doi:10.3900/fpj.5.4.223.e EISSN 1676-5133 BMI and waist girth as health risk indexs of soccer referees from Brazil Original Article Alberto Inácio da Silva - CREF. 000631-G/PR Doutorando em Fisiologia - UFPR Depto. de Fisiologia da Universidade Federal do Paraná albertoiná[email protected] SILVA, A.I da. BMI and waist girth as health risk indexs of soccer referees from Brazil. Fitness & Performance Journal, v.5, nº 4, p. 223-231, 2006. ABSTRACT: The aim of this study was to analyze the BMI and the waist girth as overweight indicators of risk for the development of diseases related to the excess of central body fat in soccer referees from the Paraná Soccer Federation (FPF) certified by the Brazilian Football Confederation (CBF). Was measured the totality of the referees that applied for the physical evaluation of the 2005 season. All were males with mean age of 34.07 ± 6.12 years, height of 1.77 ± 0.06 m and body mass of 78.35 ± 10.39 kg. Was measured weigh, height, three girth and seven skin folds. The mean value for BMI was 24.87 ± 2.86 kg/m2 (n=220). Only 65% of the referees has BMI values considered within the normality (23.04 ± 1.49) mean while 44% shown values equal or higher than 25 kg/m2 (26.95 ± 1.40). The mean value of the waist girth was 85.38 ± 7.37 cm. Since just 0.01% of the referees shown waist girth over 102 cm, most of them has no risk of health measured by the BMI and by the excess of central body fat according with the procedure suggested by the ACSM (2003). Keywords: referee, soccer, BMI, waist girth. Correspondence to: Rua Vitorino Polli, 286 – Jardim Adriana - CEP 83.408-480 – Colombo – Paraná - Brazil Submitted: June / 2006 Accepted: July / 2006 Copyright© 2008 por Colégio Brasileiro de Atividade Física, Saúde e Esporte Fit Perf J Rio de Janeiro 5 4 223-231 Jul/Aug 2006 223 RESUMO RESUMEN O IMC e o perímetro da cintura como indicadores de risco para a saúde de árbitros de futebol do Brasil El IMC y el perímetro de la cintura como indicadores del riesgo para la salud de árbitros de fútbol de Brasil O objetivo deste estudo foi analisar o IMC (índice de massa corporal) e o perímetro da cintura, como indicadores de sobrepeso e de risco para doença associada ao excesso de gordura central dos árbitros de futebol da Federação Paranaense de Futebol (FPF) certificados pela Confederação Brasileira de Futebol (CBF). Foram avaliados todos os árbitros que se apresentaram para avaliação física da temporada 2005. Todos eram do sexo masculino, idade média de 34,07 ± 6,12 anos, estatura de 1,77 ± 0,06 m, e massa corporal de 78,35 ± 10,39 kg. Foram mensurados, o peso, a estatura, três perímetros e sete dobras cutâneas. O valor médio do IMC foi de 24,87 ± 2,86 kg/m2 (n=220). Apenas 65% dos árbitros encontram-se com valores de IMC considerados dentro da normalidade (média de 23,04 ± 1,49 kg/m2), enquanto que 44% apresentam valores iguais ou superiores a 25 kg/m2 (média de 26,95 ± 1,40 kg/m2). O valor médio do perímetro da cintura foi de 85,38 ± 7,37 cm. Como apenas 0,01% dos árbitros avaliados apresentaram perímetro da cintura acima de 102 cm, a grande maioria dos árbitros não apresentam risco a saúde, determinado pelo IMC e pelo acúmulo de gordura na região central do corpo de acordo com o procedimento proposto ACSM (2003). El objetivo de este estudio fue analizar el IMC (índice de masa corporal) y el perímetro de la cintura, como indicadores de sobrepeso y de riesgo para enfermedades asociada al exceso de grasa central de los árbitros de fútbol de la Federación Paranaense de Fútbol (FPF) certificados pela Confederación Brasileña de Fútbol (CBF). Fueron evaluados todos los árbitros que se presentaron para evaluación física para la temporada 2005. Todos eran del sexo masculino, edad promedio de 34,07 ± 6,12 años, estatura de 1,77 ± 0,06 m, e masa corporal de 78,35 ± 10,39 kg. Fueron mensurados, el peso, la estatura, tres perímetros y siete dobras cutáneas. El valor promedio del IMC fue de 24,87 ± 2,86 kg/m2 (n=220). Todavía 65% de los árbitros se encuentran con valores de IMC considerados dentro de la normalidad (promedio de 23,04 ± 1,49 kg/m2), mientras que 44% presentan