The DOI matches its Crossref record; 23 of the 23 references it cites were found in a registry or an index.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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
Cites
A Modified Poisson Regression Approach to Prospective Studies with Binary Data
Zou, G. (2004) · American Journal of Epidemiology · doi:10.1093/aje/kwh090 · Cited by 9,920
Neurocognitive consequences of sleep deprivation
Goel, N., Rao, H., Durmer, J., & Dinges, D. (2009) · Seminars in Neurology · doi:10.1055/s-0029-1237117 · Cited by 2,154
Neurocognitive Consequences of Sleep Deprivation
Durmer, J. S., & Dinges, D. F. (2005) · Seminars in Neurology · doi:10.1055/s-2005-867080 · Cited by 1,473
Adverse Effects of Modest Sleep Restriction on Sleepiness, Performance, and Inflammatory Cytokines
Vgontzas, A. N., Zoumakis, E., Bixler, E. O., Lin, H.-M., Follett, H., Kales, A., & Chrousos, G. P. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2003-031562 · Cited by 1,050
The Effects of Sleep Extension on the Athletic Performance of Collegiate Basketball Players
Mah, C. D., Mah, K. E., Kezirian, E. J., & Dement, W. C. (2011) · SLEEP · doi:10.5665/sleep.1132 · Cited by 628
Injury patterns in selected high school sports: a review of the 1995-1997 seasons.
Powell, J. W., & Barber-Foss, K. D. (1999) · PubMed · Cited by 465
Epidemiology of Injury in Child and Adolescent Sports: Injury Rates, Risk Factors, and Prevention
Caine, D., Maffulli, N., & Caine, C. G. (2008) · Clinics in Sports Medicine · doi:10.1016/j.csm.2007.10.008 · Cited by 399
Temporal Placement of a Nap for Alertness: Contributions of Circadian Phase and Prior Wakefulness
Dinges, D. F., Orne, M. T., Whitehouse, W. G., & Orne, E. C. (1987) · SLEEP · doi:10.1093/sleep/10.4.313 · Cited by 311
Survey of Sport Participation and Sport Injury in Calgary and Area High Schools
Emery, C. A., Meeuwisse, W. H., & McAllister, J. (2005) · Clinical Journal of Sport Medicine · doi:10.1097/01.jsm.0000184638.72075.b7 · Cited by 268
Incidence and Distribution of Pediatric Sport-Related Injuries
Caine, D., Caine, C. G., & Maffulli, N. (2006) · Clinical Journal of Sport Medicine · doi:10.1097/01.jsm.0000251181.36582.a0 · Cited by 252
An epidemiologic investigation of injuries affecting young competitive female gymnasts
Caine, D., Cochrane, B. B., Caine, C. G., et al. (1989) · The American Journal of Sports Medicine · doi:10.1177/036354658901700616 · Cited by 217
Eaton, D. K., McKnight-Eily, L. R., Lowry, R., Perry, G. S., Presley-Cantrell, L., & Croft, J. B. (2010) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2009.10.011 · Cited by 202
Age, performance and sleep deprivation
Philip, P., Taillard, J., Sagaspe, P., Valtat, C., Sánchez-Ortuño, M. M., Moore, N. D., Charles, A., & Bioulac, B. H. (2004) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2004.00399.x · Cited by 196
The effect of partial sleep deprivation on weight-lifting performance
Reilly, T., & PIERCY, M. (1994) · Ergonomics · doi:10.1080/00140139408963628 · Cited by 195
Injury history as a risk factor for incident injury in youth soccer
Kucera, K. L., Marshall, S. W., Kirkendall, D. T., Marchak, P. M., & Garrett, W. E. J. (2005) · British Journal of Sports Medicine · doi:10.1136/bjsm.2004.013672 · Cited by 182
Survey of the Injury Rate for Children in Community Sports
Radelet, M. A., Lephart, S. M., Rubinstein, E. N., et al. (2002) · PEDIATRICS · doi:10.1542/peds.110.3.e28 · Cited by 163
The Effects of a Short Daytime Nap After Restricted Night Sleep
Gillberg, M., Kecklund, G., Axelsson, J., & Åkerstedt, T. (1996) · SLEEP · doi:10.1093/sleep/19.7.570 · Cited by 147
Effects of sleep disturbances on subsequent physical performance
Mougin, F., Simon-Rigaud, M.-L., Davenne, D., Renaud, A., Garnier, A., Kantelip, J., & Magnin, P. (1991) · European Journal of Applied Physiology · doi:10.1007/bf00235173 · Cited by 121
Edwards, B., & Waterhouse, J. M. (2009) · Chronobiology International · doi:10.1080/07420520902929037 · Cited by 96
Incidence and Player Risk Factors for Injury in Youth Football
Malina, R. M., Morano, P. J., Barron, M. A., et al. (2006) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200605000-00005 · Cited by 78
Musculoskeletal Pains in Relation to Different Sport and Exercise Activities in Youth
AUVINEN, J. P., Tammelin, T., TAIMELA, S. P., et al. (2008) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31818047a2 · Cited by 70
Overuse Injuries in High School Athletes
Cuff, S. C., Loud, K. J., & O’Riordan, M. A. (2010) · Clinical Pediatrics · doi:10.1177/0009922810363154 · Cited by 60
Clinical Concepts for Treatment of the Elbow in the Adolescent Overhead Athlete
Ellenbecker, T. S., Reinold, M. M., & Nelson, C. O. (2010) · Clinics in Sports Medicine · doi:10.1016/j.csm.2010.06.006 · Cited by 14
Cited by
Sorted by citations
Stress, Sleep and Recovery in Elite Soccer: A Critical Review of the Literature
Nédélec, M., Halson, S., Abaidia, A.-E., Ahmaidi, S., & Dupont, G. (2015) · Sports Medicine · doi:10.1007/s40279-015-0358-z · Cited by 291
Sleep and Nutrition Interactions: Implications for Athletes
Doherty, R., Madigan, S., Warrington, G., & Ellis, J. (2019) · Nutrients · doi:10.3390/nu11040822 · Cited by 186
von Rosen, P., Frohm, A., Kottorp, A., Fridén, C., & Heijne, A. (2017) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/sms.12735 · Cited by 142
Wheaton, A. G., Olsen, E. O., Miller, G. F., & Croft, J. B. (2016) · MMWR. Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6513a1 · Cited by 132
School Start Time Change: An In‐Depth Examination of School Districts in the United States
Owens, J., Drobnich, D., Baylor, A., & Lewin, D. (2014) · Mind, Brain, and Education · doi:10.1111/mbe.12059 · Cited by 74
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review