Skip to main content
Top
Published in: Sports Medicine 8/2019

01-08-2019 | Review Article

The Effects of Sleep Loss on Military Physical Performance

Authors: Clementine Grandou, Lee Wallace, Hugh H. K. Fullagar, Rob Duffield, Simon Burley

Published in: Sports Medicine | Issue 8/2019

Login to get access

Abstract

As part of both training and active service, military members can be exposed to prolonged periods of sleep loss. Given the extent of physical and cognitive performances viewed as critical to successful military performance, such sleep disruption may present risk to health and performance. The primary aim of this narrative review was to investigate evidence on the effect of inadequate sleep on measures of aerobic capacity, anaerobic capacity, muscular strength and muscular endurance in military personnel. Sleep loss appears to have the greatest negative impact on aerobic capacity, muscular endurance and military-specific performance in military populations. The findings showed varied results for handgrip strength and anaerobic capacity, with sleep loss inducing a decrease in mean power of the upper body. In comparison to other measures of performance, lower-body muscular strength appeared to be resilient to sleep restriction. However, due to the limited evidence and inter-individual variability in results there is no clear consensus on the specific volume of sleep loss that induces significant or meaningful performance decrements. The difficulties of conducting well-designed and -controlled interventions in military populations are appreciated. However, due to the low quality of reporting and lack of control for confounders (i.e. physical activity, load carriage, prior sleep debt, motivation and energy intake) in the majority of studies, it is difficult to establish the relationship between sleep loss and physical performance in military populations.
Literature
2.
go back to reference Vincent G, Aisbett B, Larsen B, et al. The impact of heat exposure and sleep restriction on firefighters’ work performance and physiology during simulated wildfire suppression. Int J Environ Health Res. 2017;14(2):180.CrossRef Vincent G, Aisbett B, Larsen B, et al. The impact of heat exposure and sleep restriction on firefighters’ work performance and physiology during simulated wildfire suppression. Int J Environ Health Res. 2017;14(2):180.CrossRef
3.
go back to reference Fowler P, Duffield R, Howle K, et al. Effects of northbound long-haul international air travel on sleep quantity and subjective jet lag and wellness in professional Australian soccer players. Int J Sports Physiol Perform. 2015;10(5):648–54.CrossRefPubMed Fowler P, Duffield R, Howle K, et al. Effects of northbound long-haul international air travel on sleep quantity and subjective jet lag and wellness in professional Australian soccer players. Int J Sports Physiol Perform. 2015;10(5):648–54.CrossRefPubMed
4.
go back to reference Lieberman HR, Niro P, Tharion WJ, et al. Cognition during sustained operations: comparison of a laboratory simulation to field studies. Aviat Space Environ Med. 2006;77(9):929–35.PubMed Lieberman HR, Niro P, Tharion WJ, et al. Cognition during sustained operations: comparison of a laboratory simulation to field studies. Aviat Space Environ Med. 2006;77(9):929–35.PubMed
5.
go back to reference Williams SG, Collen J, Wickwire E, et al. The impact of sleep on soldier performance. Curr Psychiatry Rep. 2014;16(8):459.CrossRefPubMed Williams SG, Collen J, Wickwire E, et al. The impact of sleep on soldier performance. Curr Psychiatry Rep. 2014;16(8):459.CrossRefPubMed
6.
go back to reference Petersen S, Anderson G, Tipton M, et al. Towards best practice in physical and physiological employment standards. Appl Physiol Nutr Metab. 2016;41(6):47–62.CrossRef Petersen S, Anderson G, Tipton M, et al. Towards best practice in physical and physiological employment standards. Appl Physiol Nutr Metab. 2016;41(6):47–62.CrossRef
7.
