Which parameters to use for sleep quality monitoring in team sport athletes? A systematic review and meta-analysis

• Main Authors: João Gustavo Claudino, Tim J Gabbet, Helton de Sá Souza, Mário Simim, Peter Fowler, Diego de Alcantara Borba, Marco Melo, Altamiro Bottino, Irineu Loturco, Vânia D’Almeida, Alberto Carlos Amadio, Julio Cerca Serrão, George P Nassis
• Format: Article
• Language: English
• Published: BMJ Publishing Group 2019-10-01
• Series: BMJ Open Sport & Exercise Medicine
• Online Access: https://bmjopensem.bmj.com/content/5/1/e000475.full

BackgroundSleep quality is an essential component of athlete’s recovery. However, a better understanding of the parameters to adequately quantify sleep quality in team sport athletes is clearly warranted.ObjectiveTo identify which parameters to use for sleep quality monitoring in team sport athletes.MethodsSystematic searches for articles reporting the qualitative markers related to sleep in team sport athletes were conducted in PubMed, Scopus, SPORTDiscus and Web of Science online databases. The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. For the meta-analysis, effect sizes with 95% CI were calculated and heterogeneity was assessed using a random-effects model. The coefficient of variation (CV) with 95% CI was also calculated to assess the level of instability of each parameter.ResultsIn general, 30 measuring instruments were used for monitoring sleep quality. A meta-analysis was undertaken on 15 of these parameters. Four objective parameters inferred by actigraphy had significant results (sleep efficiency with small CV and sleep latency, wake episodes and total wake episode duration with large CV). Six subjective parameters obtained from questionnaires and scales also had meaningful results (Pittsburgh Sleep Quality Index (sleep efficiency), Likert scale (Hooper), Likert scale (no reference), Liverpool Jet-Lag Questionnaire, Liverpool Jet-Lag Questionnaire (sleep rating) and RESTQ (sleep quality)).ConclusionsThese data suggest that sleep efficiency using actigraphy, Pittsburgh Sleep Quality Index, Likert scale, Liverpool Jet-Lag Questionnaire and RESTQ are indicated to monitor sleep quality in team sport athletes.PROSPERO registration numberCRD42018083941.