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Research Article| Volume 9, ISSUE 1, P93-99, February 2023

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Less daytime sleepiness and slow wave activity during sleep predict better physical readiness in military personnel

  • Author Footnotes
    1 Current address: Warfighter Performance Department, Operational Readiness & Health Directorate, Naval Health Research Center/Leidos, San Diego, CA, USA
    Alice D. LaGoy
    Footnotes
    1 Current address: Warfighter Performance Department, Operational Readiness & Health Directorate, Naval Health Research Center/Leidos, San Diego, CA, USA
    Affiliations
    Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA

    Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
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  • William R. Conkright
    Affiliations
    Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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  • Felix Proessl
    Affiliations
    Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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  • Aaron M. Sinnott
    Affiliations
    Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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  • Meaghan E. Beckner
    Affiliations
    Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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  • Leslie Jabloner
    Affiliations
    Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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  • Shawn R. Eagle
    Affiliations
    Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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  • Nicole M. Sekel
    Affiliations
    Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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  • Author Footnotes
    1 Current address: Warfighter Performance Department, Operational Readiness & Health Directorate, Naval Health Research Center/Leidos, San Diego, CA, USA
    Peter G. Roma
    Footnotes
    1 Current address: Warfighter Performance Department, Operational Readiness & Health Directorate, Naval Health Research Center/Leidos, San Diego, CA, USA
    Affiliations
    Behavioral Health & Performance Laboratory, Biomedical Research and Environmental Sciences Division, Human Health and Performance Directorate, NASA Johnson Space Center/KBR, Houston, Texas, USA
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  • Michael N. Dretsch
    Affiliations
    U.S. Army Medical Research Directorate-West, Walter Reed Army Institute of Research, Joint Base Lewis-McChord, Washington, USA
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  • Shawn D. Flanagan
    Affiliations
    Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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  • Qi Mi
    Affiliations
    Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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  • Bradley C. Nindl
    Affiliations
    Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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  • Anne Germain
    Affiliations
    Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
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  • Christopher Connaboy
    Affiliations
    Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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  • Fabio Ferrarelli
    Correspondence
    Corresponding author: Fabio Ferrarelli MD, PhD, 3811 O'Hara St, Pittsburgh, PA 15213 USA.
    Affiliations
    Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
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  • Author Footnotes
    1 Current address: Warfighter Performance Department, Operational Readiness & Health Directorate, Naval Health Research Center/Leidos, San Diego, CA, USA
Published:December 09, 2022DOI:https://doi.org/10.1016/j.sleh.2022.10.013

      Abstract

      Background

      Military personnel must maintain physical performance despite exposure to operational stressors such as sleep loss, caloric restriction and high cognitive load. Habitual sleep and specific sleep features are positively associated with fitness and may contribute to physical performance in operational settings. Further, by affecting muscle recovery, sleep may contribute to the ability to maintain performance across multiple days of exposure to operational stressors.

      Objectives

      We examined the role of individual differences in baseline sleep on baseline physical performance and on change in physical performance throughout exposure to simulated military operational stress (SMOS).

      Methods

      Military personnel (36 male, 9 female, 26.3 ± 5.3 years) completed a 5-day SMOS protocol during which they completed a tactical mobility test daily. Sleep questionnaires were administered at intake and sleep was monitored each night with polysomnography. Lasso regressions were used to identify meaningful predictors of physical performance at baseline and of change in physical performance across SMOS.

      Results

      Better aerobic fitness, lower daytime sleepiness (Epworth Sleepiness Scale), and lower absolute slow wave activity (0.5-4 Hz) predicted better physical performance at baseline (66.1% of variance explained), but did not relate to changes in performance.

      Conclusions

      Collectively, higher daytime sleepiness and slow wave activity may reflect more chronic exposure to insufficient sleep and higher baseline sleep drive, which in turn led to compromised physical performance. The findings suggest that low self-report sleepiness and low objective slow wave activity may reflect two quantifiable markers of healthy sleep behaviors that have implications for operational performance.

      Keywords

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