Exercise & Training

Tracking sleep in ultramarathon male runners before, during, and after a mountain race: Actigraphic evidence of sleep restriction.

TL;DR

Ultramarathon runners exhibited short sleep duration, reduced sleep during competition, and later wake-up times afterward, with nonsignificant trends suggesting increased sleep on pre-race night and greater total sleep time during the post-race week compared with the first post-race night, which may reflect delayed recovery of sleep following the event.

Key Findings

Mean total sleep time during the ultramarathon race was very short at approximately 97 minutes.

  • Mean total sleep time during the race was 96.67 ± 88.71 minutes
  • The large standard deviation (88.71 minutes) indicates substantial variability among athletes in sleep obtained during the race
  • Sleep was measured using wristwatch actigraphy in 13 of 15 enrolled athletes
  • Athletes competed in the Brazil 135 Ultramarathon (135 km: n = 4; 217 km: n = 11)

Total sleep time during the race was not correlated with race finish time.

  • P = .81; r = 0.10; 95% CI -0.59 to 0.90
  • This suggests that the amount of sleep obtained during competition did not predict athletic performance outcome
  • Both 135 km and 217 km race participants were included in this analysis

Almost all athletes reported symptoms attributed to insufficient sleep during the race.

  • Except for one athlete, all reported symptoms attributed to insufficient sleep during the race
  • Sleepiness was reported by 5 athletes
  • Loss of balance was reported by 4 athletes
  • Hallucinations were reported by 4 athletes
  • These symptoms suggest significant functional consequences of sleep deprivation during ultramarathon competition

Athletes had short sleep duration and suboptimal sleep parameters during the pre-race and post-race periods.

  • Most athletes slept less than 8 hours during both pre- and post-race periods
  • Athletes demonstrated low sleep efficiency throughout pre- and post-race periods
  • High Wake After Sleep Onset (WASO) was observed throughout pre- and post-race periods
  • Sleep was monitored for 7 days before and 7 days after the race using actigraphy

Athletes woke up significantly later after the race compared with pre-race timepoints.

  • The difference in wake-up times between post-race and pre-race periods was statistically significant (P < .05)
  • Later wake times post-race may reflect the body's attempt to recover from severe sleep deprivation accumulated during competition
  • This was one of the few statistically significant sleep parameter differences detected in the study

There was a nonsignificant trend toward more sleep on the night before the race compared with the prior week.

  • Sleep the night before the race was 432.2 minutes compared with the prior week average of 409.8 minutes
  • Mean difference was 22.5 minutes (95% CI: -74.3 to 29.3; P = .058)
  • This trend did not reach statistical significance and may reflect pre-race sleep extension behavior or pre-competition sleep banking

There was a nonsignificant trend toward greater total sleep time during the post-race week compared with the first night after the race.

  • Total sleep time during the post-race week was 461.4 minutes (95% CI: 434-488) compared with 447.4 minutes on the night after the race
  • Mean difference was 14.0 minutes (95% CI: -64.4 to 92.4; P = .058)
  • The authors interpreted this as possibly reflecting 'delayed recovery of sleep following the event'
  • This pattern suggests sleep recovery is not immediate but may unfold gradually across the post-race week

The study population consisted of middle-aged male ultramarathon athletes monitored across three distinct race phases using actigraphy.

  • 15 male athletes aged 45.1 ± 10.5 years were enrolled; sleep data were available for 13
  • Athletes participated in the Brazil 135 Ultramarathon in either the 135 km (n = 4) or 217 km (n = 11) distance
  • A wristwatch actigraph was used to measure sleep before (7 days), during, and after (7 days) the race
  • This was an observational study design tracking sleep across the full race period

What This Means

This research suggests that ultramarathon runners get very little sleep during a race — averaging only about 97 minutes total — and that their sleep is already compromised before the race even begins. Using wrist-worn activity trackers (actigraphs), researchers monitored 13 male athletes participating in the Brazil 135 Ultramarathon (covering either 135 km or 217 km) for a full week before the event, during the race, and for a full week afterward. Even in the days leading up to the race, most athletes slept fewer than 8 hours per night with poor sleep quality, including frequent nighttime awakenings. During the race itself, the sleep deprivation was severe, and nearly all athletes reported symptoms such as excessive sleepiness, loss of balance, or hallucinations. Interestingly, how much sleep an athlete got during the race did not predict how fast they finished, suggesting performance in these extreme events may not be simply dictated by sleep obtained during competition. After the race, athletes tended to wake up later than they had before the event — one of the few statistically significant findings — but the first night of recovery sleep was not dramatically longer than the post-race week average, hinting that sleep recovery may take several days rather than happening all at once. This research suggests that sleep restriction is a pervasive issue for ultramarathon runners, not just during competition but in the days surrounding it. The findings highlight that even dedicated endurance athletes chronically under-sleep, and that extreme events like ultramarathons dramatically worsen this pattern. Understanding how sleep deprivation affects these athletes — and how long recovery takes — could have practical implications for how athletes prepare for and recover from such demanding events.

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Citation

Daniel N, da Cunha D, Belli T, Esteves A. (2026). Tracking sleep in ultramarathon male runners before, during, and after a mountain race: Actigraphic evidence of sleep restriction.. Sleep health. https://doi.org/10.1016/j.sleh.2026.07.002