ABSTRACT
The aim of this study was to evaluate the relative age effect (RAE) in Brazilian male handball teams who competed in the world championships in the U-19, U-21, and adult categories. The sample was composed by 160 male handball players, 47 players being on U-19 category, 48 on U-21, and 65 on Adult category. The chronological age, body mass, height, and game position of each athlete were obtained on the International Federation of Handball website. The adopted significance level was of 5%. RAE was observed in all the three following categories U-19 (X2=21.511, P<0.01), U-21 (X2=15.894, P=0.01) and Adults (X2=35.123, P<0.01). Moreover, no RAE was found in re-selection process by sequential category (P= 0.63, U-19 to U-21; P= 0.46, U-21 to Adult). The RAE is found in Brazilian male handball national teams. However, this effect was not found in re-selection process, thus, players have great influence of RAE in U-19 and this remains through subsequent categories.
Keywords:
Athletes; Growth; Relative age effect; Handball
RESUMO
O objetivo do presente estudo foi avaliar o efeito relativo da idade (ERI) nas seleções Brasileira de handebol que competiram nos campeonatos mundiais das categorias Sub-19, Sub-21 e Adulta. A amostra foi composta por 160 jogadores de handebol do sexo masculino, sendo 47 pertencentes a categoria Sub-19, 48 a Sub-21 e 65 a Adulta. A idade cronológica, massa corporal, estatura e posição de jogo de cada atleta foram obtidas no site oficial da Federação Internacional de Handebol. O nível de significância adotado foi de 5%. ERI foi observado em todas as três seguintes categorias Sub-19 (X2=21.511, P<0.01), Sub-21 (X2=15.894, P=0.01) e adulta (X2=35.123, P<0.01). Além disso, não foi encontrado ERI no processo de re-seleção pela categoria sequencial (P= 0.63, Sub-19 para Sub-21; P=0.46, Sub-21 para Adulta). O ERI foi encontrado nas seleções brasileiras de handebol. Contudo, este efeito não foi encontrado no processo de re-seleção, assim, os jogadores sofrem grande influência do ERI na categoria Sub-19 e isto permanece durante as categorias subsequentes até a equipe adulta.
Palavras-chave:
Atletas; Crescimento; Efeito relativo da idade; Handebol
Introduction
The selection of athletes in so-called elite sports has been occurring in younger age groups each time; this process begins especially during adolescence. This is the period when the maturity status seems to be a determinant influencer to achieve good physical performance in teamsports11. Gómez-lópez M, Granero-Gallegos A, Molina SFEU, Ríos LJC. Relative age effect during the selection of young handball player. J Phys Educ Sport 2017;17(1):418-423. Doi: http://dx.doi.org/ 10.7752/jpes.2017.01062
https://doi.org/10.7752/jpes.2017.01062...
and greater variables of body size11. Gómez-lópez M, Granero-Gallegos A, Molina SFEU, Ríos LJC. Relative age effect during the selection of young handball player. J Phys Educ Sport 2017;17(1):418-423. Doi: http://dx.doi.org/ 10.7752/jpes.2017.01062
https://doi.org/10.7752/jpes.2017.01062...
)(22. Altimari JM, Altimari LR, Paula L, Bortolotti H, Pasquarelli BN, Ronque ER, et al. Distribuição do mês de nascimento dos jogadores das seleções brasileiras de futebol. Rev Andal Med Deport 2012 [cited 13 Mar 2019];4(1):53-56. Available atAvailable athttps://www.elsevier.es/es-revista-revista-andaluza-medicina-del-deporte-284-articulo-distribuicao-do-mes-nascimento-dos-X1888754611201245
https://www.elsevier.es/es-revista-revis...
),(33. Cobley S, Baker J, Watti N, McKenna J. Annual age-grouping and athlete development: a meta-analytical review of relative age effects in sport. Sport Med 2009;39(3):235-256. Doi: https://doi.org/10.2165/00007256-200939030-00005
https://doi.org/10.2165/00007256-2009390...
),(44. Schorer J, Cobley S, Büsch D, Bräutigam H BJ. Influences of competition level, gender, player nationality, career stage and playing position on relative age effects. Scand J Med Sci Sport2009;19(5):720-730. Doi: https://doi.org/10.1111/j.1600-0838.2008.00838.x
https://doi.org/10.1111/j.1600-0838.2008...
