Perspectives of Elite Esports Players and Staff Members Regarding the Effects of Esports on Health – a Qualitative Study

Abstract

Background: Recently, esports have been argued to impact esports players' health, particularly for those competing at higher levels. Esports are a relatively new phenomenon, and an inside perspective regarding esports players' needs and experiences is essential to promote adequate health support for this population. Thus, in this qualitative study, we explored the perspectives of elite esports players and staff members regarding the effects of esports participation on health. Ten semi-structured interviews were performed with members of the Portuguese FIFA (i.e., FIFA EA Sports®) eFootball National team (i.e., 5 elite electronic football players, 1 world-class electronic football player, 2 coaches, and 2 members of the esports department). Data analysis was undertaken following the principles of thematic analysis. Results: We identified two major themes: physical health and mental health. Esports-related factors such as gaming, competition, and performance were said to impact mental health, while equipment, facilities, and esports-related sitting time affect physical health. To minimise those risks, six main strategies were suggested: optimising and scheduling esports training, improving lifestyle habits with an emphasis on physical health, having other activities besides esports, getting social support, enhancing facilities and equipment, and getting clinical support, particularly with a mental health professional. Conclusion: Esports players and staff members are concerned and aware of esports' mental and physical demands. Understanding what esports players need and perceive about their health and their proposed strategies for health promotion might help define and prioritise healthcare needs, which could help players and the broad esports community.