Sleep Aids in Elite Athletes: A Narrative Review
DOI:
https://doi.org/10.12775/QS.2026.65.73806Keywords
athlete sleep, melatonin, sedative-hypnotics, sports psychiatry, recovery, anti-dopingAbstract
Background. Sleep is essential for recovery, cognitive performance, and mental health in competitive sport. Athletes may use sleep aids when insomnia, travel fatigue, jet lag, or pre-competition arousal interfere with rest.
Aim. This narrative review summarizes current evidence on melatonin, sedative-hypnotics, and related sleep aids in competitive and elite athletes, including their effects on sleep, performance, safety, and anti-doping risk.
Material and methods. PubMed, PubMed Central, Google Scholar, and publisher websites were searched in May 2026. Open-access reviews, clinical trials, consensus statements, and official anti-doping documents were prioritized.
Results. Current evidence supports structured sleep assessment and non-pharmacological strategies as first-line management. Melatonin appears most relevant for circadian misalignment and travel-related sleep disruption, although direct performance benefits remain uncertain. Evidence regarding classical hypnotics in athletes is limited, while residual sedation, psychomotor impairment, misuse, and dependence remain important concerns. Supplement contamination and variable product quality may also create anti-doping risks.
Conclusions. Sleep aids should be used selectively, for clearly defined indications, and under medical supervision. Sleep management in athletes should prioritize behavioral, circadian, and organizational interventions before pharmacological treatment.
References
Almendros-Ruiz, A., Lopez-Moro, A., Conde-Pipò, J., Santalla, A., Requena, B., & Mariscal-Arcas, M. (2023). The effects of melatonin supplementation on professional football player performance: A systematic review. Nutrients, 15(20), 4467. https://doi.org/10.3390/nu15204467
Baird, M. B., & Asif, I. M. (2018). Medications for sleep schedule adjustments in athletes. Sports Health, 10(1), 35-39. https://doi.org/10.1177/1941738117743205
Bender, A. M., Lawson, D., Werthner, P., & Samuels, C. H. (2018). The clinical validation of the Athlete Sleep Screening Questionnaire: An instrument to identify athletes that need further sleep assessment. Sports Medicine - Open, 4, 23. https://doi.org/10.1186/s40798-018-0140-5
Celorrio San Miguel, A. M., Roche, E., Herranz-López, M., Celorrio San Miguel, M., Mielgo-Ayuso, J., & Fernández-Lázaro, D. (2024). Impact of melatonin supplementation on sports performance and circulating biomarkers in highly trained athletes: A systematic review of randomized controlled trials. Nutrients, 16(7), 1011. https://doi.org/10.3390/nu16071011
Craven, J., McCartney, D., Desbrow, B., Sabapathy, S., Bellinger, P., Roberts, L., & Irwin, C. (2022). Effects of acute sleep loss on physical performance: A systematic and meta-analytical review. Sports Medicine, 52, 2669-2690. https://doi.org/10.1007/s40279-022-01706-y
Cunha, L. A., Costa, J. A., Marques, E. A., Brito, J., Lastella, M., & Figueiredo, P. (2023). The impact of sleep interventions on athletic performance: A systematic review. Sports Medicine - Open, 9, 58. https://doi.org/10.1186/s40798-023-00599-z
Doherty, R., Madigan, S., Nevill, A., Warrington, G., & Ellis, J. (2021). The sleep and recovery practices of athletes. Nutrients, 13(4), 1330. https://doi.org/10.3390/nu13041330
Driller, M. W., Mah, C. D., & Halson, S. L. (2018). Development of the Athlete Sleep Behavior Questionnaire: A tool for identifying maladaptive sleep practices in elite athletes. Sleep Science, 11(1), 37-44. https://doi.org/10.5935/1984-0063.20180009
Farjallah, M. A., Graja, A., Ben Mahmoud, L., et al. (2022a). Effects of melatonin ingestion on physical performance and biochemical responses following exhaustive running exercise in soccer players. Biology of Sport, 39(2), 473-479. https://doi.org/10.5114/biolsport.2022.106385
Farjallah, M. A., Ghattassi, K., Graja, A., et al. (2022b). Melatonin supplementation alleviates cellular damage and physical performance decline induced by an intensive training period in professional soccer players. PLOS ONE, 17(9), e0273719. https://doi.org/10.1371/journal.pone.0273719
