From: The Impact of Sleep Interventions on Athletic Performance: A Systematic Review
Study, country | Study design | Sport | Sample (size, age*, sex) | Intervention | Sleep assessment | Performance/recovery assessment test | Main results |
---|---|---|---|---|---|---|---|
Sleep hygiene | |||||||
Fullagar et al. [54] Germany | Randomized crossover trial No. of groups: two | Soccer | 20, NR, 100% male | Sleep hygiene after friendly match with a kick-off time of 20:45 versus no sleep hygiene | Actigraphy and sleep diaries | REC: The Yo–Yo intermittent recovery test—level 2 and CMJ 12 h and 36 h post-match, submaximal interval-based running test 18 and 42 h post-match with a heart rate interval monitoring system; c-reactive protein, creatine kinase, and urea 10, 20, 34, and 44 h post-match | No differences in recovery of exercise performance or blood markers; sleep hygiene \(\uparrow\) total sleep time and number wake episodes compared with no sleep hygiene; |
Van Ryswyk et al. [48] Australia | Pre–post-trial No. of groups: one | Australian football | 25, 23.7 ± 2.0 y, 100% male | Sleep hygiene | Actigraphy, questionnaire (Pittsburgh Sleep Quality Index), and sleep diaries | CP: psychomotor vigilance task | No differences in CP or objective sleep parameters |
Napping | |||||||
Boukhris et al. [35] Tunisia | Randomized crossover trial No. of groups: three | Soccer, rugby, and handball | 14, 20.3 ± 3.0 y, 100% male | 40-min nap versus 90-min nap versus no nap | Nap: questionnaire (nap quality using a scale ranging from 0 to 10) Night prior experiment: actigraphy | CP: DCT PP: knee extensors maximal voluntary isometric contraction and 5-m SRT | 40- and 90-min nap: \(\uparrow\) attention (DCT), KEMIVC, and 5mSRT; 40-min nap versus 90-min nap:↑ DCT, KEMIVC, and ↑ total distance in 5-m SRT (favoring 90-min nap) |
Boukhris et al. [39] Tunisia | Randomized crossover trial No. of groups: two | Soccer, rugby, and handball | 14, 20.3 ± 3.0 y, 100% male | 40-min nap versus no nap | Nap: questionnaire (nap quality using a scale ranging from 0 to 10) Night prior experiment: actigraphy | REC: CK, LDH, ASAT, ALAT, and CRP PP: 5-m SRT | Nap \(\uparrow\) recovery and 5-m SRT performance (total and highest distance) |
Daaloul et al. [49] Tunisia | Randomized crossover trial No. of groups: two | Karate | 13, 23.0 ± 2.0 y, 100% male | 30-min nap versus no nap, after a reference night and after a night with sleep restriction | Actigraphy and sleep diaries | CP: SRT, MRT, and LRT PP: SJ, CMJ, and karate-specific test | After reference night: Nap \(\uparrow\) SRT, MRT, and LRT; no differences in physical performance After a PSD night: \(\downarrow\) MRT, LRT, CMJ, and KST, no differences in SRT and SJ; Nap restored performance decreases in SRT, MRT, and LRT |
Suppiah et al. [52] Singapore | Studies 1 and 2: randomized crossover trial No. of groups: two | Study 1: shooters Study 2: track and field | Study 1: 12, 13.8 ± 1.0 y, 100% male Study 2: 19, 14.8 ± 1.1 y, 100% male | 30-min nap versus no nap | Nap: wireless dry electroencephalographic sensor Night prior experiment: actigraphy | Study 1: PP: shooting assessment (20 competition shots) and HRV Study 2: PP: 20-m sprint | Study 1: no differences in shooting performance or HRV after a nap Study 2: \(\downarrow\) 20-m sprint performance |
Petit et al. [36] France | Counterbalanced and randomized crossover trial No. of groups: two | From different sports | 16, 22.2 ± 1.7 y, 100% female | 20-min nap versus no nap in normal conditions and at 5-h advanced sleep schedules (simulated jet lag) | Polysomnography | PP: Wingate test and plasma lactate | No differences in physical performance and plasma lactate under normal conditions or simulated jet lag |
Romdhani et al. [45] Tunisia | Counterbalanced and randomized crossover trial No. of groups: one | Judo | 9, 18.5 ± 0.9 y, 100% male | 20-min nap versus 90-min nap versus no nap after a night with sleep restriction | Nap subjective quality | CP: multiple-choice reaction time and simple reaction time (using a specialized software) PP: RAST | N20 versus no nap: \(\uparrow\) in MCRT, \(\uparrow\) maximum power in RAST; no difference in SRT performance N90 versus no nap: no differences in MCRT or SRT performance; \(\uparrow\) maximum, minimum, and mean power and fatigue index in RAST |
