RAMADAN SERIES

Insights from Ring AIR on Sleep Health and Recovery in Amateur vs Professional Athletes

Ved Asudani a, Kanika Gupta a, Aditi Shanmugama, Matthew Drillerb, Bhuvan Srinivasana, Aditi Bhattacharyaa
a Ultrahuman Healthcare Pvt. Ltd., India
b School of Allied Health, Human Services, and Sport, La Trobe University, Australia
Summary
Objective: To compare sleep and recovery metrics between professional and amateur athletes, and across genders, using continuous monitoring via Ultrahuman Ring AIR.

Data: Ring AIR metrics from 4,113 nights across 71 athletes (aged 18–35 years): 43 professionals (pros) and 28 amateurs (ama), comprising 42 males and 29 females.

Findings:
- Recovery Score: Highest in pro females (76 vs 73, p < 0.001); males had similar profiles.
- Sleep HRV: Higher in pros across genders when compared to ama (females: 53 vs 45 ms, males: 59 vs 50 ms; p < 0.001).
- Sleep RHR: Lower in pros when compared to ama (females: 52 vs 59 bpm, males: 52 vs 55 bpm; p < 0.001).
- Sleep: Pros slept longer (8 h 40 min vs 8 h; p < 0.001), but sleep efficiency was comparable across levels, with less restlessness among amateurs (20 vs 17 in males, p < 0.001).

Conclusion: Professional athletes show signs of superior physiological conditioning including higher HRV, lower RHR, and longer sleep. However, amateurs with consistent, high-quality sleep can achieve comparable recovery through focused, sustainable habits.
Background
Sleep as a Cornerstone of Performance and Recovery

Optimizing sleep and recovery is essential for supporting physiological resilience and athletic performance.1, 2 Sleep promotes muscle repair, hormonal balance, and cognitive and cardiovascular function, contributing to endurance, coordination, and decision-making in sports.3 Sleep may also enhance metabolic and neuromuscular efficiency, facilitating long-term adaptation to training.2 Quality sleep has been shown to improve reaction time, sprint speed, and skill execution across athlete populations.4, 5 Sleep modulates physiological markers such as heart rate (HR) and heart rate variability (HRV), both of which are used to assess recovery status.6, 7 Generally, increases in HRV and lower resting HR are associated with improved cardiovascular fitness, recovery readiness, and overall training response.
Challenges Faced by Amateur Athletes

Amateur athletes make up the vast majority of the global active population; in a recent survey of over 10,000 individuals across 121 countries, most identified as amateurs.8 Many train with dedication comparable to professionals, but often do so while balancing work, academics, or caregiving responsibilities. Unlike elite or professional athletes, amateurs typically lack access to structured recovery support such as personalized coaching, supplement timing, or stable sleep environments. Much of sports science still focuses on professional cohorts, creating a knowledge and application gap for wellness-driven amateurs. This disparity stems not only from training load but also from limited access to recovery tools and consistent routines. Fragmented schedules and competing demands make recovery optimization more difficult but not unattainable.
Making Recovery Equitable Through Wearable Data

In the absence of professional support systems, wearable technologies are becoming key tools for recovery management for amateurs.9 Devices like the Ultrahuman Ring AIR offer non-invasive, continuous monitoring of sleep, HRV, and resting HR, making real-time physiological feedback accessible to amateurs navigating complex daily routines.

This study analyzes biometric data from the Ultrahuman Ring AIR across varied athlete type (professional vs. amateur) and gender to compare patterns in sleep and recovery. It highlights how behavior-led strategies, particularly those centered on sleep, can enable amateur athletes to improve recovery outcomes, even in the absence of professional-grade infrastructure.
Methods
This observational analysis was conducted on de-identified data retrospectively collected from active Ultrahuman Ring AIR users between January 1st and March 31st, 2025. A total of 73 athletes (43 professionals, 28 amateurs) aged 18–35 years were included. This comprised 24 professional males, 19 professional females, 18 amateur males, and 10 amateur females. All participants had a consistent history of engaging in one or more of the following sports: cycling, football/soccer, bobsled, or skeleton, with logged training sessions of at least two times per week for 60 minutes or more. Each participant wore the device nightly over the 3-month period, and data were analyzed at the night-level, resulting in about 4,113 valid nights of data from all participants (an average of 57 nights per participant).

