Article

Travel Across More Time Zones Results in Worse Perceived Fatigue and Sleep in National-Team Footballers

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Abstract

Purpose: This study investigated the association between (1) time zone difference and (2) travel direction (east vs west) with posttravel changes in perceptual responses of national-team footballers. Methods: Travel schedules from 355 national-team trips (50 elite soccer players) were verified using an online flight database. All players provided perceptual ratings of fatigue, sleep quality, soreness, and stress to calculate changes in scores up to 2 days after travel. Trips were categorized as <3, 3 to 6, 6 to 9, or 9+ time zone changes, along with travel direction (eastward or westward). The pretravel to posttravel changes in perceptual ratings at days 1 and 2 postarrival were compared between time zone change and travel direction with linear mixed models. Results: For every time zone crossed, poorer ratings of perceptual fatigue (β = 0.068, P < .001), sleep (β = 0.095, P < .001), soreness (β = 0.0049, P < .001), and total wellness (β = 0.214, P < .001) were observed. However, the models explained only small proportions of the variation in postflight perceptual responses (7%-18%). Regardless, travel across 9+ time zones resulted in significantly worse perceived fatigue, sleep, and total wellness for days 1 and 2 postarrival compared with travel with <6 time zones (P < .05). Additionally, fatigue, sleep, and total scores were worse on day 2 following trips of 9+ time zones. Eastward travel resulted in poorer sleep ratings (β = 0.52, P < .001) than westward travel within time zone groupings. Conclusions: Perceptual ratings of fatigue and sleep become progressively worse as travel increases in national-team soccer players, especially after travel across 9+ time zones and eastward travel.

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... It is important to consider that in international competitions, players are exposed to training and match demands that differ from their club routines [6], which may lead to high variability in neuromuscular responses between players. Additionally, external factors such as the menstrual cycle and time zone adaptation can further influence training load, neuromuscular performance and perceptual responses [7,8]. Therefore, transition periods from a club to a national team require simple and effective load monitoring to guide training strategies and optimize Individual changes in neuromuscular performance in the Spanish women's national football team throughout the 2023 World Cup accuracy, reliability, and sensitivity in detecting fatigue and adaptations in programming training for football players [19]. ...
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The present study examined effects of simulated air travel on physical performance. In a randomized crossover design, 10 physically active males completed a simulated 5-h domestic flight (DOM), 24-h simulated international travel (INT), and a control trial (CON). The mild hypoxia, seating arrangements, and activity levels typically encountered during air travel were simulated in a normobaric, hypoxic altitude room. Physical performance was assessed in the afternoon of the day before (D − 1 PM) and in the morning (D + 1 AM) and afternoon (D + 1 PM) of the day following each trial. Mood states and physiological and perceptual responses to exercise were also examined at these time points, while sleep quantity and quality were monitored throughout each condition. Sleep quantity and quality were significantly reduced during INT compared with CON and DOM (P < 0.01). Yo-Yo Intermittent Recovery level 1 test performance was significantly reduced at D + 1 PM following INT compared with CON and DOM (P < 0.01), where performance remained unchanged (P > 0.05). Compared with baseline, physiological and perceptual responses to exercise, and mood states were exacerbated following the INT trial (P < 0.05). Attenuated intermittent-sprint performance following simulated international air travel may be due to sleep disruption during travel and the subsequent exacerbated physiological and perceptual markers of fatigue.
