Petersen's Playbook
Sleep Is the Cheapest Performance Gain Your Athlete Is Skipping
Written for athletes ages 13-18.
Ask a tired teenager to add one hour of sleep and you will do more for their performance and their long-term health than almost anything sold in a supplement aisle.
The injury math parents do not hear about
In a study of adolescent athletes ages 12 to 18, those who averaged fewer than 8 hours of sleep a night were 1.7 times more likely to be injured than those who slept 8 hours or more.[1] Hours of sleep was one of the two strongest independent predictors of injury in that group, ahead of the training details most families worry about first.
The number that matters is 8. Below it, the risk curve bends the wrong way.
Shooting accuracy improved after weeks of more sleep
View the data
| Skill | Improvement |
|---|---|
| Free throws | 9% |
| 3-point shots | 9.2% |
Those gains came from collegiate players who pushed their time in bed toward 10 hours for several weeks.[2] They also ran faster sprints and reported better mood. That is adult data, so I do not hand it to a 14 year old as a guarantee. I use it to make one point: when sleep goes up, performance tends to follow.
What I tell parents
What I tell parents is simple. Before we add anything to a plan, we protect sleep. It is free, it carries no banned-substance risk, and it is the one input almost every busy family is quietly shorting.
Results are earned, not guaranteed. Of all the levers a family can pull, though, this is the one with the least downside and some of the best evidence behind it.
How to actually track your athlete's sleep
Start free. For two weeks, write down two numbers a day: when the lights actually went off and when your athlete woke up. Keep phones out of the bedroom overnight. Most families find both the problem and the fix in that log before spending a dollar.
If you want a device, know what it can and cannot do. Consumer trackers like the Oura Ring, WHOOP, Apple Watch, and Garmin are good at the things that matter most here. They tell sleep from wake and estimate total sleep time reasonably well.[3] They are weaker at sleep stages. When the Oura Ring was tested against a sleep lab, its total sleep time was close, but it agreed with the lab on sleep stages only about half to two thirds of the time.[4] Wrist sensors also log overnight resting heart rate, which is most accurate at rest and drifts once the athlete moves, so read it as a multi-week trend, not a nightly verdict.[5]
Watch trends over weeks, not one night's number. Here is the part most articles skip: chasing a nightly sleep score can backfire. Clinicians have described patients who get anxious and preoccupied with perfect tracker data, which makes sleep worse instead of better. There is a name for it, orthosomnia.[6] If the ring is adding stress, put it in a drawer and go back to the log.
Our pick: the Oura Ring
Of these, we point families to the Oura Ring. It is comfortable to sleep in, its total sleep time and timing hold up well against the lab,[4] and it does not put a bright screen on the wrist at bedtime.
Disclosure: FirstCall Performance Medicine may earn a commission if you buy through the link below, at no extra cost to you. We recommend it because we use it, not because of the commission.
When short sleep is a medical question
Most tired athletes are simply not in bed long enough. But loud snoring, gasping during sleep, or a teenager who sleeps 9 hours and is still exhausted every day is worth a conversation with a physician, not an earlier alarm. Persistent daytime sleepiness can point to a treatable sleep disorder.
References
- Milewski MD, Skaggs DL, Bishop GA, et al. (2014). Chronic lack of sleep is associated with increased sports injuries in adolescent athletes. Journal of Pediatric Orthopedics 34(2):129-133. PMID 25028798 Population: Adolescent athletes, ages 12 to 18.
- Mah CD, Mah KE, Kezirian EJ, Dement WC. (2011). The effects of sleep extension on the athletic performance of collegiate basketball players. Sleep 34(7):943-950. PMID 21731144 Population: Collegiate (adult) athletes, mean age 19.
- Chinoy ED, Cuellar JA, Huwa KE, et al. (2021). Performance of seven consumer sleep-tracking devices compared with polysomnography. Sleep 44(5):zsaa291. PMID 33378539 Population: Healthy adults.
- de Zambotti M, Rosas L, Colrain IM, et al. (2019). The Sleep of the Ring: comparison of the Oura sleep tracker against polysomnography. Behavioral Sleep Medicine 17(2):124-136. PMID 28323455 Population: Healthy adults.
- Menghini L, Gianfranchi E, Cellini N, et al. (2019). Stressing the accuracy: wrist-worn wearable sensor validation over different conditions. Psychophysiology 56(11):e13441. PMID 31332802 Population: Adults, laboratory conditions.
- Baron KG, Abbott S, Jao N, et al. (2017). Orthosomnia: are some patients taking the quantified self too far?. Journal of Clinical Sleep Medicine 13(2):351-354. PMID 27855740 Population: Adults.
Physician-reviewed. Every claim above is traced to the primary literature.
Medically reviewed by Will Carlson, MD (Board-certified in Family Medicine) on September 28, 2026.

Co-Founder & Chief Executive Officer, FirstCall Performance Medicine
Board-certified in Internal Medicine (ABIM).
Erik Petersen is board-certified in Internal Medicine (ABIM) and brings more than 20 years of emergency medicine clinical experience. He founded The Measured Athlete to give young athletes physician-built, measured care. He is a former collegiate All-American football player at Northwest Missouri State.
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