Sleep Interventions Designed to Improve Athletic Performance and Recovery: A Systematic Review of Current Approaches
Athletes experience various situations and conditions that can interfere with their sleep, which is crucial for optimal psychological and physiological recovery as well as subsequent performance. Conventional sleep screening and intervention approaches may not be efficacious for athletes given their lifestyle, the demands of training and travel associated with interstate/international competition.
The present systematic review aimed to summarize and evaluate sleep intervention studies targeting subsequent performance and recovery in competitive athletes. Based on the findings, a secondary aim was to outline a possible sleep intervention for athletes, including recommendations for content, mode of delivery and evaluation.
A systematic review was conducted based on the PRISMA guidelines in May 2016 with an update completed in September 2017. Ten studies met our inclusion criteria comprising a total of 218 participants in the age range of 18–24 years with athletes from various sports (e.g., swimming, soccer, basketball, tennis). A modified version of the quality assessment scale developed by Abernethy and Bleakley was used to evaluate the quality of the studies.
The included studies implemented several sleep interventions, including sleep extension and napping, sleep hygiene, and post-exercise recovery strategies. Evidence suggests that sleep extension had the most beneficial effects on subsequent performance. Consistent with previous research, these results suggest that sleep plays an important role in some, but not all, aspects of athletes’ performance and recovery.
Future researchers should aim to conduct sleep interventions among different athlete populations, compare results, and further establish guidelines and intervention tools for athletes to address their specific sleep demands and disturbances.
Author contributions statement
Daniel Bonnar, Kate Bartel, Christin Lang, and Naomi Kakoschke conceived and designed the study. Daniel Bonnar and Kate Bartel performed the literature search, were responsible for decisions on inclusion/exclusion of articles, quality assessment and data extraction (with Christin Lang as the decider if there was disagreement). Naomi Kakoschke drafted and critically revised the study. Christin Lang and Daniel Bonnar wrote the Introduction section; Kate Bartel wrote the Methods section; Daniel Bonnar, Christin Lang, and Kate Bartel wrote the Results section; Daniel Bonnar, Kate Bartel, Christin Lang, and Naomi Kakoschke wrote the Discussion section.
Compliance with Ethical Standards
No sources of funding were used to assist in the preparation of this article.
Conflict of interest
Daniel Bonnar, Kate Bartel, Naomi Kakoschke, and Christin Lang declare that they have no conflicts of interest relevant to the content of this review.
- 17.National Sleep Foundation. National Sleep Foundation 2013 poll [Internet]. 2013. https://www.sleepfoundation.org/2013pol. Accessed 13 Jan 2018.
- 18.Calder A. Recovery strategies for sports performance. Strategies. 2002;15:8–11.Google Scholar
- 20.Mah CD, Mah KE, Dement WC. Athletic performance and sleep extension in collegiate tennis players. Sleep. 2009;32:A155.Google Scholar
- 21.Gupta L, Morgan K, Gilchrist S. Does elite sport degrade sleep quality? A systematic review. Sports Med. 2016; pp 1–17. https://doi.org/10.1007/s40279-016-0650-6.
- 27.Harada T, Wada K, Tsuji F, et al. Intervention study using a leaflet entitled ‘Three benefits of “Go to bed early! Get up early! And intake nutritionally rich breakfast!” a message for athletes’ to improve the soccer performance of university soccer team. Sleep Biol Rhythms. 2016;14:S65–74. https://doi.org/10.1007/s41105-015-0035-5.CrossRefGoogle Scholar
- 30.Pelka M, Kölling S, Ferrauti A, et al. Acute effects of psychological relaxation techniques between two physical tasks. J Sports Sci. 2016;pp 1–8. https://doi.org/10.1080/02640414.2016.1161208
- 34.World Anti-Doping Agency. World Anti-Doping Code 2015. https://www.wada-ama.org/en/resources/the-code/world-anti-doping-code. Accessed 13 Jan 2018.
- 41.Petit E, Mougin F, Bourdin H, et al. A 20-min nap in athletes changes subsequent sleep architecture but does not alter physical performances after normal sleep or 5-h phase-advance conditions. Eur J Appl Physiol. 2014;114:305–15. https://doi.org/10.1007/s00421-013-2776-7.CrossRefPubMedGoogle Scholar
- 45.Schneerson JM. Handbook of sleep. Cambridge: Blackwell Science; 2000.Google Scholar
- 48.Meeusen R, Duclos M, Foster C, et al. Prevention, diagnosis and treatment of the overtraining syndrome: joint consensus statement of the European College of Sport Science (ECSS) and the American College of Sports Medicine (ACSM). Eur J Sport Sci. 2012;13:1–24. https://doi.org/10.1080/17461391.2012.730061.CrossRefGoogle Scholar
- 53.Samuels C, James L, Lawson D, et al. The Athlete Sleep Screening Questionnaire: a new tool for assessing and managing sleep in elite athletes. Br J Sports Med. 2015; pp 1–5. https://doi.org/10.1136/bjsports-2014-094332.
- 56.Miller WR, Rollnick S. Motivational interviewing: helping people change. New York: Guildford Press; 2012.Google Scholar
- 58.Kaplan KA, Harvey AG. Treatment of sleep disturbance. In: Barlow DH, editor. Clinical handbook of psychological disorders. 5th ed. New York: Guilford Press; 2014. p. 640–69.Google Scholar