A novel sleep optimisation programme to improve athletes’ well-being and performance

Objectives: To improve well-being and performance indicators in a group of Australian Football League (AFL) players via a six-week sleep optimisation programme. Design: Prospective intervention study following observations suggestive of reduced sleep and excessive daytime sleepiness in an AFL group. Methods: Athletes from the Adelaide Football Club were invited to participate if they had played AFL senior-level football for 1–5 years, or if they had excessive daytime sleepiness (Epworth Sleepiness Scale [ESS] >10), measured via ESS. An initial education session explained normal sleep needs, and how to achieve increased sleep duration and quality. Participants (n?=?25) received ongoing feedback on their sleep, and a mid-programme education and feedback session. Sleep duration, quality and related outcomes were measured during week one and at the conclusion of the six-week intervention period using sleep diaries, actigraphy, ESS, Pittsburgh Sleep Quality Index, Profile of Mood States, Training Distress Scale, Perceived Stress Scale and the Psychomotor Vigilance Task. Results: Sleep diaries demonstrated an increase in total sleep time of approximately 20?min (498.8?±?53.8 to 518.7?±?34.3; p?<?.05) and a 2% increase in sleep efficiency (p?<?0.05). There was a corresponding increase in vigour (p?<?0.001) and decrease in fatigue (p?<?0.05). Conclusions: Improvements in measures of sleep efficiency, fatigue and vigour indicate that a sleep optimisation programme may improve athletes’ well-being. More research is required into the effects of sleep optimisation on athletic performance.     

Prevalence of sleep disorders and sleep problems in an elite super rugby union team

The aim of this study was to determine the prevalence of sleep disorders in an elite rugby union team using in-laboratory polysomnography (PSG) and sleep questionnaires. Twenty-five elite rugby union players underwent a night of PSG during the “off-season” of the Super Rugby competition to assess their sleep. Of interest were measurements that detected the presence of obstructive sleep apnea (OSA; apnea-hypopnea index ≥5 events/hr) and the presence of moderate-severe periodic leg movements during sleep (PLMs; ≥15 events/hr). Players completed sleep-related questionnaires to assess daytime sleepiness, perception of insomnia, risk of OSA, and the presence of restless legs syndrome (RLS) and underwent basic anthropometric assessments including body mass index and neck circumference. OSA was present in 24% (n=6) of players and PLMs ≥15 events/hr in 12% (n=3). Questionnaire responses showed that all players had insomnia defined subthreshold insomnia and excessive daytime sleepiness, two players were identified as being at risk for OSA and none were classified as having RLS. In conclusion, sleep disorders and excessive sleepiness are common in elite rugby union players. A process to identify and manage sleep disorders should be considered by teams to optimise their physical recovery, athletic performance and to safeguard their health.     

Poor precompetitive sleep habits,nutrients’ deficiencies,inappropriate body composition and athletic performance in elite gymnasts

This study aimed to evaluate body composition, sleep, precompetitive anxiety and dietary intake on the elite female gymnasts’ performance prior to an international competition. Sixty-seven rhythmic gymnasts of high performance level were evaluated in relation to sport and training practice, body composition, sleep duration, daytime sleepiness by the Epworth Sleepiness Scale (ESS), sleep quality by the Pittsburgh Sleep Quality Index (PSQI), precompetitive anxiety by the Sport Competition Anxiety Test form A (SCAT-A) and detailed dietary intake just before an international competition. Most gymnasts (67.2%) suffered from mild daytime sleepiness, 77.6% presented poor sleep quality and 19.4% presented high levels of precompetitive anxiety. The majority of gymnasts reported low energy availability (EA) and low intakes of important vitamins including folate, vitamins D, E and K; and minerals, including calcium, iron, boron and magnesium (p?p?=?.001), sport practice (p?=?.024), number of daily training hours (p?=?.000), number of hours of training/week (p?=?.000), waist circumference (WC) (p?=?.008) and sleep duration (p?=?.005). However, it was negatively correlated with WC/hip circumference (p?=?.000), ESS (p?=?.000), PSQI (p?=?.042), SCAT-A (p?=?.002), protein g/kg (p?=?.028), EA (p?=?.002) and exercise energy expenditure (p?=?.000). High performance gymnasts presented poor sleep habits with consequences upon daytime sleepiness, sleep quality and low energy availability.     

