The stress of travel

International travel is an essential part of the life of elite athletes, both for competition and training. It is also becoming increasingly common among recreational sportspersons. Long-distance travel is associated with a group of transient negative effects, collectively referred to as 'travel fatigue', which result from anxiety about the journey, the change to an individual's daily routine, and dehydration due to time spent in the dry air of the aircraft cabin. Travel fatigue lasts for only a day or so, but for those who fly across several time zones, there are also the longer-lasting difficulties associated with 'jet lag'. The problems of jet lag can last for over a week if the flight crosses 10 time zones or more, and they can reduce performance and the motivation to train effectively. Knowledge of the properties of the body clock enables the cause of the difficulties to be understood (an unadjusted body clock), and forms the basis of using light in the new time zone to promote adjustment of the body clock. Sleep loss and its effects are important components of jet lag, and attempts to promote sleep by the use of melatonin and other hypnotics are also relevant. Sleep loss is also found in those who undertake challenges that involve long periods where the normal consolidated sleep of 8 h length is not possible. Advice on sleep regimens in such circumstances is given.     

Nutritional strategies for football: counteracting heat, cold, high altitude, and jet lag

Environmental factors often influence the physical and mental performance of football players. Heat, cold, high altitude, and travel across time zones (i.e. leading to jet lag) act as stressors that alter normal physiological function, homeostasis, metabolism, and whole-body nutrient balance. Rather than accepting performance decrements as inevitable, well-informed coaches and players should plan strategies for training and competition that offset environmental challenges. Considering the strength of scientific evidence, this paper reviews recommendations regarding nutritional interventions that purportedly counterbalance dehydration, hyperthermia, hypothermia, hypoxia, acute or chronic substrate deficiencies, sleep loss, and desynchronization of internal biological clocks.     

Circadian rhythms,jet lag,and shift work,with particular reference to athletes

Changes in individuals’ sleep-wake cycles lead to negative side effects. This review considers how side effects can be reduced, the recommendations being based largely on work performed at our institute. Subjects journeying to Aus-tralia had symptoms of jet lag that did not adjust synchronously, and the best predictors of jet lag were their travel arrangements. The value of melatonin in reducing jet lag was not confirmed but, in a laboratory-based study, evening administration of melatonin did not result in worse performance the next morn-ing. The effects of exercise upon the phase of the body clock were insubstantial. Gut temperature, unlike insulated axilla temperature, was an acceptable substi-tute for rectal temperature. Ascertaining by questionnaire why people ate or did not eat at a particular time indicated that night work exerted a considerable disruptive influence, one of the main factors being time pressure. Compared with day workers, night workers had less appetite, ate cold rather than hot meals, and felt more bloated after a meal. Actimetry provided objective measures of the adjustment of the sleep-wake cycle to time-zone transitions and to night work. These measures could be applied to data from long-haul pilots, in whom there are both time-zone transitions and night work.     

运动员睡眠状况的评估及干预方法研究现状

睡眠对于运动员意义重大,然而大量调查研究表明,运动员正在遭受比普通人群更多也更为严重的睡眠困扰,但却只有少部分运动员会积极寻求外部帮助。通过对国内外已有研究文献进行梳理,从运动员的睡眠现状、睡眠质量的监控与评估,以及运动员睡眠干预方法和效果评价等方面进行综述,希望引起对运动员睡眠问题的重视,并通过切实有效的方法对运动员的睡眠质量进行测量和监控,进而进行有效的睡眠干预,提高运动员的睡眠质量。     

Evidence of sub-optimal sleep in adolescent Middle Eastern academy soccer players which is exacerbated by sleep intermission proximal to dawn†