Sleep and recovery data were de-identified prior to analysis. Statistical tests were conducted using Python, with the Shapiro-Wilk test applied to assess normality, followed by the Mann-Whitney U test for between-group comparisons due to non-normal distributions. Percentile insights (P10 to P90, refer to Figure 5) were generated to evaluate within-metric distributions across gender and training level. Nights with missing values were excluded at the metric level.
Results
Professional female athletes show the highest recovery scores

The Ring AIR Recovery Score, a composite marker based on HRV, RHR, sleep, and skin temperature, showed consistent stratification across athlete types, particularly among females. Professional (Pro) females had the highest median Recovery Score (76), with a 90th percentile range up to 87. In contrast, amateur females and males had a median of 73, with 90th percentiles reaching 83 and 85, respectively (Figure 1, Table 1). Males across different groups shared the same median and 90th percentile, suggesting substantial overlap in recovery scores. Pro females exhibited a higher distribution, with the 75th percentile (82) surpassing the amateur female 90th percentile (83). This highlights the importance of optimized sleep, autonomic nervous system balance, and sustained systems set up for elite female athletes. While the difference between professional and amateur females was significant (p < 0.001), the male groups showed no such difference (p = 0.61), indicating a high degree of overlap.
Figure 1: Percentile distributions of Recovery Score across athlete groups and genders. (Night-level data: N (pro male) = 989; N (pro female) = 1151; N (amateur male) = 1240; N (amateur female) = 733).
HRV presents clear distinction between professionals vs amateurs and male vs females

HRV, a proxy for parasympathetic nervous system tone and physiological recovery, emerged as one of the most distinguishing metrics between amateur and professional athletes. Pro males had a median HRV of 59 ms, whereas amateurs averaged 50 ms (Table 1). The distributional gap was particularly noticeable in the upper quartile: the 75th percentile of amateur males (60 ms) was only just reaching the median of professional males, and the 75th percentile of amateur females (52 ms) fell short of the professional female median (53 ms). Only the top 10% of amateur males and females, with HRV values of 68 ms and 63 ms respectively, came close to the upper professional range (Figure 2). These group-wise differences in HRV were statistically significant for both males and females (p < 0.001).
Figure 2: Percentile distributions of HRV across athlete groups and genders. (Night-level data: N (pro male) = 769; N (pro female) = 1006; N (amateur male) = 1051; N (amateur female) = 614).
RHR also distinguishes between professionals vs amateurs

RHR, a strong inverse marker of cardiovascular recovery, was one of the most sharply stratified metrics in this dataset. Pros recorded a median RHR of 52 bpm, while amateur males and females had higher medians of 55 bpm and 59 bpm, respectively (Figure 3, Table 1). Notably, even among the most aerobically fit amateurs, i.e. those in the lowest 10% for RHR (P90 = 48 bpm in males, 49 bpm in females), values only just began to overlap with the upper range of professional medians. The majority of amateur athletes exhibited resting heart rates that were markedly higher than their professional counterparts, highlighting a statistically significant physiological gap in cardiovascular adaptation across genders (p < 0.001).
Figure 3: Percentile distributions of RHR across athlete groups and genders. (Night-level data: N (pro male) = 769; N (pro female) = 1006; N (amateur male) = 1051; N (amateur female) = 614).
Professionals and amateurs employ different strategies for optimal sleep