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Jet lag has potentially serious deleterious effects on performance in athletes following transmeridian travel, where time zones are crossed eastwards or westwards; as such, travel causes specific effects related to desynchronization of the athlete's internal body clock or circadian clock. Athletes are particularly sensitive to the effects of jet lag, as many intrinsic aspects of sporting performance show a circadian rhythm, and optimum competitive results require all aspects of the athlete's mind and body to be working in tandem at their peak efficiency. International competition often requires transmeridian travel, and competition timings cannot be adjusted to suit individual athletes. It is therefore in the interest of the individual athlete and team to understand the effects of jet lag and the potential adaptation strategies that can be adopted. In this review, we describe the underlying genetic and physiological mechanisms controlling the circadian clock and its inherent ability to adapt to external conditions on a daily basis. We then examine the fundamentals of the various adaptation stimuli, such as light, chronobiotics (e.g. melatonin), exercise, and diet and meal timing, with particular emphasis on their suitability as strategies for competing athletes on the international circuit. These stimuli can be artificially manipulated to produce phase shifts in the circadian rhythm to promote adaptation in the optimum direction, but care must be taken to apply them at the correct time and dose, as the effects produced on the circadian rhythm follow a phase-response curve, with pronounced shifts in direction at different times. Light is the strongest realigning stimulus and careful timing of light exposure and avoidance can promote adjustment. Chronobiotics such as melatonin can also be used to realign the circadian clock but, as well as timing and dosage issues, there are also concerns as to its legal status in different countries and with the World Anti-Doping Agency. Experimental data concerning the effects of food intake and exercise timing on jet lag is limited to date in humans, and more research is required before firm guidelines can be stated. All these stimuli can also be used in pre-flight adaptation strategies to promote adjustment in the required direction, and implementation of these is described. In addition, the effects of individual variability at the behavioural and genetic levels are also discussed, along with the current limitations in assessment of these factors, and we then put forward three case studies, as examples of practical applications of these strategies, focusing on adaptations to travel involving competition in the Rugby Sevens World Cup and the 2016 Summer Olympics in Rio de Janeiro, Brazil. Finally, we provide a list of practice points for optimal adaptation of athletes to jet lag.
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It is perceived that long haul travel, comprising of rapid movement across several time zones is detrimental to performance in elite athletes. However, available data is equivocal on the impact of long haul travel on maximal explosive movements. The aim of this study was to quantify the impact of long haul travel on lower body muscle performance. Five elite Australian skeleton athletes (1 M, 4 F) undertook long haul flight from Australia to Canada (LH(travel)), while seven national team Canadian skeleton athletes (1 M, 6 F) acted as controls (NO(travel)). Lower body power assessments were performed once per day between 09:30 and 11:00 h local time for 11 days. Lower body power tests comprised of box drop jumps, squat jump (SJ) and countermovement jumps (CMJ). The LH(travel) significantly decreased peak and mean SJ velocity but not CMJ velocity in the days following long haul flight. CMJ height but not SJ height decreased significantly in the LH(travel) group. The peak velocity, mean velocity and jump power eccentric utilisation ratio for the LH(travel) group all significantly increased 48 h after long haul flight. Anecdotally athletes perceived themselves as 'jet-lagged' and this corresponded with disturbances observed in 'one-off' daily jumping ability between 09:30 and 11:00 h after eastward long haul travel from Australia to North America when compared to non-travel and baseline controls.
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In healthy male top athletes several functions were measured after either a westbound flight over six time-zones (WEST: Frankfurt-Atlanta; n = 13) or an eastbound flight over eight time-zones (EAST: Munich-Osaka; n = 6). Under either condition the athletes performed two standardized exercise training units in the morning and in the afternoon within 24 h, investigations were done as controls in Germany and on day 1, 4, 6, and 11, after arrival. The primary aim of the study was to evaluate the effect of time-zone transitions on the 24h profiles of blood pressure (BP) and heart rate (HR) using an ambulatory BP device (SpaceLabs 90207), for up to 11 d after arrival at the destination. As additional parameters, we studied jet-lag symptoms, training performance, and training coordination by using visual analog scales. Finally, oral temperature and grip strength were measured, and saliva samples were analyzed for cortisol and melatonin. The study showed that all functions were disturbed on the first day after arrival at the destination, jet-lag symptoms remained until day 5-6 after WEST and day 7 after EAST, training performance was worst within the first 4 d after WEST. In accordance with earlier reports, cortisol, melatonin, body temperature, and grip strength were affected in their 24h profiles and additionally modified by the training units. Surprisingly, BP and HR were not only affected on the first day but also the time-zone transition led to an increase in BP after WEST and a decrease in BP after EAST. However, the training units seemed to influence the BP profile more than the time-zone transitions. HR rhythm was affected by both time-zone transitions and exercise. It is concluded that not only jet-lag symptoms but also alterations in physiological functions should be considered to occur in highly competitive athletes due to time-zone transition and, therefore, an appropriate time of reentrainment is recommended.
