Napping: Difference between revisions

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== Description<br> ==
==Introduction==
Naps are brief periods of sleep taken outside of the primary nighttime [[Sleep: Theory, Function and Physiology|sleep]] period<ref name=":1">Leong RLF, Lo JC, Chee MWL. [https://www.sciencedirect.com/science/article/pii/S108707922200079X#bib1 Systematic review and meta-analyses on the effects of afternoon napping on cognition]. Sleep Medicine Reviews. 2022; 65: 101666</ref>. Napping is a complex and deeply ingrained aspect of human life, influenced by culture and spanning across different stages of development<ref>Jenni OG, O'Connor BB. [https://www.researchgate.net/publication/7871158_Children%27s_Sleep_An_Interplay_Between_Culture_and_Biology Children's sleep: an interplay between culture and biology]. Pediatrics. 2005; 115(1): 204-216</ref>. It origins can be traced back to ancient times, likely emerging with the dawn of human civilization<ref>Samson DR, Crittenden AN, Mabulla IA, Nunn CL. [https://www.utm.utoronto.ca/david-samson/publications/Samson%20et%20al%202017%20Hadza%20sleep%20biology.pdf Hadza sleep biology: evidence for flexible sleep-wake patterns in hunter-gatherers]. American Journal of Physical Antropology. 2017; 162(3): 573-582</ref>. In the initial stages of life, napping is a universal practice among children. However, as children grow and their nighttime sleep becomes more consolidated, the frequency of daytime naps gradually decreases from three to one, and eventually diminishes entirely as they go to primary school<ref>Lokhandwala S, Spencer RMC. [https://www.researchgate.net/publication/361556523_Relations_between_sleep_patterns_early_in_life_and_brain_development_A_review Relations between sleep patterns early in life and brain development: a review]. Developmental Cognitive Neuroscience. 2022; 56(1): 101130</ref>. Working adults have less opportunity to nap in the day<ref name=":4">Alger SE, Brager AJ, Capaldi VF. Challenging the stigma of workplace napping. Sleep. 2019; 42(8): 1-2</ref>.


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==Science behind napping==
Brief naps may facilitate neural repair processes, which gradually enhance neurological resilience. During deeper non-rapid eye movement (NREM) sleep stages, cellular damage is repaired, waste products are cleared away, and essential neurochemicals are replenished<ref name=":0">George AS, George ASH, Shahul A. [https://www.puirp.com/index.php/research/article/view/31/26 The Science and Timing of Power Naps: Investigating the Cognitive and Physical Benefits of Brief Daytime Sleep]. Partners Universal Innovative Research Publication. 2024; 2(1): 70-84</ref>. A lower [[Coronary Artery|coronary]] mortality is found in individuals who occasional nap. This could relate to temporary [[Blood Pressure|blood pressure]] reductions during naps<ref name=":0" />.


== Indication<br> ==
==Prevalence of napping==
[[File:Prevalence of napping across age groups.png|alt=This image is a visual representative of the prevalence of napping across different age groups. The prevalence in 3 year old children is 50-80%, for children over the age of 5 it is 9%. The prevalence for teenagers (14-19 years old) is 40%. Young adults 11.7-41.7% and middle adults 14.4-45.6%. The older adults / eldery have a prevalence of 20-60%|thumb|Each bar represents a specific age range, ranging from young children to older adults. This visualization highlights the shifting prevalence of napping across the lifespan, influenced by factors such as developmental changes, lifestyle, and cultural norms.]]
Napping is a widespread practice in many countries<ref name=":5">Zhong G, Wang Y, Tao T, Ying J, Zhao Y. Daytime napping and mortality from all causes, cardiovascular disease, and cancer: a meta-analysis of prospective cohort studies. Sleep medicine. 2015; 16(7): 811–9</ref><ref name=":6">Zhou J, Kessler AS, Su D. Association between Daytime Napping and Chronic Diseases in China. American journal of health behavior. 2016; 40(2): 182–93</ref>. However, its [[Epidemiology, Prevalence and Incidence|prevalence]] varies significantly across different age groups.


add text here relating to the indication for the intervention<br>  
While about 50% to 80% of three-year-old children typically take naps during the day, this number decreases to only 9% for children over the age of five<ref>Komada Y, Asaoka S, Abe T. Relationship between napping pattern and nocturnal sleep among Japanese nursery school children. Sleep medicine. 2012; 13(1): 107–10</ref>. The prevalence of napping rises to 40% among teenagers aged 14 to 19<ref name=":7">Faraut B, Andrillon T, Vecchierini M-F, Leger D. Napping: A public health issue. From epidemiological to laboratory studies. Sleep Medicine Reviews. 2017; 35: 85–100.</ref>. This increase might be attributed to the growing need for sleep during adolescence and the insufficient opportunity for sleep at night. In Japan, approximately 41.7% of young adults (aged 20-39) and 45.6% of middle-aged adults (aged 40-59) reported occasionally taking naps (minimum of once a week). Only 11.7% of young adults and 14.4% of middle-aged adults reported taking regular naps (more than four times a week)<ref>Furihata R, Kaneita Y, Jike M, Ohida T, Uchiyama M. Napping and associated factors: a Japanese nationwide general population survey. Sleep medicine. 2016; 20: 72–9</ref>.


== Clinical Presentation  ==
Napping tends to be more common among older adults compared to younger populations. Studies have shown that the prevalence of napping among older adults varies widely, ranging from 20% to 60% globally, depending on factors such as participants' demographics, definitions of napping, and geographical location<ref>Yang Y, Liu W, Ji X, Ma C, Wang X, Li K, Li J. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961342/ Extended afternoon naps are associated with hypertension in women but not in men]. Heart & lung : the journal of critical care. 2019; 49(1): 2-9</ref><ref>Li J, Cacchione PZ, Hodgson N, Riegel B, Keenan BT, Scharf MT, Richards KC, Gooneratne NS. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6487643/ Afternoon Napping and Cognition in Chinese Older Adults: Findings from the China Health and Retirement Longitudinal Study Baseline Assessment]. Journal of the American Geriatrics Society. 2017; 65(2): 373–80</ref>. Afternoon napping is less frequent in regions with cooler climates, but it is more prevalent in countries in Latin America, Asia, and Africa, where the afternoon temperatures rise significantly due to the heat of the sun<ref name=":8">Zhang Z, Xiao X, Ma W. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7992388/ Napping in Older Adults: a Review of Current Literature]. Current Sleep Medicine Reports. 2020; 6(3): 129–135</ref>.


add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures.&nbsp;
==Cultural beliefs about napping==
Napping is more prevalent in certain countries where there is a cultural belief in the beneficial effects of daytime sleep on health<ref name=":5" /><ref name=":6" />. In china and some Latin American countries it is common practice to take a nap after lunch. Individuals in these regions are more inclined to take a planned nap when experiencing daytime sleepiness or fatigue<ref name=":5" /><ref name=":6" />. In countries where napping is less common, taking a midday nap may be perceived as laziness<ref name=":4" />. People in these countries may make additional efforts to combat sleepiness or fatigue, such as consuming caffeinated beverages to stay awake during the day<ref name=":8" />.


