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Published in: Sports Medicine 10/2019

01-10-2019 | Insomnia | Review Article

Sleep Monitoring in Athletes: Motivation, Methods, Miscalculations and Why it Matters

Author: Shona L. Halson

Published in: Sports Medicine | Issue 10/2019

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Abstract

It is increasingly recognised that many athletes have poor sleep quantity and/or quality despite the advances in knowledge regarding the importance of sleep for an athletic population. The majority of research in sleep assessment and treatment (within the general population) focuses on the medical disorder insomnia, and therefore may not be specifically relevant for athletes. Further, there are currently no guidelines for the standardisation of assessment, intervention, feedback and behaviour change strategies in athletes. This review outlines potential reasons for sleep disturbances in athletes, advantages and disadvantages of a range of methods to assess sleep (polysomnography, activity monitoring, consumer sleep technology, sleep diaries and questionnaires), considerations for the provision of feedback, a description of potential interventions and behaviour change challenges and strategies. The objective of this review is to provide practitioners with the latest scientific evidence in an area rapidly progressing in awareness, consumerism and athlete engagement.
Literature
1.
go back to reference Leeder J, Glaister M, Pizzoferro K, Dawson J, Pedlar C. Sleep duration and quality in elite athletes measured using wristwatch actigraphy. J Sports Sci. 2012;30(6):541–5.CrossRefPubMed Leeder J, Glaister M, Pizzoferro K, Dawson J, Pedlar C. Sleep duration and quality in elite athletes measured using wristwatch actigraphy. J Sports Sci. 2012;30(6):541–5.CrossRefPubMed
2.
3.
go back to reference Riemann D, Baglioni C, Bassetti C, Bjorvatn B, Dolenc Groselj L, Ellis JG, et al. European guideline for the diagnosis and treatment of insomnia. J Sleep Res. 2017;26(6):675–700.CrossRefPubMed Riemann D, Baglioni C, Bassetti C, Bjorvatn B, Dolenc Groselj L, Ellis JG, et al. European guideline for the diagnosis and treatment of insomnia. J Sleep Res. 2017;26(6):675–700.CrossRefPubMed
4.
go back to reference Qaseem A, Kansagara D, Forciea MA, Cooke M, Denberg TD, Clinical Guidelines Committee of the American College of P. Management of chronic insomnia disorder in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2016;165(2):125–33.CrossRefPubMed Qaseem A, Kansagara D, Forciea MA, Cooke M, Denberg TD, Clinical Guidelines Committee of the American College of P. Management of chronic insomnia disorder in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2016;165(2):125–33.CrossRefPubMed
5.
go back to reference Douglas JA, Chai-Coetzer CL, McEvoy D, Naughton MT, Neill AM, Rochford P, et al. Guidelines for sleep studies in adults—a position statement of the Australasian Sleep Association. Sleep Med. 2017;36(Suppl 1):S2–22.CrossRefPubMed Douglas JA, Chai-Coetzer CL, McEvoy D, Naughton MT, Neill AM, Rochford P, et al. Guidelines for sleep studies in adults—a position statement of the Australasian Sleep Association. Sleep Med. 2017;36(Suppl 1):S2–22.CrossRefPubMed
6.
go back to reference Pires GN, Bezerra AG, Tufik S, Andersen ML. Effects of acute sleep deprivation on state anxiety levels: a systematic review and meta-analysis. Sleep Med. 2016;24:109–18.CrossRefPubMed Pires GN, Bezerra AG, Tufik S, Andersen ML. Effects of acute sleep deprivation on state anxiety levels: a systematic review and meta-analysis. Sleep Med. 2016;24:109–18.CrossRefPubMed
7.
go back to reference Juliff LE, Halson SL, Peiffer JJ. Understanding sleep disturbance in athletes prior to important competitions. J Sci Med Sport. 2015;18(1):13–8.CrossRefPubMed Juliff LE, Halson SL, Peiffer JJ. Understanding sleep disturbance in athletes prior to important competitions. J Sci Med Sport. 2015;18(1):13–8.CrossRefPubMed
8.