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Objectives To describe the perceived load, fatigue and recovery profiles during congested and non-congested schedules in international football tournaments. Design Retrospective single-cohort observational study Methods Internal load (session-rating of perceived exertion [s-RPE]) and perceived ratings of fatigue, muscle soreness, psychological status, sleep quality, and sleep duration were recorded daily from 37 national team footballers during the competition phase of 3 international tournaments. ANOVA and Effect Size (ES) analyses compared individualised internal load and perceived response profiles between congested and non-congested acute 2-match schedules. Conditions included Acute Congestion (≤4 days between two matches), Non-Congestion (> 4 days between two matches), Single-Match, and No-Match. Results Significantly higher s-RPE match loads (p<0.001) within the single- and multi-match conditions resulted in significantly worsened (p<0.05) subjective ratings of perceived fatigue, muscle soreness and sleep duration in the 24-48h post-match. Internal load profiles were not different between the Acute-Congestion or Non-congestion conditions (p>0.05); though Acute-Congestion had significantly worsened pre-match subjective ratings compared to Non-Congestion on both MD1 (p = 0.040; ES = 0.94) and MD2 (p = 0.033; ES = 0.94). However, between-match differences in Acute-Congestion showed no further impairments in perceived response between the first and second matches (p>0.05). Conclusion During international tournaments, internal load and perceived fatigue/recovery profiles are largely determined by their exposure (or lack thereof) to match-play. Periods of acute match congestion impaired players pre-match perceived status when compared to non-congested microcycles. However, acute match congestion does not appear to exacerbate players post-match fatigue/recovery response within the context of international football tournaments.
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There is a scarcity of research examining the effects of long-distance transmeridian travel (LDTT) on the sleep and match performance of team sport players. To address this, 37 elite male rugby union players from a Super Rugby team undertaking LDTT were recruited. The participants completed validated sleep questionnaires and wore a wrist-worn activity monitor (Readiband™) during a Super Rugby season (including during periods of LDTT crossing 5, 6, and 13 time-zones) to ascertain objective measures of sleep. Sleep measures were compared using mixed model analysis to ascertain the effects of competition and LDTT on sleep. Total sleep time (TST) increased in the days prior to matches, and decreased following matches (accompanied by a later time at sleep onset), particularly when next-day early-morning flights were required. TST was decreased when sleep was attempted during LDTT, except for in the last travel bout where players napped in addition to achieving night-time sleep. TST was also reduced for the night immediately following LDTT, except for in Condition 3 where players delayed wake time and also achieved naps. This study exemplifies the challenges that team-sport athletes face in obtaining regular sleep when LDTT is required.
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Background: Athlete-reported outcome measures (AROMs) are frequently used in research and practice but no studies have examined their psychometric properties. Objectives: Part 1-identify the most commonly used AROMs in sport for monitoring training responses; part 2-assess risk of bias, measurement properties, and level of evidence, based on the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines. Study appraisal and synthesis methods: Methodological quality of the studies, quality of measurement properties, and level of evidence were determined using the COSMIN checklist and criteria. Results: Part 1-from 9446 articles screened for title and abstract, 310 out of 334 full texts were included; 53.9% of the AROMs contained multiple items, while 46.1% contained single items. Part 2-from 1895 articles screened for title and abstract, 71 were selected. Most measurement properties of multiple-item AROMs were adequate, but content validity and measurement error were inadequate. With the exclusion of 2 studies examining reliability and responsiveness, no validity studies were found for single items. Conclusions: The measurement properties of multiple-item AROMs derived from psychometrics were acceptable (with the exclusion of content validity and measurement error). The single-item AROMs most frequently used in sport science have not been validated. Additionally, nonvalidated modified versions of the originally nonvalidated items are common. Until proper validation studies are completed, all conclusions based on these AROMs are questionable. Established reference methods, such as those of clinimetrics, should be used to develop and assess the validity of AROMs.
