Single-Night Sleep Extension Enhances Morning Physical and Cognitive Performance Across Time of Day in Physically Active University Students: A Randomized Crossover Study
Abstract
1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Study Design
2.2.1. Experimental Design
2.2.2. Experimental Protocol
2.3. Assessment Procedures
2.3.1. Sleep–Wake Monitoring
2.3.2. Performance Testing
2.3.3. Cognitive Testing
2.4. Statistical Analysis
3. Results
3.1. Participant Characteristics
3.2. Sleep Parameters
3.3. Physical Performance Outcomes
3.3.1. 5 m Shuttle-Run Test
3.3.2. Jump Performance
3.3.3. Medicine Ball Throw and Y-Balance Test
3.4. Cognitive Outcomes
3.4.1. Reaction Time Tests
3.4.2. Digit Cancellation Test
3.5. Time-of-Day Effects and Sleep–Performance Relationships
4. Discussion
4.1. Effects on Physical Performance
4.2. Effects on Cognitive Performance
4.3. Time-of-Day Effects and Chronobiological Considerations
4.4. Neurophysiological Mechanisms
4.5. Relationship Between Sleep Parameters and Performance
4.6. Limitations
4.7. Practical Recommendations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
ANOVA | analysis of variance |
BD | best distance |
BMI | body mass index |
CI | confidence interval |
CMJ | countermovement jump |
CRT | choice reaction time |
CV | coefficient of variation |
DCT | digit cancellation test |
EXT | sleep extension |
FI | fatigue index |
ICC | intraclass correlation coefficient |
LLC | Limited Liability Company |
min | minutes |
ms | milliseconds |
NS | normal sleep |
PSQI | Pittsburgh Sleep Quality Index |
REM | rapid eye movement |
RPE | rating of perceived exertion |
RT | reaction time |
SJ | squat jump |
SRT | shuttle-run test |
TD | total distance |
η2p | partial eta squared |
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Parameter | Normal Sleep | Sleep Extension | Mean Difference [95% CI] | p-Value | Cohen’s d |
---|---|---|---|---|---|
Time in bed (min) | 514.2 ± 58.9 | 563.6 ± 62.4 | 49.4 [39.3, 59.5] | <0.001 | 0.82 |
Total sleep time (min) | 476.5 ± 64.2 | 531.3 ± 56.8 | 54.8 [43.3, 66.3] | <0.001 | 0.91 |
Sleep efficiency (%) | 93.7 ± 4.3 | 95.1 ± 3.8 | 1.4 [0.1, 2.7] | 0.045 | 0.34 |
Sleep latency (min) | 22.6 ± 16.8 | 19.5 ± 13.2 | −3.1 [−6.9, 0.7] | 0.105 | 0.21 |
Variable | Time | Normal Sleep | Sleep Extension | Condition Effect | Time Effect | Interaction Effect | |
---|---|---|---|---|---|---|---|
5 m SRT | Best Distance (m) | 8:00 PM | 108.5 ± 10.3 | 109.7 ± 10.5 | p < 0.001 η2p = 0.561 | p < 0.001 η2p = 0.591 | p = 0.012 η2p = 0.174 |
8:00 AM | 93.3 ± 8.5 | 102.8 ± 11.9 ** | |||||
4:00 PM | 98.2 ± 9.8 | 110.6 ± 11.4 ** | |||||
Total Distance (m) | 8:00 PM | 591.2 ± 57.1 | 598.3 ± 58.2 | p < 0.001 η2p = 0.598 | p < 0.001 η2p = 0.567 | p = 0.026 η2p = 0.147 | |
8:00 AM | 510.3 ± 49.6 | 547.3 ± 43.2 ** | |||||
4:00 PM | 539.0 ± 55.3 | 586.0 ± 45.3 ** | |||||
Fatigue Index (%) | 8:00 PM | 15.8 ± 7.6 | 15.1 ± 7.7 | p < 0.001 η2p = 0.431 | p < 0.001 η2p = 0.457 | p = 0.006 η2p = 0.199 | |
8:00 AM | 21.2 ± 9.5 | 13.1 ± 8.3 ** | |||||
4:00 PM | 16.5 ± 8.4 | 10.2 ± 7.0 ** | |||||
RPE | 8:00 PM | 7.5 ± 0.6 | 7.2 ± 0.5 | p = 0.005 η2p = 0.290 | p < 0.001 η2p = 0.417 | p = 0.166 η2p = 0.075 | |
8:00 AM | 8.4 ± 0.6 | 7.8 ± 0.4 ** | |||||
