Which parameters to use for sleep quality monitoring in team sport athletes? A systematic review and meta-analysis

BackgroundSleep quality is an essential component of athlete’s recovery. However, a better understanding of the parameters to adequately quantify sleep quality in team sport athletes is clearly warranted.ObjectiveTo identify which parameters to use for sleep quality monitoring in team sport athletes...

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Main Authors: João Gustavo Claudino, Tim J Gabbet, Helton de Sá Souza, Mário Simim, Peter Fowler, Diego de Alcantara Borba, Marco Melo, Altamiro Bottino, Irineu Loturco, Vânia D’Almeida, Alberto Carlos Amadio, Julio Cerca Serrão, George P Nassis
Format: Article
Language:English
Published: BMJ Publishing Group 2019-10-01
Series:BMJ Open Sport & Exercise Medicine
Online Access:https://bmjopensem.bmj.com/content/5/1/e000475.full
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author João Gustavo Claudino
Tim J Gabbet
Helton de Sá Souza
Mário Simim
Peter Fowler
Diego de Alcantara Borba
Marco Melo
Altamiro Bottino
Irineu Loturco
Vânia D’Almeida
Alberto Carlos Amadio
Julio Cerca Serrão
George P Nassis
author_facet João Gustavo Claudino
Tim J Gabbet
Helton de Sá Souza
Mário Simim
Peter Fowler
Diego de Alcantara Borba
Marco Melo
Altamiro Bottino
Irineu Loturco
Vânia D’Almeida
Alberto Carlos Amadio
Julio Cerca Serrão
George P Nassis
author_sort João Gustavo Claudino
collection DOAJ
description BackgroundSleep quality is an essential component of athlete’s recovery. However, a better understanding of the parameters to adequately quantify sleep quality in team sport athletes is clearly warranted.ObjectiveTo identify which parameters to use for sleep quality monitoring in team sport athletes.MethodsSystematic searches for articles reporting the qualitative markers related to sleep in team sport athletes were conducted in PubMed, Scopus, SPORTDiscus and Web of Science online databases. The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. For the meta-analysis, effect sizes with 95% CI were calculated and heterogeneity was assessed using a random-effects model. The coefficient of variation (CV) with 95% CI was also calculated to assess the level of instability of each parameter.ResultsIn general, 30 measuring instruments were used for monitoring sleep quality. A meta-analysis was undertaken on 15 of these parameters. Four objective parameters inferred by actigraphy had significant results (sleep efficiency with small CV and sleep latency, wake episodes and total wake episode duration with large CV). Six subjective parameters obtained from questionnaires and scales also had meaningful results (Pittsburgh Sleep Quality Index (sleep efficiency), Likert scale (Hooper), Likert scale (no reference), Liverpool Jet-Lag Questionnaire, Liverpool Jet-Lag Questionnaire (sleep rating) and RESTQ (sleep quality)).ConclusionsThese data suggest that sleep efficiency using actigraphy, Pittsburgh Sleep Quality Index, Likert scale, Liverpool Jet-Lag Questionnaire and RESTQ are indicated to monitor sleep quality in team sport athletes.PROSPERO registration numberCRD42018083941.