Morita et al. [42] Japan | Non-RCT No. of groups: two | Softball | 16, IG = 22.1 ± 0.8 y, CG = 22.0 ± 0.9 y, 100% female | 2-h nap versus no nap | Actigraphy, sleep diaries, and polysomnography | CP: three-ball cascade juggling | IG: \(\uparrow\) Three-ball cascade juggling performance CG: = Three-ball cascade juggling performance |
Hsouna et al. [40] Non-reported | Counterbalanced crossover trial No. of groups: two | Soccer | 12, 23 ± 3 y, 100% male | 40-min nap versus no nap after a simulated soccer match on previous night (kick-off at 21:00) | Nap: sleepiness (Stanford Sleepiness Scale) upon waking Night prior experiment: actigraphy | PP: 5-m SRT | \(\uparrow\) total and best distance after nap; no differences in fatigue index |
Nishida et al. [44] Japan | Randomized crossover trial No. of groups: three | Handball | 11, 20.7 ± 1.2 y, 100% male | 60-min nap versus 20-min nap versus no nap | Nap: subjective quality (visual analog scale, 0–10) and sleepiness before and after (Karolinska Sleepiness Scale) Night prior experiment: wearable device (Fitbit charge 3) Sleep quality: questionnaire (Pittsburgh Sleep Quality Index) | REC: HRV during nap PP: Handball performance (20-m turnaround run, 10-m load run, and ball shooting) | No differences in handball performance or HRV; 60-min nap \(\uparrow\) shooting accuracy in individuals with poor sleep quality; HRV correlated negatively with 10-m load run in 60-min nap |
Sleep extension | |||||||
Roberts et al. [37] Australia | Counterbalanced crossover trial No. of groups: one | Cycling and triathlon | 9, 30 ± 6 y, 100% male | Three consecutive days of sleep extension (30% more than a normal night) versus sleep restriction (30% less than a normal night) versus normal night | Actigraphy and sleep diaries | CP: psychomotor vigilance task PP: ETT | Sleep extension compared with NN: \(\uparrow\) PVT and ETT performance; SR compared with NN: \(\downarrow\) PVT and ETT performance |
Schwartz and Simon [43] USA | Pre–post-trial No. of groups: one | Tennis | 12, 20.2 y (18–22),42% male | 7 days of sleep extension (at least 9 h), including naps | Sleep diaries | PP: serving accuracy | \(\uparrow\) Serving accuracy and TST |
Swinbourne et al. [50] New Zealand | Pre–post-trial No. of groups: one | Rugby | 25, 25 ± 2.7 y, 100% male | Sleep extension (at least 10 h of sleep) via sleep scheduling advice, strategic napping, and sleep hygiene versus control | Actigraphy, questionnaire (Pittsburgh Sleep Quality Index), and sleep diaries | CP: the five-minute psychomotor vigilance test | \(\uparrow\) reaction time performance, \(\uparrow\) total sleep time, and \(\uparrow\) sleep efficiency compared to control |
Mah et al. [41] USA | Pre–post-trial No. of groups: one | Basketball | 11, 19.4 ± 1.4 y, 100% male | Sleep extension (at least 10 h in bed per night, with a regular sleep–wake schedule and napping encouraged) | Actigraphy and sleep diaries | CP: psychomotor vigilance task PP: specific to basketball (timed 282 feet sprint, free throw, and three-point shooting accuracy) | \(\uparrow\) Psychomotor vigilance performance, timed 282 feet sprint, free throw, three-point shooting accuracy, and TST |
Remove electronic devices | |||||||
Jones et al. [34] Australia | RCT No. of groups: two | Study 1: water polo Study 2: Triathlon | Study 1: 13, 17 ± 1 y, 46% male Study 2: 12, 17 ± 1 y, 67% male | Remove electronic devices in the evening versus unrestricted electronic device use | Actigraphy and sleep quality diaries | Study 1: none Study 2: CP: psychomotor vigilance test | Study 2: no differences in cognitive performance or sleep |
Dunican et al. [32] Australia | Non-RCT No. of groups: two | Judo | 18, 18 ± 2 y, 56% male | Electronic devices removed for a 48-h period versus unrestricted electronic device use | Actigraphy and sleep diaries | CP: The Cogstate research tool PP: The single leg three hop test | No differences between groups in cognitive or athletic performance and sleep quality and quantity |
Light interventions | |||||||
