Journals / Çanakkale Onsekiz Mart Üniversitesi Spor Bilimleri Dergisi / 2026 / Cilt: 9 Sayı: 2026

Musculoskeletal Symptoms and Sleep Quality in Esports Athletes: A Cross-Sectional Study

Espor Sporcularında Kas-İskelet Sistemi Semptomları ile Uyku Kalitesi Arasındaki İlişki: Kesitsel Bir Çalışma

Eren Bozyılan(ADIYAMAN ÜNİVERSİTESİ, BEDEN EĞİTİMİ VE SPOR YÜKSEKOKULU)0000-0002-8450-880X
Süleyman Bilgin(ADIYAMAN ÜNİVERSİTESİ)0009-0000-7933-2400
Pages
4429–441
Publication Date
2026-05-29
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Ergonomic adjustments, scheduled breaks, and structured exercise programmes may help improve health outcomes; however, causal relationships cannot be inferred due to the cross-sectional design.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: This study examined the association between musculoskeletal complaints and sleep quality in esports players and investigated whether regular physical exercise moderates this relationship.
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Key Findings & Data:The final sample consisted of 238 participants.
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Conclusion & Impact:Ergonomic adjustments, scheduled breaks, and structured exercise programmes may help improve health outcomes; however, causal relationships cannot be inferred due to the cross-sectional design.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:espor · kas-iskelet sistemi şikâyetleri · uyku kalitesi

Abstract

Purpose: This study examined the association between musculoskeletal complaints and sleep quality in esports players and investigated whether regular physical exercise moderates this relationship. Method: This cross-sectional study was conducted among university students engaged in esports at Adıyaman University using convenience sampling. The final sample consisted of 238 participants. An a priori power analysis indicated that at least 194 participants were required (80% power, α = 0.05). Musculoskeletal complaints were assessed using a questionnaire based on the Standardized Nordic Musculoskeletal Questionnaire (NMQ), and sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI). Spearman correlation, Mann–Whitney U tests, and multiple linear regression with an interaction term were used for statistical analysis (p < 0.05). Results: Musculoskeletal complaints were reported by 68.1% of participants, and 72.7% had poor sleep quality (PSQI > 5). The number of musculoskeletal complaint regions was positively associated with PSQI score (ρ = 0.228, p = 0.010). Participants with musculoskeletal complaints had poorer sleep quality (p < 0.001). The association was weaker among participants who reported regular physical exercise. In regression analysis, musculoskeletal complaints and daily gaming duration independently predicted poorer sleep quality. Conclusion: Musculoskeletal complaints were associated with poorer sleep quality in esports players, and regular physical exercise appeared to attenuate this relationship. Ergonomic adjustments, scheduled breaks, and structured exercise programmes may help improve health outcomes; however, causal relationships cannot be inferred due to the cross-sectional design.

Özet

Amaç: Bu çalışma, espor oyuncularında kas-iskelet sistemi şikâyetleri ile uyku kalitesi arasındaki ilişkiyi incelemeyi ve düzenli fiziksel egzersizin bu ilişki üzerindeki olası düzenleyici (moderatör) rolünü değerlendirmeyi amaçlamıştır, Yöntem: Bu kesitsel çalışma, Adıyaman Üniversitesi’nde espor faaliyetlerine katılan üniversite öğrencileri arasında kolayda örnekleme yöntemi kullanılarak gerçekleştirilmiştir. Nihai örneklem 238 katılımcıdan oluşmuştur. Önceden yapılan güç analizi, en az 194 katılımcının gerekli olduğunu göstermiştir (%80 güç, α = 0.05). Kas-iskelet sistemi şikâyetleri, Standartlaştırılmış Nordic Kas-İskelet Sistemi Anketi’ne (NMQ) dayalı bir anket ile değerlendirilmiş; uyku kalitesi ise Pittsburgh Uyku Kalitesi İndeksi (PUKİ) kullanılarak ölçülmüştür. Analizlerde Spearman korelasyon analizi, Mann–Whitney U testi ve etkileşim terimi içeren çoklu doğrusal regresyon analizi kullanılmıştır (p < 0.05). Bulgular: Katılımcıların %68.1’i kas-iskelet sistemi şikâyeti bildirmiş, %72.7’sinde ise kötü uyku kalitesi (PUKİ > 5) saptanmıştır. Kas-iskelet sistemi şikâyetlerinin görüldüğü vücut bölgelerinin sayısı ile PUKİ skoru arasında pozitif yönde anlamlı bir ilişki bulunmuştur (ρ = 0.228, p = 0.010). Kas-iskelet sistemi şikâyeti olan katılımcıların uyku kalitesi, şikâyeti olmayanlara kıyasla daha kötü bulunmuştur (p < 0.001). Bu ilişkinin düzenli fiziksel egzersiz yapan katılımcılarda daha zayıf olduğu gözlenmiştir. Regresyon analizinde kas-iskelet sistemi şikâyetleri ve günlük oyun süresi, daha kötü uyku kalitesinin bağımsız yordayıcıları olarak belirlenmiştir. Sonuç: Espor oyuncularında kas-iskelet sistemi şikâyetleri daha kötü uyku kalitesi ile ilişkili bulunmuş ve düzenli fiziksel egzersizin bu ilişkiyi zayıflatabileceği görülmüştür. Ergonomik düzenlemeler, planlı molalar ve yapılandırılmış egzersiz programları sağlık sonuçlarının iyileştirilmesine katkı sağlayabilir; ancak çalışmanın kesitsel tasarımı nedeniyle nedensel çıkarımlar yapılamamaktadır.

