Regular Practice of Competitive Sports Does Not Impair Sleep in Adolescents: DADOS Study

in Pediatric Exercise Science
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Purpose:

To analyze differences in sleep quality and duration by athletic status and sex, and to examine the association between physical activity (PA) recommendation and sleep in adolescents.

Methods:

A total of 267 adolescents [13.9 (0.3) y] from Deporte, ADOlescencia y Salud (DADOS) study (129 girls) were included in this cross-sectional analysis. Athletes competed regularly in organized sport events and trained ≥3 days per week, but nonathletes did not compete. PA was assessed by GENEActiv accelerometer. PA values were dichotomized into inactive (<60 min/d of moderate and vigorous PA) and active (≥60 min/d of moderate and vigorous PA). Sleep quality was evaluated with the Spanish version of the Pittsburgh Sleep Quality Index. Pittsburgh Sleep Quality Index values were dichotomized into >5 (poor quality) or ≤5 (good quality). Sleep duration was objectively measured by accelerometer.

Results:

Sleep quality and duration were not statistically different between athletes [median (Mdn) = 4.0, interquartile range (IQR) = 3.0–6.0 and Mdn = 8.0, IQR = 7.4–8.6 h, respectively] and nonathletes (Mdn = 5.0, IQR = 3.0–7.0 and Mdn = 7.9; IQR = 7.3–8.6 h, respectively), P > .05. Nonathlete or inactive adolescents did not show higher risk for poor sleep quality or short sleep duration than athletes [odds ratio (OR) = 1.17; 95% confidence interval (CI), 0.68–2.00 and OR = 0.93; 95% CI, 0.56–1.55, respectively] or active peers (OR = 1.39; 95% CI, 0.66–2.89 and OR = 1.62; 95% CI, 0.78–3.37, respectively).

Conclusions:

In our group of adolescents, competitive sport practice did not alter sleep patterns. PA recommendations for adolescents may not discriminate between good and poor sleepers.

Beltran-Valls, Capdevila-Seder, Adelantado-Renau, and Moliner-Urdiales are with the LIFE Research Group, Dept. of Education, University Jaume I, Castellon, Spain. Artero is with the SPORT Research Group (CTS-1024), CERNEP Research Center, University of Almería, Almería, Spain; and Dept. of Education, Faculty of Education Sciences, University of Almería, Almería, Spain. Legaz-Arrese is with the Section of Physical Education and Sports, University of Zaragoza, Zaragoza, Spain.

Address author correspondence to Diego Moliner-Urdiales at dmoliner@uji.es.
  • 1.

    Armitage R, Hoffmann RF. Sleep EEG, depression and gender. Sleep Med Rev. 2001;5(3):23746. doi:10.1053/smrv.2000.0144

  • 2.

    Bor W, Dean AJ, Najman J, Hayatbakhsh R. Are child and adolescent mental health problems increasing in the 21st century? A systematic review. Aust N Z J Psychiatry. 2014;48(7):60616. doi:10.1177/0004867414533834

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Brand S, Beck J, Gerber M, Hatzinger M, Holsboer-Trachsler E. “Football Is Good for Your Sleep”: favorable sleep patterns and psychological functioning of adolescent male intense football players compared to controls. J Health Psychol. 2009;14(8):114455. doi:10.1177/1359105309342602

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Brand S, Gerber M, Beck J, Hatzinger M, Pühse U, Holsboer-Trachsler E. High exercise levels are related to favorable sleep patterns and psychological functioning in adolescents: a comparison of athletes and controls. J Adolesc Health. 2010;46(2):13341. PubMed doi:10.1016/j.jadohealth.2009.06.018

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Brand S, Kalak N, Gerber M, et al. During early to mid adolescence, moderate to vigorous physical activity is associated with restoring sleep, psychological functioning, mental toughness and male gender. J Sports Sci. 2017;35(5):42634. PubMed doi:10.1080/02640414.2016.1167936

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Brand S, Kirov R, Kalak N, et al. Poor sleep is related to lower emotional competence among adolescents. Behav Sleep Med. 2016;14(6):60214. PubMed doi:10.1080/15402002.2015.1048450

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193213. PubMed doi:10.1016/0165-1781(89)90047-4

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Casey BJ, Jones RM, Levita L, et al. The storm and stress of adolescence: insights from human imaging and mouse genetics. Dev Psychobiol. 2010;52(3):22535. PubMed doi:10.1002/dev.20447

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Dregan A, Armstrong D. Adolescence sleep disturbances as predictors of adulthood sleep disturbances—a cohort study. J Adolesc Health. 2010;46(5):4827. PubMed doi:10.1016/j.jadohealth.2009.11.197

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Eime RM, Harvey JT, Charity MJ, Casey MM, Westerbeek H, Payne WR. Age profiles of sport participants. BMC Sports Sci Med Rehabil. 2016;8(6):110. PubMed doi:10.1186/s13102-016-0031-3

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11.