go back to reference Nindl B, Jaffin D, Dretsch M, et al. Human performance optimization metrics: consensus findings, gaps, and recommendations for future research. J Strength Cond Res. 2015;29(Suppl 11):S221–45.CrossRefPubMed Nindl B, Jaffin D, Dretsch M, et al. Human performance optimization metrics: consensus findings, gaps, and recommendations for future research. J Strength Cond Res. 2015;29(Suppl 11):S221–45.CrossRefPubMed
8.
go back to reference Halson S, Nichols J. When failure is not an option: creating excellence in sport through insights from special forces. Int J Sports Physiol Perform. 2015;10(2):137–8.CrossRefPubMed Halson S, Nichols J. When failure is not an option: creating excellence in sport through insights from special forces. Int J Sports Physiol Perform. 2015;10(2):137–8.CrossRefPubMed
9.
go back to reference Friedl K, Knapik J, Häkkinen K, et al. Perspectives on aerobic and strength influences on military physical readiness: report of an international military physiology roundtable. J Strength Cond Res. 2015;29(Suppl 11):S10–23.CrossRefPubMed Friedl K, Knapik J, Häkkinen K, et al. Perspectives on aerobic and strength influences on military physical readiness: report of an international military physiology roundtable. J Strength Cond Res. 2015;29(Suppl 11):S10–23.CrossRefPubMed
10.
go back to reference Kraemer WJ, Szivak TK. Strength training for the warfighter. J Strength Cond Res. 2012;26(Suppl 2):S107–18.CrossRefPubMed Kraemer WJ, Szivak TK. Strength training for the warfighter. J Strength Cond Res. 2012;26(Suppl 2):S107–18.CrossRefPubMed
11.
go back to reference Drain J, Sampson J, Billing D, et al. The effectiveness of basic military training to improve functional lifting strength in new recruits. J Strength Cond Res. 2015;29(Suppl 11):S173–7.CrossRefPubMed Drain J, Sampson J, Billing D, et al. The effectiveness of basic military training to improve functional lifting strength in new recruits. J Strength Cond Res. 2015;29(Suppl 11):S173–7.CrossRefPubMed
12.
go back to reference Groeller H, Burley S, Orchard P, et al. How effective is initial military-specific training in the development of physical performance of soldiers? J Strength Cond Res. 2015;29(Suppl 11):S158–62.CrossRefPubMed Groeller H, Burley S, Orchard P, et al. How effective is initial military-specific training in the development of physical performance of soldiers? J Strength Cond Res. 2015;29(Suppl 11):S158–62.CrossRefPubMed
13.
go back to reference Fullagar H, 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 Med. 2015;45(2):161–86.CrossRefPubMed Fullagar H, 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 Med. 2015;45(2):161–86.CrossRefPubMed
14.
go back to reference Luke A, Lazaro R, Bergeron M, et al. Sports-related injuries in youth athletes: is overscheduling a risk factor? Clin J Sport Med. 2011;21(4):307–14.CrossRefPubMed Luke A, Lazaro R, Bergeron M, et al. Sports-related injuries in youth athletes: is overscheduling a risk factor? Clin J Sport Med. 2011;21(4):307–14.CrossRefPubMed
15.
16.
go back to reference Hausswirth C, Louis J, Aubry A, et al. 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, et al. Evidence of disturbed sleep and increased illness in overreached endurance athletes. Med Sci Sports Exerc. 2014;46(5):1036–45.CrossRefPubMed
17.
go back to reference Anglem N, Lucas S, Rose E, et al. Mood, illness and injury responses and recovery with adventure racing. Wilderness Environ Med. 2008;19(1):30–8.CrossRefPubMed Anglem N, Lucas S, Rose E, et al. Mood, illness and injury responses and recovery with adventure racing. Wilderness Environ Med. 2008;19(1):30–8.CrossRefPubMed
18.
go back to reference Harrison E, Glickman G, Beckerley S, et al. Self-reported sleep during US navy operations and the impact of deployment-related factors. Mil Med. 2017;182(3/4):189–94.CrossRefPubMed Harrison E, Glickman G, Beckerley S, et al. Self-reported sleep during US navy operations and the impact of deployment-related factors. Mil Med. 2017;182(3/4):189–94.CrossRefPubMed
19.