Sleep Score is a composite score involving sleep volume/duration, time spent asleep (sleep efficiency), movements signifying restlessness, and other parameters including temperature, HR and HRV. The sleep patterns observed again echoed the disparate training systems and also gender. Pro females recorded the highest median (86), followed by amateur females (82), professional males (81), and amateur males (80) (Figure 4a, Table 1). The difference was significant in females (p < 0.001), but not in males (p ~ 0.25). Notably, amateur females at the 75th percentile had a Sleep Score of 88, higher than the professional female median of 86, while top amateur males matched the professional male 75th percentile with a score of 86.
Sleep duration was longer in professionals (8 h 40 min for both genders) compared to amateurs (about 7 h 58 min in males and 8 h in females) for both genders (Figure 4b; p < 0.001). Only amateurs in the top 25% (≥ 8h 50 min) exceeded the pro median. The pro IQR was narrower and shifted upward, indicating more consistent sleep.
Sleep efficiency, though statistically different (p < 0.001), within the same range for pro and amateurs, showing considerable overlap and limited value for distinguishing recovery patterns (Figure 4c). Sleep movements, which reflect physical restlessness or micro-arousals, were highest in professional males (20) and lowest in amateur females (15) (Figure 4d). Amateur males had significantly fewer movements than professional males (p < 0.001), with lower values across most percentiles. Among females, distributions were nearly identical, and the slight difference (15 vs 16) was not significant (p ~ 0.10). Overall, while professionals sleep longer, amateurs, especially the top performers, can match pros in sleep quality and restfulness.
In addition to differences in sleep quantity and quality, we observed that amateur athletes more frequently logged training sessions outside of typical circadian-aligned hours compared to professionals, although this was not directly quantified in this analysis.
Figure 4: Percentile distributions of sleep metrics across athlete groups and genders (Night-level data: N (pro male) = 769; N (pro female) = 1006; N (amateur male) = 1051; N (amateur female) = 614). 
a) Sleep Score. b) Sleep duration. c) Sleep efficiency. d) Movements during sleep.
Table 1: Median values with interquartile ranges in parentheses of all Ring metrics for different groups of athletes.
Conclusions, Limitations and Future Directions
Using Ultrahuman Ring AIR data, this study compared sleep and recovery metrics across athlete types and genders, uncovering both physiological advantages in professionals and modifiable, behavior-driven opportunities for amateurs. Recovery Scores were the highest in professional females, while amateur and professional males shared similar medians, suggesting that structured recovery routines can enable comparable outcomes across groups (Figure 5). HRV emerged as the most distinguishing metric, with professionals showing significantly higher values across genders, highlighting the cumulative impact of sustained aerobic training on autonomic recovery. Similarly, RHR was lower in professionals compared to amateurs, reflecting better cardiovascular adaptation.
Figure 5: Physiological adaptations for recovery in amateur and professional athletes. Amateurs can enhance recovery despite pro athletes showing a) higher HRV and b) lower RHR.
Yet, sleep-related metrics revealed areas where amateurs can close the gap. While professionals logged longer sleep durations, sleep efficiency was nearly identical across groups, and amateur males even recorded fewer movements during sleep than their professional counterparts, suggesting more restful sleep. Sleep restlessness due to muscle soreness is an established phenomenon in pro athletes.10, 11 The sheer volume of training in main and ancillary activities is much higher for internationally competitive professionals. Among top-performing amateurs, especially females, Sleep Scores at the 75th percentile approached or exceeded professional medians, reinforcing the potential of behavior-led recovery strategies. These patterns underscore that while physiological baselines may differ, sleep remains a highly modifiable and impactful lever for improving recovery outcomes.
These findings highlight clear, actionable strategies for amateur athletes seeking to enhance recovery. Extending sleep duration, reducing pre-sleep stimulation, and maintaining consistent sleep-wake cycles can meaningfully improve recovery outcomes. We also noticed a trend of amateurs training outside their circadian alignment which can be a factor that can be adjusted for recovery. There were not sufficient data points to validate this assertion and merits a separate study. Environmental adjustments, such as creating a cooler, darker, and quieter sleep space, further support deeper, more restorative sleep. 
In summary, while the recovery gap between amateurs and professionals is shaped by physiological adaptations, it can be narrowed through behavior-driven inputs. By focusing on consistent sleep hygiene and leveraging real-time insights from wearables, wellness-oriented and amateur athletes can make measurable progress toward professional-level recovery in the absence of elite infrastructure.
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