Sleep as an ‘Ergogenic Supplement’: The Role of Sleep Quality, Duration and Patterns in Preventing Sports Injuries - A Systematic Review
DOI:
https://doi.org/10.12775/JEHS.2026.89.69824Keywords
sleep, sports injury, injury prevention, sleep duration, sleep quality, sleep patterns, athletic performance, systematic reviewAbstract
BACKGROUND: Sleep is recognized as a key factor influencing athletic performance and injury prevention. Despite growing interest in sleep as a modifiable risk factor, the relationship between sleep parameters and the risk of sports injuries requires systematic evaluation.
AIM: This study focuses on presenting the relationship between the duration, quality and patterns of sleep and the occurrence and prevention of sports injuries based on current knowledge.
MATERIAL AND METHODS: This systematic review was conducted using multiple databases, including ScienceDirect, PubMed and Google Scholar. After removing duplicates, 165 unique articles compatible with the study topic were identified. The 31 most relevant articles were selected and used to analyse the association between sleep parameters and the effects of sports injuries in athlete populations.
RESULTS: Strong evidence has been identified linking insufficient sleep to an increased risk of sports injuries in many groups of athletes. In addition, the study confirmed that poor sleep quality was associated with a significantly higher likelihood of injury. The study confirmed mechanisms connecting sleep and injury include impaired cognitive function, slowed reaction time, weakened neuromuscular control, increased inflammation and impaired tissue regeneration.
CONCLUSIONS: Evidence shows that sleep has a protective effect against injuries when it is sufficiently long and of adequate quality. Healthcare professionals, coaches and athletes should prioritise sleep hygiene measures as part of comprehensive injury prevention strategies.
References
1. Senbel S, Sharma S, Raval SM, Taber CB, Nolan JK, Artan NS, et al. Impact of sleep and training on game performance and injury in Division-1 women’s basketball amidst the pandemic. IEEE Access. 2022;10:15516-27. https://doi.org/10.1109/ACCESS.2022.3145368
2. Hamlin MJ, Wilkes D, Elliot CA, Lizamore CA, Kathiravel Y. The effect of sleep quality and quantity on athlete’s health and perceived training quality. Front Sports Act Living. 2021;3:705650. https://doi.org/10.3389/FSPOR.2021.705650
3. Owoeye OBA, Palacios-Derflingher L, Emery CA. Snooze it or lose it: Understanding sleep disturbance and injuries in soccer and basketball student-athletes. Clin J Sport Med. 2024;34(6):610-4. https://doi.org/10.1097/jsm.0000000000001250
4. O’Sullivan K, Johnston R, Cahalan R, et al. Sleep and general health predict higher injury rates in endurance athletes: a prospective study. Br J Sports Med. 2021;55(Suplement 1):A24.1. https://doi.org/10.1136/bjsports-2021-IOC.54
5. Horgan BG, Drew MK, Drinkwater EJ, Chapman DW, Haff GG, Halson SL, et al. Impaired recovery is associated with increased injury and illness: a retrospective study of 536 female netball athletes. Scand J Med Sci Sports. 2021;31(3):691-701. https://doi.org/10.1111/sms.13866
6. Tawfeeq HA, Al-Shammari SA. The association between sleep duration and sports injury risk in athletes: a structured literature review and meta-analysis. Research Square [Preprint]. 2025. https://doi.org/10.21203/rs.3.rs-7606280/v1
7. Dennis J, Dawson B, Heasman J, Rogalski B, Robey E. Sleep patterns and injury occurrence in elite Australian footballers. J Sci Med Sport. 2016;19(2):113-6. https://doi.org/10.1016/J.JSAMS.2015.02.003
8. Yabroudi MA, Nawasreh ZH, Debes WA, Al-Sharman AJ, Darwish AA, Samaneh HA, et al. The influence of sleep quality and quantity on soccer injuries in professional teams. J Sports Med Phys Fitness. 2022 Oct;62(10):1375-82. https://doi.org/10.23736/s0022-4707.21.13016-6
9. Allen JM, Krabak BJ, Tenforde AS. Don’t sleep on sleep: A case report from a Division I heptathlete. J Athl Train. 2025;60(4):296-300. https://doi.org/10.4085/1062-6050-0537.24
10. Gao B, Dwivedi S, Milewski MD, Cruz AI. Chronic lack of sleep is associated with increased sports injury in adolescents: a systematic review and meta-analysis. Orthop J Sports Med. 2019;7(3 Suppl):2325967119S00132. https://doi.org/10.1177/2325967119S00132
11. Mah CD, Mah KE, Kezirian EJ, Dement WC. The effects of sleep extension on the athletic performance of collegiate basketball players. Sleep. 2011;34(7):943-50. https://doi.org/10.5665/SLEEP.1132