== Resources  ==
== Benefits of napping==
Nap benefits can be influenced by various factors. For instance, research indicates that memory enhancements from naps might diminish with advancing age<ref>Sculling MK, Fairley J, Decker MJ, Bliwise DL. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5445560/ The effects of an afternoon nap on episodic memory in young and older adults]. Sleep. 2017; 40(5)</ref>. Additionally, some studies propose that habitual nappers could experience greater benefits from napping in comparison to non-habitual nappers<ref>Leong RLF, Yu N, Ong JL, Ng ASC, Jamaluddin SA, Cousins JN, Chee NIYN, Chee MWL. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8193563/ Memory performance following napping in habitual and non-habitual nappers]. Sleep. 2021; 44(6)</ref>.
*Physical benefits:[[File:Physical benefits of napping.png|thumb|This illustration shows the physical benefits of napping.]]
**[[Free Radicals|Antioxidant]] defence<ref name=":13">Romdhani M, Dergaa I, Moussa-Chamari I, Souissi N, Chaabouni Y, Mahdouani K, Abene O, Driss T, Chamari K, Hammouda O. [https://www.termedia.pl/The-effect-of-post-lunch-napping-on-mood-r-nreaction-time-and-antioxidant-defense-during-repeated-sprint-exercice-,78,43280,1,1.html The effect of post-lunch napping on mood, reaction time, and antioxidant defense during repeated sprint exercice]. Biology of Sport. 2021; 38(4): 629-638</ref>
**Better [[Cardiovascular System|cardiovascular]] recovery from psychological stress<ref name=":11">Dutheil F, Danini B, Bagheri R, Fantini ML, Pereira B, Moustafa F, Trousselard M, Navel V. [https://www.mdpi.com/1660-4601/18/19/10212 Effects of a Short Daytime Nap on the Cognitive Performance: A Systematic Review and Meta-Analysis]. International Journal of Environmental Research and Public Health. 2021; 18(19): 10212</ref><ref name=":12">Boukhris O, Trabelsi K, Suppiah H, Ammar A, Clark CCT, Jahrami H, Chtourou H, Driller M. [https://link.springer.com/article/10.1007/s40279-023-01920-2 The Impact of Daytime Napping Following Normal Night-Time Sleep on Physical Performance: A Systematic Review, Meta-analysis and Meta-regression]. Sports Medicine. 2023; 54: 323-345</ref>
**Better [[Motor Control and Learning|motor learning]]<ref name=":10">Jones BJ, Spencer RMC. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8011550/ Role of Napping for Learning Across the Lifespan]. Current Sleep Medicine Reports. 2021; 6(4): 290-297</ref>
**Enhancement of [[Motor Development Principles|motor skills]]<ref name=":0" /><ref name=":9">Souabni M, Souabni MJ, Hammouda O, Romdhani M, Trabelsi K, Ammar A, Driss T. [https://www.frontiersin.org/articles/10.3389/fnagi.2022.1000707/full Benefits and risks of napping in older adults: A systematic review]. Frontiers in Aging Neuroscience. 2022; 14: 1000707</ref>
**Increased brain volume<ref>Paz V, Dashti HS, Garfield V. [https://www.sciencedirect.com/science/article/pii/S235272182300089X Is there an association between daytime napping, cognitive function, and brain volume? A Mendelian randomization study in the UK Biobank]. Sleep Health. 2023; 9(5): 786-793</ref>
**Improvements in motor reaction times<ref name=":0" />
**Increased relaxation<ref name=":11" />
**Reduced fatigue<ref name=":13" /><ref name=":11" /><ref name=":9" />
**Reduced [[Cardiovascular Disease|heart disease]]<ref name=":0" />
***It is important to limit the nap to 30 minutes or less to avoid negative heart health effects during longer daytime sleep<ref name=":0" />.
**Reducing pain hypersensitivity to pain stimuly<ref name=":7" /><ref>Faraut B, Léger D, Medkour T, Dubois A, Bayon V, Chennaoui M, Perrot S. [https://journals.plos.org/plosone/article/citation?id=10.1371/journal.pone.0117425 Napping Reverses Increased Pain Sensitivity Due to Sleep Restriction]. Plos One. 2015; 10(2): e0117425</ref>
**Restoring several [[Immune System|immune]] parameters caused by sleep loss<ref name=":7" />
*Cognitive benefits:[[File:Cognitive benefits of napping.png|thumb|A visual representation of cognitive benefits associated with napping.]]
**Better logical reasoning<ref name=":11" />
**Boost creativity<ref name=":11" />
**Decreased emotional reactivity<ref name=":2">Herschel HK. [https://thesis.unipd.it/handle/20.500.12608/57702 Sleep On It: The Effect of Daytime Napping on Emotional Reactivity]. Cognitive Neuroscience and Clinical Neuropsychology. 2022</ref>
**Decreased externalizing behaviour problems<ref name=":21">Liu J, Feng R, Ji X, Cui N, Raine A, Mednick SC. [https://academic.oup.com/sleep/article/42/9/zsz126/5499200 Midday napping in children: associations between nap frequency and duration across cognitive, positive psychological well-being, behavioral, and metabolic health outcomes]. Sleep. 2019; 42(9): zsz126</ref>
**Enhanced alertness<ref name=":0" /><ref name=":11" /><ref name=":9" />
**Enhanced [[memory]] consolidation<ref name=":1" /><ref name=":0" /><ref name=":7" /><ref name=":11" /><ref>Yuhan S. The Impact of Napping and Sleep History on Perceptual Speech Learning and Memory Consolidation. Social Sciences Division. 2023</ref><ref name=":14">Wang Y, Meng Y, Zhang R. Positive effects of napping on memory consolidation and resistance against interference. Sleep Breath. 2023; 27: 2499-2507</ref><ref>Cai H, Su N, Li W, Li X, Xiao S, Sun L. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7839842/ Relationship between afternoon napping and cognitive function in the ageing Chinese population]. General Psychiatry. 2021; 34(1): e100361</ref>:
***Declarative memory<ref name=":10" /><ref name=":14" /><ref>Farhadian N, Khazaie H, Nami M, Khazaie S. The role of daytime napping in declarative memory performance: a systematic review. Sleep Medicine. 2021; 84: 134–141.</ref><ref>Lau EYY, McAteer S, Leung CNW, Tucker MA, Li C. [https://www.researchgate.net/publication/325930984_Beneficial_effects_of_a_daytime_nap_on_verbal_memory_in_adolescents Beneficial effects of a daytime nap on verbal memory in adolescents]. Journal of Adolescence. 