Correlation Between Sleep Complaints and History of Musculoskeletal Injuries in Adolescent Track and Field Athletes

Abstract

Purpose

(i) To investigate the correlation between sleep complaints and history of musculoskeletal injuries in adolescent track athletes; (ii) to characterize the prevalence of sleep complaints; and (iii) to investigate the correlation between sleep complaints and age.

Methods

This was a cross-sectional study with 19 male and 11 female adolescent track athletes (mean age 16.5 years). The participants answered the sleep complaints questionnaire and retrospective musculoskeletal injuries data were collected by the physical therapy department, considering the previous 6 months. Spearman’s correlation coefficient was used to verify the correlation between variables. The significance level was set at 0.05.

Results

Correlations between sleep complaints and history of injuries were found for the following variables: frequency of insufficient sleep and previous re-injuries (r_s = 0.687, P=0.028), somnambulism and severity of previous injuries (r_s = 0.577, P=0.006), frequency of somnambulism and previous injuries (r_s = 1.000, P=0.010), frequency of kicking legs and previous injuries (r_s = 0.736, P=0.010), frequency of breathing complaints and previous re-injuries (r_s = 0.889, P=0.044). The most prevalent sleep complaint was moving a lot during sleep (60%). The mean total sleep time was 7 h and 37 min. Age positively correlated with frequency of insufficient sleep (r_s = 0.555, P=0.032), frequency of somnambulism (r_s = 1.000, P=0.010), and negatively with breathing complaints (r_s = − 0.382, P=0.037).

Conclusion

Some complaints may be associated with a history of occurrence, re-occurrence, and severity of injuries in adolescent athletes and they tend to sleep less than the recommended total sleep time. Longitudinal studies should be carried out to confirm whether these sleep complaints are risk factors for sports injuries.

Keywords

Sport / Athletic injuries / Sleep habits / Teenager / Running

References

[1] Bacelar A, Moreno CR, Alves R, Araújo P. Dossie: horários escolares e implicações no sono de adolescentes. 2018. http://colecoes.sibi.usp.br/fsp/items/show/3362#?c=0&m=0&s=0&cv=0. Accessed 16 Aug 2022.

[2] Braz S, Neumann B, Tufik S. Evaluation of a sleep disorders: elaboration and validation of a questionnaire. Rev ABP-APAL. 1987, 9(1): 9-14

[3] Carskadon MA, Wolfson AR, Acebo C, Tzischinsky O, Seifer R. Adolescent sleep patterns, circadian timing, and sleepiness at a transition to early school days. Sleep. 1998, 21(8): 871-81

[4] Cauter E, Van, Copinschp G. Interrelationships between growth hormone and sleep. Growth Horm IGF Res. 2000;10(Suppl B):S57–62.

[5] Chennaoui M, Vanneau T, Trignol A, Arnal P, Gomez-merino D, Baudot C, et al. . How does sleep help recovery from exercise-induced muscle injuries?. J Sci Med Sport. 2021, 24(10): 982-7

[6] Desautels A, Zadra A, Labelle M, Dauvilliers Y, Petit D, Montplaisir J. Daytime somnolence in adult sleepwalkers. Sleep Med. 2013, 14(11): 1187-91

[7] Dobrosielski DA, Sweeney L, Lisman PJ. The Association between Poor Sleep and the incidence of Sport and Physical training – related injuries in adult athletic populations: a systematic review. Sport Med. 2021, 51(4): 777-93

[8] Felden ÉPG, Filipin D, Grasel D, Diego R, Meyer C, Mazilli F. Factors associated with short sleep duration in adolescents. Rev Paul Pediatr (English Ed. 2016, 34(1): 64-70

[9] Ferrando M, Bagnasco D, Roustan V, Canonica GW, Braido F, Baiardini I. Sleep complaints and sleep breathing disorders in upper and lower obstructive lung diseases. J Thorac Dis. 2016, 8(8): 716-25

[10] Fox JL, Scanlan AT, Stanton R, Sargent C. Insufficient sleep in young athletes? Causes, Consequences, and potential treatments. Sport Med. 2019, 50(3): 461-570

[11] Fulda S, Beitinger ME, Reppermund S, Winkelmann J, Wetter TC. Short-term attention and verbal fluency is decreased in restless legs syndrome patients. Mov Disord. 2010, 25(15): 2641-8

[12] Fullagar HHK, Skorski S, Duffield R, Hammes D, Coutts AJ, Meyer T. Sleep and athletic performance: the Effects of Sleep loss on Exercise Performance, and physiological and cognitive responses to Exercise. Sport Med. 2015, 45(2): 161-86

