Sleep in elite swimmers: prevalence of sleepiness, obstructive sleep apnoea and poor sleep quality.

Athletics sleep swimming

Journal

BMJ open sport & exercise medicine
ISSN: 2055-7647
Titre abrégé: BMJ Open Sport Exerc Med
Pays: England
ID NLM: 101681007

Informations de publication

Date de publication:
2019
Historique:
accepted: 17 12 2019
entrez: 26 2 2020
pubmed: 26 2 2020
medline: 26 2 2020
Statut: epublish

Résumé

Limited data suggest that swimmers might be affected by poor quality of sleep significantly. The aim was to explore the prevalence of sleep disturbances in swimmers and possible link between rhinitis and sleep disturbance. Study 1 was an observational case-control, questionnaire-based study involving 157 elite and non-elite swimmers, 36 non-swimming athletes and 50 controls. In study 2, we measured sleep quality and duration using actigraphy in 20 elite swimmers. We also looked for presence of sleep-disordered breathing using overnight pulse oximetry monitor. In study 1, we observed a significant difference in prevalence of excessive daytime sleepiness between groups of elite swimmers and controls. Pittsburgh Sleep Quality Index (PSQI) scores do not suggest that quality of sleep in group of swimmers is impaired. In study 2, we found that prevalence of obstructive sleep apnoea (OSA) in elite swimmers defined as oxygen desaturation index ≥5 was 30%. Analysis of actigraphy data revealed that on nights prior to training days, 'going to' bed time was significantly earlier and total sleep time was significantly reduced. Swimmers and non-swimming athletes suffer significantly more with excessive daytime sleepiness than healthy controls. In elite swimmers, this is likely linked to high prevalence of OSA. PSQI scores do not suggest that quality of sleep in group of swimmers is impaired, but actigraphy shows great variations between sleep pattern preceding training and rest day. This seems to be associated with early-morning sessions which can be a disruptive element of weekly sleep patterns.

Identifiants

pubmed: 32095263
doi: 10.1136/bmjsem-2019-000673
pii: bmjsem-2019-000673
pmc: PMC7010988
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e000673

Informations de copyright

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Références

Sleep Breath. 2018 Mar;22(1):139-147
pubmed: 28823109
Chest. 1993 Jan;103(1):30-6
pubmed: 8417909
Eur J Sport Sci. 2016 Oct;16(7):850-8
pubmed: 26697921
Psychiatry Res. 1989 May;28(2):193-213
pubmed: 2748771
Sleep Med. 2014 Apr;15(4):422-9
pubmed: 24657203
J Sports Sci. 2017 Apr;35(7):704-710
pubmed: 27173843
Br J Sports Med. 1994 Dec;28(4):241-6
pubmed: 7894955
Sports Med. 2014 May;44 Suppl 1:S13-23
pubmed: 24791913
Neurotherapeutics. 2012 Oct;9(4):687-701
pubmed: 22976557
Sleep Med Rev. 2013 Oct;17(5):321-9
pubmed: 23079209
Sleep. 2013 May 01;36(5):781-9
pubmed: 23633761
Eur J Sport Sci. 2014;14 Suppl 1:S310-5
pubmed: 24444223
Sports Med. 2017 Jul;47(7):1317-1333
pubmed: 27900583
Sleep Med. 2006 Jun;7(4):319-26
pubmed: 16713340
Allergy. 2018 May;73(5):1022-1031
pubmed: 29150854
Sleep. 1997 Oct;20(10):844-9
pubmed: 9415943
J Sci Med Sport. 2015 Jan;18(1):13-8
pubmed: 24629327

Auteurs

Pavol Surda (P)

ENT Department, Guy's and St Thomas' University Hospital, London, UK.

Matus Putala (M)

Department of Physical Education and Sports, Comenius University, Bratislava, Slovakia.

Pavel Siarnik (P)

Department of Neurology, Comenius University, Bratislava, Slovakia.

Abigail Walker (A)

ENT Department, Guy's and St Thomas' University Hospital, London, UK.

Katherine De Rome (K)

ENT Department, Guy's and St Thomas' University Hospital, London, UK.

Nikul Amin (N)

ENT Department, Guy's and St Thomas' University Hospital, London, UK.

Miljyot Singh Sangha (MS)

ENT Department, Guy's and St Thomas' University Hospital, London, UK.

Wytske Fokkens (W)

Academisch Medisch Centrum, Amsterdam, North Holland, The Netherlands.

Classifications MeSH