Characterising and Comparing the Sleep Characteristics and Behaviours of Female and Male Soccer Players: A Cross-Sectional Survey of an Elite Soccer Club

TL;DR

This study compares sleep patterns and behaviors between male and female elite soccer players, finding that senior female players experience more sleep difficulties than their male counterparts.

Contribution

The study provides novel insights into gender-specific sleep differences among elite soccer players using validated athlete-specific questionnaires.

Findings

Senior female players reported higher sleep difficulty scores compared to senior males and U21 males.

Senior players consumed more alcohol and stimulants, while females experienced more pre-sleep rumination and bathroom awakenings.

U21 male players had better global sleep behavior scores than senior male and female players.

Abstract

The aim of this cross-sectional study was to evaluate the sleep characteristics and behaviours of senior male, senior female, and under 21 (U21) male elite soccer players using athlete-specific questionnaires. During the preseason/early season period, 74 players from the English Premier League (n = 26, age 26 ± 5 y), Women’s Super League (n = 22, age 25 ± 5 y), and English Premier League 2 (n = 26, age 19 ± 1 y) completed the validated Athlete Sleep Screening Questionnaire (ASSQ) to obtain a sleep difficulty score (SDS) and the Athlete Sleep Behaviour Questionnaire (ASBQ) to obtain a global score and individual behaviours. We found that sleep difficulty scores were higher in senior females (5.9 ± 1.9) than senior males (4.1 ± 1.7) and U21 males (4.3 ± 1.2) (p ≤ 0.006), but no severe clinical problems were noted. Global sleep behaviour scores from the ASBQ were worse in senior males (37.9 ± 6.5) and senior females (40.6 ± 7.1) than male U21 players (33.6 ± 4.7) (p ≤ 0.021). Senior players consumed more alcohol and stimulants and felt that travel disrupted sleep; females went to bed thirstier, woke more for the bathroom, and ruminated more prior to sleep (all p < 0.05). In conclusion, senior female players reported more sleep difficulties than male senior and male U21 players. Behaviours such as pre-bed rumination, nutrition, and travel plans could be targeted to improve sleep quality in soccer players. Study limitations include data drawn from a single club in the off-season.