    Esliger DW, Rowlands AV, Hurst TL, Catt M, Murray P, Eston RG. Validation of the GENEA accelerometer. Med Sci Sports Exerc. 2011;43(6):108593. PubMed doi:10.1249/MSS.0b013e31820513be

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Fatima Y, Doi SA, Mamun AA. Longitudinal impact of sleep on overweight and obesity in children and adolescents: a systematic review and bias-adjusted meta-analysis. Obes Rev. 2015;16(2):13749. doi:10.1111/obr.12245

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Fuligni AJ, Hardway C. Daily variation in adolescents’ sleep, activities, and psychological well-being. J Res Adolesc. 2006;16(3):35378. doi:10.1111/j.1532-7795.2006.00498.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Gerber M, Brand S, Herrmann C, Colledge F, Holsboer-Trachsler E, Pühse U. Increased objectively assessed vigorous-intensity exercise is associated with reduced stress, increased mental health and good objective and subjective sleep in young adults. Physiol Behav. 2014;135:1724. PubMed doi:10.1016/j.physbeh.2014.05.047

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Gradisar M, Gardner G, Dohnt H. Recent worldwide sleep patterns and problems during adolescence: a review and meta-analysis of age, region, and sleep. Sleep Med. 2011;12(2):1108. PubMed doi:10.1016/j.sleep.2010.11.008

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Gruber R, Somerville G, Enros P, Paquin S, Kestler M, Gillies-Poitras E. Sleep efficiency (but not sleep duration) of healthy school-age children is associated with grades in math and languages. Sleep Med. 2014;15(12):151725. PubMed doi:10.1016/j.sleep.2014.08.009

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Guyer AE, Caouette JD, Lee CC, Ruiz SK. Will they like me? Adolescents’ emotional responses to peer evaluation. Int J Behav Dev. 2014;38(2):15563. PubMed doi:10.1177/0165025413515627

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Harris A, Gundersen H, Andreassen PM, Thun E, Bjorvatn B, Pallesen S. A comparative study of sleep and mood between young elite athletes and age-matched controls. J Phys Act Health. 2017;14(6):46573. PubMed doi:10.1123/jpah.2016-0513

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Hirshkowitz M, Whiton K, Albert SM, et al. National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health. 2015;1(1):403. doi:10.1016/j.sleh.2014.12.010

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Hjorth MF, Chaput JP, Damsgaard CT, et al. Low physical activity level and short sleep duration are associated with an increased cardio-metabolic risk profile: a longitudinal study in 8–11 year old danish children. PLoS ONE. 2014;9(8):104677. PubMed doi:10.1371/journal.pone.0104677

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Hysing M, Pallesen S, Stormark KM, Lundervold AJ, Sivertsen B. Sleep patterns and insomnia among adolescents: a population-based study. J Sleep Res. 2013;22(5):54956. PubMed doi:10.1111/jsr.12055

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Kalak N, Gerber M, Kirov R, et al. Daily morning running for 3 weeks improved sleep and psychological functioning in healthy adolescents compared with controls. J Adolesc Health. 2012;51(6):61522. PubMed doi:10.1016/j.jadohealth.2012.02.020

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Kredlow MA, Capozzoli MC, Hearon BA, Calkins AW, Otto MW. The effects of physical activity on sleep: a meta-analytic review. J Behav Med. 2015;38(3):42749. doi:10.1007/s10865-015-9617-6

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Kronholm E, Puusniekka R, Jokela J, et al. Trends in self-reported sleep problems, tiredness and related school performance among Finnish adolescents from 1984 to 2011. J Sleep Res. 2015;24(1):310. PubMed doi:10.1111/jsr.12258

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Lang C, Brand S, Feldmeth AK, Holsboer-Trachsler E, Pühse U, Gerber M. Increased self-reported and objectively assessed physical activity predict sleep quality among adolescents. Physiol Behav. 2013;120:4653. doi:10.1016/j.physbeh.2013.07.001

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Leeder J, Glaister M, Pizzoferro K, Dawson J, Pedlar C. Sleep duration and quality in elite athletes measured using wristwatch actigraphy. J Sports Sci. 2012;30(6):5415. doi:10.1080/02640414.2012.660188

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Leger D, Beck F, Richard JB, Godeau E. Total sleep time severely drops during adolescence. PLoS ONE. 2012;7(10):e45204. PubMed doi:10.1371/journal.pone.0045204

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Lo JC, Ong JL, Leong RLF, Gooley JJ, Chee MW. Cognitive performance, sleepiness, and mood in partially sleep deprived adolescents: the need for sleep study. Sleep. 2016;39(3):68798. doi:10.5665/sleep.5552

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29.

    Loprinzi PD, Cardinal BJ. Association between objectively-measured physical activity and sleep, NHANES 2005–2006. Ment Health Phys Act. 2011;4(2):659. doi:10.1016/j.mhpa.2011.08.001

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 30.

    Matthews KA, Hall MH, Cousins J, Lee L. Getting a good night’s sleep in adolescence: do strategies for coping with stress matter? Behav Sleep Med. 2016;14(4):36777. doi:10.1080/15402002.2015.1007994

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 31.