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Cite This Article

Bozyılan, E., Bilgin, S. (2026). Musculoskeletal Symptoms and Sleep Quality in Esports Athletes: A Cross-Sectional Study. Çanakkale Onsekiz Mart Üniversitesi Spor Bilimleri Dergisi, Cilt: 9 Sayı: 2026, 4429–441. https://ajindex.com/articles/1471785

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References (33)

  1. Ağargün, M. Y., Kara, H., and Anlar, Ö. (1996). Pittsburgh Uyku Kalitesi İndeksi’nin geçerliği ve güvenirliği. Türk Psikiyatri Dergisi, 7(2), 107–115.
  2. Bayrakdar, A., Larion, A., Bayraktar, I., and Avcı, P. (2022). Effects of esports on sleep: A review. Ovidius University Annals, Series Physical Education and Sport, 22(2), 95–104.
  3. Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., and Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213.
  4. Carara, M. M., Martins, T. B., de Menezes, F. S., and Okubo, R. (2025). Musculoskeletal pain in eSports players. Research in Sports Medicine. https://doi.org/10.1080/15438627.2025.2594401
  5. Chang, A. M., Aeschbach, D., Duffy, J. F., and Czeisler, C. A. (2015). Evening use of light-emitting eReaders negatively affects sleep. Proceedings of the National Academy of Sciences, 112(4), 1232–1237.
  6. DiFrancisco-Donoghue, J., Balentine, J., Schmidt, G., and Zwibel, H. (2019). Managing the health of the eSport athlete: An integrated health management model. BMJ Open Sport and Exercise Medicine, 5(1), e000467. https://doi.org/10.1136/bmjsem-2018-000467
  7. Exelmans, L., and Van den Bulck, J. (2016). Bedtime mobile phone use and sleep in adults. Social Science and Medicine, 148, 93–101.
  8. Finan, P. H., Goodin, B. R., and Smith, M. T. (2013). The association of sleep and pain: An update and a path forward. Journal of Pain, 14(12), 1539–1552. https://doi.org/10.1016/j.jpain.2013.08.007
  9. Gleeson, M., Bishop, N. C., Stensel, D. J., et al. (2011). The anti-inflammatory effects of exercise: Mechanisms and implications for the prevention and treatment of disease. Nature Reviews Immunology, 11(9), 607–615. https://doi.org/10.1038/nri3041
  10. Gotum, T., Keeratisiroj, O., and Jariya, W. (2025). Prevalence of musculoskeletal symptoms from online learning: A meta-analysis. F1000Research, 13, 790.
  11. Gürgan, A., and Şevgin, Ö. (2024). Effect of ergonomic training and exercise in esports players. International Journal of Disability, Sports and Health Sciences, 7(4), 867–876.
  12. Haack, M., and Mullington, J. M. (2005). Sustained sleep restriction reduces well-being. Pain, 119(1–3), 56–64. https://doi.org/10.1016/j.pain.2005.09.011
  13. Hale, L., and Guan, S. (2015). Screen time and sleep among school-aged children and adolescents: A systematic review. Sleep Medicine Reviews, 21, 50–58.
  14. Hrozanova, M., Klöckner, C. A., Sandbakk, Ø., Pallesen, S., and Moen, F. (2020). Reciprocal associations between sleep, mental strain, and training load in junior endurance athletes. Frontiers in Psychology, 11, 545581. https://doi.org/10.3389/fpsyg.2020.545581
  15. Huang, K., and Ihm, J. (2021). Sleep and injury risk. Current Sports Medicine Reports, 20(6), 286–290. Kahraman, T., Genç, A., and Göz, E. (2016). The Nordic Musculoskeletal Questionnaire: Cross-cultural adaptation into Turkish assessing its psychometric properties. Disability and Rehabilitation, 38(21), 2153–2160.
  16. Katzmarzyk, P. T., Powell, K. E., Jakicic, J. M., et al. (2019). Sedentary behavior and health: Update from the 2018 Physical Activity Guidelines Advisory Committee. Medicine and Science in Sports and Exercise, 51(6), 1227–1241.
  17. Kelley, G. A., and Kelley, K. S. (2017). Exercise and sleep: A systematic review of meta-analyses. Journal of Evidence-Based Medicine, 10(1), 26–36. https://doi.org/10.1111/jebm.12236
