Sleep vs Performance

Good Sleep, Good Health - Good Health, Good Sleep

Supported by the Sleep and Health Clinic

Sleep—The Hidden Key to Athletic Success

For high-level athletes, physical ability, technical skills, and mental sharpness are crucial, but an often-overlooked cornerstone for top performance is sleep. Sleep is not just about resting the body; it is an active recovery phase where critical physiological and neurological processes occur, facilitating muscle repair, mental clarity, and emotional stability. Scientific research now emphasises that sleep is as vital to an athlete’s regimen as strength training, nutrition, and game strategy. For athletes competing at the highest levels, optimal sleep can be the difference between victory and injury.

Causes of Sleep Deprivation in Athletes
Athletes, particularly those in high-intensity, competitive sports like football, face unique challenges when it comes to achieving adequate sleep. For football players, sleep is crucial for physical recovery, mental sharpness, and injury prevention. It affects muscle repair, reaction time, and cognitive decision-making. Given the sport’s demands for explosive speed, endurance, and tactical thinking, any disruption in sleep can significantly impact performance during a 90 + minute game.

Several factors contribute to sleep deprivation:

  1. Inconsistent Training and Competition Schedules: Football players often face training sessions and matches scheduled at irregular times. Early morning or late evening practices can disrupt the natural circadian rhythm, causing athletes to struggle with falling asleep and maintaining quality rest. Games that run late into the night or competitions held in different time zones exacerbate this issue, making it difficult for players to settle into regular sleep patterns.
  2. Overtraining Syndrome (OTS): Overtraining, a common issue among elite athletes, leads to chronic fatigue and restlessness. While physical exhaustion may suggest a need for rest, the hormonal imbalances caused by overtraining can actually disturb sleep cycles, leading to poor sleep quality. In turn, insufficient sleep worsens recovery time and overall athletic performance, creating a negative feedback loop.
  3. Pre-Competition Stress and Anxiety: Mental stress is a significant cause of sleep problems among athletes. The pressure of performing in front of large crowds, managing team dynamics, and meeting high expectations often leads to anxiety and racing thoughts at night. This mental strain delays sleep onset and reduces sleep quality. According to the National Institutes of Health, mental stress can have as large an impact on sleep disruption as physical exhaustion.
  4. Travel and Jet Lag: For teams traveling internationally or across time zones, jet lag disrupts the body’s internal clock, leading to fatigue, difficulty falling asleep, and poor sleep quality. A study of American football teams traveling from the West Coast to the East Coast showed that visiting teams played significantly worse in early games compared to those hosted in their home time zone.

Contributory factors for sleep disturbance in athletes; including sport-specific factors (orange shading) and non-sport factors (blue shading).

Neil P Walsh et al. Br J Sports Med 2021;55:356-368

The Effects of Sleep Deprivation on Athletes

Sleep deprivation in athletes can have significant impacts on physical, cognitive, and emotional well-being:

  1. Reduced Physical Performance: Sleep deprivation directly affects muscle performance and endurance. Studies have shown that athletes experience slower sprint times and quicker onset of fatigue when sleep deprived. For football players, who rely on explosive power, speed, and stamina, even minor reductions in physical performance can be critical. Sleep has serious implications on performance, where stamina and explosive speed are critical for success over the course of a 90-minute match, with sleep deprivation also causing a quicker onset of fatigue (Hamlin, et al. 2021).
  2. Cognitive Impairment: A lack of sleep slows reaction times and impairs decision-making, both of which are crucial for football players. Sleep-deprived athletes are more likely to make risky decisions and react more slowly to fast-paced gameplay. A study found that football players who prioritised sleep had better on-field decision-making and faster response times during games (Fullagar et al., 2016).
  3. Increased Risk of Injury: Sleep-deprived athletes are at a higher risk of injuries due to impaired motor coordination and slower recovery rates. Research found that young athletes who slept fewer than eight hours per night were nearly twice as likely to sustain injuries compared to those who slept for eight hours or more (Milewski, et al. 2014). This is particularly important for contact sports like football, where physical collisions and high-intensity exertion put players at elevated risk of injury.
  4. Mental Health: Chronic sleep deprivation has been linked to mood disturbances, anxiety, and depression. Elite athletes are already under significant psychological stress, and poor sleep further compounds emotional instability, negatively impacting motivation and overall performance (Motomura, et al. 2014).