. In this sense, athletes with advanced maturational process have greater chances to be part of clubs and federations’ selection.
Especially for juvenile athletes, there is concern related to the relative age effect (RAE) during selection and practicing processes. RAE refers to physical, anthropometrical, and psychological advantages in favor of those born at the beginning of the year, compared with those born in the final months of the year, within the same age group55. Ostapczuk M, Musch J. The influence of relative age on the composition of professional soccer squads. Eur J Sport Sci2013;13(3):249-255. Doi: http://dx.doi.org/10.1080/17461391.2011.606841 0.7752
https://doi.org/10.1080/17461391.2011.60...
.
The grouping of these age groups, especially in team sports, is performed by a biannual period of the year of birth of the athlete, and this may present advantages for some athletes, especially those born in the first semester of the first year of the category, and disadvantages for others11. Gómez-lópez M, Granero-Gallegos A, Molina SFEU, Ríos LJC. Relative age effect during the selection of young handball player. J Phys Educ Sport 2017;17(1):418-423. Doi: http://dx.doi.org/ 10.7752/jpes.2017.01062
https://doi.org/10.7752/jpes.2017.01062...
.
Several sports point out the reversal of RAE in the senior teams, with no advantage of the older athletes being observed in the main teams, such as baseball, basketball, rugby, and, mainly, soccer66. Carli GC, Luguetti CN, Ré AHN, Böhme MTS. Relative age effect in soccer players. Rev Bras Ci e Mov 2009;17(3):25-31. Doi: http://dx.doi.org/10.18511/rbcm.v17i3.1048
https://doi.org/10.18511/rbcm.v17i3.1048...
),(77. Nakata H, Sakamoto K. Relative age effect in japanese male athletes 1. Percept Mot Skills 2011;113(2): 570-574. Doi: https://doi.org/10.2466/05.10.11.pms.113.5.570-574
https://doi.org/10.2466/05.10.11.pms.113...
),(88. Schorer; J, Wattie; N, Baker; JR. A New dimension to relative age effects: Constant Year Effects in German Youth Handball. PLoS One 2013;8(5): e60336. https://doi.org/10.1371/journal.pone.0060336.g003
https://doi.org/10.1371/journal.pone.006...
. This effect is also observed in handball99. Wrang CM, Rossing NN, Diernæs RM, Hansen CG, Dalgaard-Hansen C, Karbing DS. Relative Age effect and the re-relection of Danish Male Handball Players for National Teams. J Hum Kinet 2018;63(1):33-41. Doi: https://dx.doi.org/10.2478%2Fhukin-2018-0004
https://doi.org/10.2478%2Fhukin-2018-000...
),(1010. Bjorndal CT, Luteberget LS, Till K, Holm S. The relative age effect in selection to international team matches in Norwegian handball. PLoS One 2018;13(12): e0209288. Doi: https://doi.org/10.1371/journal.pone.0060336
https://doi.org/10.1371/journal.pone.006...
, predominantly in countries which the sport is well spread and have a consolidated national championship since several decades ago. In contrast, Brazilian handball had been seeking its place in the international environment of selection, and only in 1997 it had its first national championship organized1111. Confederação Brasileira de Handebol [Internet]. Seleção masculina [cited 17 Mar 2019]. Disponível em: Disponível em: https://cbhb.org.br/v1/area/selecao-masculina .
https://cbhb.org.br/v1/area/selecao-masc...
.
Hancock et al.1212. Hancock DJ, Adler AL, Cote J. A proposed theoretical model to explain relative age effects in sport. Eur J Sport Sci 2013;13(6):37-41. Doi: https://doi.org/10.1080/17461391.2013.775352
https://doi.org/10.1080/17461391.2013.77...
highlights that RAE is a social construction and it can be observed in different domains. However, in countries where high level of handball performance does not have a social and media appeal like soccer, the reverse effect might occur. Therefore, the understanding of RAE in Brazilian handball is necessary, since the sportis composed by many factors as physical demands, specific anthropometric1313. Karcher C, Buchheit M. On-court demands of elite handball, with special reference to playing positions. Sport Med 2014;44(6):797-814. Doi: https://doi.org/10.1007/s40279-014-0164-z
https://doi.org/10.1007/s40279-014-0164-...
