Seasonal Accumulated Workloads in Collegiate Men's Soccer: A Comparison of Starters and Reserves

Seasonal Changes in Match Demands and Workload Distribution in Collegiate Soccer Across Two Seasons

ABSTRACT

Floersch, S, Vidden, C, Askow, AT, Jones, MT, Fields, JB, and Jagim, AR. Seasonal changes in match demands and workload distribution in collegiate soccer across two seasons. J Strength Cond Res 38(8): 1440-1446, 2024-The purpose of this study was to examine seasonal changes in match demands in a collegiate women's soccer team. Forty-eight NCAA Division III women soccer athletes (age: 19.5 ± 1.2 years; height: 1.67 ± 0.05 m; body mass: 64.8 ± 7.4 kg; fat-free mass: 50.0 ± 4.5 kg; body fat %: 22.6 ± 6.0) were equipped with wearable global positioning systems with inertial sensors and heart rate (HR) monitors during matches throughout the 2019 (n = 22) and 2021 seasons (n = 26). Players were classified by position: flank player (FP; n = 28), center midfielder (CM; n = 11), and center back fielder (CB; n = 9) and as starters (S, n = 17) or reserves (R, n = 31). Variables included HR, training load, total distance, high-speed distance, distance per minute, and weighted distance. Differences in match and practice session demands were analyzed using linear mixed-effects models with season (2 levels; 2019 and 2021) as a fixed factor, with alpha set to p = 0.05. Data across all matches and training sessions were collapsed and presented as mean ± SD for descriptive purposes and then grouped by session type (i.e., match or training) and position. Athletes traveled more distance at high speeds during match play in the 2021 season compared with 2019 (mean difference, 95% confidence intervals [CI]) (200, 95% CI: 104, 304 km; p < 0.05) but had a lower training load in 2021 compared with 2019 (-50, 95% CI: -63, -36; p < 0.05) during match play. For training sessions, mean HR (4, 95% CI: 2, 5 bpm), total distance (0.5, 95% CI: 0.4, 0.7), distance per minute (5.6, 95% CI: 4.5, 6.7 m·min-1), high-speed distance (43, 95% CI: 43, 18, 67 m), high accelerations (8.6, 95% CI: 5.4, 11.8 n), and high accelerations per minute (0.1, 95% CI: 0.1, 0.1 n·min-1) were all higher in 2021 compared with 2019 (p < 0.05). As a team, several differences in measures of external workload were found between seasons in both session types (training and matches). Variations in positional demands of match play appear to fluctuate by year.

A Scoping Review on the Influence of Contextual Factors on Training Load in Adolescent Soccer Players: What Do We Know?

This scoping review aimed to systematically explore the breadth and extent of the literature regarding the relationship between contextual factors (CFs) and training load (TL) in adolescent soccer players. Further aims included comprehending potential underlying mechanisms and identifying knowledge gaps. CFs were defined as factors not part of the main training process, such as the coach-athlete relationship and educational responsibilities. PubMed, EBSCO APA PsycINFO, Web of Science, ProQuest Dissertations & Theses A&I, and SportRxiv were searched. Studies involving adolescent soccer players that investigated the CF-TL relationship and measured TL indicators were deemed eligible. Seventeen studies were included, reflecting the limited number of articles published regarding the CF-TL relationship. CFs were mostly related to match-play (N = 13) and phase of the season (N = 7). Moreover, these factors appeared to affect TL. CF related to players' personal environment (N = 3) were underrepresented in the reviewed studies. Overall, the CF-TL relationship appears to be rarely scrutinized. A likely cause for this lack of research is the segregation of the physiological and psychological research domains, where the CF-TL relationship is often speculated upon but not measured. Therefore, a holistic approach is warranted which also investigates the effect of personal environment, such as stressful life stress events, on TL.

