The sleep as a predictor of musculoskeletal injuries in adolescent athletes

Abstract

Objectives: Sleep is essential for musculoskeletal and cognitive recovery. Adolescent athletes tend to sleep poorly compared to adults and it may predispose them to sports injuries. Our aims are to estimate whether the quantity/quality of sleep are associated with sports injuries in adolescent athletes and to compare the quantity/quality of sleep between the training and competition seasons, and the school vacation period. Material and Methods: It was a cohort study with 19 track and field athletes of both sexes, aged between 12 and 21 years. We evaluated their sleep-wake habit through actigraphy during three phases: 1 -mid-season, 2 -competition, and 3 -school vacation. The previous six months injury history and the occurrence of injuries in a six-month follow-up were recorded. Logistic regression and variance analysis were performed. The significance level used was 0.05. Results: Wake after sleep onset (WASO) predicted previous injuries (OR=1.144) and time awake (TA) predicted injury occurrence (OR=0.974). TA decreased from phase 2 to phase 3 (p=0.004), total sleep time (TST) increased from phase 2 to phase 3 (p=0.012), and WASO decreased between phases 1 and 2 (p=0.001) and between phases 1 and 3 (p=0.025). Conclusion: Our study demonstrated that the quantity and quality of sleep were associated with musculoskeletal injuries in adolescent track and field athletes. Previous injuries were predicted by WASO and the occurrence of injuries was predicted by TA. Furthermore, during the vacation period they had lower TA and WASO, and higher TST than on school days.

Taxa de lesões de ligamento cruzado anterior em jovens atletas de futebol: uma revisão sistemática

“…Escalas de percepção subjetiva de esforço (JIANG et al, 2022) e recuperação ( VAN DER DOES et al, 2017), tem se mostrado como ferramentas adequadas e de baixo custo para indicar possíveis riscos de lesão, sendo de suma importância para monitorar e assim prevenir aumentos abruptos de carga em curtos espaços de tempo e com um melhor gerenciamento da fadiga neuromuscular (WINDT et al, 2017), mostrando-se como uma excelente estratégia para reduzir o risco de lesões. Outros fatores como o repouso adequado e a nutrição tem papel importante, visto que um baixo volume de sono é fator que eleva o risco de lesão em atletas adolescentes (VIEGAS et al, 2022), sendo influenciado pelo uso constante de dispositivos eletrônicos antes de dormir e assim reduzindo a qualidade de sono (WANG et al, 2019), além da baixa disponibilidade de nutrientes, podendo ser derivada de uma ocorrência de distúrbios alimentares e também relacionados ao nível de estresse e ansiedade (WASSERFURTH et al, 2020).…”