valores iguales o superiores a 25 kg/m2 (promedio de 26,95 ± 1,40 kg/m2). El valor promedio del perímetro de la cintura fue de 85,38 ± 7,37 cm. Como solo 0,01% de los árbitros evaluados presentaron perímetro de la cintura arriba de 102 cm, la gran mayoría de los árbitros no presentan riesgo a salud, determinado por le IMC y por le acumulo de grasa en la región central del cuerpo de acuerdo com el procedimiento propuesto por la ACSM (2003). Palavras-chave: árbitro, futebol, IMC, perímetro da cintura. Palabras clave: árbitro, fútbol, IMC, perímetro de la cintura. INTRODUCTION The physical activities can be characterized in several ways, depending on the type, intensity and purpose. This way, the physical activities are classified as occupational, of transport, of home and of leisure (USDHHS, 1996; RODRIGUEZ-AÑEZ, 2003). Depending on the laboral activity, the metabolic demand can be larger or smaller. In the case of the soccer referees, the function demands high levels of metabolic demand to support the game time and intensity, and turns necessary that these present appropriate levels of physical fitness. The main referee during a soccer game has a medium energy expense of 740.42 kcal, and the assisting referee had presented a medium expense of 494.64 kcal (DA SILVA and RODRIGUEZ-AÑEZ, 2001). The physical fitness is an indispensable requirement for the tasks accomplishment that request a superior physical effort to the metabolic demands of rest. The lack of physical fitness can provoke confusion in the moment of taking of decision during the execution of exhausting exercise and, consequently, to harm the capacity of the people’s judgement in this situation (DA SILVA, 2005). Besides the metabolic variables, the physical fitness depends on appropriate corporal composition, because the weight excess or the obesity limits the movements, besides they play overload part for the locomotor system (RODRIGUEZ-AÑEZ; PETROSKI, 2002). The human body presents several types of measures, such as the lineal measures, that are represented by lengths; the area measures, as the corporal surface; and the volume measures, as the lung capacities. There is a proportionality among the several corporal measures that modify, depending on the growth state, development and that also suffer influences of the gender. 224 However, measures combinations, as weight and stature, present variation interval that allows to verify the malnutrition state, normality, overweight or an individual’s obesity (DE ROSE et al., 1984; RICARDO; ARAÚJO, 2002). BMI (body mass index) is a strategy proposed in the century XIX by Quételet that relates, mathematically, the weight and an individual’s height. For the obtaining of this index, becomes separated the corporal weight for the stature in square meters, and the result is expressed in kilos by square meter, in other words, it gives a distribution indicative of the corporal mass for area (RICARDO e ARAÚJO, 2002). The waist / hip relationship (WHR) is a simple index obtained by the division of the waist perimeter by the hip perimeter in centimeters. WHR is highly associated to the visceral fat and it seems to be an acceptable index of the abdominal fat that has been used to classify the individuals in health risk categories in function of the central fat excess. However, the waist perimeter, separately, can be the best preditor of visceral fat, because the waist perimeter is sensitive to the accumulation of superficial fat as intra-abdominal fat, while the hip perimeter is sensitive only to the accumulation of the subcutaneous fat (HEYWARD; STOLARCZYK, 2000). American College of Sports Medicine (ACSM, 2003) suggests a cut point for WP 102 and 88 cm, for the masculine and feminine genders, respectively, as health risk indicator. This point is interpreted together with the BMI values, classifying the individuals in four categories: increased risk, high, very high and extremely high. Several authors and international organisms have been trying to establish normality strips for BMI with the intention of establishing Fit Perf J, Rio de Janeiro, 5, 4, 224, Jul/Aug 2006 malnutrition, weight