Individualized sleep education improves subjective and objective sleep indices in elite cricket athletes: A pilot study

ABSTRACT

The aim of the current study was to evaluate the effect of personalized sleep hygiene education on sleep indices in elite athletes. Nine elite male cricket players performed 3 weeks of baseline sleep monitoring (PRE), followed by group and individualized sleep hygiene education and a further 3 weeks of sleep monitoring (POST). Subjective sleep questionnaires included the Athlete Sleep Behaviour Questionnaire (ASBQ), the Epworth Sleepiness Scale (ESS) and the Pittsburgh Sleep Quality Index (PSQI). Objective sleep indices were monitored via wrist actigraphy. There were significant improvements (p < 0.05) in two of the sleep questionnaires (ESS and PSQI) and in sleep efficiency (+5%), sleep latency (?29 min) and sleep onset variance (?28 min) following the intervention, all associated with large or very large effect sizes (d= 1.38, ?0.85 and ?0.88, respectively). The current study reports that personalized sleep hygiene education using the ASBQ to target maladaptive sleep behaviours may be effective in acutely improving sleep indices in elite male athletes.     

Effects of competition on the sleep patterns of elite rugby union players

Abstract

No published research has assessed sleep patterns of elite rugby union players following match-play. The present study examined sleep patterns of professional rugby union players, prior and post-match-play, to assess the influence of competition. Twenty-eight male rugby union players (24.4?±?2.9 years, 103.9?±?12.2?kg) competed in one of four competitive home matches. Player's sleep behaviours were monitored continuously using an Actiwatch^® from two days before the match, until three days post-match. Repeated measures of analysis of variance (ANOVA) showed significant differences across the time points measured for time to bed (F?=?26.425, η² ?=?0.495, p < .001), get up time (F?=?21.175, η²?=?0.440, p?<?.001), time spent in bed (F?=?10.669, η²?=?0.283, p?<?.001), time asleep (F?=?8.752, η²?=?0.245, p?<?.001) and percentage of time moving (F?=?4.602, η²?=?0.146 p?<?.05). Most notable, post hocs revealed a significant increase for time in bed the night before the match (p?<?.01; 95% CI?=?0?:?10–1?:?28?h; 9.7?±?13.5%) compared with the reference night sleep. Furthermore, time asleep significantly decreased post-match (p?<?.05; 95% CI?=??0:03 to ?1:59?h; ?19.5?±?19.8%) compared to two nights pre-match. Across all time points, sleep latency and efficiency for most players were considered abnormal compared to that expected in normal populations. The results demonstrate that sleep that is deprived post-match may have detrimental effects on the recovery process.     

Evening electronic device use and sleep patterns in athletes

The present study aimed to investigate pre-sleep behaviours (including evening electronic device use) and sleep quantity in well-trained athletes. Seventy well-trained athletes (44 females, 26 males) aged 21 ± 4 y from a range of team and individual sports were asked to complete an online sleep diary for 7 days. The sleep diary included questions about pre-sleep behaviours (e.g. napping, caffeine intake), electronic device use in the 2 h prior to bedtime (e.g. type of device and duration of use) and sleep (e.g. time in bed, sleep onset latency). On average, athletes spent 8:20 ± 1:21 h in bed each night. Associations between age, time in bed and sleepiness suggested that younger athletes spent more time in bed (B = -0.05, p = 0.001) but felt sleepier (r = -0.32, p < 0.01) than older athletes. On average, athletes mostly used electronic devices for 0–30 min prior to sleep. The use of multiple devices in the evening was associated with more perceived difficulty in falling asleep (B = 0.22, p = 0.03), but no associations existed with other sleep variables. In summary, younger athletes may require later start times or improved sleep quality to resolve excessive sleepiness.     

