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Mental health, sleep and pain in elite Para athletes and the association with injury and illness - a prospective study.

INTRODUCTION
The interest in Para athletes' health continues to increase. Still, there are few studies that have evaluated health parameters beyond injury and illness in this athlete population.


OBJECTIVE
To assess: i) the weekly proportion of elite Para athletes reporting anxiety/depression, low sleep levels (≤7 hours) and pain over 52 weeks and; ii) and to explore whether these health parameters are associated with the risk for a sports injury or illness.


DESIGN
A 52-week prospective study, part of the Sports-related Injury and Illness in Paralympic Sport Study (SRIIPSS).


SETTING
A total of 107 Swedish elite Para athletes with physical, visual and intellectual impairment participated.


MAIN OUTCOME MEASURES
Data on self-reported anxiety/depression, sleep levels, pain and injuries/illnesses were collected weekly. Comparisons of these parameters preceding an injury/illness were made using Friedman's ANOVA.


RESULTS
The proportion of athletes reporting weekly anxiety/depression was 34.1%. Concerning sleeping levels, 60.9% athletes reported sleeping ≤7 hours or less, and 49.9% reported pain. In exploratory analyses, there were no significant differences between weeks before an injury for any of the variables. There were significant differences in levels of sleep over the weeks, where sleep levels were significantly higher (>10h) four weeks prior to an illness (p=0.016).


CONCLUSION
This cohort of elite Para athletes reported relatively high levels of anxiety/depression, low sleep levels, and pain, which is a concern. High sleep levels and the risk for illness might be an indication of overtraining, which commonly leads to persistent fatigue and an increased susceptibility to infections. Monitoring of elite Para athletes' health is recommended to be able to improve performance and health in this population. This article is protected by copyright. All rights reserved.