excess or obesity (SEIDELL, 2000; ACSM, 2000; USDHHS, 1996). ACSM, in its last manual published in 2003, suggested the following values for the classification of BMI (Table 1) and for the stratification of disease risk through the waist perimeter (ACSM, 2003). The weight excess, historically, has been associated with several types of chronic-degenerative diseases (NIEMAN, 1999). However, the weight excess characterization becomes difficult without the use of objective indicators that allow to quantify the exact amount of corporal fat, as the case of the fat percentile, or then of the corporal fat distribution, like BMI, which the relationship mass for area supplies an overweight indicator. Works, of scientific stamp, involving soccer referees are very recent and scarce, if we take as reference the studies involving the soccer players (ASAMI et al., 1988; CATTERALL et al., 1993; DA SILVA and RODRIGUEZ-AÑEZ, 1999; D’OTTAVIO and CASTAGNA, 2001; DA SILVA, 2005a). In the works that approach the soccer referee’s physical demands, it was not found any report on BMI, WHR or waist perimeter of the soccer referees. Researches on this group can supply subsidies to know better the profile of that professional category, serving as reference for futures soccer referees that intend to act in the board of the larger entity of the Brazilian soccer, the Brazilian Confederation of Soccer (Confederação Brasileira de Futebol) (CBF). Of this sorts of things out, becomes evident the need of invest in studies that approach the physical profile of soccer referees. Therefore, the objective of this work was to determine the proportion of soccer referees that assist to the health criteria, using as indicators BMI and the waist perimeter. METHODOLOGY The population of this study was constituted by professional soccer referees belonging to the referees board from Paraná Federation of Soccer (Federação Paranaense de Futebol) (FPF). The sample was constituted by 220 male referees that came to the Commission of Evaluation of the Physical fitness of FPF, for the season of 2005. The appraised number for area varied at each place; because the referee could choose where he would make the evaluation. The evaluations happened among 4 and 19 December, 2004. The exams were accomplished in the morning period, in the cities of Maringá, Curitiba, Pato Branco and Marechal Cândido Rondon, all in the State of Paraná. The procedures here adopted are in agreement with the RESOLUTION N.º 196, of 10 OCTOBER of 1996, of National Council of Health (Conselho Nacional de Saúde), which treats of the research procedures in human beings. The project was approved by the committee of Ethics in Research in Human beings of the Hospital das Clínicas of the Universidade Federal do Paraná. The anthropometrics variables measured were: corporal mass, stature, two circumferences (forearm and abdomen) and seven cutaneous folds (subscapular, triceps, pectoral, medium axillary, Fit Perf J, Rio de Janeiro, 5, 4, 225, Jul/Aug 2006 abdomen, supra iliac and thigh). The measurement of the corporal mass and of the stature was accomplished being followed the recommendations of ALVAREZ and PAVAN (2003), and the waist perimeter according to MARTINS and LOPES (2003). The body mass index was determined turning separated the weight (kg) for the height (m) to the square. The corporal density was determined starting from the anthropometrics variables by the equation proposed by JACKSON and POLLOCK (1978), that uses the sum of seven cutaneous folds and two perimeters and the fat percentile for the equation of SIRI (1961). It was considered as limitation of this investigation the absence of the application of a reminding questionnaire about the daily physical activities, seeking the determination of the caloric expense and on alimentary habits, to determine the daily ingestion, as well as the verification if some referee possesses inhabit of practicing physical exercises in a constant way. The results of the tests are reported as mean and the respective pattern deviation and were submitted to the variance analysis (ANOVA), following by the test of TUKEY for