go back to reference Nindl B, Leone C, Tharion W, et al. Physical performance responses during 72 h of military operational stress. Med Sci Sports Exerc. 2002;34(11):1814–22.CrossRefPubMed Nindl B, Leone C, Tharion W, et al. Physical performance responses during 72 h of military operational stress. Med Sci Sports Exerc. 2002;34(11):1814–22.CrossRefPubMed
20.
go back to reference Burley S, Drain J, Sampson J, et al. Positive, limited and negative responders: the variability in physical fitness adaptation to basic military training. J Sci Med Sport. 2018;21(11):1168–72.CrossRefPubMed Burley S, Drain J, Sampson J, et al. Positive, limited and negative responders: the variability in physical fitness adaptation to basic military training. J Sci Med Sport. 2018;21(11):1168–72.CrossRefPubMed
21.
go back to reference Jones B, Bovee M, Harris J, et al. Intrinsic risk factors for exercise-related injuries among male and female army trainees. Am J Sports Med. 1993;21(5):705–10.CrossRefPubMed Jones B, Bovee M, Harris J, et al. Intrinsic risk factors for exercise-related injuries among male and female army trainees. Am J Sports Med. 1993;21(5):705–10.CrossRefPubMed
22.
go back to reference Finestone A, Milgrom C, Evans R, et al. Overuse injuries in female infantry recruits during low-intensity basic training. Med Sci Sports Exerc. 2008;40(Suppl 11):S630–5.CrossRefPubMed Finestone A, Milgrom C, Evans R, et al. Overuse injuries in female infantry recruits during low-intensity basic training. Med Sci Sports Exerc. 2008;40(Suppl 11):S630–5.CrossRefPubMed
23.
go back to reference Piantanida N, Kanpik J, Brannen S, et al. Injuries during marine corps officer basic training. Mil Med. 2000;165(7):515–20.CrossRefPubMed Piantanida N, Kanpik J, Brannen S, et al. Injuries during marine corps officer basic training. Mil Med. 2000;165(7):515–20.CrossRefPubMed
24.
go back to reference Smith T, Cashman T. The incidence of injury in light infantry soldiers. Mil Med. 2002;167(2):104–8.CrossRefPubMed Smith T, Cashman T. The incidence of injury in light infantry soldiers. Mil Med. 2002;167(2):104–8.CrossRefPubMed
25.
go back to reference Nindl B, Williams T, Deuster P, et al. Strategies for optimizing military physical readiness and preventing musculoskeletal injuries in the 21st century. US Army Med Dep J. 2013:5–23. Nindl B, Williams T, Deuster P, et al. Strategies for optimizing military physical readiness and preventing musculoskeletal injuries in the 21st century. US Army Med Dep J. 2013:5–23.
26.
go back to reference Halson S. Sleep in elite athletes and nutritional interventions to enhance sleep. Sports Med. 2014;44(Suppl 1):S13–23.CrossRefPubMed Halson S. Sleep in elite athletes and nutritional interventions to enhance sleep. Sports Med. 2014;44(Suppl 1):S13–23.CrossRefPubMed
27.
go back to reference Jay S, Aisbett B, Sprajcer M, et al. Sleeping at work: not all about location, location, location. Sleep Med Rev. 2015;19:59–66.CrossRefPubMed Jay S, Aisbett B, Sprajcer M, et al. Sleeping at work: not all about location, location, location. Sleep Med Rev. 2015;19:59–66.CrossRefPubMed
28.
go back to reference Kecklund G, Axelsson J. Health consequences of shift work and insufficient sleep. BMJ. 2016;355:i5210.CrossRefPubMed Kecklund G, Axelsson J. Health consequences of shift work and insufficient sleep. BMJ. 2016;355:i5210.CrossRefPubMed
29.