go back to reference Sargent C, Halson S, Roach GD. Sleep or swim? Early-morning training severely restricts the amount of sleep obtained by elite swimmers. Eur J Sport Sci. 2014;14(Suppl 1):S310–5.CrossRefPubMed Sargent C, Halson S, Roach GD. Sleep or swim? Early-morning training severely restricts the amount of sleep obtained by elite swimmers. Eur J Sport Sci. 2014;14(Suppl 1):S310–5.CrossRefPubMed
9.
go back to reference Sargent C, Roach GD. Sleep duration is reduced in elite athletes following night-time competition. Chronobiol Int. 2016;33(6):667–70.CrossRefPubMed Sargent C, Roach GD. Sleep duration is reduced in elite athletes following night-time competition. Chronobiol Int. 2016;33(6):667–70.CrossRefPubMed
10.
go back to reference Lalor BJ, Halson SL, Tran J, Kemp JG, Cormack SJ. No compromise of competition sleep compared with habitual sleep in elite australian footballers. Int J Sports Physiol Perform. 2018;13(1):29–36.CrossRefPubMed Lalor BJ, Halson SL, Tran J, Kemp JG, Cormack SJ. No compromise of competition sleep compared with habitual sleep in elite australian footballers. Int J Sports Physiol Perform. 2018;13(1):29–36.CrossRefPubMed
11.
go back to reference Dunican IC, Higgins CC, Jones MJ, Clarke MW, Murray K, Dawson B, et al. Caffeine use in a super Rugby game and its relationship to post-game sleep. Eur J Sport Sci. 2018;18(4):513–23.CrossRefPubMed Dunican IC, Higgins CC, Jones MJ, Clarke MW, Murray K, Dawson B, et al. Caffeine use in a super Rugby game and its relationship to post-game sleep. Eur J Sport Sci. 2018;18(4):513–23.CrossRefPubMed
12.
go back to reference Lastella M, Roach GD, Halson SL, Martin DT, West NP, Sargent C. The impact of a simulated grand tour on sleep, mood, and well-being of competitive cyclists. J Sports Med Phys Fitness. 2015;55(12):1555–64.PubMed Lastella M, Roach GD, Halson SL, Martin DT, West NP, Sargent C. The impact of a simulated grand tour on sleep, mood, and well-being of competitive cyclists. J Sports Med Phys Fitness. 2015;55(12):1555–64.PubMed
13.
go back to reference Killer SC, Svendsen IS, Jeukendrup AE, Gleeson M. Evidence of disturbed sleep and mood state in well-trained athletes during short-term intensified training with and without a high carbohydrate nutritional intervention. J Sports Sci. 2017;35(14):1402–10.CrossRefPubMed Killer SC, Svendsen IS, Jeukendrup AE, Gleeson M. Evidence of disturbed sleep and mood state in well-trained athletes during short-term intensified training with and without a high carbohydrate nutritional intervention. J Sports Sci. 2017;35(14):1402–10.CrossRefPubMed
14.
go back to reference Hausswirth C, Louis J, Aubry A, Bonnet G, Duffield R, Lem Y. Evidence of disturbed sleep and increased illness in overreached endurance athletes. Med Sci Sports Exerc. 2014;46(5):1036–45.CrossRefPubMed Hausswirth C, Louis J, Aubry A, Bonnet G, Duffield R, Lem Y. Evidence of disturbed sleep and increased illness in overreached endurance athletes. Med Sci Sports Exerc. 2014;46(5):1036–45.CrossRefPubMed
15.
go back to reference Roomkham S, Lovell D, Cheung J, Perrin D. Promises and challenges in the use of consumer-grade devices for sleep monitoring. IEEE Rev Biomed Eng. 2018;11:53–67.CrossRefPubMed Roomkham S, Lovell D, Cheung J, Perrin D. Promises and challenges in the use of consumer-grade devices for sleep monitoring. IEEE Rev Biomed Eng. 2018;11:53–67.CrossRefPubMed
16.
go back to reference Quante M, Kaplan ER, Rueschman M, Cailler M, Buxton OM, Redline S. Practical considerations in using accelerometers to assess physical activity, sedentary behavior, and sleep. Sleep Health. 2015;1(4):275–84.CrossRefPubMed Quante M, Kaplan ER, Rueschman M, Cailler M, Buxton OM, Redline S. Practical considerations in using accelerometers to assess physical activity, sedentary behavior, and sleep. Sleep Health. 2015;1(4):275–84.CrossRefPubMed
17.
