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DOI: 10.1055/a-2421-9310
Chronotype, sleep hygiene, and sleep characteristics among athletes of different disciplines
Funding This research did not receive any specific grant funding from public agency, commercial, and not-for-profit sectors.
Abstract
The objective of the study was to assess chronotype, sleep hygiene, and sleep characteristics of Italian athletes in order to identify differences among sport disciplines (team- vs individual-sports), level of competition (Elite vs Non-Elite) and sexes. Moreover, correlations between chronotype, sleep hygiene and sleep quality were evaluated. Two hundred eighty Italian athletes (Females:113; Males:167) participated in the study. They completed the Pittsburgh Sleep Quality Index (PSQI), the Sleep Hygiene Index (SHI) and the MorningnessEveningness Questionnaire (MEQ). Among the athletes, 66.4% were intermediate-type, 21.8% were morning-type and 11.8% were evening-type. 55.4% of the sample was classified as good sleeper (PSQI<5), while 16.1% had poor sleep hygiene (SHI≥35). Females had higher total sleep time (p=0.022) than males. Individual-sports showed more morning-oriented score (p=0.001) and lower PSQI (p=0.006) and SHI (p<0.001) scores, with earlier timing of sleep (bedtime:p<0.001; wake-up time:p<0.001) compared to teamsports. Elite athletes exhibited greater sleep efficiency (p=0.009), and lower sleep latency (p=0.018) and wake after sleep onset (p=0.043) than Non-Elite athletes. Additionally, significant correlations were found between PSQI and SHI (r=0.43, p<0.001), and between MEQ and SHI (r=−0.35, p<0.001). This study yields crucial insights into the sleep behaviors of Italian athletes, revealing that nearly half of the sample were bad sleepers.
Publication History
Received: 24 June 2024
Accepted after revision: 16 September 2024
Article published online:
22 October 2024
© 2024. Thieme. All rights reserved.
Georg Thieme Verlag KG
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References
- 1 Baranwal N, Yu PK, Siegel NS. Sleep physiology, pathophysiology, and sleep hygiene. Prog Cardiovasc Dis 2023; 77: 59-69
- 2 Nedelec M, Aloulou A, Duforez F. et al. The Variability of Sleep Among Elite Athletes. Sports Med Open 2018; 4: 34
- 3 Lastella M, Roach GD, Halson SL. et al. The chronotype of elite athletes. J Hum Kinet 2016; 54: 219-225
- 4 Suppiah HT, Swinbourne R, Wee J. et al. Sleep Characteristics of Elite Youth Athletes: A Clustering Approach to Optimize Sleep Support Strategies. Int J Sports Physiol Perform 2021; 16: 1225-1233
- 5 Vitale JA, Borghi S, Piacentini MF. et al. To Sleep Dreaming Medals: Sleep Characteristics, Napping Behavior, and Sleep-Hygiene Strategies in Elite Track-and-Field Athletes Facing the Olympic Games of Tokyo 2021. Int J Sports Physiol Perform 2023; 18: 1412-1419
- 6 Hirshkowitz M, Whiton K, Albert SM. et al. National sleep foundation’s sleep time duration recommendations: Methodology and results summary. Sleep Health 2015; 1: 40-43
- 7 Lastella M, Roach GD, Halson SL. et al. Sleep/wake behaviours of elite athletes from individual and team sports. Eur J Sport Sci 2015; 15: 94-100
- 8 Fullagar HHK, Skorski S, Duffield R. et al. Sleep and Athletic Performance: The Effects of Sleep Loss on Exercise Performance, and Physiological and Cognitive Responses to Exercise. Sports Medicine 2015; 45: 161-186
- 9 Charest J, Grandner MA. Sleep and Athletic Performance: Impacts on Physical Performance, Mental Performance, Injury Risk and Recovery, and Mental Health. Sleep Med Clin 2020; 15: 41-57
- 10 Belenky G, Wesensten NJ, Thorne DR. et al. Patterns of performance degradation and restoration during sleep restriction and subsequent recovery: A sleep dose-response study. J Sleep Res 2003; 12: 1-12
- 11 Krishnan V, Collop NA, Williams L. Gender differences in sleep disorders. Curr Opin Pulm Med 2006; 12: 383-389