go back to reference Capaldi V, Balkin T, Mysliwiec V. Optimizing sleep in the military: challenges and opportunities. Chest. 2018;155(1):215–26.CrossRefPubMed Capaldi V, Balkin T, Mysliwiec V. Optimizing sleep in the military: challenges and opportunities. Chest. 2018;155(1):215–26.CrossRefPubMed
30.
go back to reference Bero L, Grilli R, Grimshaw J, et al. Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. BMJ. 1998;15(371):465–8.CrossRef Bero L, Grilli R, Grimshaw J, et al. Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. BMJ. 1998;15(371):465–8.CrossRef
31.
go back to reference Shea B, Reeves B, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ. 2017;358:j4008.CrossRefPubMedPubMedCentral Shea B, Reeves B, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ. 2017;358:j4008.CrossRefPubMedPubMedCentral
32.
go back to reference Foulis S, Sharp M, Redmond J, et al. US army physical demands study: development of the occupational physical assessment test for combat arms soldiers. J Sci Med Sport. 2017;20(Suppl 4):S74–8.CrossRefPubMed Foulis S, Sharp M, Redmond J, et al. US army physical demands study: development of the occupational physical assessment test for combat arms soldiers. J Sci Med Sport. 2017;20(Suppl 4):S74–8.CrossRefPubMed
33.
go back to reference Keramidas ME, Siebenmann C, Norrbrand L, et al. A brief pre-exercise nap may alleviate physical performance impairments induced by short-term sustained operations with partial sleep deprivation. Chronobiol Int. 2018;35(10):1464–70.CrossRefPubMed Keramidas ME, Siebenmann C, Norrbrand L, et al. A brief pre-exercise nap may alleviate physical performance impairments induced by short-term sustained operations with partial sleep deprivation. Chronobiol Int. 2018;35(10):1464–70.CrossRefPubMed
34.
go back to reference Knapik J, Daniels W, Murphy M, et al. Physiological factors in infantry operations. Eur J Appl Physiol Occup Physiol. 1990;60(3):233–8.CrossRefPubMed Knapik J, Daniels W, Murphy M, et al. Physiological factors in infantry operations. Eur J Appl Physiol Occup Physiol. 1990;60(3):233–8.CrossRefPubMed
35.
go back to reference Tomczak A, Dabrowski J, Mikulski T. Psychomotor performance of Polish air force cadets after 36 hours of survival training. Ann Agric Environ Med. 2017;24(3):387–91.CrossRefPubMed Tomczak A, Dabrowski J, Mikulski T. Psychomotor performance of Polish air force cadets after 36 hours of survival training. Ann Agric Environ Med. 2017;24(3):387–91.CrossRefPubMed
36.
go back to reference Vaara JP, Oksanen H, Kyröläinen H, et al. 60-hour sleep deprivation affects submaximal but not maximal physical performance. Front Physiol. 2018;9:1437.CrossRefPubMedPubMedCentral Vaara JP, Oksanen H, Kyröläinen H, et al. 60-hour sleep deprivation affects submaximal but not maximal physical performance. Front Physiol. 2018;9:1437.CrossRefPubMedPubMedCentral
37.
go back to reference Keramidas ME, Gadefors M, Nilsson L-O, et al. Physiological and psychological determinants of whole-body endurance exercise following short-term sustained operations with partial sleep deprivation. Eur J Appl Physiol. 2018;118:1373–84.CrossRefPubMedPubMedCentral Keramidas ME, Gadefors M, Nilsson L-O, et al. Physiological and psychological determinants of whole-body endurance exercise following short-term sustained operations with partial sleep deprivation. Eur J Appl Physiol. 2018;118:1373–84.CrossRefPubMedPubMedCentral
38.