The purpose was to assess sleep patterns, quantity and quality in adolescent (16.2?±?1.2 yr) Middle Eastern academy soccer players (n?=?20) and the influence of an intermission upon these characteristics. On a 17-day training camp (located one time zone west of home) including three discrete matches, sleep was assessed pre- (PRE) and post-match (POST) via wrist actigraphy. Retrospective actigraphy analysis identified sleep characteristics, including if players experienced a sleep intermission (YES) or not (NO) proximal to dawn, and bedtime (hh:mm), get-up time (hh:mm), time in bed (h), sleep duration (h) and sleep efficiency (%). Within YES two bouts were identified (BOUT1 and BOUT2). No differences were seen between PRE and POST, nor between BOUT1 and BOUT2 (p?>?.05). Overall players did not meet National Sleep Foundation (NSF) guidelines (7:04?±?1:16?h vs. recommended 8–10?h for 14–17 yr). Sleep duration was significantly reduced (～ ?13% or ?1:06) in YES compared to NO (6:33?±?1:05 vs. 7:29?±?1:17, p?<?.01). Despite players in YES waking earlier due to an intermission, they did not compensate for this with a later wake time, rising significantly earlier compared to NO (09:40?±?00:38 vs. 10:13?±?00:40, p?<?.05). These players on average do not obtain sufficient sleep durations relative to NSF guidelines, with decrements increased by an intermission proximal to dawn. High inter- and intra-individual variance in the players sleep characteristics indicates the need for individualized sleep education strategies and interventions to promote appropriate sleep.     

Impact of short- compared to long-haul international travel on the sleep and wellbeing of national wheelchair basketball athletes

Currently, very little is known about the impact of short- or long-haul air travel on the sleep and wellbeing of wheelchair basketball athletes. Eleven national wheelchair basketball athletes wore actigraphy monitors prior, during, and after air travel to the United Kingdom. Upon arrival, participants rated their subjective jet-lag, fatigue, and vigor. Individuals traveled to the United Kingdom from different locations in Australia, the United States, and Europe and were categorised according to travel length [LONG (up to 30.2 h) or SHORT (up to 6.5 h)]. Linear mixed models determined effects of travel length on sleep and subjective ratings of jet-lag, fatigue, and vigor. During competition, subjective fatigue and jet-lag were substantially higher (ES = 0.73; ±0.77) and (ES = 0.57; ±0.60), subjective vigor was lower (ES = 1.94; ±0.72), and get-up time was earlier (ES = 0.57; ±0.60) for LONG when compared to SHORT. Travelling greater distances by airplane had a larger effect on subjective ratings of jet-lag, fatigue and vigor, rather than sleep. Irrespective of travel group, sleep and subjective responses were compromised, reflecting the travel requirements, competition-mediated influences, and/or due to a change in environment.     

The effect of westward travel across five time zones on sleep and subjective jet-lag ratings in athletes before and during the 2015’s World Rowing Junior Championships

This study examined sleep-wake habits and subjective jet-lag ratings of 55 German junior rowers (n = 30 male, 17.8 ± 0.5 years) before and during the World Rowing Junior Championships 2015 in Rio de Janeiro, Brazil. Athletes answered sleep logs every morning, and Liverpool John Moore’s University Jet-Lag Questionnaires each evening and morning. Following an 11-h westward flight with 5-h time shift, advanced bedtimes (?1 h, P < .001, η_p² = 0.68), reduced sleep onset latency (P = .002, η_p² = 0.53) and increased sleep duration (P < .001, η_p² = 0.60) were reported for the first two nights. Jet-lag symptoms peaked upon arrival but were still present after 6 days. Sleep quality improved (P < .001, η_p² = 0.31) as well as some scales of the Recovery-Stress Questionnaire for Athletes. Participation was successful as indicated by 11 of 13 top 3 placings. Overall, the initial desynchronisation did not indicate negative impacts on competition performance. As travel fatigue probably had a major effect on perceptual decrements, sleep during travel and time to recover upon arrival should be emphasised. Coaches and practitioners should consider higher sleep propensity in the early evening by scheduling training sessions and meetings until the late afternoon.     