- 12 Silva A, Narciso FV, Rosa JP. et al. Gender differences in sleep patterns and sleep complaints of elite athletes. Sleep Science 2019; 12: 242-248
- 13 Walsh NP, Halson SL, Sargent C. et al. Sleep and the athlete: Narrative review and 2021 expert consensus recommendations. Br J Sports Med 2021; 55: 356-368
- 14 Von Elm E, Altman DG, Egger M. et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies. Lancet 2007; 370: 1453-1457
- 15 Artino AR, Durning SJ, Sklar DP. Guidelines for reporting survey-based research submitted to academic medicine. Academic Medicine 2018; 93: 337-340
- 16 Horne JA, Ostberg O. A Self-Assessment Questionnaire to Determine Morningness Eveningness in Human Circadian Rhythms. Int J Chronobiol 1976; 4: 97-110
- 17 Curcio G, Tempesta D, Scarlata S. et al. Validity of the Italian Version of the Pittsburgh Sleep Quality Index (PSQI. Neurological Sciences 2013; 34: 511-519
- 18 Buysse DJ, Reynolds CF, Monk TH. et al. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Res 1989; 28: 193-213
- 19 Bacaro V, Curati S, Baglioni C. Validation study of the Italian version of the Sleep Hygiene Index. J Sleep Res 2022; 31: e13445
- 20 Zagaria A, Ballesio A, Musetti A. et al. Psychometric properties of the Sleep Hygiene Index in a large Italian community sample. Sleep Med 2021; 84: 362-367
- 21 Mastin DF, Bryson J, Corwyn R. Assessment of sleep hygiene using the sleep hygiene index. J Behav Med 2006; 29: 223-227
- 22 Mukaka MM. Statistics Corner: A guide to appropriate use of Correlation coefficient in medical research. Malawi Med J 2012; 24: 69-71
- 23 Cohen J. A power primer. Psychol Bull 1992; 112: 155-159
- 24 Doherty R, Madigan SM, Nevill A. et al. The Sleep and Recovery Practices of Athletes. Nutrients 2021; 13: 1330
- 25 Vitale JA, Banfi G, La Torre A. et al. Effect of a habitual late-evening physical task on sleep quality in neither-type soccer players. Front Physiol 2018; 9: 1582
- 26 Vitale JA, Weydahl A. Chronotype, Physical Activity, and Sport Performance: A Systematic Review. Sports Med 2017; 47: 1859-1868
- 27 Vitale JA, Calogiuri G, Weydahl A. Influence of chronotype on responses to a standardized, self-paced walking task in the morning vs afternoon: A pilot study. Percept Mot Skills 2013; 116: 1020-1028
- 28 Adan A, Archer SN, Hidalgo MP. et al. Circadian typology: A comprehensive review. Chronobiol Int 2012; 29: 1153-1175
- 29 Montaruli A, Castelli L, Mulè A. et al. Biological rhythm and chronotype: New perspectives in health. Biomolecules 2021; 11: 487
- 30 Mah CD, Kezirian EJ, Marcello BM. et al. Poor sleep quality and insufficient sleep of a collegiate student-athlete population. Sleep Health 2018; 4: 251-257
- 31 Carter JR, Gervais BM, Adomeit JL. et al. Subjective and objective sleep differ in male and female collegiate athletes. Sleep Health 2020; 6: 623-628
- 32 Smith RS, Efron B, Mah CD. et al. The impact of circadian misalignment on athletic performance in professional football players. Sleep 2013; 36: 1999-2001
- 33 Vitale KC, Owens R, Hopkins SR. et al. Sleep Hygiene for Optimizing Recovery in Athletes: Review and Recommendations. Int J Sports Med 2019; 40: 535-543
- 34 Halson SL, Juliff LE. Sleep, sport, and the brain. Prog Brain Res 2017; 234: 13-31
- 35 Chellappa SL, Aeschbach D. Sleep and anxiety: From mechanisms to interventions. Sleep Med Rev 2022; 61: 101583
- 36 Oh CM, Kim HY, Na HK. et al. The effect of anxiety and depression on sleep quality of individuals with high risk for insomnia: A population-based study. Front Neurol 2019; 10: 849
- 37 Pham HT, Chuang HL, Kuo CP. et al. Electronic device use before bedtime and sleep quality among university students. Healthcare (Basel) 2021; 9: 1091
- 38 Miller DJ, Sargent C, Roach GD. et al. Moderate-intensity exercise performed in the evening does not impair sleep in healthy males. Eur J Sport Sci 2020; 20: 80-89
