The Relationships Between Training Load, Type of Sport, and Sleep Among High-Level Adolescent Athletes

Purpose: To evaluate the effects of sporting activities, training loads, and athletes’ characteristics on sleep among high-level adolescent athletes, in a controlled training and academic environment. Methods: A total of 128 high-level adolescent athletes (age = 15.2 [2.0] y), across 9 different sports, completed common sleep questionnaires and were monitored daily (7.3 [2.7] d) during a typical in-season training period. Sleep was analyzed using actigraphy and sleep diaries, whereas training load was evaluated using the session rating of perceived exertion, and muscle soreness and general fatigue were reported with the aid of visual analog scales. Separate linear mixed-effects models were fitted, including the athlete as a random effect and the following variables as fixed effects: the sport practiced (categorical predictor), daily training load, age, and sex. Different models were used to compare sleep variables among sports and to assess the influence of training load, age, and sex. Results: The mean total sleep time was 7.1 (0.7) hours. Swimmers presented increased sleep fragmentation, training loads, perceived muscle soreness, and general fatigue compared with athletes who engaged in other sports. Independent of any sport-specific effects, a higher daily training load induced an earlier bedtime and reduced total sleep time and perceived sleep quality, with higher sleep fragmentation. Moreover, female athletes experienced increased total sleep time and worse sleep quality in response to stress compared with those in males. Conclusion: In a controlled training and academic environment, high-level adolescent athletes did not achieve the recommended sleep duration. Impaired sleep quality and quantity could be partially explained by increased training loads.

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The Influence of Changes in Acute Training Load on Daily Sensitivity of Morning-Measured Fatigue Variables in Elite Soccer Players

International Journal of Sports Physiology and Performance ◽

10.1123/ijspp.2016-0433 ◽

2017 ◽

Vol 12 (s2) ◽

pp. S2-107-S2-113 ◽

Cited By ~ 33

Author(s):

Robin T. Thorpe ◽

Anthony J. Strudwick ◽

Martin Buchheit ◽

Greg Atkinson ◽

Barry Drust ◽

...

Keyword(s):

Heart Rate ◽

Sleep Quality ◽

High Speed ◽

Muscle Soreness ◽

Linear Models ◽

Heart Rate Recovery ◽

Training Load ◽

Soccer Players ◽

Daily Training ◽

Submaximal Heart Rate

Purpose:To determine the sensitivity of a range of potential fatigue measures to daily training load accumulated over the previous 2, 3, and 4 d during a short in-season competitive period in elite senior soccer players (N = 10).Methods:Total highspeed-running distance, perceived ratings of wellness (fatigue, muscle soreness, sleep quality), countermovement-jump height (CMJ), submaximal heart rate (HRex), postexercise heart-rate recovery (HRR), and heart-rate variability (HRV: Ln rMSSD) were analyzed during an in-season competitive period (17 d). General linear models were used to evaluate the influence of 2-, 3-, and 4-d total high-speed-running-distance accumulation on fatigue measures.Results:Fluctuations in perceived ratings of fatigue were correlated with fluctuations in total high-speed-running-distance accumulation covered on the previous 2 d (r = –.31; small), 3 d (r = –.42; moderate), and 4 d (r = –.28; small) (P < .05). Changes in HRex (r = .28; small; P = .02) were correlated with changes in 4-d total high-speed-running-distance accumulation only. Correlations between variability in muscle soreness, sleep quality, CMJ, HRR%, and HRV and total high-speed-running distance were negligible and not statistically significant for all accumulation training loads.Conclusions:Perceived ratings of fatigue and HRex were sensitive to fluctuations in acute total high-speed-running-distance accumulation, although sensitivity was not systematically influenced by the number of previous days over which the training load was accumulated. The present findings indicate that the sensitivity of morning-measured fatigue variables to changes in training load is generally not improved when compared with training loads beyond the previous day’s training.

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Tasimelteon safely and effectively improves sleep in Smith–Magenis syndrome: a double-blind randomized trial followed by an open-label extension

Genetics in Medicine ◽

10.1038/s41436-021-01282-y ◽

2021 ◽

Author(s):

Christos M. Polymeropoulos ◽

Justin Brooks ◽

Emily L. Czeisler ◽

Michaela A. Fisher ◽

Mary M. Gibson ◽

...