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spelling doaj.art-06b02548f80d4e31a2bc420d081a2e5e2022-12-21T22:48:42ZengBMJ Publishing GroupBMJ Open Sport & Exercise Medicine2055-76472019-10-015110.1136/bmjsem-2018-000475Which parameters to use for sleep quality monitoring in team sport athletes? A systematic review and meta-analysisJoão Gustavo Claudino0Tim J Gabbet1Helton de Sá Souza2Mário Simim3Peter Fowler4Diego de Alcantara Borba5Marco Melo6Altamiro Bottino7Irineu Loturco8Vânia D’Almeida9Alberto Carlos Amadio10Julio Cerca Serrão11George P Nassis121 School of Physical Education and Sport—Laboratory of Biomechanics, University of São Paulo, São Paulo, Brazil 3 Gabbett Performance Solutions, Brisbane, Australia 5 Department of Psychobiology, Universidade Federal de São Paulo—Escola Paulista de Medicina, São Paulo, Brazil6 Institute of Physical Education and Sports, Universidade Federal do Ceará, Ceará, Brazil7 Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar 9 Department of Human Movement Sciences, Universidade do Estado de Minas Gerais, Ibirité, Brazil10 Department of Physiology, São Paulo Futebol Clube, São Paulo, Brazil10 Department of Physiology, São Paulo Futebol Clube, São Paulo, Brazil11 NAR—Nucleus of High Performance in Sport, São Paulo, Brazil5 Department of Psychobiology, Universidade Federal de São Paulo—Escola Paulista de Medicina, São Paulo, Brazil1 School of Physical Education and Sport—Laboratory of Biomechanics, University of São Paulo, São Paulo, Brazil1 School of Physical Education and Sport—Laboratory of Biomechanics, University of São Paulo, São Paulo, Brazil12 Independent Researcher, Athens, GreeceBackgroundSleep quality is an essential component of athlete’s recovery. However, a better understanding of the parameters to adequately quantify sleep quality in team sport athletes is clearly warranted.ObjectiveTo identify which parameters to use for sleep quality monitoring in team sport athletes.MethodsSystematic searches for articles reporting the qualitative markers related to sleep in team sport athletes were conducted in PubMed, Scopus, SPORTDiscus and Web of Science online databases. The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. For the meta-analysis, effect sizes with 95% CI were calculated and heterogeneity was assessed using a random-effects model. The coefficient of variation (CV) with 95% CI was also calculated to assess the level of instability of each parameter.ResultsIn general, 30 measuring instruments were used for monitoring sleep quality. A meta-analysis was undertaken on 15 of these parameters. Four objective parameters inferred by actigraphy had significant results (sleep efficiency with small CV and sleep latency, wake episodes and total wake episode duration with large CV). Six subjective parameters obtained from questionnaires and scales also had meaningful results (Pittsburgh Sleep Quality Index (sleep efficiency), Likert scale (Hooper), Likert scale (no reference), Liverpool Jet-Lag Questionnaire, Liverpool Jet-Lag Questionnaire (sleep rating) and RESTQ (sleep quality)).ConclusionsThese data suggest that sleep efficiency using actigraphy, Pittsburgh Sleep Quality Index, Likert scale, Liverpool Jet-Lag Questionnaire and RESTQ are indicated to monitor sleep quality in team sport athletes.PROSPERO registration numberCRD42018083941.https://bmjopensem.bmj.com/content/5/1/e000475.full
spellingShingle João Gustavo Claudino
Tim J Gabbet
Helton de Sá Souza
Mário Simim
Peter Fowler
Diego de Alcantara Borba
Marco Melo
Altamiro Bottino
Irineu Loturco
Vânia D’Almeida
Alberto Carlos Amadio
Julio Cerca Serrão
George P Nassis
Which parameters to use for sleep quality monitoring in team sport athletes? A systematic review and meta-analysis
BMJ Open Sport & Exercise Medicine
title Which parameters to use for sleep quality monitoring in team sport athletes? A systematic review and meta-analysis
title_full Which parameters to use for sleep quality monitoring in team sport athletes? A systematic review and meta-analysis
title_fullStr Which parameters to use for sleep quality monitoring in team sport athletes? A systematic review and meta-analysis
title_full_unstemmed Which parameters to use for sleep quality monitoring in team sport athletes? A systematic review and meta-analysis
title_short Which parameters to use for sleep quality monitoring in team sport athletes? A systematic review and meta-analysis
title_sort which parameters to use for sleep quality monitoring in team sport athletes a systematic review and meta analysis
url https://bmjopensem.bmj.com/content/5/1/e000475.full
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