differences identification among the statistically significant means pairs. Also the paired t test was used or not, depending on the analysis. The data were considered statistically significant, when the probability of the occurrence of null hypothesis goes smaller than 0.05. RESULTS The results regarding the anthropometrics evaluations are presented by areas. In the Table 2, we found the data regarding the evaluations accomplished in the city of Maringá, where the appraised number corresponded to 35% of the whole sample. The Table 3 describes the results obtained in the city of Curitiba, where the appraised number corresponded to 37%, in other words, it was the city with the largest number of appraised referees. In the Tables 4 and 5 are the results of the White Duck area and Marechal Cândido Rondon, respectively. The appraised number in these areas was identical, that is, 14% of the sample attended in each one of these cities. In absolute terms, the referees of the Marechal Cândido Rondon area, were the ones that presented smaller mass corporal, larger stature, smaller age and smaller fat percentile. However, when we compared these data with other areas, we didn’t find statistically significant differences (p > 0.05). DISCUSSION The mean mass corporal from Paraná referees was of 78.35 ± 10.39 kg (n=220). This value is similar to the catarinenses referees mean (OLD et al. 1998), of greek referees (RONTOYANNIS, 1998), of Paraná referees (ROMAN, 2004) and of referees of CBF elite (DA SILVA, NASCIMENTO, 2005). Regarding the stature, the mean value of the sum of all of the areas was of 1.77 ± 0.06 m. The medium stature of this study is same founded in the specialized literature (RONTOYANNIS, et al. 1998; DA SILVA, NASCIMENTO, 2005 and VELHO et al. 1998). 225 Table 1 - Classification of the disease risk with base in BMI and waist circumference for men BMI Weight deficiency Waist ≤ 102 cm Waist > 102 < 18.5 Normal 18.5 – 24.9 Weight excess 25.0 – 29.9 Increased High Obesity I 30.0 – 34.9 High Very High Obesity II 35.0 – 39.9 Very High Very High Obesity III > 40.0 Extremely High Extremely High Source: Adapted of ACSM (2003) Table 2 - Descriptive characteristics of the referees of the city of Maringá (n=77) Weight Stature Age Waist BMI %F Mean 77.25 1.76 33.68 85.52 24.92 18.21 P. Deviation 10.47 0.05 6.36 8.16 3.11 4.26 Minimum 57.40 1.65 22 65 18.07 8.71 Maximum 102.10 1.87 48 105 33.72 28.74 The values regarding the stature are in meters and to the waist, in cm. %F = Fat Percentage. Table 3 - Descriptive characteristics of the referees of the city of Curitiba (n=81) Weight Stature Age Waist BMI %F Mean 80.39 1.77 35.01 86.71 25.52 19.59 P. Deviation 10.76 0.06 5.95 7.24 2.75 4.02 Minimum 58.30 1.64 21 72 21.04 11.60 Maximum 109.20 1.93 51 110 34.47 30.16 The values regarding the stature are in meters and to the waist, in cm. %F = Fat Percentage. Table 4 - Descriptive characteristics of the referees of the city of Pato Branco (n=31) Weight Stature Age Waist BMI %F Mean 78.03 1.78 34.74 84.81 24.55 18.16 P. Deviation 9.64 0.06 4.82 5.74 2.36 4.66 Minimum 59.50 1.68 25 73 20.11 9.24 Maximum 97.40 1.97 47 92 29.29 27.12 The values regarding the stature are in meters and to the waist, in cm. %F = Fat Percentage. Table 5 - Descriptive characteristics of the referees of the city of Marechal Cândido Rondon (n=31) Weight Stature Age Waist BMI %F Mean 76.07 1.80 31.90 82.10 23.33 17.15 P. Deviation 9.38 0.06 6.74 6.24 2.37 4.24 Minimum 56.20 1.71 21 72 19.22 9.84 Maximum 94.90 1.94 47 95 28.23 25.28 The values regarding the stature are in meters and to the waist, in cm. %F = Fat Percentage. 