go back to reference Kolla BP, Mansukhani S, Mansukhani MP. Consumer sleep tracking devices: a review of mechanisms, validity and utility. Expert Rev Med Devices. 2016;13(5):497–506.CrossRefPubMed Kolla BP, Mansukhani S, Mansukhani MP. Consumer sleep tracking devices: a review of mechanisms, validity and utility. Expert Rev Med Devices. 2016;13(5):497–506.CrossRefPubMed
18.
go back to reference Sargent C, Lastella M, Halson SL, Roach GD. The validity of activity monitors for measuring sleep in elite athletes. J Sci Med Sport. 2016;19(10):848–53.CrossRefPubMed Sargent C, Lastella M, Halson SL, Roach GD. The validity of activity monitors for measuring sleep in elite athletes. J Sci Med Sport. 2016;19(10):848–53.CrossRefPubMed
19.
go back to reference Fuller KL, Juliff L, Gore CJ, Peiffer JJ, Halson SL. Software thresholds alter the bias of actigraphy for monitoring sleep in team-sport athletes. J Sci Med Sport. 2017;20(8):756–60.CrossRefPubMed Fuller KL, Juliff L, Gore CJ, Peiffer JJ, Halson SL. Software thresholds alter the bias of actigraphy for monitoring sleep in team-sport athletes. J Sci Med Sport. 2017;20(8):756–60.CrossRefPubMed
20.
go back to reference Bianchi MT. Sleep devices: wearables and nearables, informational and interventional, consumer and clinical. Metabolism. 2018;84:99–108.CrossRefPubMed Bianchi MT. Sleep devices: wearables and nearables, informational and interventional, consumer and clinical. Metabolism. 2018;84:99–108.CrossRefPubMed
21.
go back to reference Sargent C, Lastella M, Romyn G, Versey N, Miller DJ, Roach GD. How well does a commercially available wearable device measure sleep in young athletes? Chronobiol Int. 2018;35(6):754–8.CrossRefPubMed Sargent C, Lastella M, Romyn G, Versey N, Miller DJ, Roach GD. How well does a commercially available wearable device measure sleep in young athletes? Chronobiol Int. 2018;35(6):754–8.CrossRefPubMed
22.
go back to reference Choi YK, Demiris G, Lin SY, Iribarren SJ, Landis CA, Thompson HJ, et al. Smartphone applications to support sleep self-management: review and evaluation. J Clin Sleep Med. 2018;14(10):1783–90.CrossRefPubMedPubMedCentral Choi YK, Demiris G, Lin SY, Iribarren SJ, Landis CA, Thompson HJ, et al. Smartphone applications to support sleep self-management: review and evaluation. J Clin Sleep Med. 2018;14(10):1783–90.CrossRefPubMedPubMedCentral
23.
go back to reference Mansukhani MP, Kolla BP. Apps and fitness trackers that measure sleep: are they useful? Cleve Clin J Med. 2017;84(6):451–6.CrossRefPubMed Mansukhani MP, Kolla BP. Apps and fitness trackers that measure sleep: are they useful? Cleve Clin J Med. 2017;84(6):451–6.CrossRefPubMed
24.
go back to reference Fino E, Mazzetti M. Monitoring healthy and disturbed sleep through smartphone applications: a review of experimental evidence. Sleep Breath. 2018;23:13–24.CrossRefPubMed Fino E, Mazzetti M. Monitoring healthy and disturbed sleep through smartphone applications: a review of experimental evidence. Sleep Breath. 2018;23:13–24.CrossRefPubMed
25.
go back to reference Bhat S, Ferraris A, Gupta D, Mozafarian M, DeBari VA, Gushway-Henry N, et al. Is there a clinical role for smartphone sleep apps? comparison of sleep cycle detection by a smartphone application to polysomnography. J Clin Sleep Med. 2015;11(7):709–15.PubMedPubMedCentral Bhat S, Ferraris A, Gupta D, Mozafarian M, DeBari VA, Gushway-Henry N, et al. Is there a clinical role for smartphone sleep apps? comparison of sleep cycle detection by a smartphone application to polysomnography. J Clin Sleep Med. 2015;11(7):709–15.PubMedPubMedCentral
26.