Keyword(s):

Sleep Quality ◽

Crossover Study ◽

Total Sleep Time ◽

Sleep Time ◽

Open Label ◽

Double Blind ◽

Open Label Study ◽

Label Study ◽

Sleep Complaints ◽

Open Label Extension

Abstract Purpose To assess the efficacy of tasimelteon to improve sleep in Smith–Magenis syndrome (SMS). Methods A 9-week, double-blind, randomized, two-period crossover study was conducted at four US clinical centers. Genetically confirmed patients with SMS, aged 3 to 39, with sleep complaints participated in the study. Patients were assigned to treatment with tasimelteon or placebo in a 4-week crossover study with a 1-week washout between treatments. Eligible patients participated in an open-label study and were followed for >3 months. Results Improvement of sleep quality (DDSQ50) and total sleep time (DDTST50) on the worst 50% of nights were primary endpoints. Secondary measures included actigraphy and behavioral parameters. Over three years, 52 patients were screened, and 25 patients completed the randomized portion of the study. DDSQ50 significantly improved over placebo (0.4, p = 0.0139), and DDTST50 also improved (18.5 minutes, p = 0.0556). Average sleep quality (0.3, p = 0.0155) and actigraphy-based total sleep time (21.1 minutes, p = 0.0134) improved significantly, consistent with the primary outcomes. Patients treated for ≥90 days in the open-label study showed persistent efficacy. Adverse events were similar between placebo and tasimelteon. Conclusion Tasimelteon safely and effectively improved sleep in SMS.

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Gender differences in BaYaka forager sleep-wake patterns in forest and village contexts

Scientific Reports ◽

10.1038/s41598-021-92816-6 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Erica Kilius ◽

David R. Samson ◽

Sheina Lew-Levy ◽

Mallika S. Sarma ◽

Ujas A. Patel ◽

...

Keyword(s):

Sleep Quality ◽

Total Sleep Time ◽

Sleep Time ◽

Small Scale ◽

Cultural Variation ◽

Sleep Patterns ◽

Economic Activities ◽

Mixed Effect ◽

Wake Patterns ◽

The Republic

AbstractSleep studies in small-scale subsistence societies have broadened our understanding of cross-cultural sleep patterns, revealing the flexibility of human sleep. We examined sleep biology among BaYaka foragers from the Republic of Congo who move between environmentally similar but socio-ecologically distinct locations to access seasonal resources. We analyzed the sleep–wake patterns of 51 individuals as they resided in a village location (n = 39) and a forest camp (n = 23) (362 nights total). Overall, BaYaka exhibited high sleep fragmentation (50.5) and short total sleep time (5.94 h), suggestive of segmented sleep patterns. Sleep duration did not differ between locations, although poorer sleep quality was exhibited in the village. Linear mixed effect models demonstrated that women’s sleep differed significantly from men’s in the forest, with longer total sleep time (β ± SE = − 0.22 ± 0.09, confidence interval (CI) = [− 0.4, − 0.03]), and higher sleep quality (efficiency; β ± SE = − 0.24 ± 0.09, CI = [− 0.42, − 0.05]). These findings may be due to gender-specific social and economic activities. Circadian rhythms were consistent between locations, with women exhibiting stronger circadian stability. We highlight the importance of considering intra-cultural variation in sleep–wake patterns when taking sleep research into the field.

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Personality Traits and Insomnia Symptoms in Shift Workers

Frontiers in Psychology ◽

10.3389/fpsyg.2021.689741 ◽

2021 ◽

Vol 12 ◽

Author(s):

Brigitte Holzinger ◽

Lucille Mayer ◽

Gerhard Klösch

Keyword(s):

Sleep Quality ◽

Personality Traits ◽

Sleep Duration ◽

Total Sleep Time ◽

Sleep Time ◽

Work Schedule ◽

Shift Workers ◽

Time In Bed ◽

Shift Schedules ◽

Insomnia Symptoms

The discrepancy between natural sleep-wake rhythm and actual sleep times in shift workers can cause sleep loss and negative daytime consequences. Irregular shift schedules do not follow a fixed structure and change frequently, which makes them particularly harmful and makes affected individuals more susceptible to insomnia. The present study compares insomnia symptoms of non-shift workers, regular shift workers, and irregular shift workers and takes into account the moderating role of the Big Five personality traits and levels of perfectionism. Employees of an Austrian railway company completed an online survey assessing shift schedules, sleep quality and duration, daytime sleepiness, and personality traits. A total of 305 participants, of whom 111 were non-shift workers, 60 regular shift workers, and 134 irregular shift workers, made up the final sample. Irregular shift workers achieved significantly worse scores than one or both of the other groups in time in bed, total sleep time, sleep efficiency, sleep duration, sleep quality, sleep latency, and the number of awakenings. However, the values of the irregular shifts workers are still in the average range and do not indicate clinical insomnia. Participants working regular shifts reported the best sleep quality and longest sleep duration and showed the least nocturnal awakenings, possibly due to higher conscientiousness- and lower neuroticism scores in this group. Agreeableness increased the effect of work schedule on total sleep time while decreasing its effect on the amount of sleep medication taken. Perfectionism increased the effect of work schedule on time in bed and total sleep time. Generalization of results is limited due to the high percentage of males in the sample and using self-report measures only.