  18. Kredlow, M. A., Capozzoli, M. C., Hearon, B. A., Calkins, A. W., and Otto, M. W. (2015). The effects of physical activity on sleep: A meta-analytic review. Journal of Behavioral Medicine, 38(3), 427–449. https://doi.org/10.1007/s10865-015-9617-6
  19. Kuorinka, I., Jonsson, B., Kilbom, A., et al. (1987). Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Applied Ergonomics, 18(3), 233–237.
  20. Lee, S., Bonnar, D., Kim, Y., et al. (2020). Sleep characteristics and risk factors of Korean esports athletes: An exploratory study. Sleep Medicine Research, 11(2), 77–87. https://doi.org/10.17241/smr.2020.00773
  21. Leong, Y. Z., Sumedha, and Clements, J. B. (2022). Association of musculoskeletal pain with sleep among e-gamers. INTI Journal, 02, 1–7.
  22. Lindberg, L., Nielsen, S. B., Damgaard, M., Sloth, O. R., Rathleff, M. S., and Straszek, C. L. (2020). Musculoskeletal pain is common in competitive gaming: A cross-sectional study among Danish esports athletes. BMJ Open Sport and Exercise Medicine, 6, e000799. https://doi.org/10.1136/bmjsem-2020-000799
  23. Owen, N., Healy, G. N., Dempsey, P. C., et al. (2020). Sedentary behavior and public health: Integrating the evidence and identifying potential solutions. Annual Review of Public Health, 41, 265–287.
  24. Pedersen, B. K., and Saltin, B. (2015). Exercise as medicine: Evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine and Science in Sports, 25(Suppl. 3), 1–72. https://doi.org/10.1111/sms.12581
  25. Pereira, A. M., Teques, P., Verhagen, E., Gouttebarge, V., Figueiredo, P., and Brito, J. (2021). Mental health symptoms in electronic football players. BMJ Open Sport and Exercise Medicine, 7, e001149. https://doi.org/10.1136/bmjsem-2021-001149
  26. Reitman, J. G., Anderson-Coto, M. J., Wu, M., Lee, J. S., and Steinkuehler, C. (2020). Esports research: A literature review. Games and Culture, 15(1), 32–50. https://doi.org/10.1177/1555412019840892
  27. Sanz-Milone, V., Yoshinori, P., and Maculano Esteves, A. (2021). Sleep quality of professional esports athletes. International Journal of Esports, 1(1).
  28. Smith, M. J., Birch, P. D. J., and Bright, D. (2019). Identifying stressors and coping strategies of elite esports competitors. International Journal of Gaming and Computer-Mediated Simulations, 11(2), 22–39. https://doi.org/10.4018/IJGCMS.2019040102
  29. Soffner, M., Bickmann, P., Tholl, C., and Froböse, I. (2023). Dietary behavior of video game players and esports players in Germany: A cross-sectional study. Journal of Health, Population and Nutrition, 42(1), 29. https://doi.org/10.1186/s41043-023-00373-7
  30. Toth, A. J., Ramsbottom, N., Kowal, M., and Campbell, M. J. (2020). Converging evidence supporting the cognitive link between exercise and esport performance: A dual systematic review. Brain Sciences, 10(11), 859. https://doi.org/10.3390/brainsci10110859
  31. Viegas, F., Ocarino, J. M., Freitas, L. S., Pinto, M. C., Facundo, L. A., Amaral, A. S., Silva, S., de Mello, M. T., & Silva, A. (2022). Sleep as a predictor of musculoskeletal injuries in adolescent athletes. Sleep Science, 15(3), 305–311.
  32. Walsh, N. P., Halson, S. L., Sargent, C., et al. (2021). Sleep and the athlete: Narrative review and 2021 expert consensus recommendations. British Journal of Sports Medicine, 55, 356–368.
  33. Wong, H. Y., Mo, H. Y., Potenza, M. N., et al. (2020). Relationships between severity of internet gaming disorder, problematic social media use, sleep quality and psychological distress. International Journal of Environmental Research and Public Health, 17(6), 1879. https://doi.org/10.3390/ijerph17061879