The reactive strength index (RSI) describes the individual’s capability to quickly change from an eccentric muscular contraction to a concentric one and can be used to monitor, assess, and reduce the risk of athlete’s injury. The purpose of this review is to compare the effectiveness of different training programs on RSI. Electronic searches were conducted in MEDLINE, PubMed, Scopus, SPORTDiscus, and Web of Science from database inception to 11 February 2022. This meta-analysis was conducted in accordance with the recommendations of the preferred reporting items for systematic reviews and meta-analyses (PRISMA). The search returned 5890 records, in which 39 studies were included in the systematic review and 30 studies were included in the meta-analysis. Results from the randomized studies with the control group revealed that plyometric training improved RSI in adult athletes (0.84, 95% CI 0.37 to 1.32) and youth athletes (0.30, 95% CI 0.13 to 0.47). Evidence withdrawn from randomized studies without a control group revealed that resistance training also improved the RSI (0.44, 95% CI 0.08 to 0.79) in youth athletes but not in adults. Interventions with plyometric training routines have a relatively large, statistically significant overall effect in both adult and youth athletes. This supports the implementation of this type of interventions in early ages to better cope with the physical demands of the various sports. The impact of resistance training is very low in adult athletes, as these should seek to have a more power-type training to see improvements on the RSI. More interventions with sprint and combined training are needed.

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Background The importance of soccer referees is widely accepted by international soccer organizations and governing bodies, although there is little research summarizing and appraising the literature on soccer referees. The aim of this study was to systematically review the information related to physical demands, nutrition and physiological profiling of soccer referees. Methods Conforming with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, searches of three electronic databases (Web of Sciences, PubMed and Scopus) were conducted on 24 April 2022. The following search terms were used: (Soccer OR football AND refer*) AND (physical OR physiolo* OR load* OR “body composition” OR “fat mass” OR “fat free mass” OR “body size” OR “nutrition*” OR “nutritional assessment” OR “nutritional intake” OR “macronutrient*” OR “micronutrient*”). The inclusion criteria of the manuscripts written in English were that articles with male and/or female soccer referees and included relevant data concerning performance, physical testing, nutrition, body composition, body size and/or physiology of soccer referees. The tools developed by the National Institute of Health were used to assess risk of bias according to the study design. Results In total, 110 manuscripts were included in the present review. Match activities of soccer referees and assistant referees are not comparable. Variation in performance is influenced by competitive level and competitive schedules. Additionally, match performance is often used to validate field protocols. The associations between match indicators and field protocols were not constant across the included studies, particularly in short-maximal tests. An age decline in physical performance was not conclusive. Body size did not discriminate between referees and assistant referees, as well as referees of different competitive levels. Few studies focused on nutritional guidelines among referees, particularly exercise energy expenditure. Energy intake was comparable across studies, but referees did not follow the daily dietary recommendations. Aerobic output was frequently assessed, and it was not comparable to the values for soccer players. Conclusions Although there are decreases in the running profiles of older referees, they maintain the same distances from the ball, and thus, age per se should not be used to define participation at the international level. The assessment of physical fitness warrants future consideration given the levels of fatigue that are apparent at the end of matches. In order to attain ideal levels of body composition, future studies need to provide guidelines for daily energy expenditure and nutritional intake. Trial registration: The protocol was published in INPLASY (International Platform of Registered Systematic Review and Meta-Analysis Protocols) with the registration number 202280052 and https://doi.org/10.37766/inplasy2022.8.005.