Prevalence and Risk Factors of Poor Sleep Quality in Collegiate Athletes during COVID-19 Pandemic: A Cross-Sectional Study

Melone, Marie-Anne; Tourny, Claire; Gehlbach, Brian K.; Schmidt, Eli; Lalevée, Matthieu; L’Hermette, Maxime

doi:10.3390/ijerph19053098

Cited by 6 publications

(8 citation statements)

References 53 publications

(66 reference statements)

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“…In contrast, the results of this study appear to be consistent with previous reports, in which it was found that first-year university students have a higher risk of developing sleep disorders, and this may be due to both sudden life changes, such as the start of university and relocation, or new social relationships. Increased evening activity and the more frequent consumption of stimulants may be other potential causes of sleep disorders [ 61 , 62 , 63 ]. However, it is important to bear in mind that the effects of stimulants on sleep are very complex, and studies to date do not provide a definitive answer.…”

Section: Discussionmentioning

confidence: 99%

Insomnia, Daytime Sleepiness, and Quality of Life among 20,139 College Students in 60 Countries around the World—A 2016–2021 Study

Babicki

Piotrowski²,

Mastalerz-Migas³

2023

JCM

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Background: Sleep disorders are a widespread phenomenon, and the number of individuals suffering from them is increasing every year, especially among young adults. Currently, the literature lacks studies that cover both countries with different levels of development and a period before the announcement of the ongoing COVID-19 pandemic. Therefore, this study aims to globally assess the prevalence of insomnia and daytime sleepiness among students and assess their quality of life. Methods: For this purpose, our own questionnaire was distributed online via Facebook.com. In addition to the questions that assessed socioeconomic status, the survey included psychometric tools, such as the Athens insomnia scale (AIS), the Epworth sleepiness scale (ESS), and the Manchester short assessment of the quality of life (MANSA). The survey distribution period covered 31 January 2016 to 30 April 2021. Results: The survey involved 20,139 students from 60 countries around the world. The vast majority of the students were women (78.2%) and also those residing in countries with very high levels of development and/or high GDP (gross domestic product) per capita at 90.4% and 87.9%, respectively. More than half (50.6%) of the respondents (10,187) took the survey before the COVID-19 pandemic was announced. In the group analyzed, 11,597 (57.6%) students obtained a score indicative of insomnia and 5442 (27.0%) a score indicative of daytime sleepiness. Women, low-income residents, and nonmedical students were significantly more likely to have scores indicating the presence of insomnia. Individuals experiencing both sleepiness (B = −3.142; p < 0.001) and daytime sleepiness (B = −1.331; p < 0.001) rated their quality of life significantly lower. Conclusions: Insomnia and excessive daytime sleepiness are common conditions among students worldwide and are closely related. The COVID-19 pandemic significantly altered students’ diurnal rhythms, which contributed to an increase in insomnia. Students in countries with a high GDP per capita index are significantly less likely to develop insomnia compared to the residents of countries with a low GDP per capita index. Sleep disorders definitely reduce the quality of life of students.

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Section: Discussionmentioning

confidence: 99%

Insomnia, Daytime Sleepiness, and Quality of Life among 20,139 College Students in 60 Countries around the World—A 2016–2021 Study

Babicki

Piotrowski²,

Mastalerz-Migas³

2023

JCM

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“…A large cross-sectional study ( n = 339, median age: 20 years old (IQR, 19–21), 48.5% female, 47% individual sports) showed that sleep hygiene has been greatly perturbed due to the COVID pandemic. 112 Results showed a disrupted sleep quality in 63.7% of participants. One in five students had a total sleep time under 6.5 hours per night.…”

Section: Deconditioning Effects Of Covid-19 On Athletesmentioning

confidence: 93%

“…One in five students had a total sleep time under 6.5 hours per night. 112 Poor sleep quality was significantly associated with nocturnal concerns related to the pandemic, female gender, caffeine consumption, and lack of sleep routine (all p < 0.05). 112 Sleep hygiene and stress management can be optimized to improve the restorative effect of sleep and reinforce its benefits on metabolic, immune, and cognitive functions that can improve the performance of athletes.…”

Section: Deconditioning Effects Of Covid-19 On Athletesmentioning

confidence: 94%

Wearable technology in the sports medicine clinic to guide the return-to-play and performance protocols of athletes following a COVID-19 diagnosis