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Everett, KLA, Chapman, DW, Mitchell, JA, and Ball, N. Effects of westbound trans-meridian travel on countermovement jump performance in international-level rowers. J Strength Cond Res XX(X): 000-000, 2020-International long-haul air travel is a necessity for many athletes as part of their training or competition schedules. However, long-haul travel is also associated with impaired neuromuscular function. An athlete's lower body neuromuscular status is frequently assessed and monitored using countermovement jump (CMJ). This study assessed the impact of westbound trans-meridian travel on changes in CMJ performance in highly trained aerobic athletes. Highly trained male rowers (n = 21, 23.7 ± 1.4 years, 1.91 ± 0.07 m, 86.9 ± 9.9 kg) undertook a westbound flight incurring 22 hours of flight time with 30 hours of total travel time across 9 time zones. Athletes completed a single set of 6 loaded CMJ repetitions before and after travel with performance measured using a digital optical encoder attached to a 20 kg barbell. Each CMJ repetition was assessed for mean concentric velocity, jump height (JH), eccentric displacement, JH:dip ratio, mean power, and mean eccentric velocity, with comparisons made between mean set changes before and after travel. Changes were compared using a one tail paired t-test and characterized using Cohen's d (95% confidence interval) effect sizes. Significance was accepted at p ≤ 0.05. Small-to-moderate changes were observed in all variables following westbound travel. These changes may be because of retention of high training loads before travel resulting in the athletes being in a fatigued state, whereas travel time worked as a forced recovery period. Reductions in CMJ performance are likely following westbound travel, however, may be affected by training fatigue before travel that may confound CMJ performance as a monitoring metric.
Article
Post-lunch sleepiness belongs to biological rhythms. Athletes take a nap to counteract afternoon circadian nadir, in prevision of disturbed sleep. This study examined the effects of brief post-lunch nap on vigilance in young and healthy athletes. The P300 components, physiological and cognitive performances were assessed either after nap or rest, following a night of normal sleep (NSC) or simulated jet lag condition (5-h advance-JLC). P300 wave is the positive deflection at about 300 ms in response to a rare stimulus, representing higher information processing. P300 amplitude reflects the amount of attention allocated whereas P300 latency reflects time spent on stimulus classification. P300 amplitude was significantly increased (Fz:11.14±3.0vs9.05±3.2 µV; p<0.05) and P300 latency was shorter (Pz:327.16±18.0vs344.90±17.0 ms; p<0.01) after nap in NSC. These changes were accompanied by lower subjective sleepiness (19.7±9.6vs27.5±16.5; p<0.05) and decrease in mean reaction times (MRT: divided attention, 645.1±74.2vs698±80.4 ms; p<0.05). In contrast, in JLC, only P300 amplitudes (Fz:10.30±3.1vs7.54±3.3 µV; p<0.01 and Cz: 11.48±3.1vs9.77±3.6 µV; p<0.05) increased but P300 latencies or MRT did not improve. These results indicated improvements in speed of stimulus evaluation time. Napping positively impacts on cognitive processing, especially when subjects are on normal sleep schedules. A nap should be planned for athletes whose performance requires speedy and accurate decisions.
Article
This study determined the effect of long-haul (>5 h) travel on lower body power and match running demands in international rugby sevens players. Lower body power was assessed in twenty-two male international rugby sevens players (age 21.7 ± 2.7 y, mass 89.0 ± 6.7 kg, stature 180.5 ± 6.2 cm; mean ± SD) monitored over 17 rugby sevens tournaments. A countermovement jump was used to monitor lower body power (peak and mean power) over repeated three week travel and competition periods (pre-travel, post-travel, and post-tournament). Small decreases were evident in peak power following both short and long-haul travel (-4.0%, ±3.2%; mean, ±90% confidence limits) with further reductions in peak and mean power post-tournament (-4.5%, ±2.3% and -3.8%, ±1.5%) culminating in a moderate decrease in peak power overall (-7.4%, ±4.0%). A sub-set of 12 players (completing a minimum of 8 tournaments) had the effects of match running demands assessed with lower body power. In this sub-set long-haul travel elicited a large decrease in lower body peak (-9.4%, ±3.5%) and mean power (-5.6%, ±2.9%) over the monitoring period, with a small decrease (-4.3%, ±3.0% and -2.2%, ±1.7%) post-travel and moderate decrease (-5.4%, ±2.5% and -3.5%, ±1.9%) post-tournament respectively. Match running demands were monitored via global positioning system. In long-haul tournaments the 12 players covered ∼13%, ±13% greater total distance (m) and ∼11%, ±10% higher average game meters >5 m·s when compared with short-haul (<5 h) travel. Effective pre- and post-travel player management strategies are indicated to reduce neuromuscular fatigue and running load demands in rugby sevens tournaments following long-haul travel.