2018; 67: 77-84</ref>
***Long term memory<ref>Leong RLF, Yu N, Ong JL, Ng ASC, Jamaluddin SA, Cousins JN, Chee NIYN, Chee MWL. [https://academic.oup.com/sleep/article/44/6/zsaa277/6031654 Memory performance following napping in habitual and non-habitual nappers]. Sleep. 2021; 44(6): zsaa277</ref>
***Procedural memory<ref name=":1" /><ref name=":11" /><ref name=":14" />
***Short-term recall<ref name=":0" /><ref name=":11" />
***Working memory<ref name=":0" />
**Improved mood<ref name=":13" /><ref name=":11" /><ref name=":21" /><ref name=":15">Lastella M, Halson SL, Vitale JA, Memon AR, Vincent GE. [https://www.tandfonline.com/doi/full/10.2147/NSS.S315556 To Nap or Not to Nap? A Systematic Review Evaluating Napping Behavior in Athletes and the Impact on Various Measures of Athletic Performance]. Nature and Science of Sleep. 2021; 13: 841-862</ref>
**Improved self-control<ref name=":21" />
**Increased objective alertness<ref name=":0" />
**Increased speed of processing<ref name=":1" /><ref>Lo JC, Lee SM, Teo LM, Lim J, Gooley JJ, Chee MW. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806570/ Neurobehavioral impact of successive cycles of sleep restriction with and without naps in adolescents]. Sleep. 2017; 40(2)</ref><ref>Lim J, Lo JC, Chee MWL. [https://www.researchgate.net/publication/311513356_Assessing_the_benefits_of_napping_and_short_rest_breaks_on_processing_speed_in_sleep-restricted_adolescents Assessing the benefits of napping and short rest breaks on processing speed in sleep-restricted adolescents]. Journal of Sleep Research. 2017; 26(2): 219-226</ref><ref>Ji X, Li J, Liu J. The Relationship Between Midday Napping And Neurocognitive Function in Early Adolescents. Behavioral Sleep Medicine. 2019; 17(5): 537-551</ref>
**Visual and auditory reaction times improve by 5-10%<ref name=":0" />
**For different age groups:
*** Toddlers: naps may benefit abstraction and generalization abilities<ref name=":1" />
***Preschoolers: naps improve cognition and [[memory]] and it may also help with the acquisition of new information<ref name=":1" />
***School-age children: napping is linked to higer verbal IQ en better academic achievement<ref name=":1" /><ref>Liu J, Feng R, Ji X, Cui M, Raine A, Mednick SC. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6735910/ Midday napping in children: associations between nap frequency and duration across cognitive, positive psychological well-being, behavioral, and metabolic health outcomes]. Sleep. 2019; 42(9)</ref>
***Teens: napping increases overall cognition, both short-term and long-term memory, and protects the learning capacity<ref name=":1" />
***Young to middle-aged adults: napping increases overall cognition, but especially memory<ref name=":1" />
***Elderly: planned naps are positive for cognition and declarative memory<ref name=":1" />
*Athletic benefits:[[File:Benefits of napping for athletes.png|thumb|This illustration shows the benefits of napping for athletes. Napping contributes to improved overall performance and well-being in athletes.]]
**Decreased [[Delayed onset muscle soreness (DOMS)|delayed onset muscle soreness]]<ref name=":15" />
**Decreased fatigue<ref name=":12" /><ref name=":15" /> <ref name=":16" /><ref name=":18">Hsouna H, Boukhris O, Abdessalem R, Trabelsi K, Ammar A, Shephard RJ, Chtourou H. Effect of different nap opportunity durations on short-term maximal performance, attention, feelings, muscle soreness, fatigue, stress and sleep. Physiology & Behavior. 2019; 211: 112673</ref><ref name=":3">Souabni M, Souabni M, Hidouri S, Ammar A, Younes M, Hammouda O. [https://www.termedia.pl/Napping-and-heart-rate-variability-in-elite-athletes,78,51813,1,1.html Napping and heart rate variability in elite athletes]. Biology of Sport. 2024; 41(3): 213-221</ref><ref>Daaloul H, Souissi N, Davenne D. Effects of Napping on Alertness, Cognitive, and Physical Outcomes of Karate Athletes. Medicine and Science in Sports and Exercise. 2019; 51(2): 338-345</ref><ref name=":19">Mesas AE, de Arenas-Arroyo SN, Martinez-Vizcaino V, Garrido-Miguel M, Fernández-Rodríguez R, Bizzozero-Peroni B, Torres-Costoso AI. [https://bjsm.bmj.com/content/57/7/417.abstract Is daytime napping an effective strategy to improve sport-related cognitive and physical performance and reduce fatigue? A systematic review and meta-analysis of randomised controlled trials]. British Journal of Sports Medicine. 2023; 57: 417-426</ref>
**Decreased [[Heart Rate|heart frequency]]<ref name=":2" /><ref name=":3" />
**Decreased [[Stress and Health|stress]]<ref name=":12" /><ref name=":18" /><ref name=":3" />
**Decreased subjective sleepiness<ref name=":3" />
**Enhancement of the recovery process<ref name=":13" /><ref name=":15" /> <ref name=":16" /><ref name=":19" /><ref name=":17">Souabni M, Hammouda O, Romdhani M, Trabelsi K, Ammar A, Driss T. Benefits of Daytime Napping Opportunity on Physical and Cognitive Performances in Physically Active Participants: A Systematic Review. Sports Medicine. 2021; 51(10): 2115-2146</ref>
**Improved [[Anaerobic Capacity|anaerobic endurance]]<ref name=":13" />
**Improved [[Endurance Exercise|endurance performance]]<ref name=":12" /><ref name=":16" /><ref name=":19" /><ref name=":17" />
**Improved explosive strength<ref name=":16" />
**Improved jumping performance<ref name=":12" /><ref name=":18" /><ref name=":17" />
**Improved leg muscle strength<ref name=":16" />
**Improved reaction time<ref name=":13" /><ref name=":17" />
**Increased self-rated performance<ref>Teece AR, Beaven M, Huynh M, Argus CK, Gill N, Driller MW. Nap to perform? Match-day napping on perceived match performance in professional rugby union athletes. International Journal of Sports Science & Coaching. 2023; 18(2): 462-469</ref>
**Improved short-term maximal performance<ref name=":18" />
**Improved sprint times<ref name=":0" /><ref name=":16">Sirohi P, Khan MH, Sharma S, Nuhmani S, Al Muslem WH, Abualait T. [https://peerj.com/articles/14460/ A systematic review of effects of daytime napping strategies on sports performance in physically active individuals with and without partial-sleep deprivation]. PeerJ. 2022; 10: e14460</ref>
**Improved upper-body power performance<ref name=":12" />