Gratwicke, M., Miles, K. H., Pyne, D. B., Pumpa, K. L., & Clark, B. (2021). Nutritional interventions to improve sleep in team-sport athletes: A narrative review. Nutrients, 13(5), 1586. https://doi.org/10.3390/nu13051586
Halson, S. L. (2014). Sleep in elite athletes and nutritional interventions to enhance sleep. Sports Medicine, 44(Suppl 1), S13-S23. https://doi.org/10.1007/s40279-014-0147-0
International Tennis Integrity Agency. (2024). Polish tennis player Iga Świątek accepts one-month suspension under Tennis Anti-Doping Programme. https://www.itia.tennis/news/sanctions/polish-tennis-player-iga-swiatek-accepts-one-month-suspension-under-tennis-anti-doping-programme/
Lastella, M., Halson, S. L., Vitale, J. A., Memon, A. R., & Vincent, G. E. (2021). To nap or not to nap? A systematic review evaluating napping behavior in athletes and the impact on various measures of athletic performance. Nature and Science of Sleep, 13, 841-862. https://doi.org/10.2147/NSS.S315556
Mah, C. D., Mah, K. E., Kezirian, E. J., & Dement, W. C. (2011). The effects of sleep extension on the athletic performance of collegiate basketball players. Sleep, 34(7), 943-950. https://doi.org/10.5665/SLEEP.1132
Mallick, M., Camacho, C. B., Daher, J., & El Khoury, D. (2023). Dietary supplements: A gateway to doping? Nutrients, 15(4), 881. https://doi.org/10.3390/nu15040881
Martínez-Sanz, J. M., Sospedra, I., Ortiz, C. M., Baladía, E., Gil-Izquierdo, A., & Ortiz-Moncada, R. (2017). Intended or unintended doping? A review of the presence of doping substances in dietary supplements used in sports. Nutrients, 9(10), 1093. https://doi.org/10.3390/nu9101093
Mathews, N. M. (2018). Prohibited contaminants in dietary supplements. Sports Health, 10(1), 19-30. https://doi.org/10.1177/1941738117727736
Nédélec, M., Aloulou, A., Duforez, F., Meyer, T., & Dupont, G. (2018). The variability of sleep among elite athletes. Sports Medicine - Open, 4, 34. https://doi.org/10.1186/s40798-018-0151-2
Sirohi, P., Khan, M. H., Sharma, S., Nuhmani, S., Al Muslem, W. H., & Abualait, T. (2022). A systematic review of effects of daytime napping strategies on sports performance in physically active individuals with and without partial-sleep deprivation. PeerJ, 10, e14460. https://doi.org/10.7717/peerj.14460
Taylor, L., Chrismas, B. C. R., Dascombe, B., Chamari, K., & Fowler, P. M. (2016). Sleep medication and athletic performance-the evidence for practitioners and future research directions. Frontiers in Physiology, 7, 83. https://doi.org/10.3389/fphys.2016.00083
Vitale, K. C., Owens, R., Hopkins, S. R., & Malhotra, A. (2019). Sleep hygiene for optimizing recovery in athletes: Review and recommendations. International Journal of Sports Medicine, 40(8), 535-543. https://doi.org/10.1055/a-0905-3103
Vlahoyiannis, A., Aphamis, G., Bogdanis, G. C., Sakkas, G. K., Andreou, E., & Giannaki, C. D. (2021). Deconstructing athletes’ sleep: A systematic review of the influence of age, sex, athletic expertise, sport type, and season on sleep characteristics. Journal of Sport and Health Science, 10(4), 387-402. https://doi.org/10.1016/j.jshs.2020.03.006
Walsh, N. P., Halson, S. L., Sargent, C., Roach, G. D., Nédélec, M., Gupta, L., Leeder, J., Fullagar, H. H. K., Coutts, A. J., Edwards, B. J., Pullinger, S. A., Robertson, C. M., Burniston, J. G., Lastella, M., Le Meur, Y., Hausswirth, C., Bender, A. M., Grandner, M. A., & Samuels, C. H. (2021). Sleep and the athlete: Narrative review and 2021 expert consensus recommendations. British Journal of Sports Medicine, 55(7), 356-368. https://doi.org/10.1136/bjsports-2020-102025
World Anti-Doping Agency. (2026). The 2026 Prohibited List: International Standard. https://www.wada-ama.org/sites/default/files/2025-09/2026list_en_final_clean_september_2025.pdf
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Copyright (c) 2026 Krzysztof Mirkowski, Adam Miroński, Bartosz Minik, Kacper Częczek, Karolina Cieślewicz, Kinga Szymańska-Zdyb , Patrycja Nowaczek, Barbara Braksal, Zuzanna Szurek, Zofia Chyła
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