[13] Fuller CW, Molloy MG, Bagate C, Bahr R, Brooks JHM, Donson H, et al. . Consensus statement on injury definitions and data collection procedures for studies of injuries in rugby union. Clin J Sport Med. 2007, 17(3): 177-81

[14] Gupta L, Morgan K, Gilchrist S. Does elite sport degrade sleep quality? A systematic review. Sport Med. 2017, 47(7): 1317-33

[15] Hardin AP, Hackell JM. Age limit of pediatrics. Pediatrics [Internet]. 2017;140(3):e20172151. http://pediatrics.aappublications.org/lookup/doi/https://doi.org/10.1542/peds.2017-2151

[16] Hirotsu C, Bittencourt L, Garbuio S, Andersen ML, Tufik S. Sleep complaints in the Brazilian population: Impact of socioeconomic factors. Sleep Sci. 2014, 7(3): 135-42

[17] Mccrae CS, Rowe MA, Tierney CG, Dautovich ND, Definis AL, Mcnamara JPH. Sleep complaints, subjective and objective sleep patterns, Health, Psychological Adjustment, and Daytime Functioning in Community-Dwelling older adults. J Gerontol. 2005, 60(4): 182-9

[18] Mello MT, Giglio S, Del, Pompeia C, Tufik S, Medicina EP, De. Sleep habits and complaints of adults in the city of São Paulo, Brazil, in 1987 and 1995. Brazilian J Med Biol Res. 2007, 40(11): 1505-15

[19] Meltzer LJ, Mindell JA. Sleep and sleep disorders in children and adolescents. Psychiatr Clin North Am. 2006, 29(4): 1059-76

[20] Mendes FAR, Almeida FM, Cukier A, Stelmach R, Jacob-filho W, Martins MA, et al. . Effects of aerobic training on Airway inflammation in Asthmatic Patients. Med Sci Sports Exerc. 2011, 43(2): 197-203

[21] Milewski MD, Skaggs DL, Bishop GA, Pace JL, Ibrahim DA, Wren TAL, et al. . Chronic lack of sleep is associated with increased sports injuries in adolescent athletes. J Pediatr Orthop. 2014, 34(2): 129-33

[22] Olds T, Blunden S, Petkov J, Forchino F. The relationships between sex, age, geography and time in bed in adolescents: a meta-analysis of data from 23 countries. Sleep Med Rev. 2010, 14(6): 371-8

[23] Oliviero A, Marca G, Della, Tonali PA, Pilato F, Saturno E, Dileone M, et al. . Functional involvement of cerebral cortex in adult sleepwalking. J Neurol. 2007, 254: 1066-72

[24] Paruthi S, Brooks LJ, Ambrosio CD, Hall WA, Kotagal S, Lloyd RM, et al. . Pediatricsleepdurationconsensus. 2016, 12(6): 785-6

[25] Picchietti DL, Stevens HE. Early manifestations of restless legs syndrome in childhood and adolescence. Sleep Med. 2008, 9(7): 770-81

[26] Roenneberg T, Kuehnle T, Pramstaller PP, Havel M, Merrow M. A marker for the end of adolescence. Curr Biol. 2004, 14(24): 1038-9

[27] Sateia MJ. International classification of Sleep Disorders-Third Edition. Chest. 2014, 146(5): 1387-94

[28] Silva A, Narciso FV, Rosa JP, Bichara JJ, Rafael S, Pereira D, et al. . Gender differences in sleep patterns and sleep complaints of elite athletes. Sleep Sci. 2019, 12(4): 242-8

[29] Silva A, Narciso FV, Soalheiro I, Viegas F, Freitas LSN, Lima A, et al. . Poor sleep quality ’s association with soccer injuries: preliminary data. Int Jounal Sport Physiol Perform. 2019, 15(5): 671-6

[30] George NM, Davis JE. Assessing sleep in adolescents through a better understanding of sleep physiology. AJN. 2013;113(6):6–31.

[31] Sousa L, De, Freitas N, Rodrigues F, Andrade HDA, Guerreiro RC, Paulo FV, et al. . Sleep debt induces skeletal muscle injuries in athletes: a promising hypothesis. Med Hypotheses. 2020, 142: 109836

[32] Stallman HM, Kohler M. Prevalence of sleepwalking: a systematic review and Meta-analysis. PLoS ONE. 2016, 11(11): 1-20

[33] Vila MT, Torres AM, Soto BB, Gomar MR. Patrones normales y trastornos del sueño entre la población escolar de la ciudad de Gandía. An Pediatría. 2008, 68(3): 250-6

[34] Zadra A, Desautels A, Petit D, Montplaisir J. Somnambulism: clinical aspects and pathophysiological hypotheses. Lancet Neurol. 2013, 12(3): 285-94