Analysis of In-Season External Load and Sport Performance in Women's Collegiate Basketball

ABSTRACT

Brown, FSA, Fields, JB, Jagim, AR, Baker, RE, and Jones, MT. Analysis of in-season external load and sport performance in women's collegiate basketball. J Strength Cond Res 38(2): 318-324, 2024-Quantifying and monitoring athlete workload throughout a competitive season is a means to manage player readiness. Therefore, the purpose of the current study was to quantify practice and game external loads and to assess the relationship between such loads and basketball-specific performance metrics across a women's collegiate basketball season. Thirteen National Collegiate Athletic Association Division I women basketball athletes (age 20.08 ± 1.55 years) wore Global Positioning Systems sensors equipped with triaxial accelerometers for 29 games and 66 practices during the 2019-20 season. A multivariate analysis of variance was used to assess differences in external load between high- and low-minute players and across quarters within games ( p < 0.05). Bivariate Pearson correlation coefficients were run to determine relationships between external loads and metrics of basketball performance. Findings indicated that high- and low-minute athletes experienced different loads during games and practices ( p < 0.001). External loads differed by quarter, such that player load (PL) was highest in Q4 ( p = 0.007), PL·min -1 was highest in Q1 and lowest in Q4 ( p < 0.001), and explosive ratio (i.e., ratio of PL and explosive efforts) was lowest in Q3 ( p = 0.45). Relationships existed between PL·min -1 and field goals ( r = 0.41; p = 0.02) and between the explosive ratio and free throws ( r = 0.377 p = 0.04). These results can be used to inform design of training sessions with the intent to prepare athletes for the demands of the competitive season. It is recommended that future research continue to explore the relationship of sport-specific performance metrics and athlete external load.

Analysis of Accumulated Workloads and Performance Testing Across a Collegiate Women's Lacrosse Season

ABSTRACT

Fields, JB, Kuhlman, NM, Jagim, AR, Dulak-Sigler, C, and Jones, MT. Analysis of accumulated workloads and performance testing across a collegiate women's lacrosse season. J Strength Cond Res 37(11): 2213-2221, 2023-Monitoring accumulated workloads, acute:chronic workload ratios (ACWR), and training monotony (TM) are practical methods for monitoring athlete physical stress. Performance testing provides useful information about the changing nature of physical abilities. Therefore, the purpose was to examine differences in accumulated workloads based on session type, explore seasonal trends in ACWR and TM, and assess changes in performance assessments in collegiate women's lacrosse athletes. Athletes, who were identified as starters ( n = 12), wore positional monitoring technology during training sessions ( n = 61) and games ( n = 17) and completed preseason and postseason assessments of speed, agility, power (jump tests), strength, aerobic capacity, and body composition. Separate 1-way analyses of variance were used to determine differences in accumulated workloads for session type and differences in performance assessments from preseason to postseason ( p < 0.05). When compared with games, practice sessions elicited greater ( p < 0.001) accumulated total distance, player load, repeated high-intensity efforts, accelerations, change of direction, explosive efforts, high-speed efforts ( p = 0.002), and high-speed distance ( p = 0.002). Throughout the season, ACWR and TM ranged from 0.16 to 1.40 AU and 0.68-1.69 AU, respectively. The 40-yd sprint ( p < 0.001) and pro-agility ( p < 0.001) improved from preseason to postseason, whereas no changes in aerobic capacity, lower-body power, or strength were observed ( p > 0.05). The monitoring of accumulated loads, ACWR and TM, and performance tests revealed novel information about the seasonal demands of collegiate women's lacrosse. Women lacrosse players are able to improve speed and agility throughout the season, while maintaining strength, power, and endurance, with minimal reductions in fat-free mass.

Effect of Different Nonstarter Compensatory Strategies on Training Load in Female Soccer Players: A Pilot Study

BACKGROUND

In soccer, the day of the week with the highest external load is match day (MD), with starters (>60 minutes per match) showing higher levels of physical fitness and seasonal high-intensity loading. It is necessary, therefore, to determine training strategies to reduce the differences between starters and nonstarters. The aim of this study was to analyze and compare the external load of different training compensatory strategies with match external load in female nonstarters.

