Abstract

Introduction: Long-haul transmeridian travel is known to cause disruptions to sleep and immune status, which may increase the risk of illness.Aim: This study aimed to determine the effects of long-haul northeast travel for competition on sleep, illness and preparedness in endurance athletes.Methods: Twelve trained (13.8 ± 3.2 training h/week) masters (age: 48 ± 14 years) triathletes were monitored for sleep (quantity via actigraphy and quality via self-report), mucosal immunity (salivary immunoglobulin-A) and stress (salivary cortisol) as well as self-reported illness, fatigue, recovery and preparedness. Baseline measures were recorded for 2 weeks prior to travel for all variables except for the saliva samples, which were collected on three separate days upon waking. Participants completed normal training during the baseline period. Measures were subsequently recorded before, during and after long-haul northeast travel from the Australian winter to the Hawaiian summer, and in the lead up to an Ironman 70.3 triathlon.Results: All comparisons are to baseline. There was a most likely decrease in sleep duration on the over-night flight (-4.8 ± 1.2 h; effect size; ±90% confidence limits = 3.06; ±1.26) and a very likely increase in sleep duration on the first night after arrival (0.7 ± 1.0 h; 1.15; ±0.92). After this time, sleep duration returned to baseline for several days until it was very likely decreased on the night prior to competition (-1.2 ± 1.0 h; 1.18; ±0.93). Nap duration was likely increased on the first day after arrival (36 ± 65 min; 3.90; ±3.70). There was also a likely increase in self-reported fatigue upon waking after the first night in the new destination (1.1 ± 1.6 AU; 0.54; ±0.41) and there were three athletes (25%) who developed symptoms of illness 3–5 days after arrival. There were no changes in sleep quality or mucosal measures across study.Discussion: Long-haul northeast travel from a cool to a hot environment had substantial influences on sleep and self-reported fatigue, but these alterations had returned to pre-departure baseline 48 h after arrival. Endurance athletes undertaking similar journeys may benefit from optimizing sleep hygiene, especially on the first 2 days after arrival, or until sleep duration and fatigue levels return to normal.

Highlights

  • Long-haul transmeridian travel is known to cause disruptions to sleep and immune status, which may increase the risk of illness

  • Sleep duration returned to baseline thereafter until it was very likely lower on the night prior to competition (1.18; ±0.93)

  • There were no changes in subjective sleep quality or objective sleep efficiency compared to baseline

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Summary

Introduction

Long-haul transmeridian travel is known to cause disruptions to sleep and immune status, which may increase the risk of illness. Sleep loss has consistently been reported during long-haul travel in economy class (Fowler et al, 2015, 2017), likely due to the cabin conditions, including the uncomfortable sleeping position (Roach et al, 2018). Airliner cabin conditions can increase the risk of illness, drying of the respiratory epithelium due to the low humidity, close contact with fellow infectious travelers and exposure to their re-circulated air Athletes could be at greater risk of travel induced illness compared to the general population, since prolonged exercise and intensified training are known to suppress mucosal immunity, increasing the risk of upper respiratory tract infections (URTI) (Walsh et al, 2011). Insufficient sleep itself increases susceptibility to respiratory infections and airborne viruses (Prather et al, 2015; Prather and Leung, 2016)

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