go back to reference Lorenz CP, Williams AJ. Sleep apps: what role do they play in clinical medicine? Curr Opin Pulm Med. 2017;23(6):512–6.CrossRefPubMed Lorenz CP, Williams AJ. Sleep apps: what role do they play in clinical medicine? Curr Opin Pulm Med. 2017;23(6):512–6.CrossRefPubMed
27.
go back to reference Anderson KN. Insomnia and cognitive behavioural therapy-how to assess your patient and why it should be a standard part of care. J Thorac Dis. 2018;10(Suppl 1):S94–102.CrossRefPubMedPubMedCentral Anderson KN. Insomnia and cognitive behavioural therapy-how to assess your patient and why it should be a standard part of care. J Thorac Dis. 2018;10(Suppl 1):S94–102.CrossRefPubMedPubMedCentral
28.
go back to reference Carney CE, Buysse DJ, Ancoli-Israel S, Edinger JD, Krystal AD, Lichstein KL, et al. The consensus sleep diary: standardizing prospective sleep self-monitoring. Sleep. 2012;35(2):287–302.CrossRefPubMedPubMedCentral Carney CE, Buysse DJ, Ancoli-Israel S, Edinger JD, Krystal AD, Lichstein KL, et al. The consensus sleep diary: standardizing prospective sleep self-monitoring. Sleep. 2012;35(2):287–302.CrossRefPubMedPubMedCentral
29.
go back to reference Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.CrossRefPubMed Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.CrossRefPubMed
30.
go back to reference Mastin DF, Bryson J, Corwyn R. Assessment of sleep hygiene using the Sleep Hygiene Index. J Behav Med. 2006;29(3):223–7.CrossRefPubMed Mastin DF, Bryson J, Corwyn R. Assessment of sleep hygiene using the Sleep Hygiene Index. J Behav Med. 2006;29(3):223–7.CrossRefPubMed
31.
go back to reference Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14(6):540–5.CrossRefPubMed Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14(6):540–5.CrossRefPubMed
32.
go back to reference Bender AM, Lawson D, Werthner P, Samuels CH. The clinical validation of the Athlete Sleep Screening Questionnaire: an instrument to identify athletes that need further sleep assessment. Sports Med Open. 2018;4(1):23.CrossRefPubMedPubMedCentral Bender AM, Lawson D, Werthner P, Samuels CH. The clinical validation of the Athlete Sleep Screening Questionnaire: an instrument to identify athletes that need further sleep assessment. Sports Med Open. 2018;4(1):23.CrossRefPubMedPubMedCentral
33.
go back to reference Samuels C, James L, Lawson D, Meeuwisse W. The Athlete Sleep Screening Questionnaire: a new tool for assessing and managing sleep in elite athletes. Br J Sports Med. 2016;50(7):418–22.CrossRefPubMed Samuels C, James L, Lawson D, Meeuwisse W. The Athlete Sleep Screening Questionnaire: a new tool for assessing and managing sleep in elite athletes. Br J Sports Med. 2016;50(7):418–22.CrossRefPubMed
34.
go back to reference Driller MW, Mah CD, Halson SL. Development of the athlete sleep behavior questionnaire: a tool for identifying maladaptive sleep practices in elite athletes. Sleep Sci. 2018;11(1):37–44.CrossRefPubMedPubMedCentral Driller MW, Mah CD, Halson SL. Development of the athlete sleep behavior questionnaire: a tool for identifying maladaptive sleep practices in elite athletes. Sleep Sci. 2018;11(1):37–44.CrossRefPubMedPubMedCentral
35.
go back to reference Ibanez V, Silva J, Cauli O. A survey on sleep questionnaires and diaries. Sleep Med. 2018;42:90–6.CrossRefPubMed Ibanez V, Silva J, Cauli O. A survey on sleep questionnaires and diaries. Sleep Med. 2018;42:90–6.CrossRefPubMed
36.
