“…Those with relevance to the athletes' training and competition environment include aerobic and anaerobic training [21,22], tissue ischaemia and re-oxygenation [21], red cell haemolysis [46], iron deficiency [47], dehydration [48], altitude [49], sunlight and associated ultraviolet radiation (UVB and UVA) [50], heat stress [51], diet poor in fruit and vegetables [52], psychological stress [53,54], infection [55,56], use of anti-inflammatory drugs [57], sterile tissue trauma and associated inflammation resulting from a contact injury, or muscle damage resulting from eccentric exercise [58,59]. Sleep deprivation in animals causes OS and ARH [60,61], and given recent evidence of mild sleep deprivation increasing inflammation in humans [62], a lack of sleep and long haul travel may be anticipated to be a further cause of OS and ARH in the athlete.…”