Objective In a convenience sample of athletes, we conducted a survey of COVID-19-mediated lockdown (termed ‘lockdown’ from this point forward) effects on: (i) circadian rhythms; (ii) sleep; (iii) eating; and (iv) training behaviors. Methods In total, 3911 athletes [mean age: 25.1 (range 18–61) years, 1764 female (45%), 2427 team-sport (63%) and 1442 elite (37%) athletes] from 49 countries completed a multilingual cross-sectional survey including the Pittsburgh Sleep Quality Index and Insomnia Severity Index questionnaires, alongside bespoke questions about napping, training, and nutrition behaviors. Results Pittsburgh Sleep Quality Index (4.3 ± 2.4 to 5.8 ± 3.1) and Insomnia Severity Index (4.8 ± 4.7 to 7.2 ± 6.4) scores increased from pre- to during lockdown ( p < 0.001). Pittsburgh Sleep Quality Index was predominantly influenced by sleep-onset latency ( p < 0.001; + 29.8%), sleep efficiency ( p < 0.001; − 21.1%), and total sleep time ( p < 0.001; − 20.1%), whilst Insomnia Severity Index was affected by sleep-onset latency ( p < 0.001; + 21.4%), bedtime ( p < 0.001; + 9.4%), and eating after midnight ( p < 0.001; + 9.1%). During lockdown, athletes reported fewer training sessions per week (− 29.1%; d = 0.99). Athletes went to bed (+ 75 min; 5.4%; d = 1.14) and woke up (+ 150 min; 34.5%; d = 1.71) later during lockdown with an increased total sleep time (+ 48 min; 10.6%; d = 0.83). Lockdown-mediated circadian disruption had more deleterious effects on the sleep quality of individual-sport athletes compared with team-sport athletes ( p < 0.001; d = 0.41), elite compared with non-elite athletes ( p = 0.028; d = 0.44) and older compared with younger ( p = 0.008; d = 0.46) athletes. Conclusions These lockdown-induced behavioral changes reduced sleep quality and increased insomnia in athletes. Data-driven and evidence-based recommendations to counter these include, but are not limited to: (i) early outdoor training; (ii) regular meal scheduling (whilst avoiding meals prior to bedtime and caffeine in the evening) with appropriate composition; (iii) regular bedtimes and wake-up times; and (iv) avoidance of long and/or late naps. Supplementary Information The online version contains supplementary material available at 10.1007/s40279-021-01601-y.

Objective: To investigate the effect of 1) lockdown duration and 2) training intensity on sleep quality and insomnia symptoms in elite athletes.Methods: 1,454 elite athletes (24.1 ± 6.7 years; 42% female; 41% individual sports) from 40 countries answered a retrospective, cross-sectional, web-based questionnaire relating to their behavioral habits pre- and during- COVID-19 lockdown, including: 1) Pittsburgh sleep quality index (PSQI); 2) Insomnia severity index (ISI); bespoke questions about 3) napping; and 4) training behaviors. The association between dependent (PSQI and ISI) and independent variables (sleep, napping and training behaviors) was determined with multiple regression and is reported as semi-partial correlation coefficient squared (in percentage).Results: 15% of the sample spent &lt; 1 month, 27% spent 1–2 months and 58% spent &gt; 2 months in lockdown. 29% self-reported maintaining the same training intensity during-lockdown whilst 71% reduced training intensity. PSQI (4.1 ± 2.4 to 5.8 ± 3.1; mean difference (MD): 1.7; 95% confidence interval of the difference (95% CI): 1.6–1.9) and ISI (5.1 ± 4.7 to 7.7 ± 6.4; MD: 2.6; 95% CI: 2.3–2.9) scores were higher during-compared to pre-lockdown, associated (all p &lt; 0.001) with longer sleep onset latency (PSQI: 28%; ISI: 23%), later bedtime (PSQI: 13%; ISI: 14%) and later preferred time of day to train (PSQI: 9%; ISI: 5%) during-lockdown. Those who reduced training intensity during-lockdown showed higher PSQI (p &lt; 0.001; MD: 1.25; 95% CI: 0.87–1.63) and ISI (p &lt; 0.001; MD: 2.5; 95% CI: 1.72–3.27) scores compared to those who maintained training intensity. Although PSQI score was not affected by the lockdown duration, ISI score was higher in athletes who spent &gt; 2 months confined compared to those who spent &lt; 1 month (p &lt; 0.001; MD: 1.28; 95% CI: 0.26–2.3).Conclusion: Reducing training intensity during the COVID-19-induced lockdown was associated with lower sleep quality and higher insomnia severity in elite athletes. Lockdown duration had further disrupting effects on elite athletes’ sleep behavior. These findings could be of relevance in future lockdown or lockdown-like situations (e.g., prolonged illness, injury, and quarantine after international travel).

