Association of sleep efficiency with cardiac autonomic modulation in young and professional soccer players during pre-season.
Oliveira NG, Abreu LMS, Ribeiro FB, Silva BFA, Monteiro TNF, Correia MB et al. · Sleep & breathing = Schlaf & Atmung · 2026
Objective: This study investigated the association between sleep efficiency and cardiac autonomic modulation in young and professional soccer players during pre-season.
Methods: A cross-sectional quantitative study was conducted with 53 male soccer players divided into three categories: U-15 (n = 12), U-17 (n = 15), and professionals (n = 26). Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), cardiac autonomic modulation via heart rate variability (HRV) recorded by a 10-lead electrocardiograph and analyzed with Kubios HRV 2.0, and cardiorespiratory capacity estimated through the Yo-Yo Intermittent Recovery Test. Body composition was assessed by tetrapolar electrical bioimpedance. Statistical analyses included one-way ANOVA, Welch's ANOVA, chi-square and Fisher's exact tests, Pearson correlation, and simple linear regression, with
Significance: set at p
Results: Professional athletes demonstrated significantly higher VO₂max (50.5 ± 4.56 ml·kg⁻¹·min⁻¹; p
Conclusion: Sleep efficiency is positively associated with cardiac autonomic modulation and aerobic performance in soccer players. While the superior physiological profile of professionals reflects a synergy between training adaptations and biological maturation, HRV and PSQI constitute complementary monitoring tools for integrated athlete assessment across competitive categories.