HYPOTHESIS

A strategy combining small-sided games (SSG) and running-based drills (RBD) would reproduce match demands, with RBD leading to greater high-intensity running and SSG leading to a greater number of accelerations and decelerations.

STUDY DESIGN

Descriptive and comparative study.

LEVEL OF EVIDENCE

Level 4.

METHODS

The training and match external load of 14 female players belonging to the same reserve squad of a Spanish First Division Club (Liga Reto Iberdrola) was registered. In the first session after the match (MD+1), nonstarters (<60 minutes in the match) performed 1 of 3 different compensatory strategies: RBD, SSG, or a mixed intervention combining the previous strategies (RBD+SSG). Starters carried out a recovery session.

RESULTS

A marked difference in load was observed between the compensatory training strategies and MD. In comparison with MD, RBD showed greater high-intensity and sprint distances and lower acceleration, SSG showed less high-intensity running and sprint distances, lower peak velocity, and greater acceleration, and RBD+SSG registered lower accelerations. In addition, nonstarters covered greater high-intensity running and sprint distances in RBD and achieved higher accelerations in SSG.

CONCLUSION

RBD and SSG compensatory strategies could be recommended to nonstarter female soccer players in MD+1 to compensate for match external load deficits.

CLINICAL RELEVANCE

This study provides comprehensive information on the compensatory exercises of female soccer players, which can be useful for strength and conditioning coaches when developing recovery strategies during a microcycle.

Accumulated Workload Differences in Collegiate Women's Soccer: Starters versus Substitutes

The purpose of this study was to estimate the workloads accumulated by collegiate female soccer players during a competitive season and to compare the workloads of starters and substitutes. Data from 19 college soccer players (height: 1.58 ± 0.06 m; body mass: 61.57 ± 6.88 kg) were extracted from global positioning system (GPS)/heart rate (HR) monitoring sensors to quantify workload throughout the 2019 competitive season. Total distance, distance covered in four speed zones, accelerations, and time spent in five HR zones were examined as accumulated values for training sessions, matches, and the entire season. Repeated-measures ANOVA and Student's t tests were used to determine the level of differences between starter and substitute workloads. Seasonal accumulated total distance (p < 0.001), sprints (≥19.00 km/h; p < 0.001), and high-speed distance (≥15.00 km/h; p = 0.005) were significantly greater for starters than substitutes. Accumulated training load (p = 0.08) and training load per minute played in matches (p = 0.08) did not differ between starters and substitutes. Substitutes had similar accumulated workload profiles during training sessions but differed in matches from starters. Coaches and practitioners should pursue strategies to monitor the differences in workload between starters and substitutes.

Acceleration and deceleration demands during training sessions in football: a systematic review

PURPOSE

The aim of this review is to summarize the current scientific knowledge about acceleration and deceleration demands during football training.

METHODS

A systematic search of three electronic databases (PubMed, SPORTDiscus, Web of Science) was performed to identify peer-reviewed relevant English-language articles, following PRISMA guidelines.

RESULTS

All acceleration and deceleration data were analyzed and organized into four categories: i) training drills variables (i.e. manipulated drills variables such as number of players in small-sided games), ii) training exercises (i.e. different drills such small games or circuit training), iii) players' positions (i.e. demands for each playing position) and iv) training schedule (i.e. training sessions presented as microcycles, season sections or full season). Full-text articles of 42 studies were included in the final analysis. Players' level included: amateur, youth, semi-professional, professional and elite players. All playing positions were considered, including goalkeepers. Six different global position systems brands were used, with the majority measuring data at 10 Hz. Different thresholds and intensities were used in several papers. Lower acceleration and deceleration intensities occurred more often than higher intensities in all four categories.