运动员睡眠评价方法的应用研究进展

在以睡眠研究的评价体系和临床诊疗推荐指南作为睡眠评价方法的前提下,重点讨论运动科学研究中实际涉及运动员睡眠评价的研究案例,分析睡眠日记、匹兹堡睡眠质量指数量表（PSQI）、Epworth嗜睡量表（ESS）、运动员睡眠筛查问卷（ASSQ）、运动员睡眠行为问卷（ASBQ）、睡眠卫生指数（SHI）、多导睡眠图（PSG）、体动图、商业睡眠技术等主客观睡眠评价工具或手段的适用性和局限性,为对运动员的睡眠障碍和睡眠相关行为进行准确可靠的评价提供参考意见。     

Total sleep time in Muslim football players is reduced during Ramadan: a pilot study on the standardized assessment of subjective sleep-wake patterns in athletes

Ramadan is a period in which Muslims fast during daylight hours and is associated with disturbances in sleep-wake behaviour and adverse effects on physical and mental health in normal volunteers. Studies using athletes are rare and remain equivocal as to whether Ramadan influences sleep-wake patterns. Notably, the standardized assessment of subjective sleep quality and daytime sleepiness in athletes has not been established. This study employed the Arabic version of the Pittsburgh Sleep Quality Index, Insomnia Severity Index, and Epworth Sleepiness Scale in nine football players aged 20-35 years (mean ± s: 26 ± 4) one week before and during the last week of Ramadan. Compliance rates with self-administration were high (71%) and the results demonstrated a robust decline in total sleep time (before Ramadan: 6.6 ± 2 h; at the end of Ramadan: 5.3 ± 1 h; P < 0.05, effect size 0.81). Compared with previous research, the study questionnaires offer improved methodology, including less time constraints plus standardization in scoring. Thus, this study demonstrates a framework for greater reproducibility and reliability in the assessment of subjective sleep-wake patterns in athletes before and during Ramadan.     

Sleep habits in German athletes before important competitions or games

Sleep is generally regarded as a valuable resource for psychological and physiological well-being. Although the effects of sleep on athletic performance have been acknowledged in sport science, few studies have investigated the prevalence of sleep problems and their effects on elite athletes before a sport event. In this study, 632 German athletes from various sports were asked about their sleep habits during the night(s) before an important competition or game. The findings indicate that 65.8% of the athletes experienced poor sleep in the night(s) before a sports event at least once in their lives and a similarly high percentage (62.3%) had this experience at least once during the previous 12 months. Athletes of individual sports reported more sleep difficulties than athletes of team sports. The main sleep problem was not being able to fall asleep. Internal factors such as nervousness and thoughts about the competition were rated highest for causing sleep problems. Most athletes stated that disturbed sleep had no influence on their athletic performance; however, athletes also reported effects such as a bad mood the following day, increased daytime sleepiness, and worse performance in the competition or game. The differences between individual and team sports indicate that athletes in some sports need more help than those in other sports in managing sleep problems.     

Sleep and stress hormone responses to training and competition in elite female athletes

Stress hormone and sleep differences in a competition versus training setting are yet to be evaluated in elite female team-sport athletes. The aim of the current study was to evaluate salivary cortisol and perceptual stress markers during competition and training and to determine the subsequent effects on sleep indices in elite female athletes. Ten elite female netball athletes (mean?±?SD; age: 23?±?6 years) had their sleep monitored on three occasions; following one netball competition match (MATCH), one netball match simulation session (TRAIN), and one rest day (CONTROL). Perceived stress values and salivary cortisol were collected immediately pre- (17:15 pm) and post-session (19:30 pm), and at 22:00 pm. Sleep monitoring was performed using wrist actigraphy assessing total time in bed, total sleep time (TST), efficiency (SE%), latency, sleep onset time and wake time. Cortisol levels were significantly higher (p?p?p?相似文献   

Are professional young rugby league players eating enough? Energy intake,expenditure and balance during a pre-season