Article
Long-distance travel is becoming increasingly common. Whatever the means of transport, any long journey will be associated with "travel fatigue". The symptoms associated with this phenomenon result from a changed routine (particularly sleep lost and meals) and the general disruption caused by travel. Planning any trip well in advance will minimise many of these problems, but some factors are less easy to guard against. These problems include sitting in cramped and uncomfortable conditions and, with flights, the hypoxic environment in the cabin. After arrival at the destination in another country, there can be problems coping with the local language, alterations in food and different customs. If the flight has crossed the equator, then there is likely to be a change in season and natural lighting and, if it has crossed several time zones, there will also be the problem of "jet lag", caused by a transient desynchrony between the "body clock" and the new local time. Moreover, the new environment might differ from the place of departure with regard to ambient temperature and humidity, altitude, natural lighting (including ultraviolet radiation) and pollution. The traveller needs to be aware of these changes before setting off, so that appropriate preparations (clothing, for example) can be made.
Article
A total of 39 subjects were studied after a flight from the UK to either Sydney or Brisbane (10 time-zones to the east). Subjects varied widely in their age, their athletic ability, whether or not they were taking melatonin, and in their objectives when in Australia. For the first 6 days after arrival, subjects scored their jet-lag five times per day and other subjective variables up to five times per day, using visual analogue scales. For jet-lag, the scale was labelled 0 = no jet-lag to 10 = very bad jet-lag; the extremes of the other scales were labelled - 5 and + 5, indicating marked changes compared with normal, and the centrepoint was labelled 0 indicating 'normal'. Mean daily values for jet-lag and fatigue were initially high (+ 3.65 +/- 0.35 and + 1.55 +/- 0.22 on day 1, respectively) and fell progressively on subsequent days, but were still raised significantly (p < 0.05) on day 5 (fatigue) or day 6 (jet-lag). In addition, times of waking were earlier on all days. By contrast, falls in concentration and motivation, and rises in irritability and nocturnal wakings, had recovered by day 4 or earlier, and bowel activity was less frequent, with harder stools, on days 1 and 2 only. Also, on day 1, there was a decrease in the ease of getting to sleep (- 1.33 +/- 0.55), but this changed to an increase from day 2 onwards (for example, + 0.75 +/- 0.25 on day 6). Stepwise regression analysis was used to investigate predictors of jet-lag. The severity of jet-lag at all the times that were measured was strongly predicted by fatigue ratings made at the same time. Its severity at 08:00 h was predicted by an earlier time of waking, by feeling less alert 30 min after waking and, marginally, by the number of waking episodes. Jet-lag at 12:00 and 16:00 h was strongly predicted by a fall of concentration at these times; jet-lag at mealtimes (12:00, 16:00 and 20:00 h) was predicted by the amount of feeling bloated. Such results complicate an exact interpretation that can be placed on an assessment of a global term such as jet-lag, particularly if the assessment is made only once per day.
Sleep hygiene and light exposure can improve performance following long-haul air travel
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Sleep, travel, and recovery responses of national footballers during and after long-haul international air travel
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lmerTest package: tests in linear mixed effects models
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Kuznetsova A, Brockhoff PB, Christensen RH. lmerTest package: tests in linear mixed effects models. J Stat Softw. 2017;82(1):1-26.
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Lenth R, Love J, Herve M. emmeans: estimated marginal means, aka least-squares means. 2021. https://CRAN.R-project.org/package= emmeans
Managing travel fatigue and jet lag in athletes: a review and consensus statement
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Injury prevention strategies at the FIFA 2014 world cup: perceptions and practices of the physicians from the 32 participating national teams
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Greater effect of east versus west travel on jet lag, sleep, and team sport performance
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How to manage travel fatigue and jet lag in athletes? A systematic review of interventions
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Do subjective symptoms predict our perception of jet-lag?
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