12. Watson A, Johnson M, Sanfilippo J. Decreased sleep is an independent predictor of in-season injury in male collegiate basketball players. Orthop J Sports Med. 2020;8(11):2325967120964481. https://doi.org/10.1177/2325967120964481
13. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4
14. Driller MW, Mah CD, Halson SL. Development of the athlete sleep behavior questionnaire: A tool for identifying maladaptive sleep practices in elite athletes. Sleep Sci. 2018;11(1):37-44. https://doi.org/10.5935/1984-0063.20180009
15. Haraldsdottir K, Watson AM, Brickson SL, Sanfilippo JL, McLeod TCV. Decreased sleep and subjective well-being as independent predictors of injury in female collegiate volleyball players. Orthop J Sports Med. 2021;9(9):23259671211029285. https://doi.org/10.1177/23259671211029285
16. Milewski MD, Skaggs DL, Bishop GA, Pace JL, Ibrahim DA, Wren TA, et al. Chronic lack of sleep is associated with increased sports injuries in adolescent athletes. J Pediatr Orthop. 2014;34(2):129-33. https://doi.org/10.1097/BPO.0000000000000151
17. Huang K, Ihm J. Sleep and injury risk. Curr Sports Med Rep. 2021;20(6):286-290. https://doi.org/10.1249/JSR.0000000000000849
18. Abrahamson J, Sandstedt E, Sansone M, Lindman I. Female sex, training volume and sleep amount are risk factors for sports-related injuries: a 1-year prospective cohort study on adolescent elite athletes. BMJ Open Sport Exerc Med. 2025;11(4):e002699. https://doi.org/10.1136/bmjsem-2025-002699
19. Butovskiy M, Achkasov E, Bezuglov E, Waśkiewicz Z, Nikolaidis PT, Rosemann T, Knechtle B. Sleep disorders and their relation to injuries among young elite soccer players. Sportivnaya meditsina: nauka i praktika. 2023;13(3):5-11. https://doi.org/10.47529/2223-2524.2023.3.1
20. 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. Sports Med. 2015;45(2):161-86. https://doi.org/10.1007/s40279-014-0260-0
21. Hummel JW. Temporally precise relationships between sleep, performance and injury risk in collegiate football athletes. [PhD dissertation]. New Brunswick (NJ): Rutgers University; 2024. https://doi.org/10.7282/t3-8evy-9a60
22. Leeder J, Glaister M, Pizzoferro K, Dawson J, Pedlar C. Sleep duration and quality in elite athletes measured using wristwatch actigraphy. J Sports Sci. 2012;30(6):541-5. https://doi.org/10.1080/02640414.2012.660188
23. Dáttilo M, Antunes HKM, Galbes NMN, Mônico-Neto M, de Sá Souza H, Quaresma MVLDS, et al. Effects of sleep deprivation on acute skeletal muscle recovery after exercise. Med Sci Sports Exerc. 2020;52(2):507-14. https://doi.org/10.1249/MSS.0000000000002137
24. Johnston R, Cahalan R, Bonnett L, Maguire M, Glasgow P, Madigan S, et al. General health complaints and sleep associated with new injury within an endurance sporting population: A prospective study. J Sci Med Sport. 2020;23(3):252-7. https://doi.org/10.1016/J.JSAMS.2019.10.013
25. Rygielski A, Melnyk B, Latour E, Latour M, Judek R, Kowalczyk Z, Stanek A, Płudowska K. The impact of sleep on athletes performance and injury risk: a narrative review. Quality in Sport. 2024;19:54333. https://doi.org/10.12775/QS.2024.19.54333
26. Kim J, Kainth T, Garrels E, Tran K. Beyond rest: exploring the sleep-exercise connection. Eur Psychiatry. 2024;67(Suppl 1):S770. https://doi.org/10.1192/j.eurpsy.2024.1603
27. Franks PJ, Parnell JA, Nanayakkara N, Lundy B, Goss J, Lockie RG. Benefits of sleep on reduction of injury and illness in Division I female soccer players. Sci J Sport Perform. 2024;3(3):395-404. https://doi.org/10.55860/qkrt6483
28. de Jonge J, Taris TW. Sleep matters: profiling sleep patterns to predict sports injuries in recreational runners. Appl Sci (Basel). 2025;15(19):10814. https://doi.org/10.3390/app151910814
29. Clemente FM, Afonso J, Costa J, Oliveira R, Pino-Ortega J, Rico-González M. Relationships between sleep, athletic and match performance, training load, and injuries: a systematic review of soccer players. Healthcare (Basel). 2021;9(7):808. https://doi.org/10.3390/HEALTHCARE9070808
30. 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. Sports Med. 2021;51(4):777-93. https://doi.org/10.1007/S40279-020-01416-3
31. Lamon S, Morabito A, et al. The effect of acute sleep deprivation on skeletal muscle protein synthesis and the hormonal environment. Physiol Rep. 2021;9(1):e14660. https://doi.org/10.14814/phy2.14660
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Oliwia Bartkowska, Joanna Banatkiewicz, Emilia Deka, Jan Domińczak, Sofia Czarnecka, Gabriela Ewa Łuczyńska, Adam Dobosz, Antoni Wojnowski, Karolina Babik, Hanna Maria Bojanowska

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 207
Number of citations: 0