Air pollution, a worthy opponent? How pollution levels impair athlete performance across physical, technical, and cognitive domains.

Air pollution is a global issue known to effect on human health and performance. In the context of highly skilled athletes, the influence of air pollution on players' physical and technical abilities are established, yet its effects on cognitive performance have received little consideration. This study aims to address this research gap by comprehensively examining the influence of air pollution on the performance of highly skilled athletes using a holistic approach, including both the athlete's brain and body. Between 2016 and 2022, a total of 799 soccer players (578 males, 221 females) belonging to a German professional first division club were measured on a battery of performance assessments, including physical, technical, and cognitive tests. The performance data were combined with the average daily concentration of three pollutants: PM Increased levels of PM By encompassing physical, technical, and cognitive assessments, this study highlights the multifaceted nature of performance impairments resulting from air pollution exposure in a population characterized by have exceptional abilities across all three domains. These findings underscore the widespread impact of pollution on a diverse sample of athletes and emphasize the need to consider air pollution in the broader context of its effects on human health and the environment.

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Declaration of competing interest The authors declare they have nothing to disclose.