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1092 Attention-deficit/hyperactivity Disorder Symptoms And Sleep Characteristics Within A Seasonal Affective Disorder Spectrum

SLEEP ◽

10.1093/sleep/zsaa056.1087 ◽

2020 ◽

Vol 43 (Supplement_1) ◽

pp. A415-A416

Author(s):

K N Kim ◽

D L Wescott ◽

P L Franzen ◽

B P Hasler ◽

K A Roecklein

Keyword(s):

Sleep Quality ◽

Sleep Duration ◽

Adhd Symptom ◽

Symptom Severity ◽

Daytime Sleepiness ◽

Total Sleep Time ◽

Sleep Time ◽

Sleep Onset Latency ◽

Adhd Symptoms ◽

Depression Severity

Abstract Introduction Seasonal affective disorder (SAD) increases risk for attention-deficit/hyperactivity disorder (ADHD), although the mechanism linking SAD and ADHD is unknown. Prior research has identified insomnia and delayed sleep phase in both ADHD and SAD. We hypothesized that sleep duration and timing in SAD would be associated with the severity of ADHD symptoms. Methods Adults with SAD (n = 45) and subsyndromal SAD (S-SAD; n = 18) aged 19-66 years from Pittsburgh, PA., were assessed for ADHD symptoms, self-report sleep quality, depression severity, and daytime sleepiness in the Winter. Participants wore an Actiwatch for 4-14 days, from which we calculated sleep-onset latency, total sleep time, sleep midpoint, and sleep efficiency. We conducted a hierarchical multivariate linear regression to determine if sleep characteristics predict ADHD symptom severity in our sample while controlling for depressive symptoms. Age and gender were added in Step 1, seasonal depression severity in Step 2, actigraphy-based total sleep time, sleep onset latency, midpoint, and efficiency in Step 3, and self-reported sleep quality and daytime sleepiness in Step 4. Results Participants mostly scored in the “likely” or “highly likely” ADHD range (87.30%, n=55), higher than the national prevalence rate (4.4%). When controlling for age, gender, and depression severity, only shorter actigraphy-based total sleep time was associated with higher ADHD symptom severity (β=-0.30, p<0.05). However, when self-reported sleep quality and daytime sleepiness were added as predictors, total sleep time was no longer a statistically-significant predictor of ADHD symptom severity and only daytime sleepiness predicted ADHD symptom severity (β=0.31, p<0.05). Conclusion Our results suggest that individuals with SAD who experience daytime sleepiness and/or possibly shorter actigraphy-based sleep duration experience higher ADHD symptom severity. Treatments like Trans-C or CBT-I to improve daytime sleepiness and sleep duration may be indicated for SAD patients who present with comorbid ADHD symptoms. Support NIMH K.A.R. MH103303

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Training Loads, Wellness And Performance Before and During Tapering for a Water-Polo Tournament

Journal of Human Kinetics ◽

10.2478/hukin-2018-0053 ◽

2019 ◽

Vol 66 (1) ◽

pp. 131-141

Author(s):

Petros G. Botonis ◽

Argyris G. Toubekis ◽

Theodoros I. Platanou

Keyword(s):