Abstract

Due to the unique energetic demands of professional young collision sport athletes, accurate assessment of energy balance is required. Consequently, this is the first study to simultaneously investigate the energy intake, expenditure and balance of professional young rugby league players across a pre-season period. The total energy expenditure of six professional young male rugby league players was measured via doubly labelled water over a fourteen-day assessment period. Resting metabolic rate was measured and physical activity level calculated. Dietary intake was reported via Snap-N-Send over a non-consecutive ten-day assessment period, alongside changes in fasted body mass and hydration status. Accordingly, energy balance was inferred. The mean (standard deviation) difference between total energy intake (16.73 (1.32) MJ^.day^?1) and total energy expenditure (18.36 (3.05) MJ^.day^?1) measured over the non-consecutive ten-day period was unclear (?1.63 (1.73) MJ^.day^?1; ES?=?0.91?±?1.28; p?=?0.221). This corresponded in a most likely trivial decrease in body mass (?0.65 (0.78) kg; ES?=?0.04?±?0.03; p?=?0.097). Resting metabolic rate and physical activity level across the fourteen-day pre-season period was 11.20 (2.16) MJ^.day^?1 and 1.7 (0.2), respectively. For the first time, this study utilises gold standard assessment techniques to elucidate the distinctly large energy expenditures of professional young rugby league players across a pre-season period, emphasising a requirement for equally large energy intakes to achieve targeted body mass and composition adaptations. Accordingly, it is imperative that practitioners regularly assess the energy balance of professional young collision-sport athletes to ensure their unique energetic requirements are achieved.     

Deconstructing athletes’ sleep: A systematic review of the influence of age,sex, athletic expertise,sport type,and season on sleep characteristics

PurposeThis systematic review aimed to describe objective sleep parameters for athletes under different conditions and address potential sleep issues in this specific population.MethodsPubMed and Scopus were searched from inception to April 2019. Included studies measured sleep only via objective evaluation tools such as polysomnography or actigraphy. The modified version of the Newcastle–Ottawa Scale was used for the quality assessment of the studies.ResultsEighty-one studies were included, of which 56 were classified as medium quality, 5 studies as low quality, and 20 studies as high quality. A total of 1830 athletes were monitored over 18,958 nights. Average values for sleep-related parameters were calculated for all athletes according to sex, age, athletic expertise level, training season, and type of sport. Athletes slept on average 7.2 ± 1.1 h/night (mean ± SD), with 86.3% ± 6.8% sleep efficiency (SE). In all datasets, the athletes’ mean total sleep time was <8 h. SE was low for young athletes (80.3% ± 8.8%). Reduced SE was attributed to high wake after sleep onset rather than sleep onset latency. During heavy training periods, sleep duration and SE were on average 36 min and 0.8% less compared to pre-season and 42 min and 3.0% less compared to in-season training periods, respectively.ConclusionAthletes’ sleep duration was found to be short with low SE, in comparison to the general consensus for non-athlete healthy adults. Notable sleep issues were revealed in young athletes. Sleep quality and architecture tend to change across different training periods.     

Caffeine use in a Super Rugby game and its relationship to post-game sleep

Objective: To examine the relationship between regular game-related caffeine consumption on sleep after an evening Super Rugby game. Methods: Twenty elite rugby union players wore a wrist-activity monitor to measure sleep for three days before, three days after and on the night of an evening Super Rugby game (19:00–21:00). Players ingested caffeine as they would normally (i.e. before and sometimes during a game) and saliva samples were collected before (17:00) and after (21:30) the game for caffeine concentration. Results: Compared to the nights leading up to the game, on the night of the game, players went to bed 3?h later (23:08?±?66?min vs 02:11?±?114?min; p?p?p?p?p?p?=?.06) on game night. Conclusion: Caffeine consumption before a Super Rugby game markedly increases post-game saliva caffeine levels. This may contribute to the observed 3.5?h delay in time at sleep onset and the 1.5?h reduction in sleep duration on the night of the game. This study highlights the need for a strategic approach to the use of caffeine within a Super Rugby team considering the potential effect on post-game sleep.     

Does self-perceived sleep reflect sleep estimated via activity monitors in professional rugby league athletes?