, specific game positions, and cultural influence which are required in international competitions44. Schorer J, Cobley S, Büsch D, Bräutigam H BJ. Influences of competition level, gender, player nationality, career stage and playing position on relative age effects. Scand J Med Sci Sport2009;19(5):720-730. Doi: https://doi.org/10.1111/j.1600-0838.2008.00838.x
https://doi.org/10.1111/j.1600-0838.2008...
.
In this case, coaches have a tendency to selected taller, stronger, and more skillful players in youth categories. Normally, athletes born in the first semester of the year present better development in these abilities1414. Malina RM, Cumming SP, Kontos AP, Eisenmann JC, Ribeiro B, Aroso J. Maturity-associated variation in sport-specific skills of youth soccer players aged 13-15 years. J Sports Sci 2005;23(5):515-522. Doi: https://doi.org/10.1080/02640410410001729928
https://doi.org/10.1080/0264041041000172...
and this tendency may exclude future young sports talents who do not fit this profile, since the selection of players still in childhood is not a precondition for success in the sport at national adult level1515. Barreiros A, Côté J, Fonseca AM. From early to adult sport success: analysing athletes’ progression in national squads. Eur J Sport Sci 2014;14(1):178-182. Doi: https://doi.org/10.1080/17461391.2012.671368
https://doi.org/10.1080/17461391.2012.67...
),(1616. Barreiros AN, Fonseca AM. A Retrospective analysis of Portuguese elite athletes’ involvement in International Competitions. Int J Sports Sci Coach 2012;7(3):593-600. Doi: https://doi.org/10.1260%2F1747-9541.7.3.593
https://doi.org/10.1260%2F1747-9541.7.3....
) .
Nevertheless, given the absence of studies which investigated the RAE in Brazilian handball selection, the aim of this study was to evaluate the RAE in Brazilian male handball teams which competed in the 2011, 2013, 2015 and 2017 world championships in under-19 (U-19), under-21 (U-21), and adult categories.
Methods
Participants
The sample was composed by 160 Brazilians handball athletes, male, that represented the U-19 selection (n=47; age = 18.63 ( 0.81yrs; body mass = 87.58 ( 10.60kg; stature = 187.9 ( 6.68cm), U-21 (n=48; age = 20.61 ( 0.79yrs; body mass = 92.68 ( 12.76kg; stature = 189.68 ( 6.60cm) and adult (n=65; age = 26.29 ( 3.96yrs; body mass = 94.83 ( 8.86kg; stature = 190.83 ( 5.33cm) in the world championships in 2011, 2013, 2015 and 2017, but in the 2017 world championship it was not collected information related to U-19 and U-21 players, since it was not found.
Procedures
Data was obtained through a public database that is available on the website of the International Handball Federation 1717. International Handball Federetion [Internet]. World Championships [cited 17 Mar 2019]. Disponível em: Disponível em: http://www.ihf.info/en-us/ihfcompetitions/worldcha .
http://www.ihf.info/en-us/ihfcompetition...
, in which information was collected about game categories, date of birth, body mass (kg), height (cm) and game position.The athletes were classified in quartiles by their month of birth (Q1 to Q4). In Q1, players were born from January 1st to March 31st; in Q2, from the April 1st to June 31st; in Q3, from July 1st to September 31st; and in Q4, from October 1st to December 31st. The distribution of the birth month of the athletes was compared to the distribution of births in Brazil during the same period between 1992 and 1999 (Figure1)1818. Ministério da Saúde [Internet]. Nascidos vivos - DataSUS [cited 17 Mar 2019]. Disponível em: Disponível em: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sinasc .
http://tabnet.datasus.gov.br/cgi/tabcgi....
.
Statistical analysis
The association of the RAE between born quartiles of each category was obtained through Chi-square test of adhesion taking into consideration the births of each year. Regarding the association between game categories and category promotion, Chi-square test was applied with the likelihood correction of (P < 0.05).
Results
The frequency of subjects who were born in Brazil during the years of the data collected (1992 to 1999) and the born quartile are presented in Figure 1. It showed high frequency of population who had been born in the first and second quartile.
Distribution of the players of the Brazilian U-19 and U-21 teams according to the birth quartiles
Table 1 showed measurements of association among categories and born quartiles. Results confirmed a RAE, with a prevalence of players who were born in the first and second quartiles, measurements of Adherence Chi-square Test was significantly for groups U-19 (X2=21.511, P < 0.01), U-21 (X2=15.894, P = 0.01) and Adults (X2=35.123, P < 0.01). However, there is no association between categories and born quartiles (X2= 9.559, P = 0.14).