Seshadri¹,

Harlow

Thom

et al. 2023

DIGITAL HEALTH

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The coronavirus disease 2019 (COVID-19) pandemic has enabled the adoption of digital health platforms for self-monitoring and diagnosis. Notably, the pandemic has had profound effects on athletes and their ability to train and compete. Sporting organizations worldwide have reported a significant increase in injuries manifesting from changes in training regimens and match schedules resulting from extended quarantines. While current literature focuses on the use of wearable technology to monitor athlete workloads to guide training, there is a lack of literature suggesting how such technology can mediate the return to sport processes of athletes infected with COVID-19. This paper bridges this gap by providing recommendations to guide team physicians and athletic trainers on the utility of wearable technology for improving the well-being of athletes who may be asymptomatic, symptomatic, or tested negative but have had to quarantine due to a close exposure. We start by describing the physiologic changes that occur in athletes infected with COVID-19 with extended deconditioning from a musculoskeletal, psychological, cardiopulmonary, and thermoregulatory standpoint and review the evidence on how these athletes may safely return to play. We highlight opportunities for wearable technology to aid in the return-to-play process by offering a list of key parameters pertinent to the athlete affected by COVID-19. This paper provides the athletic community with a greater understanding of how wearable technology can be implemented in the rehabilitation process of these athletes and spurs opportunities for further innovations in wearables, digital health, and sports medicine to reduce injury burden in athletes of all ages.

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“…For example, a study on student-athletes reported that poor sleep quality was related to > 2 units/day of caffeine (1 unit ¼ 150-250 mL for coffee or tea and 350 mL for caffeinated drinks) under partial confinements with lighter restrictions such as curfews and closures of public spaces. 11 Another study targeting the athlete population, including students, reported that insomnia symptoms are related to poor mental health during lockdown. 12 However, these studies did not address other factors, such as various lifestyle habits, competition-based activities, and psychological distress, reported to be associated with poor sleep quality of student-athletes before the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

“…For example, a study on student-athletes reported that poor sleep quality was related to > 2 units/day of caffeine (1 unit = 150–250 mL for coffee or tea and 350 mL for caffeinated drinks) under partial confinements with lighter restrictions such as curfews and closures of public spaces. 11 Another study targeting the athlete population, including students, reported that insomnia symptoms are related to poor mental health during lockdown. 12 …”

Section: Introductionmentioning

confidence: 99%

Prevalence of Poor Sleep Quality and its Association with Lifestyle Habits, Competition-Based Activities, and Psychological Distress in Japanese Student-Athletes During the COVID-19 Pandemic

Monma,

Yamashita,

Yoshida

et al. 2024

Sleep Sci

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Objectives The present study clarified the prevalence of poor sleep quality and its relation to lifestyle habits, competitive-based activities, and psychological distress among Japanese student-athletes in the initial pandemic period (2020) and 1 year later (2021). Methods In the present study, student-athletes were defined as individuals belonging to university athletic clubs. The data of two cross-sectional surveys (2020: n = 961 and 2021: n = 711) were collected from student-athletes in 6 universities in Japan. First, the prevalence of poor sleep quality (Pittsburgh sleep quality index score > 5) was investigated. Relationships between poor sleep quality and lifestyle habits, competition-based activities, and psychological distress were then explored using multivariate logistic regression analysis adjusted for age, sex, and body mass index. Results The prevalence of poor sleep quality was 33.6% in 2020 and 36.6% in 2021. Poor sleep quality in 2020 was related to late bedtime, taking supplements before bed, part-time job (no late night), stressors of expectations and pressure from others, and psychological distress, whereas that in 2021 was related to early wake-up time, skipping breakfast, taking caffeinated drinks before bed, use of smartphone/cellphone after lights out, stressors of motivation loss, and psychological distress. Conclusions In both 2020 and 2021, one-third of student-athletes had poor sleep quality and psychological distress was its common risk factor. Lifestyle habits and competition stressors associated with poor sleep quality were pandemic-specific in 2020, but similar to the prepandemic period in 2021.

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Prevalence and Risk Factors of Poor Sleep Quality in Collegiate Athletes during COVID-19 Pandemic: A Cross-Sectional Study

Cited by 6 publications

References 53 publications

Insomnia, Daytime Sleepiness, and Quality of Life among 20,139 College Students in 60 Countries around the World—A 2016–2021 Study

Insomnia, Daytime Sleepiness, and Quality of Life among 20,139 College Students in 60 Countries around the World—A 2016–2021 Study

Wearable technology in the sports medicine clinic to guide the return-to-play and performance protocols of athletes following a COVID-19 diagnosis

Prevalence of Poor Sleep Quality and its Association with Lifestyle Habits, Competition-Based Activities, and Psychological Distress in Japanese Student-Athletes During the COVID-19 Pandemic

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