., Heidbüchel, H., and Prior DL (2012). Exercise-induced right ventricular dysfunction and structural remodelling in endurance athletes. European Heart Journal, 33, 8 (April), 998–1006.

Laslett, L., Eisenbud, E., and Lind, R. (1996). Evidence of myocardial injury during prolonged strenuous exercise. The American Journal of Cardiology, 78, 488–90.

Lee, I. M., and Paffenbarger, R. S. (2000). Associations of light, moderate, and vigorous intensity physical activity with longevity: The Harvard Alumni Health Study. American Journal of Epidemiology, 151, 3, 293–99.

Lee, I. M., Shiroma, E. J., Lobelo, F., Puska P., Blair, S. N., and Katzmarzyk, P. T. (2012). Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. The Lancet, 380(9838) 219-229.

Lehman, E. J., Hein, M. J., Baron, S. L., and Gersic, C.M. (2012). Neuro-degenerative causes of death among retired national football league players. Neurology, 79, 1970–974.

Liddell, F. D. K. (1984). Simple exact analysis of the standardised mortality ratio. Journal of Epidemiology and Community Health, 38, 85–88.

Lin, Y., Gajewski, A. and Poznańska, A. (2016). Examining mortality risk and rate of ageing among Polish Olympic athletes: a survival follow-up from 1924 to 2012. British Medical Journal Open, 6:e010965.

Mann, H. B., and Whitney, D. R. (1947). On a test of whether one of two random variables is stochastically larger than the other. The Annals of Mathematical Statistics, 18, 50–9.

Marijon, E., Tafflet, M., Antero-Jacquemin, J., El Helou, N., Berthelot, G.; Celermajer, D. S., Bougouin, W., Combes, N., Hermine, O., Empana, J- P., Rey, G., and Toussaint, J-F. (2013). Mortality of French participants in the Tour de France (1947–2012). European Heart Journal, 34, 3145–150.

McKee A. C., Cantu R. C., Nowinski C. J., Hedley-Whyte E. T., Gavett B. E., Budson A. E., Santini V. E., Lee, H., Kubilus, C. A., and Stern, R. A. (2009). Chronic traumatic encephalopathy in athletes: progressive tauopathy following repetitive head injury. Journal of Neuropathology and Experimental Neurology, 68(7), 709–35.

Pärssinen, M., Kujala, U., Vartiainen, E., Sarna, S., and Seppälä, T. (2000). Increased premature mortality of competitive powerlifters suspected to have used anabolic agents. International Journal of Sports Medicine, 21, 225–27.

Pelliccia, A., Kinoshita, N., Pisicchio, C., Quattrini, F., Dipaolo, F. M., Ciardo, R., Di Giacinto, B., Guerra, E., De Blasiis, E., Casasco, M., Culasso, F., and Maron, B. J. (2010). Long-term clinical consequences of intense, uninterrupted endurance training in Olympic athletes. Journal of the American College of Cardiology, 55, 1619–625.

Pokhrel, A. (2007). Age-standardization of relative survival ratios, academic dissertation, University of Tampere, Finnish Cancer Registry. Ribeiro C.S. (2014), Econometria, Lisboa, Escolar Editora.

Sanchis-Gomar, F., Olaso-Gonzalez, G., Corella, D., Gomez-Cabrera, M. C., and Vina, J. (2011). Increased average longevity among the “Tour de France” Cyclists, International Journal of Sports Medicine, 32, 644–47.

Sarna, S., Sahi, T., Koskenvuo, M., and Kaprio, J. (1993). Increased life expectancy of world class male athletes, Medicine and Science in Sports and Exercise, 25, 2, 237-44.

Sporis, G., Jukic, I., Ostojic, S. M., and Milanovic, D. (2009). Fitness profiling in soccer: physical and physiologic characteristics of elite players, Journal of Strength and Conditioning Research, 23, 1947–953.

Taioli, E. (2007). All causes mortality in male professional soccer players, European Journal of Public Health, 17(6), 600–04.

Therneau, T., and Offord, J. (1999), – Expected Survival Based on Hazard Rates, Technical Report No. 63, Section of Biostatistics, Mayo Clinic. Vigne, G., Gaudino, C., Rogowski, I., Alloatti, G., and Hautier, C. (2010). Activity Profile in Elite Italian Soccer Team, International Journal of Sports Medicine, 31(5), 304–10.

Wooldridge, J. F. (2012). Introductory Econometrics - A Modern Approach, 3rd ed., South-Western, Cengage Learning.

World Health Organization (2010), Global Recommendations on Physical Activity for Health. Switzerland: WHO Press.

Zwiers, R., Zantvoord ,F. W., Engelaer, F. M., van Bodegom, D., van der Ouderaa, F. J. G., and Westendorp, G.J. (2012). Mortality in former Olympic athletes: retrospective cohort analysis. British Medical Journal, 345: e7456.

Published

2020-12-15

How to Cite

Simões, O., & Marques, I. (2020). Mortality of elite football players in Portugal and spain. Anales Del Instituto De Actuarios Españoles, (26), 127–156. https://doi.org/10.26360/2020_6

Issue

Section

Research articles