Effects of total sleep deprivation on endurance cycling performance and heart rate indices used for monitoring athlete readiness

ABSTRACT

This study investigated effects of total sleep deprivation on self-paced endurance performance, and heart rate (HR) indices of athletes' “readiness to perform”. Endurance athletes (n = 13) completed a crossover experiment comprising a normal sleep (NS) and sleep deprivation (SD) condition. Each required completion of an endurance time-trial (TT) on consecutive days (D1, D2) separated by normal sleep or total sleep deprivation. Finishing time, perceived exertion (RPE), mood, psychomotor vigilance (PVT), and HR responses were assessed. Time on D2 of SD was 10% slower than D2 of NS (64 ± 7 vs 59 ± 4 min, P < 0.01), and 11% slower than D1 of SD (58 ± 5 min, P < 0.01). Subjective to objective (RPE:mean HR) intensity ratio was higher on D2 of SD compared with D2 of NS and D1 of SD (P < 0.01). Mood disturbance and PVT mean response time increased on D2 of SD compared with D2 of NS and D1 of SD. Anaerobic threshold and change in TT time were correlated (R = ?0.73, P < 0.01). Sleep helps to optimise endurance performance. Subjective to objective intensity ratios appear sensitive to effects of sleep on athletes’ readiness. Research examining more subtle sleep manipulation is required.     

Sleep in athletes and the effects of Ramadan

Sleep is now considered as a new frontier in performance enhancement. This article presents background content on sleep function, sleep needs and methods of sleep investigation along with data on the potential effects of Ramadan fasting on sleep in normal individuals and athletes. Accumulated sleep loss has negative impacts on cognitive function, mood, daytime sleepiness and performance. Sleep studies in athletes fasting during Ramadan are very rare. Most of them have demonstrated that during this month, sleep duration decreased and sleep timing shifted. But the direct relation between sleep changes and performance during Ramadan is not yet elucidated. Objective sleep patterns can be investigated using polysomnography, actigraphy, and standardised questionnaires and recorded in daily journals or sleep logs. The available data on sleep indicate that team doctors and coaches should consider planning sleep schedule and napping; implementing educational programmes focusing on the need for healthy sleep; and consider routine screening for sleep loss in athletes of all age groups and genders.     

Restricting short-wavelength light in the evening to improve sleep in recreational athletes – A pilot study

Sleep is crucial for recovery and skill acquisition in athletes. Paradoxically, athletes often encounter difficulties initiating and maintaining sleep, while having sufficient sleep opportunity. Blue (short-wavelength) light as emitted by electronic screens is considered a potential sleep thief, as it suppresses habitual melatonin secretion. The current study sought to investigate whether blocking short-wavelength light in the evening can improve sleep onset latency and potentially other sleep parameters among recreational athletes. The study had a within-subject crossover design. Fifteen recreational athletes, aged between 18 and 32 years (12 females, 3 males), were randomly assigned to start the intervention period with either the light restriction condition (LR; amber-lens glasses), or the no-light restriction condition (nLR; transparent glasses). Sleep hygiene practices, actigraphy and diary-based sleep estimates were monitored during four consecutive nights within each condition. Sleep hygiene practices did not significantly differ between conditions. Results indicate that blocking short-wavelength light in the evening, as compared to habitual light exposure, significantly shortened subjective sleep onset latency (Δ?=?7?min), improved sleep quality (Δ?=?0.6; scale 1–10), and increased alertness the following morning. Actigraphy-based sleep estimates showed no significant differences between conditions. Blocking short-wavelength light in the evening by means of amber-lens glasses is a cost-efficient and promising means to improve subjective sleep estimates among recreational athletes in their habitual home environment. The relatively small effects of the current study may be strengthened by additionally increasing morning- and daytime light exposure and, potentially, by reducing the alerting effects of media use before bedtime.     

从旅游者认知角度探析滑雪旅游保险发展对策

滑雪旅游作为旅游的一个重要组成部分,越来越受到大众的重视,在迅速发展的同时,滑雪旅游保险问题也越来越突出。通过运用文献研究、实地考察、个人访谈和问卷调查等研究方法,以滑雪旅游大众为主体,从旅游者认知的角度对滑雪旅游保险市场进行分析。指出旅游者存在对滑雪旅游风险防范意识淡薄、投保意识不足、对滑雪旅游保险缺乏信任、缺乏滑雪旅游保险知识等认知问题。提出加大宣传力度,提高旅游者风险意识;完善营销供应体系及终端服务;整顿与规范旅游赔付,建立多元化旅游保险纠纷处理机制;加强相关部门监督管理作用,推进《旅游法》的实施等促进滑雪旅游保险发展的对策和建议。旨在提高滑雪旅游者对滑雪旅游保险的认知和需求程度,促使滑雪旅游者积极有效地参加滑雪旅游保险,规范和推进滑雪旅游保险市场的发展。     

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.     

