At the MIT Sloan Sports Analytics Conference, Dr. Meeta Singh made an argument that sport still has not fully absorbed. Sleep and recovery are integral to athletic performance, and they remain the most ignored part of it. Diet, hydration, training, innate ability, mental preparation, coaching: every one of those is shaped by sleep and circadian rhythm.

 "SSAC17: The Science of Sleep," MIT Sloan Sports Analytics Conference, March 2017.

The talk that follows that opening is one of the clearest explanations available of why the effect is so large, and why it is one of the few performance variables a front office can genuinely manage.

The deficit accumulates, and recovery is incomplete

Normal reaction time is about a quarter of a second. Drop from eight hours of sleep to six or seven and it doubles or triples. That alone would matter in a sport decided by fractions of a second, but the more important finding is what happens over days rather than nights.

In controlled sleep restriction studies, the same individuals spent a week at reduced time in bed, then three nights of recovery sleep. Lapses and reaction speed got steadily worse across the restricted week. After three nights of recovery they improved, but they never returned to the performance of people who had slept fully throughout.

The practical consequence is the part athletes resist. Sleeping well for two nights before a game does not repair a month of sleeping badly. And because athletes reliably sleep poorly the night before competition, from anxiety and unfamiliar rooms, the only defense is what was banked in the weeks before.

What sleep loss actually takes away

Judgment, before speed

Imaging of sleep-deprived brains shows the prefrontal cortex, responsible for judgment, multitasking and decision-making, is the most impaired region. Meanwhile the emotional centers become more active, not less. Decisions made while sleep-deprived are made with the emotional brain doing more of the work. For athletes making split-second reads, and for anyone trying not to let an opponent get inside their head, that is a meaningful loss.

Injury risk

In a study following high school athletes for roughly 22 months, hours of sleep was the strongest predictor of injury likelihood. That result is unsurprising once the mechanism is clear: slower reaction, reduced visual acuity and impaired judgment compound each other.

Recovery and hormones

Growth hormone is secreted during deep sleep. So is much of the body's testosterone. In one study, young healthy adults restricted to five hours in bed saw testosterone fall by 10 to 12 percent. Normal age-related decline is 1 to 2 percent per year, which put a 20-year-old's levels roughly where a 31-year-old's would be after a single week. At the same time, the hormones that break muscle down increase. Work at the Henry Ford Sleep Lab also found that less sleep raises pain sensitivity, which affects both perceived recovery and the demand for pain medication.

Metabolism

Research at the University of Chicago restricted healthy young adults for roughly a week to ten days. Their glucose tolerance fell by about 40 percent. They were, metabolically, behaving as if they were diabetic.

The comparison that lands

Dr. Singh's lab compared impairment from sleep loss to impairment from alcohol. Six hours of sleep is roughly equivalent to two or three beers. Four hours is closer to six, which is above the legal limit in some states.

She then asks audiences to raise a hand if they have ever shown up to train or compete after two or three beers. Nobody does. Then she asks who has shown up on less than eight hours of sleep. Everyone has. The point is not that the two are morally equivalent. It is that one impairment is treated as unacceptable and the other is treated as normal, and the body does not know the difference.

How much sleep actually produces a win

Adults generally need seven to eight hours. Athletes performing at their best appear to need nine to ten. That number comes from sleep extension studies at Stanford, where athletes were given ten hours in bed for about six weeks while performance was measured.

  • Basketball players: free-throw and three-point accuracy each improved by about 9 percent, sprint times fell, and players reported better mood and less fatigue.
  • Football players: roughly 0.1 to 0.2 seconds off the 40-yard dash and the 20-yard shuttle.
  • Swimmers: faster turn times and improved kick strokes. Tennis players: improved serve accuracy.

A tenth of a second sounds trivial until it is placed against a combine result sheet, where that margin separates the top of a draft class from the middle of it.

The circadian half of the argument

Two independent processes decide how alert you are. The first is sleep load, simply how long you have been awake. The second is the circadian clock, which produces an alerting signal that opposes sleep drive, dips in the early afternoon, and gives way to melatonin in darkness.

Every cell and physiological system runs on that clock, including coordination, reaction time, cardiovascular efficiency and muscle strength, all of which tend to peak in the late afternoon and early evening.

That shows up in results. Analysis of 40 years of NFL data found that in evening games between East Coast and West Coast teams, the West Coast team won roughly twice as often and beat the point spread roughly twice as often. There was no comparable difference in daytime games, and the study accounted for team quality and travel. In baseball, crossing three time zones was associated with a substantially higher chance of losing the first game, and East Coast teams returning home from a West Coast trip lost much of their home-field advantage because they arrived misaligned with their own time zone.

Chronotype matters too, and it is genetic. Morning-type pitchers tend to perform better in day games, night owls in evening games. Where a team needs its players to peak together and to peak at kickoff, light exposure and melatonin can be used deliberately to shift them.

The honest limit

These are population-level findings, not guarantees about any individual athlete or any individual game. No team wins because it slept, and no result proves a sleep strategy after the fact. What the evidence does support is that circadian timing is measurable in advance, that the effects are large enough to show up across decades of data, and that unlike an opponent's roster, it is a variable a team can control.

As Dr. Singh put it at Sloan, in a field looking to better individual and team performance, circadian advantages remain largely unexplored and very manageable.

Is your schedule working for your athletes or against them?

Circadian strategy is one of the few performance variables a team fully controls.

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Source

  • "SSAC17: The Science of Sleep," MIT Sloan Sports Analytics Conference, March 13, 2017. Watch