Muscle Soreness ◽

Perceived Exertion ◽

Swimming Performance ◽

Training Load ◽

Rating Of Perceived Exertion ◽

Training Period ◽

Training Strategy ◽

Water Polo ◽

And Performance ◽

High Level

AbstractWe investigated the effectiveness of a short-duration training period including an overloaded (weeks 1 and 2) and a reduced training load period (weeks 3 and 4) on wellness, swimming performance and a perceived internal training load in eight high-level water-polo players preparing for play-offs. The internal training load was estimated daily using the rating of perceived exertion (RPE) and session duration (session-RPE). Perceived ratings of wellness (fatigue, muscle soreness, sleep quality, stress level and mood) were assessed daily. Swimming performance was evaluated through 400-m and 20-m tests performed before (baseline) and after the end of weeks 2 and 4. In weeks 3 and 4, the internal training load was reduced by 19.0 ± 3.8 and 36.0 ± 4.7%, respectively, compared to week 1 (p = 0.00). Wellness was improved in week 4 (20.4 ± 2.8 AU) compared to week 1 and week 2 by 16.0 ± 2.2 and 17.3 ± 2.9 AU, respectively (p =0.001). At the end of week 4, swimming performance at 400-m and 20-m tests (299.0 ± 10.2 and 10.2 ± 0.3 s) was improved compared to baseline values (301.4 ± 10.9 and 10.4 ± 0.4 s, p < 0.05) and the overloading training period (week 2; 302.9 ± 9.0 and 10.4 ± 0.4 s, p < 0.05). High correlations were observed between the percentage reduction of the internal training load from week 4 to week 1 (-25.3 ± 5.5%) and the respective changes in 20-m time (-2.1 ± 2.2%, r = 0.88, p < 0.01), fatigue perception (39.6 ± 27.1%), muscle soreness (32.5 ± 26.6%), stress levels (25.6 ± 15.1%) and the overall wellness scores (28.6 ± 21.9%, r = 0.74-0.79, p < 0.05). The reduction of the internal training load improved the overall perceived wellness and swimming performance of players. The aforementioned periodization approach may be an effective training strategy in the lead-up to play-off tournaments.

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Testing the contiguity of the sleep and fatigue relationship: a daily diary study

SLEEP ◽

10.1093/sleep/zsaa252 ◽

2020 ◽

Author(s):

Andrea L Harris ◽

Nicole E Carmona ◽

Taryn G Moss ◽

Colleen E Carney

Keyword(s):

Sleep Quality ◽

Hierarchical Linear Modeling ◽

Total Sleep Time ◽

Sleep Time ◽

Cognitive Factors ◽

Sleep Diary ◽

Poor Sleep ◽

Daily Diary Study ◽

Insomnia Disorder ◽

The Relationship

Abstract Study Objectives There is mixed evidence for the relationship between poor sleep and daytime fatigue, and some have suggested that fatigue is simply caused by lack of sleep. Although retrospective measures of insomnia and fatigue tend to correlate, other studies fail to demonstrate a link between objectively disturbed sleep and fatigue. The current study prospectively explored the relationship between sleep and fatigue among those with and without insomnia disorder. Methods Participants meeting Research Diagnostic Criteria for insomnia disorder (n = 33) or normal sleepers (n = 32) completed the Consensus Sleep Diary (CSD) and daily fatigue ratings for 2 weeks. Baseline questionnaires evaluated cognitive factors including unhelpful beliefs about sleep and rumination about fatigue. Hierarchical linear modeling tested the within- and between-participant relationships between sleep quality, total sleep time, and daily fatigue ratings. Mediation analyses tested if cognitive factors mediated the relationship between insomnia and fatigue. Results Self-reported nightly sleep quality significantly predicted subsequent daily fatigue ratings. Total sleep time was a significant predictor of fatigue within, but not between, participants. Unhelpful sleep beliefs and rumination about fatigue mediated the relationship between insomnia and fatigue reporting. Conclusions The results suggest that perception of sleep plays an important role in predicting reports of daytime fatigue. These findings could be used in treatment to help shift the focus away from total sleep times, and instead, focus on challenging maladaptive sleep-related cognitions to change fatigue perception.

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Sleep and Psychological Abuse Among Cohabiting Couples: A Pilot Study

Partner Abuse ◽

10.1891/1946-6560.8.4.347 ◽

2017 ◽

Vol 8 (4) ◽

pp. 347-360

Author(s):

Sharon Rose ◽

Linda Berg-Cross ◽

Nancy A. Crowell

Keyword(s):

Sleep Quality ◽

Relationship Satisfaction ◽

Sleep Deprivation ◽

Daytime Sleepiness ◽

Psychological Abuse ◽

Total Sleep Time ◽

Sleep Time ◽

Cohabiting Couples ◽

Survey Results ◽

The Relationship

This study explored the relationship between psychological abuse and sleep deprivation among nonclinical cohabiting couples. Thirty-one couples participated in completing a variety of sleep measures, a psychological abuse scale, and a relationship satisfaction survey. Results indicated a persistent relationship between everyday sleep deficits (sleep quality, daytime sleepiness, and self-reported total sleep time) and the perceived perpetration and felt victimization of psychological abuse. Overall, results were as hypothesized, but there were gender differences. Male psychological abuse victimization and perpetration were significantly related to sleep quality and daytime sleepiness, but for women, only sleep duration was predictive of felt victimization. The sleep variables were significantly related to women’s—but not men’s—reported relationship satisfaction. Overall, minimal sleep deprivation appears to be related to increased psychological abuse perpetration and victimization even among a normative population scoring outside the clinical range on these measures. Implications for prevention and treatment are discussed.

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1034 Should We Recommend More Sleep To Prevent Obesity?