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ObjectiveDisrupted sleep and training behaviors in athletes have been reported during the COVID-19 pandemic. We aimed at investigating the combined effects of Ramadan observance and COVID-19 related lockdown in Muslim athletes.MethodsFrom an international sample of athletes (n = 3,911), 1,681 Muslim athletes (from 44 countries; 25.1 ± 8.7 years, 38% females, 41% elite, 51% team sport athletes) answered a retrospective, cross-sectional questionnaire relating to their behavioral habits pre- and during- COVID-19 lockdown, including: (i) Pittsburgh sleep quality index (PSQI); (ii) insomnia severity index (ISI); (iii) bespoke questions about training, napping, and eating behaviors, and (iv) questions related to training and sleep behaviors during-lockdown and Ramadan compared to lockdown outside of Ramadan. The survey was disseminated predominately through social media, opening 8 July and closing 30 September 2020.ResultsThe lockdown reduced sleep quality and increased insomnia severity (both p &lt; 0.001). Compared to non-Muslim (n = 2,230), Muslim athletes reported higher PSQI and ISI scores during-lockdown (both p &lt; 0.001), but not pre-lockdown (p &gt; 0.05). Muslim athletes reported longer (p &lt; 0.001; d = 0.29) and later (p &lt; 0.001; d = 0.14) daytime naps, and an increase in late-night meals (p &lt; 0.001; d = 0.49) during- compared to pre-lockdown, associated with lower sleep quality (all p &lt; 0.001). Both sleep quality (χ2 = 222.6; p &lt; 0.001) and training volume (χ2 = 342.4; p &lt; 0.001) were lower during-lockdown and Ramadan compared to lockdown outside of Ramadan in the Muslims athletes.ConclusionMuslim athletes reported lower sleep quality and higher insomnia severity during- compared to pre-lockdown, and this was exacerbated by Ramadan observance. Therefore, further attention to Muslim athletes is warranted when a circadian disrupter (e.g., lockdown) occurs during Ramadan.

In this investigation, we examined the effects of listening to non-preferred (neutral) or self-selected motivational music while warming-up for the Wingate test at varied times of day. Participants were 10 male physical education students who were randomly assigned in a counterbalanced order to perform the Wingate test after a 10-minute warm-up with (a) self-selected motivational music (WUMM), (b) non-preferred music (WUNPM) or (c) no music (WUWM) at morning (0700) or afternoon (1700) times of day. We measured their peak powers (PP) and mean powers (MP) during the Wingate test, and we measured their ratings of perceived exertion (RPE) immediately after each of the warm-up and Wingate performances. PP and MP were higher in the afternoon, compared to the morning for all conditions. Both WUNPM and WUMM conditions were associated with enhanced PP in the morning (WUNPM: p < 0.001, d = 1.82; WUMM: p < 0.001, d = 2.59) and in the afternoon (WUNPM: p < 0.001, d = 1.24; WUMM: p < 0.01, d = 1.76) compared to WUWM, with greater enhancements after WUMM (0700: p < 0.05, d = 0.77; 1700: p < 0.05, d = 0.81) than after WUNPM. After the Wingate test, participants reported lower RPE scores for the WUMM condition, compared to either the WUWM condition (0700: p < 0.001, d = 0.20; 1700: p < 0.001, d = 0.84) or the WUNPM condition (0700: p < 0.01, d = 0.10; 1700: p < 0.05, d = 0.79). Thus, a warm-up with self-selected motivational music improved muscle power and decreased perceived exertion at both time points, with greater improvements at the morning hour (0700).