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==Types of naps==


== References ==
*Brief naps (10-15 minutes): gives a meaningful cognitive and physical functioning boost<ref name=":0" />
*Short naps (20-30 minutes): contain N2 sleep and slow waves and provide recovery of alertness<ref name=":1" />
*Longer naps (60-90 minutes): both NREM and REM sleep are important  for memory consolidation<ref name=":1" /><ref name=":0" />
 
==Reasons for napping==
People can have various reasons for taking a nap. Research indicated five different categories by the acronym DREAM: dysregulative, restorative, emotional, appetitive, and mindful<ref>Duggan KA, Mc Devitt EA, Whitehurst LN, Mednick SC. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5374038/ To nap, perhance to DREAM: a factor analysis of college students' self-reported reasons for napping]. Behavioral Sleep Medicine. 2018; 16(2): 135-153</ref><ref>Du J, Wang Y, Xu S. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9075905/ Structural model of napping motivation among chinese college students based on self-rating: evidence from an exploratory factor analysis]. Nature and Science of Sleep. 2022; 14:843-853</ref>:
 
*Dysregulative napping: this type of napping accurs due to factors such as irregular work schedules (occupational dysregulation), excessive sleep duration (homeostatic dysregulation), or in response to physical discomfort like illness, [[Pain Mechanisms|pain]] of preparing for or recovery from [[Principles of Exercise|exercise]] (physical of physiological dysregulation).
*Restorative napping: this type of napping is typically observed in individuals experiencing poor sleep quality or duration, fatigue, or those who foresee a night of insufficient sleep and preemptively nap to compensate. Accidental napping also falls into this category.
*Emotional napping: this type of napping is triggered by negative emotions such as stress, depression, or boredom, or as a means to avoid a specific task or social situation.
*Appetitive napping: this type of napping is habitual and enjoyed by individuals who incorporate naps into their daily routines, believing it enhances their performance or well-being.
*Mindful napping: this type of napping is employed as a deliberate strategy to enhance alertness, focus, and energy levels, reduce drowsiness, and capitalize on the perceived benefits of napping.
 
==Tips for effective napping==
 
*Duration: the duration of a nap plays a crucial role in determining its benefits<ref name=":0" />:
**Research indicates that shorter naps, lastings between 5 to 20 minutes, tend to yield the most significant improvements upon waking<ref name=":0" />. These brief naps primarily involve light non-rapid eye movement (NREM) sleep, which helps restore wakefulness without delving into the deeper slow-wave or rapid eye movement (REM) sleep stages, which can lead to grogginess<ref name=":0" />.
**On the other hand, longer naps exceeding 30 minutes may have adverse effects on nighttime sleep quality and quantity<ref name=":0" />.
**Naps of 90 minutes are associated with decreased sprint performances and increased sleepiness in athletes<ref name=":13" />. But napping for more than 35 minutes and less than 90 minutes can be recommended for active people and athletes<ref name=":12" /><ref name=":18" /><ref name=":19" />.
**However, some studies suggest that naps lasting up to 90 minutes can enhance memory consolidation by allowing for both NREM and REM sleep<ref name=":0" />.
*Timing: the timing of naps is also crucial, influenced by circadian rhythms and the body's sleep drive<ref name=":0" /><ref name=":11" /><ref name=":7" />:[[File:Clock representative of optimal nap time and benefits.png|thumb|The green line represents the ideal nap window between 1-4 PM, offering benefits such as increased cognitive performance, stress reduction and better nighttime sleep quality. The red line indicates the timeframe where napping is not recommended, closer to bedtime, as this disrupts nighttime sleep patterns.]]
**Research suggests that naps taken during the circadian afternoon dip, typically between 1-4 PM, are most beneficial for cognitive performance, stress reduction, and nighttime sleep quality<ref name=":0" /><ref name=":11" />.
***The cognitive boost from a nap during these hours persist longer than early naps. They tend to sustain the benefits for 2-3 hours post-nap<ref name=":0" />.
**However, napping too late in the afternoon or evening, especially close to bedtime, can disrupt nighttime sleep patterns<ref name=":0" /><ref>Häusler N, Marques-Vidal P, Haba-Rubio J, Heinzer R. [https://serval.unil.ch/resource/serval:BIB_49925F708203.P001/REF.pdf Does sleep predict next-day napping or does napping influence same-day nocturnal sleep? Results of a population-based ecological momentary assessment study]. Sleep Medicine. 2019; 61: 31-36</ref>.
*Frequency: the frequency of napping needed to sustain benefits varies among individuals<ref name=":0" />:
**Younger adults without sleep deficits may only need 1-2 brief naps per week for performance enhancement<ref name=":0" />.
** Older individuals and those with chronic [[Sleep Deprivation and Sleep Disorders|sleep deprivation]] may require daily napping for optimal function<ref name=":0" />.
*Extra:
**Ensure getting sufficient sleep the night before napping. Naps should complement proper nighttime sleep, not replace it. If dealing with chronic [[Sleep Deprivation and Sleep Disorders|sleep deprivation]], refrain from napping and prioritize improving nighttime sleep habits first<ref name=":0" />.
**Choose a tranquil environment for napping with minimal light and noise, and comfortable temperatures. Opt for places like beds or couches. Use pillows, earplugs, or eye masks if needed<ref name=":0" />.
**Consider a <nowiki>''caffeine nap'' by consuming caffeine before a brief snooze of 15 to 20 minutes. This strategy allows caffeine'</nowiki>s effects to synergize with sleep, reducing drowsiness before the caffeine kicks in<ref name=":0" />.
**Maintain consistent schedules and good [[Sleep Hygiene|sleep hygiene]] practices. Establish regular bedtimes and wake times to support the circadian rhythm. Create a conducive sleep environment by limiting screen time before bed and avoiding stimulants in the evening<ref name=":0" />.
** Experiment to find the optimal nap length, frequency, and timing that works best. Since everyone's sleep needs vary, making subtle adjustments can enhance effectiveness and prevent over-napping<ref name=":0" /><ref name=":7" />.
 