CONCLUSION

Different exercises elicit different demands and small-sided games presented higher acceleration and deceleration demands than circuit training and other running based drills. Furthermore, manipulating drills variables, as reducing or increasing number of players in small-sided games increase or decrease demands, respectively. Additionally, wide playing positions, such as fullbacks, are generally exposed to higher acceleration and deceleration demands. From a planning point of view, acceleration and deceleration demands decrease as match day approaches.

Comparison of Measurements of External Load between Professional Soccer Players

Background: The excessive and rapid increases in training load (TL) may be responsible for most non-contact injuries in soccer. This study’s aims were to describe, week(w)-by-week, the acute (AW), chronic (CW), acute:chronic workload ratio (wACWR), total distance (wTD), duration training (wDT), sprint total distance (wSTD), repeat sprint (wRS), and maximum speed (wMS) between starter and non-starter professional soccer players based on different periods (i.e., pre-, early-, mid-, and end-season) of a full-season (Persian Gulf Pro League, 2019−2020). Methods: Nineteen players were divided according to their starting status: starters (n = 10) or non-starters (n = 9). External workload was monitored for 43 weeks: pre- from w1−w4; early- from w5−w17; mid- from w18−w30, and end-season from w31−w43. Results: In starters, AW, CW, and wACWR were greater than non-starters (p < 0.05) throughout the periods of early- (CW, p ≤ 0.0001), mid- (AW, p = 0.008; CW, p ≤ 0.0001; wACWR, p = 0.043), or end-season (AW, p = 0.035; CW, p = 0.017; wACWR, p = 0.010). Starters had a greater wTD (p ≤ 0.0001), wSTD (p ≤ 0.0001 to 0.003), wDT (p ≤ 0.0001 to 0.023), wRS (p ≤ 0.0001 to 0.018), and wMS (p ≤ 0.0001) than non-starters during early-, mid-, and end-season. Conclusion: Starters experienced more CW and AW during the season than non-starters, which underlines the need to design tailored training programs accounting for the differences between playing status.

Seasonal Accumulated Workloads in Collegiate Women's Soccer: A Comparison of Starters and Reserves

Research quantifying the unique workload demands of starters and reserves in training and match settings throughout a season in collegiate soccer is limited. Purpose: The purpose of the current study is to compare accumulated workloads between starters and reserves in collegiate soccer. Methods: Twenty-two NCAA Division III female soccer athletes (height: 1.67 ± 0.05 m; body mass: 65.42 ± 6.33 kg; fat-free mass: 48.99 ± 3.81 kg; body fat %: 25.22 ± 4.78%) were equipped with wearable global positioning systems with on-board inertial sensors, which assessed a proprietary training load metric and distance covered for each practice and 22 matches throughout an entire season. Nine players were classified as starters (S), defined as those playing >50% of playing time throughout the entire season. The remaining 17 were reserves (R). Goalkeepers were excluded. A one-way ANOVA was used to determine the extent of differences in accumulated training load throughout the season by player status. Results: Accumulated training load and total distance covered for starters were greater than reserves ((S: 9431 ± 1471 vs. R: 6310 ± 2263 AU; p < 0.001) and (S: 401.7 ± 31.9 vs. R: 272.9 ± 51.4 km; p < 0.001), respectively) throughout the season. Conclusions: Starters covered a much greater distance throughout the season, resulting in almost double the training load compared to reserves. It is unknown if the high workloads experienced by starters or the low workloads of the reserves is more problematic. Managing player workloads in soccer may require attention to address potential imbalances that emerge between starters and reserves throughout a season.