go back to reference Rodgers CD, Paterson DH, Noble EG, et al. Sleep deprivation: effects on work capacity, self-paced walking, contractile properties and perceived exertion. Sleep. 1995;18(1):30–8.CrossRefPubMed Rodgers CD, Paterson DH, Noble EG, et al. Sleep deprivation: effects on work capacity, self-paced walking, contractile properties and perceived exertion. Sleep. 1995;18(1):30–8.CrossRefPubMed
39.
go back to reference Guezennec C, Satabin P, Legrand H, et al. Physical performance and metabolic changes induced by combined prolonged exercise and different energy intakes in humans. Eur J Appl Physiol Occup Physiol. 1994;68(6):525–30.CrossRefPubMed Guezennec C, Satabin P, Legrand H, et al. Physical performance and metabolic changes induced by combined prolonged exercise and different energy intakes in humans. Eur J Appl Physiol Occup Physiol. 1994;68(6):525–30.CrossRefPubMed
40.
go back to reference Rognum TO, Vartdal F, Rodahl K, et al. Physical and mental performance of soldiers on high-and low-energy diets during prolonged heavy exercise combined with sleep deprivation. Ergonomics. 1986;29(7):859–67.CrossRefPubMed Rognum TO, Vartdal F, Rodahl K, et al. Physical and mental performance of soldiers on high-and low-energy diets during prolonged heavy exercise combined with sleep deprivation. Ergonomics. 1986;29(7):859–67.CrossRefPubMed
41.
go back to reference McEwen BS. Sleep deprivation as a neurobiologic and physiologic stressor: allostasis and allostatic load. Metabolism. 2006;55(Suppl 2):S20–3.CrossRefPubMed McEwen BS. Sleep deprivation as a neurobiologic and physiologic stressor: allostasis and allostatic load. Metabolism. 2006;55(Suppl 2):S20–3.CrossRefPubMed
42.
go back to reference Murphy MM, Knapik JJ, Vogel JA, et al. Relationship of anaerobic power capacity to performance during a 5-day sustained combat scenario. Natick: Army Research Institute of Enviromental Medicine; 1984.CrossRef Murphy MM, Knapik JJ, Vogel JA, et al. Relationship of anaerobic power capacity to performance during a 5-day sustained combat scenario. Natick: Army Research Institute of Enviromental Medicine; 1984.CrossRef
43.
go back to reference Legg S, Patton J. Effects of sustained manual work and partial sleep deprivation on muscular strength and endurance. Eur J Appl Physiol Occup Physiol. 1987;56(1):64–8.CrossRefPubMed Legg S, Patton J. Effects of sustained manual work and partial sleep deprivation on muscular strength and endurance. Eur J Appl Physiol Occup Physiol. 1987;56(1):64–8.CrossRefPubMed
44.
go back to reference Patton JF, Vogel JA, Damokosh AI, et al. Effects of continuous military operations on physical fitness capacity and physical performance. Work Stress. 1989;3(1):69–77.CrossRef Patton JF, Vogel JA, Damokosh AI, et al. Effects of continuous military operations on physical fitness capacity and physical performance. Work Stress. 1989;3(1):69–77.CrossRef
45.
go back to reference Tomczak A. Coordination motor skills of military pilots subjected to survival training. J Strength Cond Res. 2015;29(9):2460–4.CrossRefPubMed Tomczak A. Coordination motor skills of military pilots subjected to survival training. J Strength Cond Res. 2015;29(9):2460–4.CrossRefPubMed
46.
go back to reference Iermakov S, Podrigalo LV, Jagiełło W. Hand-grip strength as an indicator for predicting the success in martial arts athletes. Arch Budo. 2016;12:179–86. Iermakov S, Podrigalo LV, Jagiełło W. Hand-grip strength as an indicator for predicting the success in martial arts athletes. Arch Budo. 2016;12:179–86.