==Drawbacks of napping==
While brief naps offer numerous benefits, research also highlights the drawbacks of excessive napping during the day:
 
*When naps become too lenghty, frequent, or irregularly timed, they can compromise the quality and quantity of nocturnal sleep<ref name=":0" /><ref name=":15" /><ref name=":20">Mograss M, Abi-Jaoude J, Frimpong E, Chalati D, Moretto U, Tarelli L, Lim A, Dang-Vu TT. [https://www.researchgate.net/publication/359058081_The_effects_of_napping_on_night-time_sleep_in_healthy_young_adults The effects of napping on night-time sleep in healthy young adults]. Journal of Sleep Research. 2022; 31: e13578</ref>.
*Habitual napping may also indicate underlying health issues<ref name=":0" /><ref name=":7" /><ref name=":8" />.
*Longer naps exceeding 30 minutes result in increased slow-wave deep sleep. This reduction in sleep pressure can make it harder to fall asleep at night, potentially reducing nightly sleep duration by up to 30 minutes<ref name=":0" />.
*Late afternoon and evening naps are linked to disruptions in nighttime sleep patterns<ref name=":0" /><ref name=":20" />. Individuals who nap after 4 PM experience significantly less REM sleep following a late nap<ref name=":0" />. Therefore, naps taken too close to bedtime are not recommended.
*Excessively frequent napping can also lead to the displacement of critical nighttime sleep over the long term<ref name=":0" />. Napping every day of the week is associated with double the risk of insomnia compared to occasional nappers.<ref name=":0" /> This may result from a reduction in homeostatic sleep drive or disrupted circadian rhythms due to habitual daytime sleeping<ref name=":0" />.
*Individuals, who nap over 1 hour per day, have a 30% greater mortality<ref name=":0" /><ref name=":8" />.
 
==Conclusion==
In summary, brief naps lasting between 10-20 minutes, ideally taken between 1-5 PM, seem to be optimal for most healthy adults, considering the influence of circadian rhythms and sleep patterns. Individual variations in sleep requirements influence the ideal nap routine. Nevertheless, when timed appropriately, these short, strategic naps offer a straightforward method to enhance both mental and physical performance. Frequency of napping is individual, but most likely optimized at 1-3 brief naps per week.
 
It is important to make clear that napping is not a substitute for nighttime sleep, but more like a added bonus. Always make sure to get enough sleep (7-9 hours) before considering adding napping. Good [[Sleep Hygiene|sleep hygiene]], maintaining consistent schedules, and seeking clinical treatment for any underlying sleep disorders are essential. The benefits of napping are supplementary to sufficient baseline sleep. They provide a periodic boost rather than serving as a subsitue for overnight sleep.
 
==References==


<references />
<references />
[[Category:Sleep]]
[[Category:Older People/Geriatrics]]
[[Category:Paediatrics]]

Latest revision as of 15:34, 31 March 2024

Original Editor - Romy Hageman

Top Contributors - Romy Hageman  

Introduction[edit | edit source]

Naps are brief periods of sleep taken outside of the primary nighttime sleep period[1]. Napping is a complex and deeply ingrained aspect of human life, influenced by culture and spanning across different stages of development[2]. It origins can be traced back to ancient times, likely emerging with the dawn of human civilization[3]. In the initial stages of life, napping is a universal practice among children. However, as children grow and their nighttime sleep becomes more consolidated, the frequency of daytime naps gradually decreases from three to one, and eventually diminishes entirely as they go to primary school[4]. Working adults have less opportunity to nap in the day[5].

Science behind napping[edit | edit source]

Brief naps may facilitate neural repair processes, which gradually enhance neurological resilience. During deeper non-rapid eye movement (NREM) sleep stages, cellular damage is repaired, waste products are cleared away, and essential neurochemicals are replenished[6]. A lower coronary mortality is found in individuals who occasional nap. This could relate to temporary blood pressure reductions during naps[6].

Prevalence of napping[edit | edit source]

This image is a visual representative of the prevalence of napping across different age groups. The prevalence in 3 year old children is 50-80%, for children over the age of 5 it is 9%. The prevalence for teenagers (14-19 years old) is 40%. Young adults 11.7-41.7% and middle adults 14.4-45.6%. The older adults / eldery have a prevalence of 20-60%
Each bar represents a specific age range, ranging from young children to older adults. This visualization highlights the shifting prevalence of napping across the lifespan, influenced by factors such as developmental changes, lifestyle, and cultural norms.

Napping is a widespread practice in many countries[7][8]. However, its prevalence varies significantly across different age groups.

While about 50% to 80% of three-year-old children typically take naps during the day, this number decreases to only 9% for children over the age of five[9]. The prevalence of napping rises to 40% among teenagers aged 14 to 19[10]. This increase might be attributed to the growing need for sleep during adolescence and the insufficient opportunity for sleep at night. In Japan, approximately 41.7% of young adults (aged 20-39) and 45.6% of middle-aged adults (aged 40-59) reported occasionally taking naps (minimum of once a week). Only 11.7% of young adults and 14.4% of middle-aged adults reported taking regular naps (more than four times a week)[11].

Napping tends to be more common among older adults compared to younger populations. Studies have shown that the prevalence of napping among older adults varies widely, ranging from 20% to 60% globally, depending on factors such as participants' demographics, definitions of napping, and geographical location[12][13]. Afternoon napping is less frequent in regions with cooler climates, but it is more prevalent in countries in Latin America, Asia, and Africa, where the afternoon temperatures rise significantly due to the heat of the sun[14].

