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The role of sleep on physical and cognitive performance of ultra-endurance athletes: a systematic review

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.fosCiências Sociais::Ciências da Educação
datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg04:Educação de Qualidade
dc.contributor.authorGuilherme, Larissa
dc.contributor.authorRodrigues, Bruno
dc.contributor.authorRosa, Carla
dc.contributor.authorLeite, Luciano
dc.contributor.authorScheer, Volker
dc.contributor.authorForte, Pedro
dc.contributor.authorHermsdorff, Helen
dc.contributor.authorKravchychyn, Ana
dc.contributor.authorSouza, Helton de Sá
dc.date.accessioned2026-03-19T10:26:41Z
dc.date.available2026-03-19T10:26:41Z
dc.date.issued2026
dc.description.abstractSleep is an important factor for recovery and performance in endurance sports, yet its role in ultra-endurance events remains unclear due to extreme physical and cognitive demands and disrupted sleep patterns. This systematic review aimed to analyze the role of sleep in physical and cognitive performance in ultra-endurance athletes. This systematic review followed PRISMA guidelines. A comprehensive search was conducted in May 2025 across PubMed/Medline, Embase, SPORTDiscus, and Web of Science. Two researchers independently screened, selected, extracted, and assessed data quality using the JBI tools (PROSPERO ID: CRD420251042220). Of 424 articles, 16 met inclusion criteria, totaling data from 1389 athletes. Regarding physical performance, better outcomes were associated with no or less sleep during competition (TST), extended sleep the night before, and increased time in light sleep. In contrast, longer wake time, lower sleep quality, greater sleepiness during competition, and higher sleep efficiency were linked to poorer performance. Cognitive performance was positively associated with pre-race sleep quality and mid-race naps. Conversely, greater accumulated sleep before testing was linked to worse cognitive outcomes. Sleep, particularly total sleep time (TST), plays an important role in ultra-endurance performance, although this relationship may be non-linear and influenced by race context and individual strategies. Pre-race and intra-race sleep strategies such as napping and extended sleep may benefit performance. Further rigorous and longitudinal studies are needed to clarify sleep’s impact on performance and recovery in ultra-endurance contexts.eng
dc.description.sponsorshipThis work was supported by the Funda\u00E7\u00E3o de Amparo \u00E0 Pesquisa do Estado de Minas Gerais (FAPEMIG), Brazil, under grant number APQ-02146-22. LQG was supported by the Brazilian Coordination for the Improvement of Higher Education Personnel (CAPES)\u2014Funding Code 001. HHMH is CNPq research productivity fellow.
dc.identifier.citationGuilherme, Larissa; Rodrigues, Bruno; Rosa, Carla; Leite, Luciano; Scheer, Volker; Forte, Pedro; Hermsdorff, Helen; Kravchychyn, Ana; Souza, Helton (2026). The role of sleep on physical and cognitive performance of ultra-endurance athletes: a systematic review. Journal of Clinical Medicine. ISSN 2077-0383. 15:4, p. 1-17. DOI: 10.3390/15041398
dc.identifier.doi10.3390/15041398
dc.identifier.issn2077-0383
dc.identifier.urihttp://hdl.handle.net/10198/36146
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.ispartofJournal of Clinical Medicine
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectAthletic performance
dc.subjectCognitive performance
dc.subjectSleep
dc.subjectSleep quality
dc.subjectUltra-endurance
dc.titleThe role of sleep on physical and cognitive performance of ultra-endurance athletes: a systematic revieweng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage17
oaire.citation.issue4
oaire.citation.startPage1
oaire.citation.titleJournal of Clinical Medicine
oaire.citation.volume15
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameForte
person.givenNamePedro
person.identifier.ciencia-id351B-B16B-79C7
person.identifier.orcid0000-0003-0184-6780
relation.isAuthorOfPublication3ecc6d1b-07a4-40d7-81f4-df6fd7b3d5b0
relation.isAuthorOfPublication.latestForDiscovery3ecc6d1b-07a4-40d7-81f4-df6fd7b3d5b0

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