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Chronic Lack of Sleep is Associated With Increased Sports Injuries in Adolescent Athletes
Abstract
BACKGROUND: Much attention has been given to the relationship between various training factors and athletic injuries, but no study has examined the impact of sleep deprivation on injury rates in young athletes. Information about sleep practices was gathered as part of a study designed to correlate various training practices with the risk of injury in adolescent athletes. METHODS: Informed consent for participation in an online survey of training practices and a review of injury records was obtained from 160 student athletes at a combined middle/high school (grades 7 to 12) and from their parents. Online surveys were completed by 112 adolescent athletes (70% completion rate), including 54 male and 58 female athletes with a mean age of 15 years (SD=1.5; range, 12 to 18 y). The students' responses were then correlated with data obtained from a retrospective review of injury records maintained by the school's athletic department. RESULTS: Multivariate analysis showed that hours of sleep per night and the grade in school were the best independent predictors of injury. Athletes who slept on average <8 hours per night were 1.7 times (95% confidence interval, 1.0-3.0; P=0.04) more likely to have had an injury compared with athletes who slept for ≥8 hours. For each additional grade in school, the athletes were 1.4 times more likely to have had an injury (95% confidence interval, 1.2-1.6; P<0.001). CONCLUSION: Sleep deprivation and increasing grade in school appear to be associated with injuries in an adolescent athletic population. Encouraging young athletes to get optimal amounts of sleep may help protect them against athletic injuries. LEVEL OF EVIDENCE: Level III.
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“Sleep duration (< 8 h) has been identified as the strongest predictor of injury in adolescent athletes (RR = 2.1; 95% CI: 1.2–3.9) [34].”
From Sleep and Nutrition Interactions: Implications for Athletes (2019) · cites this paper as [34]
Citations
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Sleep and Nutrition Interactions: Implications for Athletes
Doherty, R., Madigan, S., Warrington, G., & Ellis, J. (2019) · Nutrients · doi:10.3390/nu11040822 · Cited by 186
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Metadata
- Authors
- Milewski, M. D., Skaggs, D. L., Bishop, G. A., Pace, J. L., Ibrahim, D. A., Wren, T. A. L., & Barzdukas, A.
- Affiliations
- Children's Hospital Los Angeles (US)
- Harvard University (US)
- Corresponding author
- Milewski, Matthew D.
- Venue
- Journal of Pediatric Orthopaedics
- Published
- 2014-03
- Volume
- 34
- Issue
- 2
- Pages
- 129-133
- ISSN
- 0271-6798 (ISSN-L)
- OpenAlex
- W2327771734
- Cited by
- 453
- References
- 23
- Citations by year
- 2026: 44 · 2025: 42 · 2024: 60 · 2023: 46 · 2022: 41 · 2021: 48 · 2020: 50 · 2019: 39 · 2018: 27 · 2017: 24 · 2016: 21 · 2015: 7 · 2014: 3
- FWCI
- 18.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Orthopaedics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Keywords
- sleep deprivation, sleep duration, sports injuries, youth athletes, injury risk factors, training practices, student athletes
- MeSH terms
- Adolescent, Athletic Injuries, Child, Female, Health Surveys, Humans, Male, Retrospective Studies, Risk Factors, Sleep Deprivation, Students
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- The paper
- Milewski, M. D., Skaggs, D. L., Bishop, G. A., Pace, J. L., Ibrahim, D. A., Wren, T. A. L., & Barzdukas, A. (2014). Chronic Lack of Sleep is Associated With Increased Sports Injuries in Adolescent Athletes. Journal of Pediatric Orthopaedics. https://doi.org/10.1097/bpo.0000000000000151