Cultural beliefs about napping[edit | edit source]

Napping is more prevalent in certain countries where there is a cultural belief in the beneficial effects of daytime sleep on health[7][8]. In china and some Latin American countries it is common practice to take a nap after lunch. Individuals in these regions are more inclined to take a planned nap when experiencing daytime sleepiness or fatigue[7][8]. In countries where napping is less common, taking a midday nap may be perceived as laziness[5]. People in these countries may make additional efforts to combat sleepiness or fatigue, such as consuming caffeinated beverages to stay awake during the day[14].

Benefits of napping[edit | edit source]

Nap benefits can be influenced by various factors. For instance, research indicates that memory enhancements from naps might diminish with advancing age[15]. Additionally, some studies propose that habitual nappers could experience greater benefits from napping in comparison to non-habitual nappers[16].

Types of naps[edit | edit source]

  • Brief naps (10-15 minutes): gives a meaningful cognitive and physical functioning boost[6]
  • Short naps (20-30 minutes): contain N2 sleep and slow waves and provide recovery of alertness[1]
  • Longer naps (60-90 minutes): both NREM and REM sleep are important for memory consolidation[1][6]

Reasons for napping[edit | edit source]

People can have various reasons for taking a nap. Research indicated five different categories by the acronym DREAM: dysregulative, restorative, emotional, appetitive, and mindful[44][45]:

  • Dysregulative napping: this type of napping accurs due to factors such as irregular work schedules (occupational dysregulation), excessive sleep duration (homeostatic dysregulation), or in response to physical discomfort like illness, pain of preparing for or recovery from exercise (physical of physiological dysregulation).
  • Restorative napping: this type of napping is typically observed in individuals experiencing poor sleep quality or duration, fatigue, or those who foresee a night of insufficient sleep and preemptively nap to compensate. Accidental napping also falls into this category.
  • Emotional napping: this type of napping is triggered by negative emotions such as stress, depression, or boredom, or as a means to avoid a specific task or social situation.
  • Appetitive napping: this type of napping is habitual and enjoyed by individuals who incorporate naps into their daily routines, believing it enhances their performance or well-being.
  • Mindful napping: this type of napping is employed as a deliberate strategy to enhance alertness, focus, and energy levels, reduce drowsiness, and capitalize on the perceived benefits of napping.

Tips for effective napping[edit | edit source]

  • Duration: the duration of a nap plays a crucial role in determining its benefits[6]:
    • Research indicates that shorter naps, lastings between 5 to 20 minutes, tend to yield the most significant improvements upon waking[6]. These brief naps primarily involve light non-rapid eye movement (NREM) sleep, which helps restore wakefulness without delving into the deeper slow-wave or rapid eye movement (REM) sleep stages, which can lead to grogginess[6].
    • On the other hand, longer naps exceeding 30 minutes may have adverse effects on nighttime sleep quality and quantity[6].
    • Naps of 90 minutes are associated with decreased sprint performances and increased sleepiness in athletes[17]. But napping for more than 35 minutes and less than 90 minutes can be recommended for active people and athletes[19][38][41].
    • However, some studies suggest that naps lasting up to 90 minutes can enhance memory consolidation by allowing for both NREM and REM sleep[6].
  • Timing: the timing of naps is also crucial, influenced by circadian rhythms and the body's sleep drive[6][18][10]:
    The green line represents the ideal nap window between 1-4 PM, offering benefits such as increased cognitive performance, stress reduction and better nighttime sleep quality. The red line indicates the timeframe where napping is not recommended, closer to bedtime, as this disrupts nighttime sleep patterns.
    • Research suggests that naps taken during the circadian afternoon dip, typically between 1-4 PM, are most beneficial for cognitive performance, stress reduction, and nighttime sleep quality[6][18].
      • The cognitive boost from a nap during these hours persist longer than early naps. They tend to sustain the benefits for 2-3 hours post-nap[6].
    • However, napping too late in the afternoon or evening, especially close to bedtime, can disrupt nighttime sleep patterns[6][46].
  • Frequency: the frequency of napping needed to sustain benefits varies among individuals[6]:
    • Younger adults without sleep deficits may only need 1-2 brief naps per week for performance enhancement[6].
    • Older individuals and those with chronic sleep deprivation may require daily napping for optimal function[6].
  • Extra:
    • Ensure getting sufficient sleep the night before napping. Naps should complement proper nighttime sleep, not replace it. If dealing with chronic sleep deprivation, refrain from napping and prioritize improving nighttime sleep habits first[6].
    • Choose a tranquil environment for napping with minimal light and noise, and comfortable temperatures. Opt for places like beds or couches. Use pillows, earplugs, or eye masks if needed[6].
    • Consider a ''caffeine nap'' by consuming caffeine before a brief snooze of 15 to 20 minutes. This strategy allows caffeine's effects to synergize with sleep, reducing drowsiness before the caffeine kicks in[6].
    • Maintain consistent schedules and good sleep hygiene practices. Establish regular bedtimes and wake times to support the circadian rhythm. Create a conducive sleep environment by limiting screen time before bed and avoiding stimulants in the evening[6].
    • Experiment to find the optimal nap length, frequency, and timing that works best. Since everyone's sleep needs vary, making subtle adjustments can enhance effectiveness and prevent over-napping[6][10].

Drawbacks of napping[edit | edit source]

While brief naps offer numerous benefits, research also highlights the drawbacks of excessive napping during the day:

  • When naps become too lenghty, frequent, or irregularly timed, they can compromise the quality and quantity of nocturnal sleep[6][32][47].
  • Habitual napping may also indicate underlying health issues[6][10][14].
  • Longer naps exceeding 30 minutes result in increased slow-wave deep sleep. This reduction in sleep pressure can make it harder to fall asleep at night, potentially reducing nightly sleep duration by up to 30 minutes[6].
  • Late afternoon and evening naps are linked to disruptions in nighttime sleep patterns[6][47]. Individuals who nap after 4 PM experience significantly less REM sleep following a late nap[6]. Therefore, naps taken too close to bedtime are not recommended.
  • Excessively frequent napping can also lead to the displacement of critical nighttime sleep over the long term[6]. Napping every day of the week is associated with double the risk of insomnia compared to occasional nappers.[6] This may result from a reduction in homeostatic sleep drive or disrupted circadian rhythms due to habitual daytime sleeping[6].
  • Individuals, who nap over 1 hour per day, have a 30% greater mortality[6][14].