226 Fit Perf J, Rio de Janeiro, 5, 4, 226, Jul/Aug 2006 Table 6 - Statistical analysis of the IMC results of all areas Cities Maringá vs Curitiba Maringá vs Pato Branco Maringá vs Marechal C. Rondon Curitiba vs Pato Branco Curitiba vs Marechal C. Rondon Pato Branco vs Marechal C. Rondon p p>0.05 p>0.05 p<0.05 p>0.05 p<0.01 p>0.05 Obs ns ns s ns s ns s - statistically significant differences, ns - without difference The medium age found in this study was of 34.07 ± 6.12 years (n=220), this value is compatible with some studies involving soccer referees (RONTOYANNIS, et al. 1998; BETSCH, PLESSENER, 2001; REBELO, et al. 2002; DA SILVA, FERNÁNDEZ, 2003). The results analysis allowed to conclude that the Curitiba referees are the oldest of Paraná (Table 3), being the one of the area of Marechal Cândido Rondon the with minor medium (Table 5). Some studies affirm that the soccer referees are, on average, 10 to 15 older years than the players of elite of that sport, and the age would have negative effect in the physical acting, therefore the referees involved in this research would not stay away of that rule (CATTERALL, et al. 1993; WESTON, et al. 2004; HELSEN and BULTYNCK, 2004). When associates the weight and the height to the square settles down a new index, that is BMI. With the data grouping and formula application for determination of BMI can be observed that the same varied from 18.07 to 34.47 kg/m2, with medium value of 24.87 ± 2.86 kg/m2 (n=220). However, more meticulous analysis of the data allowed to observe that 46% of the referees are with values of BMI considered inside of the normality (mean of 22.80 ± 1.59 kg/m2), while 54% present values equal or superior to 25 kg/m2 (mean of 27.29 ± 1.87 kg/m2), therefore, in the accomplished evaluation two groups of referees exist, one above and other below the considered normal index, that present statistically significant differences (Illustration 1). The BMI mean of the Maringá referees, as described in Table 1, is inside of the normality, however when separating the referees that are with value of BMI above 25 kg/m2, it is observed that a great percentage of them exist above the considered normal index. The BMI means of the referees that are above the normal was of 27.22 ± 1.88 kg/m2, being the one of the normal group of 22.31 ± 1.92 kg/m2; those are statistically significant differences (Illustration 2). The percentage of referees that constitutes the group that is above the index was of 53% of the sample; being like this, only 47% of the 77 appraised referees in Maringá are with the value of BMI inside of the normality. The appraised referees in Curitiba presented a mean value of BMI, above considered normal (Table 4). When separated and analyzed the referee’s indexes that are above and inside of a considered normal value, was verified that 52% presented indexes inside above the normal (27.63 ± 1.88 kg/m2) and 48% of the normality (23.25 ± 1.11 kg/m2). The statistical analysis demonstrated there are statistical difference among these data (Illustration 3). As it happened with the appraised referees in Maringá, the medium value of BMI of the appraised referees in Pato Branco was inside of the normality (Table 4). However, the separation of the referees data that were are above BMI those that were with values of the normality, allowed to conclude that 42% of the appraised referees Illustration 1 - Body mass index for category (all referees) Illustration 2 - Body mass index for category (Maringá) *- Statistically significant differences *- Statistically significant differences Illustration 3 - Body mass index for category (Curitiba) Illustration 4 - Body mass index for category (Pato Branco) *- Statistically significant differences *- Statistically significant differences Fit Perf J, Rio de Janeiro, 5, 4, 227, Jul/Aug 2006 227 Illustration 5 - Body mass index for category (Cândido Rondom) Illustration 6 - Body mass index for age group *- Statistically significant differences were with the index above the ideal (26.7 ± 1.4 kg/m2), and the mean of the other 58% ones were of 22.99 ± 1.50 kg/m2. Unlike the cities previously analyzed, the percentage of referees with BMI below 25 kg/m2 overcame the ones that are above. The statistical analysis between these two groups demonstrated there are statistically significant differences (Illustration 4). The medium BMI of the Marechal Cândido Rondon referees was the smallest of all of the areas (Table 4). That can be justified for the low percentage of referees with values of BMI above the normal (16%). However, the medium BMI value of the referees that are above the normal is similar to the referees