Contextual Variation in External and Internal Workloads across the Competitive Season of a Collegiate Women's Soccer Team

As sports technology has continued to develop, monitoring athlete workloads, performance, and recovery has demonstrated boundless benefits for athlete and team success. Specifically, technologies such as global positioning systems (GPS) and heart rate (HR) monitors have granted the opportunity to delve deeper into performance contributors, and how variations may exist based upon context. A team of NCAA Division I women’s soccer athletes were monitored during games throughout one competitive season. Individual athlete, positional groups, and team external and internal workloads were explored for differences based upon game location, opponent ranking, game result, and the final score differential. Game location and opponent ranking were found to have no effect on team-wide absolute or relative external workloads, whereas game result and score differential did. Internal workloads across the team tended to only vary by game half, independent of game context; however, the HR of defenders was determined to be higher during losses as compared to wins (p = 0.0256). Notably, the games that resulted in losses also represented the games with the fewest number of substitutions. These findings suggest high value in monitoring performance and workloads that are characteristic of varying, often multifaceted, contexts. It is hoped that this information can lead to more informed approaches to vital game-time and coaching decisions.

Lower Extremity Movement Quality and the Internal Training Load Response of Male Collegiate Soccer Athletes

CONTEXT

Training load and movement quality are associated with injury risk in athletes. Given these associations, it is important to understand how movement quality may moderate the training load so that appropriate injury-prevention strategies can be used.

OBJECTIVE

To determine how absolute and relative internal training loads change during a men's National Collegiate Athletic Association (NCAA) soccer season and how movement quality, assessed using the Landing Error Scoring System (LESS), moderates the relative internal training load.

DESIGN

Prospective cohort study.

SETTING

Division I athletics.

PATIENTS OR OTHER PARTICIPANTS

One NCAA Division I male collegiate soccer team was recruited and followed over 2 consecutive seasons. Fifty-two athletes (age = 19.71 ± 1.30 years, height = 1.81 ± 0.06 m, mass = 75.74 ± 6.64 kg) consented to participate, and 46 met the criteria to be included in the final statistical analysis.

MAIN OUTCOME MEASURE(S)

Daily absolute internal training load was tracked over 2 seasons using a rated perceived exertion scale and time, which were subsequently used to calculate the absolute and relative internal training loads. Movement quality was assessed using the LESS and participants were categorized as poor movers (LESS score ≥5) or good movers (LESS score ≤4).

RESULTS

The 46 athletes consisted of 29 poor movers and 17 good movers. Absolute (P < .001) and relative (P < .001) internal training loads differed across the weeks of the season. However, movement quality did not moderate the relative internal training load (P = .264).

CONCLUSIONS

Absolute and relative training loads changed across weeks of a male collegiate soccer season. Movement quality did not affect the relative training load, but future researchers need to conduct studies with larger sample sizes to confirm this result.

Factors Associated With Noncontact Injury in Collegiate Soccer: A 12-Team Prospective Study of NCAA Division I Men's and Women's Soccer

BACKGROUND

Multiteam, multi-institution prospective studies of both women's and men's sports are essential for collectively investigating injury and primary to the generalization and individualization of injury prevention strategies.

HYPOTHESIS

Characteristics of workload, sleep, and contextual factors will be associated with injury risk in collegiate soccer athletes.

STUDY DESIGN

Cohort study; Level of evidence, 2.

METHODS

Injuries, workload, and sleep characteristics were recorded daily throughout a complete season for 256 athletes from 12 separate National Collegiate Athletic Association Division I men's and women's soccer teams. Workload and contextual factors were assessed via multilevel Poisson regression to capture differences in injury incidence rate ratio (IRR). Paired t test and multilevel logistic regressions were used to assess the relationship between sleep behavior and injury.

RESULTS

Collegiate soccer athletes had lower rates of noncontact injury in the in-season (IRR, 0.42) and postseason (IRR, 0.48) compared with preseason, lower rates of injury in training (IRR, 0.64) compared with matches, and higher injury rates with only 1 day of rest in the previous week (IRR, 1.58) compared with >1 day. Injury rates peaked when training occurred 4 days before a match (IRR, 2.24) compared with a match. Injury rate increased exponentially with increases in the number of noncontact injuries incurred throughout the season (IRR, 2.23). Lower chronic loading, higher training monotony, and acute spikes and lulls in workload were associated with higher noncontact injury rates. Alterations in previous week sleep quality were associated with injury, while chronic sleep behavior and acute alterations (<7 days) in sleep behavior were not (P > .05).

