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Joo, CH and Jee, H. Activity profiles of top-class players and referees and accuracy in foul decision-making during Korean national league soccer games. J Strength Cond Res 33(9): 2530-2540, 2019-The aims of this study were to compare the activity profiles between the top-class referees and players and elucidate the factors related to foul decision-making. Three hundred thirty-five elite-level players and referees were analyzed for distance covered during 20 matches of nationally held 2016 Korean league competitions. Distance covered by the players and referees was analyzed for the activity zones (slow walking, walking, jogging, running, high-intensity running, and sprinting) and 15-minute match periods. Mean distance between foul play and referee locations, foul plays, and 15-minute match periods were compared with the foul decision errors. Foul play and decision error rates (%) were also analyzed per segmented pitch zone. Although the total distance covered during a match and distances covered by jogging, running, and sprinting were significantly different between the players and referees, differences were within 1%. Significant differences in the distance covered before and after halftime were observed. The greatest distance between the foul play and referee locations, number of foul plays, and number of foul decision errors were observed at the 75-minute match period. Finally, the greater number of foul plays was observed in the neutral and attacking zones, and the foul decision errors were observed in the right defensive and left attacking zones 1. In conclusion, although the activity profiles may be different, referees should maintain certain level of physical fitness to match that of the players. To reduce the number of foul decision errors, factors such as match time, foul occurring location, and distance between foul play and referee locations should be considered.