4:00 PM | 8.0 ± 0.5 | 7.5 ± 0.3 * | |||||
Y-Balance Test | Right (%) | 8:00 PM | 115.5 ± 13.8 | 115.9 ± 14.0 | p = 0.010 η2p = 0.255 | p = 0.031 η2p = 0.140 | p = 0.158 η2p = 0.077 |
8:00 AM | 109.3 ± 12.2 | 112.8 ± 12.9 | |||||
4:00 PM | 110.1 ± 13.4 | 115.0 ± 12.6 * | |||||
Left (%) | 8:00 PM | 103.5 ± 19.7 | 103.8 ± 19.5 | p = 0.031 η2p = 0.186 | p = 0.071 η2p = 0.109 | p = 0.203 η2p = 0.067 | |
8:00 AM | 97.7 ± 16.3 | 99.5 ± 16.8 | |||||
4:00 PM | 98.1 ± 17.0 | 101.7 ± 16.3 * | |||||
Medicine Ball Throw (m) | 8:00 PM | 9.8 ± 2.0 | 9.9 ± 2.1 | p = 0.008 η2p = 0.269 | p = 0.019 η2p = 0.159 | p = 0.121 η2p = 0.088 | |
8:00 AM | 8.9 ± 2.2 | 9.4 ± 2.2 * | |||||
4:00 PM | 9.8 ± 2.3 | 10.5 ± 2.4 * | |||||
Squat Jump Height (cm) | 8:00 PM | 28.5 ± 8.1 | 29.0 ± 8.4 | p = 0.003 η2p = 0.329 | p = 0.002 η2p = 0.231 | p = 0.029 η2p = 0.143 | |
8:00 AM | 26.3 ± 7.2 | 28.2 ± 8.0 * | |||||
4:00 PM | 27.7 ± 7.3 | 29.6 ± 7.5 * | |||||
CMJ Height (cm) | 8:00 PM | 30.4 ± 8.7 | 30.6 ± 8.6 | p = 0.006 η2p = 0.287 | p = 0.010 η2p = 0.183 | p = 0.043 η2p = 0.128 | |
8:00 AM | 28.0 ± 8.1 | 29.4 ± 8.6 * | |||||
4:00 PM | 29.3 ± 8.7 | 31.1 ± 9.0 * | |||||
Simple RT (ms) | 8:00 PM | 362.8 ± 159.8 | 359.7 ± 151.9 | p < 0.001 η2p = 0.504 | p < 0.001 η2p = 0.415 | p < 0.001 η2p = 0.261 | |
8:00 AM | 296.4 ± 75.2 | 252.8 ± 55.3 ** | |||||
4:00 PM | 334.1 ± 91.2 | 209.5 ± 47.8 ** | |||||
Choice RT Accuracy (%) | 8:00 PM | 95.1 ± 2.9 | 95.8 ± 2.6 | p = 0.004 η2p = 0.310 | p = 0.008 η2p = 0.189 | p = 0.124 η2p = 0.087 | |
8:00 AM | 96.4 ± 2.4 | 97.9 ± 1.6 * | |||||
4:00 PM | 95.2 ± 3.2 | 98.0 ± 1.4 ** | |||||
DCT (targets) | 8:00 PM | 70.9 ± 15.3 | 70.3 ± 14.7 | p = 0.002 η2p = 0.360 | p = 0.009 η2p = 0.186 | p = 0.003 η2p = 0.229 | |
8:00 AM | 63.0 ± 10.0 | 67.6 ± 12.6 * | |||||
4:00 PM | 68.0 ± 10.3 | 73.3 ± 11.0 * |
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Bouzouraa, E.; Dhahbi, W.; Ferchichi, A.; Geantă, V.A.; Kunszabo, M.I.; Chtourou, H.; Souissi, N. Single-Night Sleep Extension Enhances Morning Physical and Cognitive Performance Across Time of Day in Physically Active University Students: A Randomized Crossover Study. Life 2025, 15, 1178. https://doi.org/10.3390/life15081178
Bouzouraa E, Dhahbi W, Ferchichi A, Geantă VA, Kunszabo MI, Chtourou H, Souissi N. Single-Night Sleep Extension Enhances Morning Physical and Cognitive Performance Across Time of Day in Physically Active University Students: A Randomized Crossover Study. Life. 2025; 15(8):1178. https://doi.org/10.3390/life15081178
Chicago/Turabian StyleBouzouraa, Eya, Wissem Dhahbi, Aymen Ferchichi, Vlad Adrian Geantă, Mihai Ioan Kunszabo, Hamdi Chtourou, and Nizar Souissi. 2025. "Single-Night Sleep Extension Enhances Morning Physical and Cognitive Performance Across Time of Day in Physically Active University Students: A Randomized Crossover Study" Life 15, no. 8: 1178. https://doi.org/10.3390/life15081178
APA StyleBouzouraa, E., Dhahbi, W., Ferchichi, A., Geantă, V. A., Kunszabo, M. I., Chtourou, H., & Souissi, N. (2025). Single-Night Sleep Extension Enhances Morning Physical and Cognitive Performance Across Time of Day in Physically Active University Students: A Randomized Crossover Study. Life, 15(8), 1178. https://doi.org/10.3390/life15081178