CONCLUSION

Athlete and schedule-specific contextual factors, combined with characteristics of workload and weekly sleep behavior, are significantly associated with injury in collegiate soccer. Multiteam prospective cohort studies involving objective and subjective monitoring allow for the identification of multiple injury risk factors in sports, which can be used to guide injury prevention strategies. Maintaining higher chronic workloads, lowering training monotony, minimizing acute spikes or lulls in workloads, managing workloads during preseason and for athletes with previous injury, integrating more rest and recovery during congested periods, and optimizing sleep quality are all practical considerations for reducing injury risk in collegiate soccer.

Wearable Inertial Measurement Unit to Accelerometer-Based Training Monotony and Strain during a Soccer Season: A within-Group Study for Starters and Non-Starters

The purpose of this study was to analyze the intragroup differences in weekly training monotony (TM) and training strain (TS) between starter and non-starter male professional soccer players at accelerometry based variables throughout the periods of a season. TM and TS of different accelerations and decelerations zones for twenty-one players were followed for forty-eight weeks. Regardless of group, players obtained the highest mean TM (starters = 3.3 ± 0.6, non-starters = 2.2 ± 1.1, in arbitrary unit, AU) and TS (starters = 1288.9 ± 265.2, non-starters = 765.4 ± 547.5, AU) scores in the pre-season for accelerations at Zone 1 (<2 m/s²). The results also indicated that both groups exhibited similar TM and TS scores in accelerations at Zones 2 (2 to 4 m/s²) and 3 (>4 m/s²) across the entire season. While the starters showed the highest TM and TS scores at deceleration Zone 1 (<−2 m/s²) in the end-season, the non-starters exhibited the highest scores at the deceleration Zone 1 in pre-season. It seems that in pre-season, coaches applied higher levels of training with greater emphasis on deceleration for non-starters. This tendency was reduced over time for non-starters, while starters presented higher values of deceleration Zone 1. These results highlight the variations in TM and TS across the different periods of a full season according to match starting status among professional soccer players, and the results suggest that non-starter players should receive higher levels of load to compensate for non-participation in matches throughout a soccer season.

The Validity and Reliability of Global Positioning System Units for Measuring Distance and Velocity During Linear and Team Sport Simulated Movements

Huggins, RA, Giersch, GEW, Belval, LN, Benjamin, CL, Curtis, RM, Sekiguchi, Y, Peltonen, J, and Casa, DJ. The validity and reliability of GPS units for measuring distance and velocity during linear and team sport simulated movements. J Strength Cond Res 34(11): 3070-3077, 2020-This experimental study aimed to assess the validity and reliability of shirt-mounted 10-Hz global positioning system (GPS) units (Polar Team Pro) for measuring total distance (TD), constant velocity (VelC), and instantaneous velocity (VelI) during linear running and a team sport simulation circuit (TSSC). Fifteen male soccer athletes completed linear tasks (40 and 100 m) at various velocities: walk (W) (4.8-7.9 km·h), jog (J) (8.0-12.7 km·h), run (R) (12.9-19.9 km·h), and sprint (S) (>20.0 km·h) and a 120-m TSSC. Global positioning system validity and reliability for TD, VelC, and VelI were compared with criterion measures using 2 methods (a and b) of GPS raw data extraction. When measuring TD for the Polar Team Pro device, validity and reliability measures were <5% error at all velocities during the 40-m (with the exception of the S [%CV = 8.03]) and 100-m linear trial (both extraction methods) and TSSC. The GPS mean difference (±SD) for TD during the TSSC using extraction methods (a) and (b) was 0.2 ± 1.2 and 2.2 ± 2.2 m, respectively. The validity of the device in measuring VelC was significantly different (p < 0.05) at all velocities during the 40 m (exception W) and the 100 m, with effect sizes ranging from trivial to small (exception of 100 m S). VelI was similar (p > 0.05) at all velocities, except for the W (p = 0.001). The reliability of the device when measuring VelC during the 40 and 100 m was <5% CV; however, during the 100 m, VelI ranged from 1.4 to 12.9%. Despite trivial to large effect sizes for validity of TD, this device demonstrated good reliability <5% CV during linear and TSSC movements. Similarly, effect sizes ranged from trivial to large for VelC, and yet VelI reliability was good for VelC, but good to poor for VelI.