    Mercer PW, Merritt SL, Cowell JM. Differences in reported sleep need among adolescents. J Adolesc Health. 1998;23(5):25963. doi:10.1016/S1054-139X(98)00037-8

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32.

    Mezick EJ, Matthews KA, Hall M, et al. Intra-individual variability in sleep duration and fragmentation: associations with stress. Psychoneuroendocrinology. 2009;34(9):134654. doi:10.1016/j.psyneuen.2009.04.005

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33.

    Mielgo-Ayuso J, Aparicio-Ugarriza R, Castillo A, et al. Physical activity patterns of the Spanish population are mostly determined by sex and age: findings in the ANIBES study. PLoS ONE. 2016;11(2):e0149969. PubMed doi:10.1371/journal.pone.0149969

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 34.

    Milewski MD, Skaggs DL, Bishop GA, et al. Chronic lack of sleep is associated with increased sports injuries in adolescent athletes. J Pediatr Orthop. 2014;34(2):12933. PubMed doi:10.1097/BPO.0000000000000151

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 35.

    Mong JA, Cusmano DM. Sex differences in sleep: impact of biological sex and sex steroids. Philos Trans R Soc B Biol Sci. 2016;371(1688):20150110. PubMed doi:10.1098/rstb.2015.0110

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 36.

    Nagy E, Vicente-Rodriguez G, Manios Y, et al. Harmonization process and reliability assessment of anthropometric measurements in a multicenter study in adolescents. Int J Obes. 2008;32 Suppl 5:S5865. PubMed doi:10.1038/ijo.2008.184

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 37.

    Ortega FB, Chillón P, Ruiz JR, et al. Sleep patterns in Spanish adolescents: associations with TV watching and leisure-time physical activity. Eur J Appl Physiol. 2010;110(3):56373. PubMed doi:10.1007/s00421-010-1536-1

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 38.

    Phillips LRS, Parfitt G, Rowlands AV. Calibration of the GENEA accelerometer for assessment of physical activity intensity in children. J Sci Med Sport. 2013;16(2):1248. PubMed doi:10.1016/j.jsams.2012.05.013

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 39.

    Pilcher JJ, Ginter DR, Sadowsky B. Sleep quality versus sleep quantity: relationships between sleep and measures of health, well-being and sleepiness in college students. J Psychosom Res. 1997;42(6):58396. PubMed doi:10.1016/S0022-3999(97)00004-4

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 40.

    Roberts RE, Roberts CR, Duong HT. Chronic insomnia and its negative consequences for health and functioning of adolescents: a 12-month prospective study. J Adolesc Health. 2008;42(3):294302. doi:10.1016/j.jadohealth.2007.09.016

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 41.

    Robey E, Dawson B, Halson S, Gregson W, Goodman C, Eastwood P. Sleep quantity and quality in elite youth soccer players: a pilot study. Eur J Sport Sci. 2014;14(5):4107. doi:10.1080/17461391.2013.843024

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 42.

    Royuela Rico A, Macías Fernánedez JA. Propiedades clinimétricas de la versión castellana del cuestionario de Pittsburgh. Vigilia-Sueño. 1997;9(2):8194.

    • Search Google Scholar
    • Export Citation
  • 43.

    Sadeh A, Sharkey KM, Carskadon MA. Activity-based sleep-wake identification: an empirical test of methodological issues. Sleep. 1994;17(3):2017.

  • 44.

    Samuels C. Sleep, recovery, and performance: the new frontier in high-performance athletics. Neurol Clin. 2008;26(1):16980. doi:10.1016/j.ncl.2007.11.012

  • 45.

    Shochat T, Cohen-Zion M, Tzischinsky O. Functional consequences of inadequate sleep in adolescents: a systematic review. Sleep Med Rev. 2014;18(1):7587. PubMed doi:10.1016/j.smrv.2013.03.005

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 46.

    Swinbourne R, Gill N, Vaile J, Smart D. Prevalence of poor sleep quality, sleepiness and obstructive sleep apnoea risk factors in athletes. Eur J Sport Sci. 2016;16(7):8508. doi:10.1080/17461391.2015.1120781

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 47.

    Tanner J. Growth at Adolescence. 2nd ed. Oxford, UK: Blackwell; 1962.

  • 48.

    Te Lindert BHW, Van Someren EJW. Sleep estimates using microelectromechanical systems (MEMS). Sleep. 2013;36(5):7819. doi:10.5665/sleep.2648

  • 49.

    World Health Organization. Global Recommendations on Physical Activity for Health. Geneva Switzerland: World Health Organization; 2010. Available from: http://apps.who.int/iris/bitstream/10665/44399/1/9789241599979_eng.pdf.

    • Search Google Scholar
    • Export Citation
  • 50.

    Zhang J, Chan NY, Lam SP, et al. Emergence of sex differences in insomnia symptoms in adolescents: a large-scale school-based study. Sleep. 2016;39(8):156370. PubMed doi:10.5665/sleep.6022

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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