The promotion of youth athletes to U-21 or Adults are presented in Table 2. The association of born quartile and promotion did not report significance, and the numbers of subjects that were in group U-19 being promoted to U-21, were X2=1.737 (P = 0.63), and U-21 to Adults were X2=2.566 (P = 0.46).
Discussion
The main finding of this study was the existence of the RAE on the ages of the U-19, U-21 and adult teams of the Brazilian handball team in the last world championship. The effect was not observed in the re-selection of these athletes from the U-19 category to the U-21 and from the U-21 category to the adult, even with the first months of the year presenting a higher frequency of re-selected athletes, since this re-selection maintained proportional measurements regarding the number of athletes within each month in the previous categories.
In invasion team sports, such as hockey, baseball, basketball, rugby and soccer, there is a tendency of the influence of the month of birth on the selection of young athletes22. Altimari JM, Altimari LR, Paula L, Bortolotti H, Pasquarelli BN, Ronque ER, et al. Distribuição do mês de nascimento dos jogadores das seleções brasileiras de futebol. Rev Andal Med Deport 2012 [cited 13 Mar 2019];4(1):53-56. Available atAvailable athttps://www.elsevier.es/es-revista-revista-andaluza-medicina-del-deporte-284-articulo-distribuicao-do-mes-nascimento-dos-X1888754611201245
https://www.elsevier.es/es-revista-revis...
),(44. Schorer J, Cobley S, Büsch D, Bräutigam H BJ. Influences of competition level, gender, player nationality, career stage and playing position on relative age effects. Scand J Med Sci Sport2009;19(5):720-730. Doi: https://doi.org/10.1111/j.1600-0838.2008.00838.x
https://doi.org/10.1111/j.1600-0838.2008...
),(66. Carli GC, Luguetti CN, Ré AHN, Böhme MTS. Relative age effect in soccer players. Rev Bras Ci e Mov 2009;17(3):25-31. Doi: http://dx.doi.org/10.18511/rbcm.v17i3.1048
https://doi.org/10.18511/rbcm.v17i3.1048...
),(77. Nakata H, Sakamoto K. Relative age effect in japanese male athletes 1. Percept Mot Skills 2011;113(2): 570-574. Doi: https://doi.org/10.2466/05.10.11.pms.113.5.570-574
https://doi.org/10.2466/05.10.11.pms.113...
. In high-performance sports, physical and maturational advantages originated from RAE may lead coaches to select the larger and higher physical performance1919. Sherar LB, Baxter-Jones ADG, Faulkner RA, Russell KW. Do physical maturity and birth date predict talent in male youth ice hockey players? J Sports Sci2007;25(8): 879-886. Doi: https://doi.org/10.1080/02640410600908001
https://doi.org/10.1080/0264041060090800...
, taking those selected to have greater access to resources such as practices and high quality training for specific skills of the sport, as well as increased time to play2020. Helsen WF, Starkes JL, Winckel JV. The Influence of relative age on success and dropout in male soccer players. Am J Hum Biol1998;10(6):791-798. Doi: https://doi.org/10.1002/(sici)1520-6300(1998)10:6%3C791::aid-ajhb10%3E3.0.co;2-1
https://doi.org/10.1002/(sici)1520-6300(...
.
Specifically in handball, this effect was also observed in Danish athletes99. Wrang CM, Rossing NN, Diernæs RM, Hansen CG, Dalgaard-Hansen C, Karbing DS. Relative Age effect and the re-relection of Danish Male Handball Players for National Teams. J Hum Kinet 2018;63(1):33-41. Doi: https://dx.doi.org/10.2478%2Fhukin-2018-0004
https://doi.org/10.2478%2Fhukin-2018-000...
and Norwegian1010. Bjorndal CT, Luteberget LS, Till K, Holm S. The relative age effect in selection to international team matches in Norwegian handball. PLoS One 2018;13(12): e0209288. Doi: https://doi.org/10.1371/journal.pone.0060336
https://doi.org/10.1371/journal.pone.006...