47.
go back to reference Fleishman EA, Hempel WE Jr. A factor analysis of dexterity tests. Pers Psychol. 1954;7(1):15–32.CrossRef Fleishman EA, Hempel WE Jr. A factor analysis of dexterity tests. Pers Psychol. 1954;7(1):15–32.CrossRef
48.
go back to reference Russell DM, Leiter L, Whitwell J, et al. Skeletal muscle function during hypocaloric diets and fasting: a comparison with standard nutritional assessment parameters. Am J Clin Nutr. 1983;37(1):133–8.CrossRefPubMed Russell DM, Leiter L, Whitwell J, et al. Skeletal muscle function during hypocaloric diets and fasting: a comparison with standard nutritional assessment parameters. Am J Clin Nutr. 1983;37(1):133–8.CrossRefPubMed
49.
go back to reference Foo S, How J, Siew M, et al. Effects of sleep deprivation on naval seamen: II. Ann Acad Med Singap. 1994;23(5):676–9.PubMed Foo S, How J, Siew M, et al. Effects of sleep deprivation on naval seamen: II. Ann Acad Med Singap. 1994;23(5):676–9.PubMed
50.
go back to reference Reilly T, Walsh T. Physiological, psychological and performance measures during an endurance record for five-a-side soccer. Br J Sports Med. 1981;15(2):122–8.CrossRefPubMedPubMedCentral Reilly T, Walsh T. Physiological, psychological and performance measures during an endurance record for five-a-side soccer. Br J Sports Med. 1981;15(2):122–8.CrossRefPubMedPubMedCentral
51.
go back to reference Goh VH-H, Tong TY-Y, Lim C-L, et al. Effects of one night of sleep deprivation on hormone profiles and performance efficiency. Mil Med. 2001;166(5):427–31.CrossRefPubMed Goh VH-H, Tong TY-Y, Lim C-L, et al. Effects of one night of sleep deprivation on hormone profiles and performance efficiency. Mil Med. 2001;166(5):427–31.CrossRefPubMed
52.
go back to reference How J, Foo S, Low E, et al. Effects of sleep deprivation on performance of naval seamen: I. Ann Acad Med Singap. 1994;23(5):669–75.PubMed How J, Foo S, Low E, et al. Effects of sleep deprivation on performance of naval seamen: I. Ann Acad Med Singap. 1994;23(5):669–75.PubMed
53.
go back to reference Sargent C, Ferguson SA, Darwent D, et al. The influence of circadian phase and prior wake on neuromuscular function. Chronobiol Int. 2010;27(5):911–21.CrossRefPubMed Sargent C, Ferguson SA, Darwent D, et al. The influence of circadian phase and prior wake on neuromuscular function. Chronobiol Int. 2010;27(5):911–21.CrossRefPubMed
54.
go back to reference Bowers CA, Baker DP, Salas E. Measuring the importance of teamwork: the reliability and validity of job/task analysis indices for team-training design. Mil Psychol. 1994;6(4):206–14.CrossRef Bowers CA, Baker DP, Salas E. Measuring the importance of teamwork: the reliability and validity of job/task analysis indices for team-training design. Mil Psychol. 1994;6(4):206–14.CrossRef
56.
go back to reference Haslam DR. The military performance of soldiers in sustained operations. Aviat Space Environ Med. 1984;55(3):216–21.PubMed Haslam DR. The military performance of soldiers in sustained operations. Aviat Space Environ Med. 1984;55(3):216–21.PubMed
58.
go back to reference Opstad PK, Ekanger R, Nummestad M, et al. Performance, mood, and clinical symptoms in men exposed to prolonged, severe physical work and sleep deprivation. Aviat Space Environ Med. 1978;49:1065–73.PubMed Opstad PK, Ekanger R, Nummestad M, et al. Performance, mood, and clinical symptoms in men exposed to prolonged, severe physical work and sleep deprivation. Aviat Space Environ Med. 1978;49:1065–73.PubMed
59.