of other areas (27.19 ± 0.91 kg/m2), the same happening with the other 84% ones that presented indexes below 25 kg/m2 (22.59 ± 1.75 kg/m2). The statistical analysis between those two groups, confirmed there are statistically significant differences among them (Illustration 5). The variance analysis (ANOVA), following by the test of TUKEY for differences identification among the pairs of means of each area, showed there are statistically significant differences among some areas (Table 6). When the mean value of BMI, 24.87 ± 2.86 kg/m2(n=220) is compared with the respective mean value of the waist circumference of 85.38 ± 7.37 cm(n=220), this is below the cut point for health risk (102 cm). The crossing of the medium BMI value, with the medium value of the waist perimeter, doesn’t indicate risk to the health (Illustration 1). Like this, the sample is characterized with normal subjects without larger health risk. However, 0.01% of the referees presented waist perimeter above 102 centimeters, that is, three referees, being two of the area of Maringá and Table 7 - Statistical analysis of the results of the waist perimeter of all areas Cities p Obs Maringá vs Curitiba p>0.05 ns Maringá vs Pato Branco p>0.05 ns Maringá vs Marechal C. Rondon p>0.05 ns Curitiba vs Pato Branco p>0.05 ns Curitiba vs Marechal C. Rondon p<0.05 s Pato Branco vs Marechal C. Rondon p>0.05 ns s - statistically significant differences, ns - without difference 228 one of Curitiba. They also presented BMI above 25 kg/m2, in agreement with the Table 1, they present weight excess and high health risk, or almost entering in the obesity. However, cannot stop recognizing the limitations of BMI for subjects that present great muscular mass, and in this case it is necessary the use of the cutaneous folds for percentile determination of the individual’s fat, as a counterevidence type. Therefore, other data that corroborates the affirmative of weight excess and high health risk to the three referees is the fact that the mean of the fat percentage of these was of 24.29%. For POWERS and HOWLEY (2000) the obesity is a high fat percentage, usually larger than 25% for men, being like this, those referees would be very close of turning obese people, taking as reference these indicators. As larger the fat deposits in the abdominal area, larger the probability of metabolic disorders and high risk of cardiovascular diseases. The application of the variance analysis ANOVA, following by the test of TUKEY, showed there are significant difference among the means of the circumference obtained among the areas (Table 7). BMI is very used, in practice, with great populations, because it is an anthropometric method of fast procedure and low cost that it is well correlated with the corporal fat and some diseases incidences (CADDIA, 1998). However, in agreement with BARATA (1994), this method is little effective when applied to the sport, because the sportsmen present great muscular masses. As the soccer referees are involved in a high level sport, that needs their apprentices a great degree of physical preparation, it was determined the fat percentile of the referees, by the cutaneous folds, so it could be determined with accuracy the corporal composition. The mean of 18.56 ± 4.29% of corporal fat presented by the referees corroborates the body mass index close to the normality limit (25 kg/ m2) found in this study. The fat percentile of the referees is above the men’s of the South Area of Brazil mean (16.14%), area where Table 8 - Statistical analysis of the results of fat percentile of all areas Cities Maringá vs Curitiba Maringá vs Pato Branco Maringá vs Marechal C. Rondon Curitiba vs Pato Branco Curitiba vs Marechal C. Rondon Pato Branco vs Marechal C. Rondon p p>0.05 p>0.05 p>0.05 p>0.05 p<0.05 p>0.05 Obs ns ns ns ns s ns s - statistically significant differences, ns - without difference Fit Perf J, Rio de Janeiro, 5, 4, 228, Jul/Aug 2006 this work was developed (PETROSKI, 1995). However, considering that the men here studied are soccer referees, which is waited for a physical performance above the population average, it would be