RT Journal Article SR Electronic T1 The sleep of elite athletes at sea level and high altitude: a comparison of sea-level natives and high-altitude natives (ISA3600) JF British Journal of Sports Medicine JO Br J Sports Med FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine SP i114 OP i120 DO 10.1136/bjsports-2013-092843 VO 47 IS Suppl 1 A1 Gregory D Roach A1 Walter F Schmidt A1 Robert J Aughey A1 Pitre C Bourdon A1 Rudy Soria A1 Jesus C Jimenez Claros A1 Laura A Garvican-Lewis A1 Martin Buchheit A1 Ben M Simpson A1 Kristal Hammond A1 Marlen Kley A1 Nadine Wachsmuth A1 Christopher J Gore A1 Charli Sargent YR 2013 UL http://bjsm.bmj.com/content/47/Suppl_1/i114.abstract AB Background Altitude exposure causes acute sleep disruption in non-athletes, but little is known about its effects in elite athletes. The aim of this study was to examine the effects of altitude on two groups of elite athletes, that is, sea-level natives and high-altitude natives. Methods Sea-level natives were members of the Australian under-17 soccer team (n=14). High-altitude natives were members of a Bolivian under-20 club team (n=12). Teams participated in an 18-day (19 nights) training camp in Bolivia, with 6 nights at near sea level in Santa Cruz (430 m) and 13 nights at high altitude in La Paz (3600 m). Sleep was assessed on every day/night using activity monitors. Results The Australians’ sleep was shorter, and of poorer quality, on the first night at altitude compared with sea level. Sleep quality returned to normal by the end of the first week at altitude, but sleep quantity had still not stabilised at its normal level after 2 weeks. The quantity and quality of sleep obtained by the Bolivians was similar, or greater, on all nights at altitude compared with sea level. The Australians tended to obtain more sleep than the Bolivians at sea level and altitude, but the quality of the Bolivians’ sleep tended to be better than that of the Australians at altitude. Conclusions Exposure to high altitude causes acute and chronic disruption to the sleep of elite athletes who are sea-level natives, but it does not affect the sleep of elite athletes who are high-altitude natives.