This study examined agreement between self-perceived sleep and sleep estimated via activity monitors in professional rugby league athletes. 63 athletes, from three separate teams wore actigraphy monitors for 10.3 ± 3.9 days. During the monitoring period, ratings of perceived sleep quality (on a 1–5 and 1–10 Likert scale), and an estimate of sleep duration were recorded daily. Agreement between sleep estimated via activity monitors and self-perceived sleep was examined using mean bias, Pearson correlation (r) and typical error of the estimate (TEE). 641 nights of sleep were recorded, with a very large, positive correlation observed between sleep duration estimated via activity monitors and subjective sleep duration (r = 0.85), and a TEE of 48 minutes. Mean bias revealed subjective sleep duration overestimated sleep by an average of 19.8 minutes. The relationship between sleep efficiency estimated via activity monitors and self-perceived sleep quality on a 1–5 (r = 0.22) and 1–10 Likert scale (r = 0.28) was limited. The outcomes of this investigation support the use of subjective measures to monitor sleep duration in rugby league athletes when objective means are unavailable. However, practitioners should be aware of the tendency of athletes to overestimate sleep duration.     

Prevalence of disordered eating in elite female athletes in team sports in Greece

ABSTRACT

The purpose of the study was to assess (a) the prevalence of disordered eating (DE) in elite female team sports players compared to non-athletes and (b) to compare DE prevalence in elite female players in basketball, volleyball and water polo. One hundred and seventy-five females were recruited (age 23.10?±?5.4, BMI 21.85?±?2.3?kg/m²), 53 were elite basketball players, 42 were elite volleyball players, 34 were elite water polo players and 46 were non-athletes. Participants completed the Eating Disorders Questionnaire (EDE-Q) and a physical activity questionnaire. The EDE-Q incorporates 36 statements which relate to the occurrence and frequency of key behaviours of eating disorders, under the following four subscales: Restraint, eating concern, shape concern and weight concern and a global score of disordered eating. No differences were found in the EDE-Q subscale score and global score between athletes and non-athletes. Only 6.2% of the total number of participants exhibited DE using the global score >2.3. Water polo players had significantly higher scores in the ‘eating concern’ subscale and in the frequency of key behavioural features of DE such as binge eating episodes and objective and subjective bulimic episodes, compared to volleyball and basketball players. In conclusion, team sport elite female players do not exhibit greater prevalence of DE compared to non-athletes. Water polo, a sport that emphasises leanness and control of body weight for international distinctions, is associated with a higher tendency to exhibit DE, when compared to other team sports.     

Effect of novel recovery garments utilising nanodiamond- and nanoplatinum-coated materials (DPV576-C) on physical and psychological stress in baseball players: A randomised,placebo-controlled trial

Abstract

Based on research suggesting that nanomaterial containing nanodiamond- and nanoplatinum-coated fibres (DPV576-C) may reduce the stress response, garments to enhance athletes’ recovery from training-induced stress have been manufactured. This study examined the effects of wearing recovery garments on the physical and psychological stress of Japanese male baseball players. Thirty-eight players aged 18–21 (19.6?±?0.2 years) who participated in a two-week intensified training programme were randomly assigned to two groups: 19 wore recovery (DPV576-C) garments (RG group) and 19 wore non-recovery garments (placebo group). Both groups wore the garments overnight. Mood states, using the Profile of Mood States questionnaire, and salivary cortisol levels were measured before (day 0) and after (day 14) the training period. Saliva samples were collected from 07:00–07:30 am. Both groups’ fatigue scores significantly increased after the training period (RG: 8.4?±?0.8–10.1?±?0.8 score; placebo: 9.8?±?1.0–11.7?±?1.0 score). The total mood disturbance (TMD) score increased significantly in the placebo group (21.0?±?2.3–27.2?±?3.0 score) but not in the RG group (17.4?±?2.7–20.2?±?2.2 score). Salivary cortisol concentrations decreased significantly in the RG group (0.71?±?0.08–0.49?±?0.05?μg/dL) but not in the placebo group (0.61?±?0.06–0.58?±?0.10?μg/dL). Therefore, wearing the DPV576-C garments overnight attenuated increases in TMD levels and decreased salivary cortisol levels following intensified training. DPV576-C garments may have beneficial effects on training-induced physical and psychological stress among athletes.     