convenient to advise them to enter in a program of exercises and/or nutritional attendance, that allowed a reduction of fat mass without loss of muscular mass. Regarding the fat percentile, the medium value found in this study is superior to the medium value found in Brazilian referees of the CBF board 15.9% (DA SILVA and RODRIGUEZ-AÑEZ, 2003) and of Greek referees 16.7% (RONTOYANNIS, et al. 1998), however relatively smaller than the value told by SCHWINGEL et al. (1998), in a study involving referees of Santa Catarina State, of 20.7%. As 99% of the referees presented inferior of 102 cm waist perimeter, none of these is classified as presenting risk increased for the development of diseases due to the excess of central fat. The statistical analysis involving the means of the fat percentile obtained in each area, demonstrated there are significant difference (Table 8). According to AMER et al. (2001), with the passing of the years the individual presents changes in their corporal composition. As previously described, corporal mass, height and, mainly, age of the soccer referees is very similar in several parts of the world, therefore, it would be interesting to determine the corporal composition inside of this age group; in that way it could be determined with more accuracy this professional’s anthropometric profile. The data for analysis inside certain age group was divided in three groups: a group composed by referees from 20 to 29 years, other for the referees from 30 to 39 years, being the third group composed by the referees with age equal or superior to 40 years. The age group that involves most of the referees here are in agreement with the literature revision and the study accomplished is among 30 to 39 years. Of the 220 referees here appraised 127 are inside of this age group, in other words, 57% of the sample. That data corroborates the affirmative previously lifted up that most of the referees is in the thirty and few years strip. The group of referees between 20 and 29 years was composed by 25% of the total of appraised referees, and the remaining 17%, formed the group constituted by referees with more than 40 years. they are with weight excess. The statistical analysis among the BMI values of each group, showed there are not statistically significant differences among the groups (p=0 .05) (Illustration 6). The combination of BMI with the data relative to the waist perimeter, didn’t modify or worsened the referees classification of the age group from 30 to 39 years, which presented superior to 25 kg/m2 index, because the value of the waist perimeter was inferior to 102 centimeters (86.35 ± 7.67 cm). There are statistically significant differences when the data of all groups are compared by ANOVA following by TUKEY (Illustration 7). The 19.06 ± 4.34% fat percentile presented by the referees of the group from 30 to 39 years is superior to the mean of the referees of this study and the of referees involved in other studies, as previously described. This high fat percentile collaborated the high BMI presented by this group, demonstrating that the high BMI value has direct relationship with the fat percentile and not with the muscular mass volume. The statistical analysis among the groups demonstrated there not exists statistically significant differences among them (p > 0.05) (Illustration 8). In a study with the objective of verifying the physical preparation level of the Paraná referees, Da Silva (2005b) affirms that the referees of that State presented, in the last four years, a decrease in the physical capacity; and could be one the causes, maybe the lack of seriousness of the Arbitration Commission From Paraná Federation of Soccer (FPF) in the application of the physical tests and the professional’s of Physical education retreat that it developed a program of physical training specify for the referees offered by the Association of the Referees of Soccer of Paraná. Another interesting observation of this study (DA SILVA, 2005b) was the verification that the referees of the Marechal Cândido Rondon area are the ones that presented better level of Physical preparation of