go back to reference Vrijkotte S, Roelands B, Meeusen R, et al. Sustained military operations and cognitive performance. Aerosp Med Hum Perform. 2016;87(8):718–27.CrossRefPubMed Vrijkotte S, Roelands B, Meeusen R, et al. Sustained military operations and cognitive performance. Aerosp Med Hum Perform. 2016;87(8):718–27.CrossRefPubMed
60.
go back to reference Lieberman HR, Bathalon GP, Falco CM, et al. Severe decrements in cognition function and mood induced by sleep loss, heat, dehydration, and undernutrition during simulated combat. Biol Psychiatry. 2005;57(4):422–9.CrossRefPubMed Lieberman HR, Bathalon GP, Falco CM, et al. Severe decrements in cognition function and mood induced by sleep loss, heat, dehydration, and undernutrition during simulated combat. Biol Psychiatry. 2005;57(4):422–9.CrossRefPubMed
61.
go back to reference Lucas SJE, Anson JG, Palmer CD, et al. The impact of 100 hours of exercise and sleep deprivation on cognitive function and physical capacities. J Sports Sci. 2009;27(7):719–28.CrossRefPubMed Lucas SJE, Anson JG, Palmer CD, et al. The impact of 100 hours of exercise and sleep deprivation on cognitive function and physical capacities. J Sports Sci. 2009;27(7):719–28.CrossRefPubMed
62.
go back to reference Gould KS, Hirvonen K, Koefoed VF, et al. Effects of 60 hours of total sleep deprivation on two methods of high-speed ship navigation. Ergonomics. 2009;52(12):1469–86.CrossRefPubMed Gould KS, Hirvonen K, Koefoed VF, et al. Effects of 60 hours of total sleep deprivation on two methods of high-speed ship navigation. Ergonomics. 2009;52(12):1469–86.CrossRefPubMed
63.
64.
go back to reference McLellan TM, Kamimori GH, Voss DM, et al. Caffeine maintains vigilance and improves run times during night operations for special forces. Aviat Space Environ Med. 2005;76(7):647–54.PubMed McLellan TM, Kamimori GH, Voss DM, et al. Caffeine maintains vigilance and improves run times during night operations for special forces. Aviat Space Environ Med. 2005;76(7):647–54.PubMed
65.
go back to reference McLellan TM, Kamimori GH, Voss DM, et al. Caffeine effects on physical and cognitive performance during sustained operations. Aviat Space Environ Med. 2007;78(9):871–7.PubMed McLellan TM, Kamimori GH, Voss DM, et al. Caffeine effects on physical and cognitive performance during sustained operations. Aviat Space Environ Med. 2007;78(9):871–7.PubMed
66.
go back to reference Tharion WJ, Shukitt-Hale B, Lieberman HR. Caffeine effects on marksmanship during high-stress military training with 72 hour sleep deprivation. Aviat Space Environ Med. 2003;74(4):309–14.PubMed Tharion WJ, Shukitt-Hale B, Lieberman HR. Caffeine effects on marksmanship during high-stress military training with 72 hour sleep deprivation. Aviat Space Environ Med. 2003;74(4):309–14.PubMed
67.
go back to reference Moran DS, Hadad E, Berlin S, et al. Psychostimulants and military operations. Mil Med. 2007;172(4):383–7.CrossRefPubMed Moran DS, Hadad E, Berlin S, et al. Psychostimulants and military operations. Mil Med. 2007;172(4):383–7.CrossRefPubMed
Metadata
Title
The Effects of Sleep Loss on Military Physical Performance
Authors
Clementine Grandou
Lee Wallace
Hugh H. K. Fullagar
Rob Duffield
Simon Burley
Publication date
01-08-2019
Publisher
Springer International Publishing
Published in
Sports Medicine / Issue 8/2019
Print ISSN: 0112-1642
Electronic ISSN: 1179-2035
DOI
https://doi.org/10.1007/s40279-019-01123-8

Other articles of this Issue 8/2019

Sports Medicine 8/2019 Go to the issue