External and Internal Load Variables Encountered During Training and Games in Female Basketball Players According to Playing Level and Playing Position: A Systematic Review

Abstract Background Despite the growing global participation of females in basketball and number of studies conducted on the topic, no research has summarized the external and internal load variables encountered by female basketball players during training and games. Objective To collate existing literature investigating external and internal load variables during training and games in female basketball players according to playing level (club, high-school, representative, collegiate, semi-professional, and professional) and playing position (backcourt and frontcourt players). Methods A systematic review of the literature was performed using PubMed, SPORTDiscus, and Web of Science to identify studies published from database inception until June 11, 2021. Studies eligible for inclusion were observational and cross-sectional studies, published in English, reporting external and/or internal load variables during training sessions and/or games. Methodological quality and bias were assessed for each study prior to data extraction using a modified Downs and Black checklist. Weighted means according to playing level and playing position were calculated and compared if a load variable was reported across two or more player samples and were consistent regarding key methodological procedures including the seasonal phase monitored, minimum exposure time set for including player data (playing time during games), approach to measure session duration, and approach to measure session intensity. Results The search yielded 5513 studies of which 1541 studies were duplicates. A further 3929 studies were excluded based on title and abstract review, with 11 more studies excluded based on full-text review. Consequently, 32 studies were included in our review. Due to the wide array of methodological approaches utilized across studies for examined variables, comparisons could only be made according to playing level for blood lactate concentration during games, revealing backcourt players experienced higher lactate responses than frontcourt players (5.2 ± 1.9 mmol·L −1 vs. 4.4 ± 1.8 mmol·L −1 ). Conclusions Inconsistencies in the methods utilized to measure common load variables across studies limited our ability to report and compare typical external and internal loads during training and games according to playing level and position in female basketball players. It is essential that standardized methodological approaches are established for including player data as well as measuring session duration (e.g., total time, live time) and intensity (e.g., consistent rating of perceived exertion scales, intensity zone cut points) in future female basketball research to permit meaningful interpretation and comparisons of load monitoring data across studies.