The Impact of Sleep on Performance

Sleep is not just about rest; it is an active process where the body undergoes critical recovery and strengthening processes. For athletes, these benefits translate directly into improved performance:

  1. Muscle Recovery and Growth: Deep sleep (slow-wave sleep) is essential for muscle repair and growth. During this stage, the body releases growth hormone, which aids in tissue repair and muscle regeneration, key for athletes who train and compete at high levels. Inadequate sleep impairs this process, leading to prolonged recovery times and increased risk of overuse injuries (Milewski, et al. 2014).
  2. Improved Reaction Times and Decision-Making: Studies indicate that athletes who get adequate sleep display faster reaction times, better decision-making, and improved cognitive function. In football, where rapid tactical decisions and quick reactions are critical, well-rested players have a distinct advantage over their sleep-deprived counterparts, as sleep deprivation is known to increase perceived effort, delay reaction time, cause mood disturbance, and reduce time to failure (Hamlin, et al. 2021).
  3. Boosted Mood and Motivation: Sleep also plays a significant role in regulating mood and emotional well-being. Athletes who prioritise sleep report feeling more motivated, focused, and positive – qualities that contribute to better performance during both training and competition. In contrast, sleep-deprived athletes often report increased irritability and lower motivation, which can negatively affect both training and performance (Mah et al., 2011).

Sleep Hygiene Tips to Optimise Performanc

Given the clear links between sleep and performance, football players should adopt specific strategies to ensure they are getting the sleep they need:

  1. Maintain a Consistent Sleep Schedule: Go to bed and wake up at the same time every day, even on rest days. This helps regulate your body’s internal clock and makes it easier to fall asleep at night.
  2. Create a Sleep-Friendly Environment: Ensure that your bedroom is cool, quiet, and dark. Consider using blackout curtains, earplugs, or white noise machines to eliminate distractions. Avoid using your bed for activities other than sleep and sex.
  3. Limit Naps: While napping can be beneficial, long or late naps can interfere with nighttime sleep. Keep naps under 60 minutes, and avoid napping after 3 p.m.
  4. Avoid Caffeine and Electronics Before Bed: Caffeine and blue light from screens can interfere with falling asleep. Try to limit caffeine intake after midday and avoid electronic devices at least an hour before bedtime.
  5. Develop a Pre-Sleep Routine: A regular wind-down routine can help signal to your body that it’s time for sleep. Relaxing activities like reading, stretching, or meditating can ease the transition to restful sleep.

For advanced football players and athletes, sleep is just as crucial as physical training and nutrition. Prioritising sleep leads to faster recovery, improved decision-making, and enhanced physical performance. By focusing on sleep optimisation, footballers can unlock their full potential on the field, reduce injury risk, and extend their careers at the highest level of competition.

How can the Sleep and Health Clinic help athletes?
Our sleep clinic provides comprehensive, personalised care for patients dealing with sleep-related issues. With a presence in several hospitals and a range of scalable specialist rooms, we offer a professional and comfortable environment for treatment. Whether you are an NHS patient or seeking private care, our clinic is equipped to meet your needs through state-of-the-art sleep diagnostic tools and expert medical guidance.
Over the last two years, we have successfully treated over 1,000 patients, each benefiting from a tailored approach to their sleep concerns. Our team of experienced, medically qualified consultants and technicians are highly trained to identify and manage various sleep disorders using the latest methods in sleep medicine. Here’s how we can help improve your sleep health:

Our Comprehensive Approach to Sleep Care

  1. Comprehensive Sleep Assessments: We conduct thorough evaluations of sleep patterns, identifying issues such as insomnia, sleep apnoea, and disrupted circadian rhythms that could be affecting your game. We offer early diagnosis and intervention for sleep disorders, helping patients before conditions worsen and lead to other chronic health problems.
  2. Personalised Sleep Training Programs: Our sleep experts design individualised sleep protocols based on your training and competition schedule, ensuring that your body is fully recovered and prepared for the rigors of elite football. We offer sleep schedule programmes to help with recovery, with dietary recommendations. Our comprehensive sleep assessments allow us to create personalised treatment and recovery plans tailored to each patient’s needs, reducing the long-term health risks associated with sleep disorders and reducing the likelihood of secondary disorders that often come with long treatment times. Treating sleep apnoea, for instance, can lower the risk of heart disease, while improving sleep in patients with insomnia can reduce the severity of depression and anxiety.
  3. Ongoing Monitoring and Support: We provide continuous support to monitor sleep quality and adjust as needed, ensuring that athletes maintain optimal sleep habits throughout the season.
  4. Patient-Centred Evaluations: We begin by gathering vital lifestyle information through subjective patient questionnaires. This helps us understand your daily habits and how they may be affecting your sleep.
  5. Expert Consultations: Our consultations combine subjective insights from your personal experience with objective data collected from our diagnostic tools. This two-fold approach ensures we capture a complete picture of your sleep issues.
  6. In-Clinic Sleep Studies: If necessary, an overnight sleep study is conducted to gather objective data on your sleep patterns and potential disorders. This can help identify issues such as sleep apnoea, insomnia, or other disruptions.
  7. Home Sleep Studies: For patients who prefer the comfort of their own home, we offer home-based sleep studies. These provide the same objective analysis in a more familiar environment.
  8. Cutting-Edge Sleep and Health App: Our app allows for continuous, objective monitoring of your sleep patterns, offering insights that complement traditional diagnostic methods. This data can help us track your progress and refine your treatment plan.