Sleep management and the performance of eight sailors in the Tour de France à la voile yacht race

We observed how sailors manage their sleep and alertness before and during competition in a long-haul yacht race. Global performance of the teams was also recorded. We assessed eight sailors aged 21-30 years, split into four teams, who competed in the Tour de France à la Voile 2002 yacht race. Two phases of the race were examined: two legs in both the Atlantic Ocean and Mediterranean Sea. Sleep length, sleep debt, and sleepiness before competition and on board during the race were assessed using ambulatory polysomnography. Intermediate and final rankings were considered as a reflection of performance. A significant correlation was observed between the sleep debt before competition and the total sleep time on board during the Atlantic legs. The greater the sleep debt, the more sleepy the participants were. During the Mediterranean legs, almost all the sailors were deprived of sleep and slept during the daytime competitions. We observed that the final ranking in the race related to the sleep management strategy of the participants. In extreme competitive conditions, the effect of a good night's sleep before competition on performance is important. The strategy of the winners was to get sufficient sleep before each leg so as to be the most alert and efficient during the race.     

Acute sleep hygiene strategy improves objective sleep latency following a late-evening soccer-specific training session: A randomized controlled trial

ABSTRACT

The aim of this study was to evaluate the effects of sleep hygiene (SH) education on sleep quality in soccer players after a late-evening small-sided-game (SSG) training session. Twenty-nine non-professional players were recruited and allocated to either an experimental group (EG, n = 17) that received SH education, or a control group (CG, n = 12). SSG consisted of 3 × 4 min in a 4vs4, with 3 min of recovery and was performed at 8.00 p.m. Sleep quality was monitored via actigraphy and sleep diary entries before (PRE) and two nights after (POST1, POST2) the SSG. Sleep latency (SL) differed between the two groups at POST1 (4.9 ± 5.4 vs. 15.5 ± 16.1 for EG and CG, respectively; p = 0.017, effect size [ES] = 2.0); SL values were lower at POST1 compared to PRE for the EG (?47%; p = 0.021, ES = 0.6). Subjective sleep quality was better in the EG than the CG at POST1 (8.6 ± 1.0 vs. 7.1 ± 2.0 for EG and CG, respectively; p = 0.016, ES = 0.9) with a significant improvement over PRE-values (+11.0%, p = 0.004, ES = 0.8). Although SL and subjective sleep quality did not decrease significantly from POST1 to POST2 values at POST2 no longer differed significantly form baseline and, hence, indicate that observed effects may be short-lasting. No other objective sleep indices were influenced by late-evening training or SH practices implemented by the EG. Soccer players may benefit from acute SH strategies to reduce the time to sleep onset after late-evening training sessions.     

Sleep/wake behaviours of elite athletes from individual and team sports

Abstract

Sleep is an essential component for athlete recovery due to its physiological and psychological restorative effects, yet few studies have explored the habitual sleep/wake behaviour of elite athletes. The aims of the present study were to investigate the habitual sleep/wake behaviour of elite athletes, and to compare the differences in sleep between athletes from individual and team sports. A total of 124 (104 male, 20 female) elite athletes (mean ± s: age 22.2 ± 3.0 years) from five individual sports and four team sports participated in this study. Participants' sleep/wake behaviour was assessed using self-report sleep diaries and wrist activity monitors for a minimum of seven nights (range 7–28 nights) during a typical training phase. Mixed-effects analyses of variances were conducted to compare the differences in the sleep/wake behaviour of athletes from two sport types (i.e. individual and team). Overall, this sample of athletes went to bed at 22:59 ± 1.3, woke up at 07:15 ± 1.2 and obtained 6.8 ± 1.1 h of sleep per night. Athletes from individual sports went to bed earlier, woke up earlier and obtained less sleep (individual vs team; 6.5 vs 7.0 h) than athletes from team sports. These data indicate that athletes obtain well below the recommended 8 h of sleep per night, with shorter sleep durations existing among athletes from individual sports.     

