Evidence map›Paper›PMID 29420135›Full record

ArticleSports health

Impaired Sleep Mediates the Negative Effects of Training Load on Subjective Well-Being in Female Youth Athletes.

Andrew Watson, Stacey Brickson

Open access · bronzeAbstract read
In one paragraph

Article in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. A Systematic Review of the Reporting Quality of Observational Studies That Use Mediation Analyses.Prevention science : the official journal of the Society for Prevention Research · 2022
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Andrew WatsonDepartment of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Stacey BricksonDepartment of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
University of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough increased training load (TL) and impaired sleep are associated with decreases in subjective well-being in adult athletes, these relationships among female youth athletes are unclear. It is unknown whether the effects of sleep and TL on well-being are independent or whether alterations in sleep mediate the effects of TL on subjective well-being. HYPOTHESIS: Sleep and TL exert independent effects on subjective well-being among youth athletes, although alterations in sleep mediate a significant portion of the effect of TL on well-being in female youth athletes. STUDY

designProspective cohort study. LEVEL OF EVIDENCE: Level 4.

methodsA total of 65 female soccer athletes (age range, 13-18 years) were monitored for 1 year. Daily TL was determined by session rating of perceived exertion and converted to z-scores. Every morning, participants recorded sleep duration in hours and rated stress, mood, fatigue, and soreness on a scale from -3 to +3 (worst to best). Linear mixed-effects models and mediation analysis were used to evaluate the independent effects of TL and sleep on well-being.

resultsAverage sleep duration was 7.9 ± 1.4 hours during the study period. In the multivariable model, TL and sleep duration were independently associated with fatigue (TL: β = -0.19, P < 0.001; sleep: β = 0.15, P < 0.001), mood (TL: β = -0.030, P = 0.014; sleep: β = 0.13, P < 0.001), stress (TL: β = -0.055, P = 0.001; sleep: β = 0.13, P < 0.001), and soreness (TL: β = -0.31, P < 0.001; sleep: β = 0.022, P = 0.042). Sleep duration mediated a significant portion of the effect of TL on mood (26.8%, P < 0.001), fatigue (12.6%, P < 0.001), and stress (24.5%, P < 0.001).

conclusionAmong female youth athletes, decreased sleep duration and increased TL are independently associated with impairments of subjective well-being. In addition, decreased sleep mediates a significant portion of the negative effect of increases in TL on subjective well-being. CLINICAL RELEVANCE: Monitoring and promoting sleep among female adolescent athletes may significantly improve subjective well-being, particularly during periods of increased TL.

Indexed as

Physical Conditioning, HumanAdolescentAffectAthletesFatigueFemaleHumansMyalgiaProspective StudiesSleep DeprivationSoccerStress, Psychologicalfatiguemoodsorenessstress

Identifiers

PMID29420135
PMCPMC5958455
OpenAlexW2786328515

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.