go back to reference Ko PR, Kientz JA, Choe EK, Kay M, Landis CA, Watson NF. Consumer sleep technologies: a review of the landscape. J Clin Sleep Med. 2015;11(12):1455–61.CrossRefPubMedPubMedCentral Ko PR, Kientz JA, Choe EK, Kay M, Landis CA, Watson NF. Consumer sleep technologies: a review of the landscape. J Clin Sleep Med. 2015;11(12):1455–61.CrossRefPubMedPubMedCentral
37.
go back to reference Dietrich SK, Francis-Jimenez CM, Knibbs MD, Umali IL, Truglio-Londrigan M. Effectiveness of sleep education programs to improve sleep hygiene and/or sleep quality in college students: a systematic review. JBI Database Syst Rev Implement Rep. 2016;14(9):108–34.CrossRef Dietrich SK, Francis-Jimenez CM, Knibbs MD, Umali IL, Truglio-Londrigan M. Effectiveness of sleep education programs to improve sleep hygiene and/or sleep quality in college students: a systematic review. JBI Database Syst Rev Implement Rep. 2016;14(9):108–34.CrossRef
38.
go back to reference Fullagar H, Skorski S, Duffield R, Meyer T. The effect of an acute sleep hygiene strategy following a late-night soccer match on recovery of players. Chronobiol Int. 2016;33(5):490–505.CrossRefPubMed Fullagar H, Skorski S, Duffield R, Meyer T. The effect of an acute sleep hygiene strategy following a late-night soccer match on recovery of players. Chronobiol Int. 2016;33(5):490–505.CrossRefPubMed
39.
go back to reference Van Ryswyk E, Weeks R, Bandick L, O’Keefe M, Vakulin A, Catcheside P, et al. A novel sleep optimisation programme to improve athletes’ well-being and performance. Eur J Sport Sci. 2017;17(2):144–51.CrossRefPubMed Van Ryswyk E, Weeks R, Bandick L, O’Keefe M, Vakulin A, Catcheside P, et al. A novel sleep optimisation programme to improve athletes’ well-being and performance. Eur J Sport Sci. 2017;17(2):144–51.CrossRefPubMed
40.
go back to reference Caia J, Scott TJ, Halson SL, Kelly VG. The influence of sleep hygiene education on sleep in professional rugby league athletes. Sleep Health. 2018;4(4):364–8.CrossRefPubMed Caia J, Scott TJ, Halson SL, Kelly VG. The influence of sleep hygiene education on sleep in professional rugby league athletes. Sleep Health. 2018;4(4):364–8.CrossRefPubMed
41.
go back to reference Halson SL, Lastella M. Amazing athletes with ordinary habits: why is changing behavior so difficult? Int J Sports Physiol Perform. 2017;12(10):1273–4.CrossRefPubMed Halson SL, Lastella M. Amazing athletes with ordinary habits: why is changing behavior so difficult? Int J Sports Physiol Perform. 2017;12(10):1273–4.CrossRefPubMed
42.
go back to reference Mairs L, Mullan B. Self-monitoring vs. implementation intentions: a comparison of behaviour change techniques to improve sleep hygiene and sleep outcomes in students. Int J Behav Med. 2015;22(5):635–44.CrossRefPubMed Mairs L, Mullan B. Self-monitoring vs. implementation intentions: a comparison of behaviour change techniques to improve sleep hygiene and sleep outcomes in students. Int J Behav Med. 2015;22(5):635–44.CrossRefPubMed
43.
go back to reference Sutton S. The contribution of behavioural science to primary care research: development and evaluation of behaviour change interventions. Prim Health Care Res Dev. 2011;12(4):284–92.CrossRefPubMed Sutton S. The contribution of behavioural science to primary care research: development and evaluation of behaviour change interventions. Prim Health Care Res Dev. 2011;12(4):284–92.CrossRefPubMed
Metadata
Title
Sleep Monitoring in Athletes: Motivation, Methods, Miscalculations and Why it Matters
Author
Shona L. Halson
Publication date
01-10-2019
Publisher
Springer International Publishing
Published in
Sports Medicine / Issue 10/2019
Print ISSN: 0112-1642
Electronic ISSN: 1179-2035
DOI
https://doi.org/10.1007/s40279-019-01119-4

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