冬训备赛期间优秀雪车运动员睡眠质量及影响因素

目的：本研究通过监测雪车运动员完整睡眠过程、睡前自主神经状态和心境状态(POMS),探究雪车运动员冬训备赛期间,睡前自主神经和POMS对睡眠质量的具体影响,为解决雪车运动员睡眠问题提供合理的方案。方法：研究对象为8名国际级健将雪车运动员。使用空气垫式睡眠监测仪监测睡眠完整过程,Polar心率胸带和Ignite手表监测睡前自主神经,POMS量表评价心境状态。对睡眠状态、自主神经和POMS使用Spearman相关分析和概要T检验进行分析。结果：雪车运动员睡眠质量与正常成年人相比,睡眠潜伏期偏长,浅睡眠占比过多,深睡眠占比过少,睡前交感神经占主导作用,消极情绪较多。经相关分析发现,总睡眠时长与疲劳值呈高度正相关;浅睡眠占比与副交感神经指数、RR间期(2个QRS波中R波之间的时间)连续差值的均方根、精力值呈高度负相关,与交感神经指数和平均心率呈高度正相关;觉醒期占比与低频功率(LF)呈高度正相关,与慌乱值呈高度负相关;睡眠潜伏期与高频功率(HF)呈极高度负相关,与LF/HF呈高度正相关。结论：雪车运动员冬训备赛期间的睡眠质量存在睡眠潜伏期长、浅睡眠占比过多、深睡眠占比过少的问题,可能与睡前交感神经占主导作用及消极情绪较多有一定关系。建议雪车运动员调整睡前自主神经状态,同时进行心理训练和心理疏导,以此提高睡眠质量,促进身体机能恢复。     

Do players and staff sleep more during the pre- or competitive season of elite rugby league?

This study establishes the sleep behaviour of players and staff during the pre- and competitive seasons of elite rugby league. For seven days during both the pre- and competitive seasons, seven rugby league players and nine full-time staff from one professional Australian rugby league club had their sleep monitored via wrist actigraphy and self-report sleep diaries. Two-way repeated measures analysis of variance determined differences between the pre- and competitive season in players and staff, with effect sizes (ES) used to interpret the practical magnitude of differences. Findings show an earlier bed time and wake time for players (?34 min, ES?=?1.5; ±0.5 and ?39 min, 2.1; ±0.5 respectively) and staff (?29 min, ES?=?0.8; ±0.3 and ?35 min, ES?=?1.7; ±0.4 respectively) during pre-season when compared to the competitive season. Despite this, no differences were seen when considering the amount of time in bed, sleep duration or sleep efficiency obtained between the pre- and competitive seasons. Our results suggest that early morning training sessions scheduled during pre-season advances wake time in elite rugby league. However, both players and staff can aim to avoid reductions in sleep duration and sleep efficiency with subsequent adjustment of night time sleep patterns. This may be particularly pertinent for staff, who wake earlier than players during both the pre- and competitive seasons.     

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.     

Get sleep or get stumped: sleep behaviour in elite South African cricket players during competition

ABSTRACT

Despite evidence supporting the positive affect sleep has on sport performance, there is limited application of sleep research in cricket. This study investigated the sleep behaviours of 26 elite South African cricket players (28.6 ± 4.0 years) during home and away competition. Players completed an altered version of the Core Consensus Sleep Diary every morning post-travel, pre-match and post-match. Linear mixed model regression was used to compare differences in sleep between time-periods, venues and formats. Spearman’s correlations (r_s) assessed the relationship of match performance and sleep. Post-match total sleep time (06:31 ± 01:09) was significantly (p < 0.05) shorter compared to post-travel (07:53 ± 01:07; g = 1.19) and pre-match (08:43 ± 01:03; g = 1.98). Post-travel sleep onset latency and sleep efficiency were significantly shorter (?20; g = 1.35) and higher (+10.4%; g = 0.74) at home than away respectively. Longer sleep onset latencies and shorter total sleep times were significantly associated with poorer One-Day International (r_s = ?0.57) and Test (r_s = 0.59) batting performances respectively. The poor post-match sleep behaviour, and the sleep and performance correlations, provide motive for future interventions to focus on recovery and the use of sleep monitoring as a competitive advantage.