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Table 1 Study characteristics of included articles

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

  1. CG Control group, CP Cognitive performance, PP Physical performance, REC Recovery, IG Intervention group, NR Not reported, RCT Randomized controlled trial, CK Creatine kinase, LDH Lactate dehydrogenase, ASAT Aspartate aminotransferase, ALAT Alanine aminotransferase, CRP C-reactive protein, DCT Digit cancelation test, 5-m SRT 5-m shuttle run test, KEMIVC Knee extensors maximal isometric voluntary contraction, SRT Simple reaction time, MRT Mental rotation test, LRT Lower reaction test, SJ Squat jump, TST Total sleep time, SE Sleep efficiency, SL Sleep latency, WASO Wake after sleep onset, WE Wake episodes, WED Wake-episode duration, SE Sleep efficiency, SR Sleep restriction, NN Normal night, PSR Partial sleep restriction, ETT Endurance time trial, PVT Psychomotor vigilance task, HRV Heart rate variability, HR Heart rate, RAST Running-based anaerobic sprint test, CWI Cold water immersion
  2. *Age is presented as mean ± standard deviation or range