this State. Therefore, the fact of the referees of that area present, as diagnosed by this investigation, smaller mass corporal, larger stature, smaller age and smaller fat percentile, seems to interrelate with the good level of physical capacity presented by the same ones. The first analyzed data was BMI, the referees of the age group between 30 and 39 years presented, in absolute terms, the largest value of BMI, inclusive superior to 25 kg/m2 (25.28 ± 3); in other words, according to the Illustration 1classification, Each 4 to 6 seconds, during a game, the referee changes his motive action (D’ OTTAVIO and CASTAGNA, 2001; KRUSTRUP and BANGSBO, 2001), accomplishing on average, 1268 different activities (KRUSTRUP and BANGSBO, 2002). The referee’s medium Illustration 7 - Waist circumference for age group Illustration 8 - Corporal fat percentage for age p Fit Perf J, Rio de Janeiro, 5, 4, 229, Jul/Aug 2006 229 displacement during the game is superior to 9 km (D’OTTAVIO and CASTAGNA, 2001; DA SILVA and RODRIGUEZ-AÑEZ, 1999; ASAMI, et al., 1988; JOHNSTON and MCNAUGHTON, 1994; REBELO et al., 2002; KRUSTRUP and BANGSBO, 2001). The assistant referee presents an inferior physical fatigue compared to the referee, because he moves 7 km on average during the game (DA SILVA and RODRIGUEZ-AÑEZ, 2002; KRUSTRUP and BANGSBO, 2002), and accomplishes, on average, 943 different motive actions in game elapsing (KRUSTRUP and BANGSBO, 2002). To drive the professional level soccer games, the referees should present good physical preparation level, because their physical effort are similar to the players. In a study developed in Brazil, that had as objective analyzes the referee’s psychological stress, it was ended that the inadequate physical preparation was the most stressful factor for the referees (SAMULSKI et al., 1999). Besides good physical preparation to accompany and to evaluate the plays, avoiding that the rules are violated, the referee should be well positioned to analyze aggressions among the athletes, because a player’s risk suffers some kind of wound it is about 1000 times larger than found in most of the other professions (FULLER et al., 2004). The data sustain the affirmative that it just not enough to make available a program of physical training for the soccer referees, at this time they also need nutritional orientation, because a great portion of the whistle professionals are with weight excess. It is ended that the great majority of the referees doesn’t present risk for diseases, when appraised for the procedure suggested by ACSM, in 2003, that uses as indicators BMI and the waist perimeter. REFERENCES ASAMI, T.; TOGARI, H.; OHASHI, J. Analysis of movement patterns of referees during soccer matches. In: REILLY, T.; LEES, A.; DAVIDS, K.; MURPHY, W. J. eds. Science and Football. London, E& E N. Spon, 341-345, 1988. ACSM. Manual do ACSM para teste de esforço e prescrição de exercício. 5 ed. Rio de Janeiro: Revinter, 2000. ACSM. Diretrizes do ACSM para os testes de esforço e sua prescrição. 6 ed. Rio de Janeiro: Guanabara-Koogan, 2003. ALVAREZ, B.R.; PAVAN, A.L. Alturas e comprimentos. In: PETOSKI, E.L. Antropometria: técnicas e padronizações. 2 ed. Porto Alegre: E.L. Petroski, p. 59-71, 2003. AMER, N. M.; SANCHES, D.; MORAES, S. M. F. Índices de massa corporal e razão cintura/ quadril de praticantes de atividade aeróbica moderada. Revista da Educação Física/UEM. 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The Federations and, mainly, the Brazilian Confederation of Soccer (CBF) should take the responsibility for the constant improvement of the soccer referees, and that especially goes by their physical preparation. The soccer referee, which is only called by professional referee, but in the reality it possesses characteristics that are below an amateur category, if we take as reference many athletes of the amateur soccer. The Commissions of Arbitration, flee of their responsibility of professionalizing the referees, demand that they have a fixed job, in other words, that don’t depend financially on the soccer arbitration. 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