- 39 Pacheco D, Rehman A. What’s the Best Time of Day to Exercise for Sleep?. National Sleep Foundation. 2023 https://www.sleepfoundation.org/physical-activity/best-time-of-day-to-exercise-for-sleep
- 40 Souissi M, Chtourou H, Zrane A. et al. Effect of time-of-day of aerobic maximal exercise on the sleep quality of trained subjects. Biol Rhythm Res 2012; 43: 323-330
- 41 Driller MW, Suppiah H, Rogerson D. et al. Investigating the sleep habits in individual and team-sport athletes using the Athlete Sleep Behavior Questionnaire and the Pittsburgh Sleep Quality Index. Sleep Science 2022; 15: 112-117
- 42 Alves Facundo L, Brant VM, Guerreiro RC. et al. Sleep regularity in athletes: Comparing sex, competitive level and sport type. Chronobiol Int 2022; 39: 1381-1388
- 43 Goel N, Kim H, Lao RP. Gender differences in polysomnographic sleep in young healthy sleepers. Chronobiol Int 2005; 22: 905-915
- 44 Orff H, Meliska C, Martinez LF. et al. The influence of sex and gonadal hormones on sleep disorders. ChronoPhysiology and Therapy 2014; 4: 15-25
- 45 Leeder J, Glaister M, Pizzoferro K. et al. Sleep duration and quality in elite athletes measured using wristwatch actigraphy. J Sports Sci 2012; 30: 541-545
- 46 Szuhany KL, Simon NM. Anxiety Disorders: A Review. JAMA 2022; 328: 2431-2445
- 47 Pilar Matud M, Díaz A, Bethencourt JM. et al. Stress and psychological distress in emerging adulthood: A gender analysis. J Clin Med 2020; 9: 1-11
- 48 Biggins M, Purtill H, Fowler P. et al. Sleep in elite multi-sport athletes: Implications for athlete health and wellbeing. Physical Therapy in Sport 2019; 39: 136-142
- 49 Clark I, Landolt HP. Coffee, caffeine, and sleep: A systematic review of epidemiological studies and randomized controlled trials. Sleep Med Rev 2017; 31: 70-78
- 50 Wams EJ, Woelders T, Marring I. et al. Linking light exposure and subsequent sleep: A field polysomnography study in humans. Sleep 2017; 40: zsx165
- 51 Zheng G, Li K, Wang Y. The effects of high-temperature weather on human sleep quality and appetite. Int J Environ Res Public Health 2019; 16: 270
- 52 Sun J, Chen M, Cai W. et al. Chronotype: Implications for sleep quality in medical students. Chronobiol Int 2019; 36: 1115-1123
- 53 Lim ST, Kim DY, Kwon HT. et al. Sleep quality and athletic performance according to chronotype. BMC Sports Sci Med Rehabil 2021; 13: 2
- 54 Vitale JA, Roveda E, Montaruli A. et al. Chronotype influences activity circadian rhythm and sleep: Differences in sleep quality between weekdays and weekend. Chronobiol Int 2015; 32: 405-415
- 55 Bender AM, Lawson D, Werthner P. et al. The Clinical Validation of the Athlete Sleep Screening Questionnaire: An Instrument to Identify Athletes that Need Further Sleep Assessment. Sports Med Open 2018; 4: 23
- 56 Driller MW, Mah CD, Halson SL. Development of the athlete sleep behavior questionnaire: A tool for identifying maladaptive sleep practices in elite athletes. Sleep Science 2018; 11: 37-44
- 57 Lastella M, Halson SL, Vitale JA. et al. To Nap or Not to Nap? A Systematic Review Evaluating Napping Behavior in Athletes and the Impact on Various Measures of Athletic Performance. Nat Sci Sleep 2021; 13: 841-862
- 58 Drews HJ, Wallot S, Brysch P. et al. Bed-Sharing in Couples Is Associated with Increased and Stabilized REM Sleep and Sleep-Stage Synchronization. Front Psychiatry 2020; 11: 583
- 59 Costa JA, Figueiredo P, Nakamura FY. et al. Monitoring Individual Sleep and Nocturnal Heart Rate Variability Indices: The Impact of Training and Match Schedule and Load in High-Level Female Soccer Players. Front Physiol 2021; 12: 678462
- 60 Costa J, Figueiredo P, Nakamura F. et al. Intra-individual variability of sleep and nocturnal cardiac autonomic activity in elite female soccer players during an international tournament. PLoS One 2019; 14: e0218635