SLEEP ◽

10.1093/sleep/zsaa056.1030 ◽

2020 ◽

Vol 43 (Supplement_1) ◽

pp. A393-A393

Author(s):

D S Kim ◽

B E Foster ◽

J F Collen ◽

A H Eliasson

Keyword(s):

Sleep Quality ◽

Cardiovascular Health ◽

Total Sleep Time ◽

Sleep Time ◽

Adult Obesity ◽

Insufficient Sleep ◽

Obesity Epidemic ◽

Health And Nutrition ◽

Management Plans ◽

Health Registry

Abstract Introduction According to the 2015-2016 National Health and Nutrition Examination Survey (NHANES), the national adult obesity rate was 40% with the incidence of adult obesity having increased by 70% over the last 30 years. Paralleling the obesity epidemic have been worsening sleep deprivation and eroding sleep quality. We analyzed data from a Cardiovascular Health Registry to explore a link between total sleep time and obesity. Methods Registry participants underwent anthropometrics and completed validated questionnaires assessing health behaviors and symptoms including total sleep time (TST), Epworth Sleepiness Scale (ESS), Fatigue Severity Scale (FSS), Pittsburgh Sleep Quality Index (PSQI), Perceived Stress Scale (PSS), and exercise time. Differences between subjects with sufficient (≥7 hours) and insufficient (<7 hours) sleep were analyzed using T-tests. Results Registry participants (n=630) had mean age 55.3±9.9 years (45% men, 391W, 182B, 26H, 12A, 19O). The subgroup with sufficient sleep (n=261, 48% men), had mean BMI 29.3±5.6 while the subgroup with insufficient sleep (n=369, 44% men) had mean BMI of 30.5±5.3, p=0.008. The insufficient sleep group was noted to be sleepier (ESS 9.7±4.9 vs 7.4±4.6, p<0.001), more fatigued (FSS 4.9±2.3 vs 3.5±2.4, p<0.001) and have worse sleep quality (PSQI 8.6±3.7 vs 4.7±2.8, p<0.001). Insufficient sleepers also perceived greater stress levels (PSS 22.2±8.4 vs 18.9±6.2, p<0.001), and showed a trend toward less exercise per week (143±134 vs 163±106 minutes, p=0.13). Conclusion Participants with insufficient sleep were significantly more overweight on average and were more symptomatic for insufficient sleep. While current approaches to weight management focus largely on diet and physical activity, the data from this study suggest that insufficient sleep should also be considered as a risk factor for obesity and should be incorporated into management plans for obesity. Support

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Neuromuscular, Endocrine, and Perceptual Fatigue Responses During Different Length Between-Match Microcycles in Professional Rugby League Players

International Journal of Sports Physiology and Performance ◽

10.1123/ijspp.5.3.367 ◽

2010 ◽

Vol 5 (3) ◽

pp. 367-383 ◽

Cited By ~ 162

Author(s):

Blake D. McLean ◽

Aaron J. Coutts ◽

Vince Kelly ◽

Michael R. McGuigan ◽

Stuart J. Cormack

Keyword(s):

Muscle Soreness ◽

Well Being ◽

Rugby League ◽

Training Load ◽

Relative Power ◽

Countermovement Jump ◽

Daily Training ◽

Baseline Values ◽

Baseline Levels ◽

Power Perception

Introduction:The purpose of this study was to examine the changes in neuromuscular, perceptual and hormonal measures following professional rugby league matches during different length between-match microcycles.Methods:Twelve professional rugby league players from the same team were assessed for changes in countermovement jump (CMJ) performance (fight time and relative power), perceptual responses (fatigue, well-being and muscle soreness) and salivary hormone (testosterone [T] and cortisol [C]) levels during 5, 7 and 9 d between-match training microcycles. All training was prescribed by the club coaches and was monitored using the session-RPE method.Results:Lower mean daily training load was completed on the 5 d compared with the 7 and 9 d microcycles. CMJ fight time and relative power, perception of fatigue, overall well-being and muscle soreness were signifcantly reduced in the 48 h following the match in each microcycle (P < .05). Most CMJ variables returned to near baseline values following 4 d in each microcycle. Countermovement jump relative power was lower in the 7 d microcycle in comparison with the 9 d microcycle (P < .05). There was increased fatigue at 48 h in the 7 and 9 d microcycles (P < .05) but had returned to baseline in the 5 d microcycle. Salivary T and C did not change in response to the match.Discussion:Neuromuscular performance and perception of fatigue are reduced for at least 48 h following a rugby league match but can be recovered to baseline levels within 4 d. These fndings show that with appropriate training, it is possible to recover neuromuscular and perceptual measures within 4 d after a rugby league match.

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