We recently demonstrated that sleeping on high rebound [HR] mattress toppers induced a continuous and more rapid decline in core body temperature compared to low rebound [LR] mattress toppers during the initial phase of nocturnal sleep in young healthy volunteers. HR toppers are characterized by their supportive feel and high breathability whereas LR toppers are pressure-absorbing. In the current study, we evaluated effects of HR mattress toppers on objectively-(actigraphy) and subjectively-(questionnaires) evaluated sleep, vigilance (psychomotor vigilance test), and athletic performance (40-m sprint time, long jump distance, and star drill time) in youth male athletes age 10-19, in two sessions: fifty-one subjects in 2013 (study I) and 23 subjects in 2014 (study II). Sleeping on HR mattress toppers for four to six weeks improved some athletic performance measures compared to sleeping on LR or sleeping directly on spring mattresses without a topper. Statistically significant improvements in 40-m sprint time in study I (compared to LR) and in star drill time in study II (no topper) were observed. No changes in sleep and psychomotor vigilance were observed. These results suggest selecting optimal sleep surfaces may contribute to the maximization of athletic performances, and further studies are warranted. Sleep has been known to be associated with athletic performance. Sleep deprivation decreases levels of physical performances in a variety of exercises including weight-lifting and endurance exercises such as prolonged treadmill walking 1,2. More recently, sufficient and restorative sleep has been revealed to be essential to maximize athletic performance for top athletes. Extending sleep hours improved athletic performance in collegiate men's varsity basketball team members according to a study by Mah et al. 3. In this study, the athletes first maintained their normal nighttime sleep for 2 to 4 weeks, then maximized their nighttime sleep for the next 5 to 7 weeks. With this extended sleep time, athletic performance improved gradually over the weeks 3. The athletes ran faster, their shooting accuracy improved by 9%, and their fatigue levels decreased by the end of the study 3. Subjects also reported improved performances during competitive basketball games 3. Subsequent studies have indicated that inadequate sleep negatively affects athletic performance. In semiprofessional tennis players, sleep restriction was shown to impair serving accuracy 4. Restricting sleep of these subject to 5 h (33% reduction) on the night before testing, reduced serving accuracy by approximately 30%. Eighty mg of caffeine intake, which induces a refreshing feeling and counteracts sleepiness, only improved serving performance non-significantly and by a small increment 4. In a separate study, serving accuracy improved with one week of sleep extension by approximately 1.7 h in collegiate varsity athletes 5. These results indicate that restoration during sleep may be a significant factor in improving athletic performance. As for injuries, chr...