, these are countries where this sport is widespread. However, unlike the results of this study, they found in the adult category the reverse effect of the relative effect of age99. Wrang CM, Rossing NN, Diernæs RM, Hansen CG, Dalgaard-Hansen C, Karbing DS. Relative Age effect and the re-relection of Danish Male Handball Players for National Teams. J Hum Kinet 2018;63(1):33-41. Doi: https://dx.doi.org/10.2478%2Fhukin-2018-0004
https://doi.org/10.2478%2Fhukin-2018-000...
),(1010. Bjorndal CT, Luteberget LS, Till K, Holm S. The relative age effect in selection to international team matches in Norwegian handball. PLoS One 2018;13(12): e0209288. Doi: https://doi.org/10.1371/journal.pone.0060336
https://doi.org/10.1371/journal.pone.006...
, with difference of birth in the first months decreasing or equalling to those who were born in the last months of the year.
One of the explanations for the occurrence of RAE in them adult Brazilian team might be associated with the social and cultural significance of sport. In this case, the commercial and television appeal has influenced the opportunities for players1212. Hancock DJ, Adler AL, Cote J. A proposed theoretical model to explain relative age effects in sport. Eur J Sport Sci 2013;13(6):37-41. Doi: https://doi.org/10.1080/17461391.2013.775352
https://doi.org/10.1080/17461391.2013.77...
. Brazilian handball has little media appeal compared to other sportsin Brazil, thus giving less opportunities or sponsorship for clubs and new players. Another aspect may be associated with the organization of sport in Brazil, since Brazilian confederation of handball may be considered very young, close to 40 years old and with its first national championship in 1997, therefore Brazil has few national teams, and this fact propose less chances for athletes that were less developed in basis categories1111. Confederação Brasileira de Handebol [Internet]. Seleção masculina [cited 17 Mar 2019]. Disponível em: Disponível em: https://cbhb.org.br/v1/area/selecao-masculina .
https://cbhb.org.br/v1/area/selecao-masc...
.
Regarding re-selection of these athletes in the adult category, this was not associated with months of birth in the U-21 (X²=0.63) or adult categories(X²=0.46), demonstrating that regardless of the month of birth the chance of re-selection in Brazilian athletes is the same for those born in the initial months as for those born in the final months of the year. Information obtained in other sports, like rugby, hockey, soccer and handball22. Altimari JM, Altimari LR, Paula L, Bortolotti H, Pasquarelli BN, Ronque ER, et al. Distribuição do mês de nascimento dos jogadores das seleções brasileiras de futebol. Rev Andal Med Deport 2012 [cited 13 Mar 2019];4(1):53-56. Available atAvailable athttps://www.elsevier.es/es-revista-revista-andaluza-medicina-del-deporte-284-articulo-distribuicao-do-mes-nascimento-dos-X1888754611201245
https://www.elsevier.es/es-revista-revis...
),(66. Carli GC, Luguetti CN, Ré AHN, Böhme MTS. Relative age effect in soccer players. Rev Bras Ci e Mov 2009;17(3):25-31. Doi: http://dx.doi.org/10.18511/rbcm.v17i3.1048
https://doi.org/10.18511/rbcm.v17i3.1048...
),(77. Nakata H, Sakamoto K. Relative age effect in japanese male athletes 1. Percept Mot Skills 2011;113(2): 570-574. Doi: https://doi.org/10.2466/05.10.11.pms.113.5.570-574
https://doi.org/10.2466/05.10.11.pms.113...
),(99. Wrang CM, Rossing NN, Diernæs RM, Hansen CG, Dalgaard-Hansen C, Karbing DS. Relative Age effect and the re-relection of Danish Male Handball Players for National Teams. J Hum Kinet 2018;63(1):33-41. Doi: https://dx.doi.org/10.2478%2Fhukin-2018-0004
https://doi.org/10.2478%2Fhukin-2018-000...
showed that younger players in the juvenile categories, between the transition from the juvenile and the adult category, reappear among the re-selected, indicating that younger players in the juvenile categories are able to reappear in the re-selected athletes in the adult team.
These data indicate that RAE in Brazil remains in the adult category. This may occur because the Brazilian league is still in development, thus counting on a reduced number of professional teams when compared to other national leagues, mainly European, which have a greater number of players and teams44. Schorer J, Cobley S, Büsch D, Bräutigam H BJ. Influences of competition level, gender, player nationality, career stage and playing position on relative age effects. Scand J Med Sci Sport2009;19(5):720-730. Doi: https://doi.org/10.1111/j.1600-0838.2008.00838.x
https://doi.org/10.1111/j.1600-0838.2008...