Zhao et al. [38] China | RCT No. of groups: two | Basketball | 20, 18.6 ± 3.6 y, 100% male | 30-min red-light therapy every night versus no light intervention (placebo group) with the same device (device off) | Questionnaire (Pittsburgh Sleep Quality Index) and serum melatonin | PP: Cooper 12-minute run | Red-light therapy group: \(\uparrow\) distance in Cooper 12-min run performances, \(\uparrow\) serum melatonin, and \(\uparrow\) sleep quality Placebo group: no differences in Cooper 12-min run test performance, serum melatonin, or sleep |
Rosa et al. [51] Brazil | Pre–post-trial No. of groups: one | Swimming | 22, 24.8 ± 3.4 y, 50% male | Bright-light therapy (with portable glasses) and sleep hygiene | Actigraphy and sleep diaries | CP: psychomotor vigilance test | \(\uparrow\) reaction time performance, delayed sleep/wake cycles, and \(\downarrow\) total sleep time |
Mindfulness | |||||||
Jones et al. [33] USA | Non-RCT No. of groups: two | Rowing | 27, 18–23 y, 100% female | Mindfulness-based stress reduction versus no intervention | Actigraphy and questionnaire (Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale) | PP: rowing performance (6000 m ergometer test) | \(\uparrow\) in rowing performance and subjective sleep quality, and \(\downarrow\) in sleepiness, compared with control group |
Cold water immersion | |||||||
Chauvineau et al. [55] France | Counterbalanced and randomized crossover trial No. of groups: three | Running | 12, 28 ± 5.8 y, 100% male | Whole CWI versus partial CWI versus control (sitting for 10 min) | Actigraphy, questionnaire (the Spiegel Sleep Inventory), polysomnography, and core body temperature | REC: Hooper Index and creatine kinase pre- and post-simulated trial, post-CWI, 24 h and 48 h; the Total of Recovery Scale post-CWI, 24 h and 48 h; CMJ and KEMIVC pre- and post-simulated trial, 24 h and 48 h; Nocturnal HRV in simulated trial day | No differences in fatigue or muscle damage, core temperature, TST, SE, WASO, and latency; CWI \(\downarrow\) arousals; whole CWI \(\downarrow\) parasympathetic modulation |
Combination of two or more strategies | |||||||
Duffield et al. [56] Australia | Randomized crossover trial No. of groups: two | Tennis | 8, 20.9 ± 3.6 y, 100% male | Sleep hygiene, CWI, and full-body compression versus control (passive stretching) | Actigraphy | REC: fatigue, vigor (the Brunel Mood Scale), muscle and joint soreness (1–10 Likert scale) | \(\downarrow\) muscle and joint soreness, no differences in vigor; large effect sizes though non-significant results for \(\downarrow\) fatigue, and \(\uparrow\) TST; no differences in SE or SL |
Lever et al. [53] Australia | Randomized crossover trial No. of groups: two | Tennis | 17, 15.7 ± 1.1 y, 58% male | Sleep hygiene and mindfulness versus no intervention | Actigraphy and sleep diaries | PP: match performance (games won or lost) | No differences in match performance; \(\uparrow\) TST, no change in SE, SL, WASO, WE, and WED |
Romdhani et al. [47] Tunisia | Counterbalanced and randomized crossover trial No. of groups: four | Judo | 23, 19.78 ± 1.41 y Study 1: 9, 100% male Study 2: 14, 100% male | Study 1: after a night with sleep restriction, no nap with placebo (NNP) versus no nap with caffeine (NNC) versus 20-min nap with placebo (NP) versus 20-min nap with caffeine (NC) Study 2: after a normal night, NNP versus NNC versus NP versus NC | Nap subjective quality (100-mm analog scale) and sleepiness before and after (Epworth sleepiness scale) | CP: simple and two-choice reaction time (using a specialized software) | Study 1: \(\uparrow\) SRT performance in NNC; \(\uparrow\) TCRT performance in NP and NC; \(\downarrow\) sleepiness in NNC, NP, and NC Study 2: \(\uparrow\) SRT performance in NNC; \(\uparrow\) TCRT performance in NP and NC; \(\downarrow\) sleepiness in NP |
Romdhani et al. [46] Tunisia | Counterbalanced and randomized crossover trial No. of groups: five | Judo | 9, 18.78 ± 1.09 y, 100% male | Normal sleep night without nap (NSN) versus NNP versus NNC versus 20-min NP versus 20-min NC, after a night with sleep restriction | Nap subjective quality (100-mm analog scale) | PP: RAST and plasma lactate | 20-min NC \(\uparrow\) RAST performance, compared with NNP, NNC, and 20-min NP; \(\downarrow\) RAST performance in NNP and NNC, compared with NSN; NC and NP restored RAST performance compared with NSN; 20-min NP \(\uparrow\) Pmax compared with NNP; lactate \(\uparrow\) with 20-min NC and NP, compared with NNP |