Conclusion[edit | edit source]

In summary, brief naps lasting between 10-20 minutes, ideally taken between 1-5 PM, seem to be optimal for most healthy adults, considering the influence of circadian rhythms and sleep patterns. Individual variations in sleep requirements influence the ideal nap routine. Nevertheless, when timed appropriately, these short, strategic naps offer a straightforward method to enhance both mental and physical performance. Frequency of napping is individual, but most likely optimized at 1-3 brief naps per week.

It is important to make clear that napping is not a substitute for nighttime sleep, but more like a added bonus. Always make sure to get enough sleep (7-9 hours) before considering adding napping. Good sleep hygiene, maintaining consistent schedules, and seeking clinical treatment for any underlying sleep disorders are essential. The benefits of napping are supplementary to sufficient baseline sleep. They provide a periodic boost rather than serving as a subsitue for overnight sleep.

References[edit | edit source]

  1. 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 Leong RLF, Lo JC, Chee MWL. Systematic review and meta-analyses on the effects of afternoon napping on cognition. Sleep Medicine Reviews. 2022; 65: 101666
  2. Jenni OG, O'Connor BB. Children's sleep: an interplay between culture and biology. Pediatrics. 2005; 115(1): 204-216
  3. Samson DR, Crittenden AN, Mabulla IA, Nunn CL. Hadza sleep biology: evidence for flexible sleep-wake patterns in hunter-gatherers. American Journal of Physical Antropology. 2017; 162(3): 573-582
  4. Lokhandwala S, Spencer RMC. Relations between sleep patterns early in life and brain development: a review. Developmental Cognitive Neuroscience. 2022; 56(1): 101130
  5. 5.0 5.1 Alger SE, Brager AJ, Capaldi VF. Challenging the stigma of workplace napping. Sleep. 2019; 42(8): 1-2
  6. 6.00 6.01 6.02 6.03 6.04 6.05 6.06 6.07 6.08 6.09 6.10 6.11 6.12 6.13 6.14 6.15 6.16 6.17 6.18 6.19 6.20 6.21 6.22 6.23 6.24 6.25 6.26 6.27 6.28 6.29 6.30 6.31 6.32 6.33 6.34 6.35 6.36 6.37 6.38 6.39 6.40 George AS, George ASH, Shahul A. The Science and Timing of Power Naps: Investigating the Cognitive and Physical Benefits of Brief Daytime Sleep. Partners Universal Innovative Research Publication. 2024; 2(1): 70-84
  7. 7.0 7.1 7.2 Zhong G, Wang Y, Tao T, Ying J, Zhao Y. Daytime napping and mortality from all causes, cardiovascular disease, and cancer: a meta-analysis of prospective cohort studies. Sleep medicine. 2015; 16(7): 811–9
  8. 8.0 8.1 8.2 Zhou J, Kessler AS, Su D. Association between Daytime Napping and Chronic Diseases in China. American journal of health behavior. 2016; 40(2): 182–93
  9. Komada Y, Asaoka S, Abe T. Relationship between napping pattern and nocturnal sleep among Japanese nursery school children. Sleep medicine. 2012; 13(1): 107–10
  10. 10.0 10.1 10.2 10.3 10.4 10.5 10.6 Faraut B, Andrillon T, Vecchierini M-F, Leger D. Napping: A public health issue. From epidemiological to laboratory studies. Sleep Medicine Reviews. 2017; 35: 85–100.
  11. Furihata R, Kaneita Y, Jike M, Ohida T, Uchiyama M. Napping and associated factors: a Japanese nationwide general population survey. Sleep medicine. 2016; 20: 72–9
  12. Yang Y, Liu W, Ji X, Ma C, Wang X, Li K, Li J. Extended afternoon naps are associated with hypertension in women but not in men. Heart & lung : the journal of critical care. 2019; 49(1): 2-9
  13. Li J, Cacchione PZ, Hodgson N, Riegel B, Keenan BT, Scharf MT, Richards KC, Gooneratne NS. Afternoon Napping and Cognition in Chinese Older Adults: Findings from the China Health and Retirement Longitudinal Study Baseline Assessment. Journal of the American Geriatrics Society. 2017; 65(2): 373–80
  14. 14.0 14.1 14.2 14.3 Zhang Z, Xiao X, Ma W. Napping in Older Adults: a Review of Current Literature. Current Sleep Medicine Reports. 2020; 6(3): 129–135
  15. Sculling MK, Fairley J, Decker MJ, Bliwise DL. The effects of an afternoon nap on episodic memory in young and older adults. Sleep. 2017; 40(5)
  16. Leong RLF, Yu N, Ong JL, Ng ASC, Jamaluddin SA, Cousins JN, Chee NIYN, Chee MWL. Memory performance following napping in habitual and non-habitual nappers. Sleep. 2021; 44(6)
  17. 17.0 17.1 17.2 17.3 17.4 17.5 17.6 Romdhani M, Dergaa I, Moussa-Chamari I, Souissi N, Chaabouni Y, Mahdouani K, Abene O, Driss T, Chamari K, Hammouda O. The effect of post-lunch napping on mood, reaction time, and antioxidant defense during repeated sprint exercice. Biology of Sport. 2021; 38(4): 629-638
  18. 18.00 18.01 18.02 18.03 18.04 18.05 18.06 18.07 18.08 18.09 18.10 18.11 Dutheil F, Danini B, Bagheri R, Fantini ML, Pereira B, Moustafa F, Trousselard M, Navel V. Effects of a Short Daytime Nap on the Cognitive Performance: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 2021; 18(19): 10212
  19. 19.0 19.1 19.2 19.3 19.4 19.5 19.6 Boukhris O, Trabelsi K, Suppiah H, Ammar A, Clark CCT, Jahrami H, Chtourou H, Driller M. The Impact of Daytime Napping Following Normal Night-Time Sleep on Physical Performance: A Systematic Review, Meta-analysis and Meta-regression. Sports Medicine. 2023; 54: 323-345
  20. 20.0 20.1 Jones BJ, Spencer RMC. Role of Napping for Learning Across the Lifespan. Current Sleep Medicine Reports. 2021; 6(4): 290-297
  21. 21.0 21.1 21.2 Souabni M, Souabni MJ, Hammouda O, Romdhani M, Trabelsi K, Ammar A, Driss T. Benefits and risks of napping in older adults: A systematic review. Frontiers in Aging Neuroscience. 2022; 14: 1000707