Reference power values for the jump squat exercise in elite athletes: A multicenter study

ABSTRACT

The present study aimed to provide reference values for lower-limb muscle power assessed during the incremental jump squat (JS) test in elite athletes (i.e., professional athletes competing at international level). We pooled data from all JS tests performed by elite athletes of different sports in two high-performance centres between 2015 and 2019, and computed reference values (i.e., terciles) for mean power (MP), mean propulsive power (MPP), and peak power (PP). Reference values were obtained from 684 elite athletes (458 male and 226 female) of 16 different sports (boxing, judo, karate, fencing, taekwondo, wrestling, basketball, soccer, futsal, handball, rugby union, badminton, tennis, long distance running, triathlon, and sprinting). Significant differences (p < 0.001) were found between male and female athletes for MP (7.47 ± 1.93 and 6.15 ± 1.68 W·Kg^?1, respectively), MPP (10.50 ± 2.75 and 8.63 ± 2.43 W·Kg^?1), and PP (23.64 ± 6.12 and 19.35 ± 5.49 W·Kg^?1). However, the velocity at which these power measures was attained seemed to be independent of sex (~0.95, 1.00 and 2.00 m·s^?1 for mean, mean propulsive, and peak velocity, respectively) and homogeneous across different sport disciplines (coefficient of variation <10%). These data can be used to classify athletes’ power capabilities, and the optimum velocity ranges provided here could be useful for training purposes.     

A shower before bedtime may improve the sleep onset latency of youth soccer players

During the competitive season, soccer players are likely exposed to numerous factors that may disrupt the process of sleep. The current investigation looked to evaluate a practical sleep hygiene strategy (10-min showering at ～40°C before lights out), within a group of 11 youth soccer players in comparison to normal sleeping conditions (control). Each condition consisted of three days within a randomised crossover trial design. Sleep information was collected using a commercial wireless bedside sleep monitor. Measures of skin temperature were evaluated using iButton skin thermistors to establish both distal and proximal skin temperatures and distal to proximal gradient. The shower intervention elevated distal skin temperature by 1.1°C (95% CI: 0.1–2.1°C, p?=?.04) on average prior to lights out. The elevation in distal temperature was also present during the first 30-min following lights out (1.0°C, 95% CI: 0.4–1.6°C, p?<?.01). The distal to proximal gradient also showed a significant effect between the conditions within the first 30-min after lights out (0.7°C, 95% CI: 0.3–1.2°C, p?<?.01). On average the sleep latency of the youth soccer players was ?7-min lower (95% CI: ?13 to ?2?min, p?<?.01) and sleep efficiency +2% higher (95% CI: 1–3%; p?<?.01) in the shower condition. These findings demonstrate that a warm shower performed before lights out may offer a practical strategy to promote thermoregulatory changes that may advance sleep onset latency and improve sleep efficiency in athletes.     

Upper-body repeated-sprint training in hypoxia in international rugby union players

Abstract

This study investigated the effects of upper-body repeated-sprint training in hypoxia vs. in normoxia on world-level male rugby union players’ repeated-sprint ability (RSA) during an international competition period. Thirty-six players belonging to an international rugby union male national team performed over a 2-week period four sessions of double poling repeated-sprints (consisting of 3 × eight 10-s sprints with 20-s passive recovery) either in normobaric hypoxia (RSH, simulated altitude 3000 m, n?=?18) or in normoxia (RSN, 300 m; n?=?18). At pre- and post-training intervention, RSA was evaluated using a double-poling repeated-sprint test (6 × 10-s maximal sprint with 20-s passive recovery) performed in normoxia. Significant interaction effects (P?<?0.05) between condition and time were found for RSA-related parameters. Compared to Pre-, peak power significantly improved at post- in RSH (423?±?52 vs. 465?±?69 W, P?=?0.002, η²=0.12) but not in RSN (395?±?65 vs. 397?±?57 W). Averaged mean power was also significantly enhanced from pre- to post-intervention in RSH (351?±?41 vs. 388?±?53 W, P?<?0.001, η²=0.15), while it remained unchanged in RSN (327?±?49 vs. 327?±?43 W). No significant change in sprint decrement (P?=?0.151, η²?=?0.02) was observed in RSH (?17?±?2% vs. ?16?±?3%) nor RSN (?17?±?2% vs. ?18?±?4%). This study showed that only four upper-body RSH sessions were beneficial in enhancing repeated power production in international rugby union players. Although the improvement from RSA to game behaviour remains unclear, this finding appears of practical relevance since only a short preparation window is available prior to international games.