. This contributes to talent development since the young athletes remain in the training process, not only those who present a certain physical advantage in the initial categories, which can be provided by RAE and biological maturation99. Wrang CM, Rossing NN, Diernæs RM, Hansen CG, Dalgaard-Hansen C, Karbing DS. Relative Age effect and the re-relection of Danish Male Handball Players for National Teams. J Hum Kinet 2018;63(1):33-41. Doi: https://dx.doi.org/10.2478%2Fhukin-2018-0004
https://doi.org/10.2478%2Fhukin-2018-000...
),(1414. Malina RM, Cumming SP, Kontos AP, Eisenmann JC, Ribeiro B, Aroso J. Maturity-associated variation in sport-specific skills of youth soccer players aged 13-15 years. J Sports Sci 2005;23(5):515-522. Doi: https://doi.org/10.1080/02640410410001729928
https://doi.org/10.1080/0264041041000172...
, unlike other leagues in which the athletes born in the months at the end of the year reappear in elite teams44. Schorer J, Cobley S, Büsch D, Bräutigam H BJ. Influences of competition level, gender, player nationality, career stage and playing position on relative age effects. Scand J Med Sci Sport2009;19(5):720-730. Doi: https://doi.org/10.1111/j.1600-0838.2008.00838.x
https://doi.org/10.1111/j.1600-0838.2008...
),(99. Wrang CM, Rossing NN, Diernæs RM, Hansen CG, Dalgaard-Hansen C, Karbing DS. Relative Age effect and the re-relection of Danish Male Handball Players for National Teams. J Hum Kinet 2018;63(1):33-41. Doi: https://dx.doi.org/10.2478%2Fhukin-2018-0004
https://doi.org/10.2478%2Fhukin-2018-000...
),(2121. Mccarthy N, Collins D, Tigers L. Initial identification and selection bias versus the eventual confirmation of talent: evidence for the benefits of a rocky road ? J Sports Sci 2014;32(17): 37-41. Doi: https://doi.org/10.1080/02640414.2014.908322
https://doi.org/10.1080/02640414.2014.90...
.
The information obtained in this study may assist mainly Brazilian coaches on the influence of RAE in Brazilian handball athletes, as in developed countries this effect ceases to exist. Also, a new look is needed at the training of young handball athletes, especially regarding the aspect of exclusion of the athletes born in the final months of the year. It is necessary that professionals who participate in the selection and training of young handball athletes recognize the influence of the RAE during the process of formation of young athletes. This is one of the first studies to observe the RAE and category promotion in the different categories of the Brazilian Handball Selection. Despite the fact that the study evaluated the categories at different times and with different coaches, these can present different selection philosophies, impacting on the selection and identification of talented athletes.
Conclusion
The study presented the RAE in Brazilian handball players, with most players selected in the first semester, especially in the first quartile (January to March). And, this effect does not disappear in the Adult category. However, this effect was not reported in the re-selected of the basis categories where the born quartiles did not influence on the players’ re-selection. In conclusion, players have most influence of RAE in the U-19, and then remain over the subsequent categories, however, the month of birth does not influence re-selection in adulthood, the professionals involved in the training and selection of athletes should have a special look especially in relation to the exclusion aspect of athletes born in the last months of the year.
Acknowledgments:
Authors would like to express their appreciation to the Coordination for the Improvement of Higher Education Personnel (CAPES/Brazil) for the master’s degree scholarships (LFRS and VMRW) and also for the doctorate’s degree scholarship to JCC and Brazilian Council of Scientific and Technological Development (CNPq/Brazil) for productive research scholarships (ERVR).
References
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» https://doi.org/10.7752/jpes.2017.01062 -
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3Cobley S, Baker J, Watti N, McKenna J. Annual age-grouping and athlete development: a meta-analytical review of relative age effects in sport. Sport Med 2009;39(3):235-256. Doi: https://doi.org/10.2165/00007256-200939030-00005
» https://doi.org/10.2165/00007256-200939030-00005 -
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» https://doi.org/10.1111/j.1600-0838.2008.00838.x -
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Publication Dates
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Publication in this collection
07 Jan 2022 -
Date of issue
2021
History
-
Received
09 July 2019 -
Reviewed
12 Mar 2020 -
Accepted
20 Mar 2020