Our mission is to improve your quality of life by helping you achieve better sleep, restoring energy levels, and supporting overall health. By utilising our comprehensive sleep studies, consultations, and innovative digital tools, we provide all the resources needed to address even the most complex sleep concerns.

The Sleep and Health App:
The Sleep and Health Clinic is always aiming for innovation, not just through improving pathways, but also technology, as is demonstrated by our new app. The concept of our app is to capture more data pertaining to lifestyle factors which affect sleep. Whilst existing mobile applications do not gather all the sleep or lifestyle data needed by the AASM diary template or guidelines for a sleep log/diary comprehensively, our app is an integrated platform that collects sleep data required by the guidelines to enable a comprehensive diagnostic report for the patient.

Are you struggling with sleep?
Talk to your GP about getting a referral, to get the rest you deserve.
If you still have concerns on how and why we not only understand how important sleep is for your overall health and well-being. We can take you through the first step towards better sleep today and help navigate your journey so that is why we are offering a complimentary and confidential assessment to help you understand your sleep concerns and explore your treatment options (pathways). Just visit the email help@sleepandhealth.org and we will be happy to help.
Also visit our website at www.sleepandhealth.org or for information on our complete services and the latest articles and blogs at www.sleepandhealth.org/latest-articles-and-blogs/

Sleep and Health Clinic Ltd.
Edited by: Dr Sara McNeillis MBBS FRCA MMed (Sleep Medicine) Medical Director Sleep and Health Clinic
Address: 32 Watford Road, Northwood, Middlesex, HA6 3NT
Website: www.sleepandhealth.org

References:
1. Fry A, Rehman A. Sleep, athletic performance, and recovery [Internet]. 2023 [cited 2024 Oct 17]. – How Sleep Affects Athletic Performance | Sleep Foundation
2. 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 Mar;15(1):41-57. doi: 10.1016/j.jsmc.2019.11.005. PMID: 32005349; PMCID: PMC9960533 [cited 2024 Oct 17]. – Sleep and Athletic Performance: Impacts on Physical Performance, Mental Performance, Injury Risk and Recovery, and Mental Health – PMC (nih.gov)
3. Howarth NE, White AJ, Pearce AJ, Nowinski C, Cantu R, Ji C, et al. Obstructive sport apnea (OSA) and contact sports: A systematic review and meta-analysis [Internet]. Elsevier; 2022 [cited 2024 Oct 17]. – https://www.sciencedirect.com/science/article/pii/S2667343622000178
4. Skein M, Mundel T, Short MJ, Edge J, Duffield R. Intermittent-sprint performance and muscle glycogen after…: Medicine & Science in Sports & Exercise [Internet]. 2011 [cited 2024 Oct 17]. – Medicine & Science in Sports & Exercise (lww.com)
5. Mah CD, Mah KE, Kezirian EJ, Dement WC. The effects of sleep extension on the athletic performance of collegiate basketball players. Sleep. 2011 Jul 1;34(7):943-50. doi: 10.5665/SLEEP.1132. PMID: 21731144; PMCID: PMC3119836 [cited 2024 Oct 17]. – The effects of sleep extension on the athletic performance of collegiate basketball players – PubMed (nih.gov)
6. Fullagar HH, Skorski S, Duffield R, Julian R, Bartlett J, Meyer T. Impaired sleep and recovery after night matches in elite football players. J Sports Sci. 2016 Jul;34(14):1333-9. doi: 10.1080/02640414.2015.1135249. Epub 2016 Jan 11. PMID: 26750446 [cited 2024 Oct 17]. – Impaired sleep and recovery after night matches in elite football players – PubMed (nih.gov)
7. Milewski MD, Skaggs DL, Bishop GA, Pace JL, Ibrahim DA, Wren TA, Barzdukas A. Chronic lack of sleep is associated with increased sports injuries in adolescent athletes. J Pediatr Orthop. 2014 Mar;34(2):129-33. doi: 10.1097/BPO.0000000000000151. PMID: 25028798 [cited 2024 Oct 17]. – Chronic lack of sleep is associated with increased sports injuries in adolescent athletes – PubMed (nih.gov)
8. Motomura Y, Mishima K. [Sleep and emotion: the role of sleep in emotion regulation]. Brain Nerve. 2014 Jan;66(1):15-23. Japanese. PMID: 24371127 [cited 2024 Oct 17]. – [Sleep and emotion: the role of sleep in emotion regulation] – PubMed (nih.gov)
9. Tuomilehto H, Vuorinen VP, Penttilä E, Kivimäki M, Vuorenmaa M, Venojärvi M, Airaksinen O, Pihlajamäki J. Sleep of professional athletes: Underexploited potential to improve health and performance. J Sports Sci. 2017 Apr;35(7):704-710. doi: 10.1080/02640414.2016.1184300. Epub 2016 May 13. PMID: 27173843 [cited 2024 Oct 17]. – Sleep of professional athletes: Underexploited potential to improve health and performance – PubMed (nih.gov)

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