  22. Paz V, Dashti HS, Garfield V. Is there an association between daytime napping, cognitive function, and brain volume? A Mendelian randomization study in the UK Biobank. Sleep Health. 2023; 9(5): 786-793
  23. Faraut B, Léger D, Medkour T, Dubois A, Bayon V, Chennaoui M, Perrot S. Napping Reverses Increased Pain Sensitivity Due to Sleep Restriction. Plos One. 2015; 10(2): e0117425
  24. 24.0 24.1 Herschel HK. Sleep On It: The Effect of Daytime Napping on Emotional Reactivity. Cognitive Neuroscience and Clinical Neuropsychology. 2022
  25. 25.0 25.1 25.2 Liu J, Feng R, Ji X, Cui N, Raine A, Mednick SC. Midday napping in children: associations between nap frequency and duration across cognitive, positive psychological well-being, behavioral, and metabolic health outcomes. Sleep. 2019; 42(9): zsz126
  26. Yuhan S. The Impact of Napping and Sleep History on Perceptual Speech Learning and Memory Consolidation. Social Sciences Division. 2023
  27. 27.0 27.1 27.2 Wang Y, Meng Y, Zhang R. Positive effects of napping on memory consolidation and resistance against interference. Sleep Breath. 2023; 27: 2499-2507
  28. Cai H, Su N, Li W, Li X, Xiao S, Sun L. Relationship between afternoon napping and cognitive function in the ageing Chinese population. General Psychiatry. 2021; 34(1): e100361
  29. Farhadian N, Khazaie H, Nami M, Khazaie S. The role of daytime napping in declarative memory performance: a systematic review. Sleep Medicine. 2021; 84: 134–141.
  30. Lau EYY, McAteer S, Leung CNW, Tucker MA, Li C. Beneficial effects of a daytime nap on verbal memory in adolescents. Journal of Adolescence. 2018; 67: 77-84
  31. Leong RLF, Yu N, Ong JL, Ng ASC, Jamaluddin SA, Cousins JN, Chee NIYN, Chee MWL. Memory performance following napping in habitual and non-habitual nappers. Sleep. 2021; 44(6): zsaa277
  32. 32.0 32.1 32.2 32.3 32.4 Lastella M, Halson SL, Vitale JA, Memon AR, Vincent GE. To Nap or Not to Nap? A Systematic Review Evaluating Napping Behavior in Athletes and the Impact on Various Measures of Athletic Performance. Nature and Science of Sleep. 2021; 13: 841-862
  33. Lo JC, Lee SM, Teo LM, Lim J, Gooley JJ, Chee MW. Neurobehavioral impact of successive cycles of sleep restriction with and without naps in adolescents. Sleep. 2017; 40(2)
  34. Lim J, Lo JC, Chee MWL. Assessing the benefits of napping and short rest breaks on processing speed in sleep-restricted adolescents. Journal of Sleep Research. 2017; 26(2): 219-226
  35. Ji X, Li J, Liu J. The Relationship Between Midday Napping And Neurocognitive Function in Early Adolescents. Behavioral Sleep Medicine. 2019; 17(5): 537-551
  36. Liu J, Feng R, Ji X, Cui M, Raine A, Mednick SC. Midday napping in children: associations between nap frequency and duration across cognitive, positive psychological well-being, behavioral, and metabolic health outcomes. Sleep. 2019; 42(9)
  37. 37.0 37.1 37.2 37.3 37.4 37.5 Sirohi P, Khan MH, Sharma S, Nuhmani S, Al Muslem WH, Abualait T. A systematic review of effects of daytime napping strategies on sports performance in physically active individuals with and without partial-sleep deprivation. PeerJ. 2022; 10: e14460
  38. 38.0 38.1 38.2 38.3 38.4 Hsouna H, Boukhris O, Abdessalem R, Trabelsi K, Ammar A, Shephard RJ, Chtourou H. Effect of different nap opportunity durations on short-term maximal performance, attention, feelings, muscle soreness, fatigue, stress and sleep. Physiology & Behavior. 2019; 211: 112673
  39. 39.0 39.1 39.2 39.3 Souabni M, Souabni M, Hidouri S, Ammar A, Younes M, Hammouda O. Napping and heart rate variability in elite athletes. Biology of Sport. 2024; 41(3): 213-221
  40. Daaloul H, Souissi N, Davenne D. Effects of Napping on Alertness, Cognitive, and Physical Outcomes of Karate Athletes. Medicine and Science in Sports and Exercise. 2019; 51(2): 338-345
  41. 41.0 41.1 41.2 41.3 Mesas AE, de Arenas-Arroyo SN, Martinez-Vizcaino V, Garrido-Miguel M, Fernández-Rodríguez R, Bizzozero-Peroni B, Torres-Costoso AI. Is daytime napping an effective strategy to improve sport-related cognitive and physical performance and reduce fatigue? A systematic review and meta-analysis of randomised controlled trials. British Journal of Sports Medicine. 2023; 57: 417-426
  42. 42.0 42.1 42.2 42.3 Souabni M, Hammouda O, Romdhani M, Trabelsi K, Ammar A, Driss T. Benefits of Daytime Napping Opportunity on Physical and Cognitive Performances in Physically Active Participants: A Systematic Review. Sports Medicine. 2021; 51(10): 2115-2146
  43. Teece AR, Beaven M, Huynh M, Argus CK, Gill N, Driller MW. Nap to perform? Match-day napping on perceived match performance in professional rugby union athletes. International Journal of Sports Science & Coaching. 2023; 18(2): 462-469
  44. Duggan KA, Mc Devitt EA, Whitehurst LN, Mednick SC. To nap, perhance to DREAM: a factor analysis of college students' self-reported reasons for napping. Behavioral Sleep Medicine. 2018; 16(2): 135-153
  45. Du J, Wang Y, Xu S. Structural model of napping motivation among chinese college students based on self-rating: evidence from an exploratory factor analysis. Nature and Science of Sleep. 2022; 14:843-853
  46. Häusler N, Marques-Vidal P, Haba-Rubio J, Heinzer R. Does sleep predict next-day napping or does napping influence same-day nocturnal sleep? Results of a population-based ecological momentary assessment study. Sleep Medicine. 2019; 61: 31-36
  47. 47.0 47.1 Mograss M, Abi-Jaoude J, Frimpong E, Chalati D, Moretto U, Tarelli L, Lim A, Dang-Vu TT. The effects of napping on night-time sleep in healthy young adults. Journal of Sleep Research. 2022; 31: e13578