Match Demands of Women's Collegiate Soccer

Research describing the match and specific positional demands during match play in women's collegiate soccer is limited. The purpose of the study was to quantify the match demands of National Collegiate Athletic Association (NCAA) Division III soccer and assess position differences in movement kinematics, heart rate (HR), and energy expenditure. Twenty-five Division III women soccer players (height: 1.61 ± 0.3 m; body mass: 66.7 ± 7.5 kg; fat-free mass: 50.3 ± 6.5 kg; body fat%: 25.6 ± 5.1%) were equipped with a wearable global positioning system to assess the demands of 22 matches throughout a season. Players were categorized by position (goal keepers (GK), center defenders (CB), flank players (FP), forwards (F), and center midfielders (CM)). Players covered 9807 ± 2588 m and 1019 ± 552 m at high speeds (>249.6 m·m-1), with an overall average speed of 62.85 ± 14.7 m·m-1. This resulted in a mean HR of 74.2 ± 6% HR max and energy expenditure of 1259 ± 309 kcal. Significant and meaningful differences in movement kinematics were observed across position groups. CM covered the most distance resulting in the highest training load. FP covered the most distance at high speeds and mean HR values were highest in CM, CB, and FP positions.

Sleep Dysfunction and Mood in Collegiate Soccer Athletes

BACKGROUND

Sleep and mood are critical factors that contribute to health and wellness and are of particular interest to collegiate athletes who are juggling high physical, academic, and social demands. The aim of this study was to examine how psychological measures, player status, and sex-related factors were associated with perceived sleep quality.

HYPOTHESIS

Higher levels of global sleep dysfunction will be related to poor mood and increased anxiety, and there will be differences in sleep dysfunction in male compared with female athletes as well as regarding playing status.

STUDY DESIGN

Prospective cohort study.

LEVEL OF EVIDENCE

Level 4.

METHODS

During the 2016 through 2018 National Collegiate Athletic Association (NCAA) seasons, the Pittsburgh Sleep Quality Index (PSQI), Profile of Mood States, and Sports Anxiety Scale-2 questionnaires were administered to 230 soccer athletes at 6 separate time points throughout each season.

RESULTS

PSQI results yielded scores ≥5 in 54% of observations. Increased sleep dysfunction was significantly related to decreased vigor and increased tension, depression, anger, fatigue, somatic anxiety, worry, and concentration disruption, although effect sizes (ES) were trivial (ES, -0.03 to 0.15). The odds ratio (OR) of reporting global sleep dysfunction increased by 8%, 9%, and 25% for every 1-unit increase in tension (OR, 1.08; 95% CI, 1.02-1.16; P = 0.015), fatigue (OR, 1.09; 95% CI, 1.03-1.16; P = 0.002), and concentration disruption (OR, 1.25; 95% CI, 1.09-1.45; P = 0.002), respectively. The odds of reporting global sleep dysfunction were 55% lower for males than females (OR, 0.45; 95% CI, 0.25-0.79; P = 0.006).

CONCLUSION

Global sleep dysfunction was prevalent in NCAA soccer players and was related to negative mental health outcomes. Female participants experienced increased odds of reporting global sleep dysfunction.

CLINICAL RELEVANCE

Regular monitoring allows for a greater understanding of the interrelatedness between sleep and mental health in athletes.