Why Are We So Sleep Deprived, And Why Does It Matter?

Not many things matter more to our health than a good night’s sleep, but fewer and fewer of Americans are getting one.
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Every one of our biological systems is affected by sleep. When we don’t sleep long enough or when we experience poor quality of sleep, serious biological consequences can occur.

Photo by Maskot/Getty Images. 

Many of us dread the loss of the hour’s sleep we incur by moving our clocks forward for daylight saving time. For millions, the loss adds insult to the inadequate sleep they experience on a daily basis.

Surveys show that 40 percent of American adults get less than the nightly minimum of seven hours of sleep recommended by the American Academy of Sleep Medicine and the National Sleep Foundation. The National Institutes for Health estimate that between 50 million and 70 million people do not get enough sleep. These recommendations for minimal sleep are based on a review of many scientific studies evaluating the role of sleep in our bodies and the effects of sleep deprivation on our ability of our body to function at our peak performance level.

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I am a neurologist at the University of Florida who has studied the effects of both traumatic brain injury and sleep impairment on the brain. I have seen the significant effects of sleep impairment.

According to the National Sleep Foundation, American adults average 6.9 hours of sleep per night compared with the 1940s, when most American adults were averaging 7.9 hours a night, or one hour more each night. In fact, in 1942, 84 percent of Americans got the recommended seven to nine hours; in 2013, that number had dropped to 59 percent. Participants in that same Gallup poll reported on average they felt they needed 7.3 hours of sleep each night but were not getting enough, causing an average nightly sleep debt of 24 minutes. Fitbit in January 2018 announced results of a study it conducted of 6 billion nights of its customers’ sleep and reported that men actually get even less than women, about 6.5 hours.

Why sleep matters

The problems caused by sleep shortage go beyond tiredness. In recent years, studies have shown that adults who were short sleepers, or those who got less than seven hours in 24 hours, were more likely to report 10 chronic health conditions, including heart disease, diabetes, obesity, asthma, and depression, compared to those who got enough sleep, that is, seven or more hours in a 24-hour period.

Children have more challenges, as they are thought to have an increased sleep need compared to adults. The American Academy of Sleep Medicine recommends that children 6 to 12 years of age should sleep nine to 12 hours a day and teens 13 to 18 should sleep eight to 10 hours daily on a regular basis to promote optimal health.

Every one of our biological systems is affected by sleep.

A Sleep Foundation poll of parents suggested that American children are getting one hour of sleep or more per night less than what their body and brain require.

Researchers have found that sleep deprivation of even a single hour can harm a child’s developing brain. Inadequate sleep can affect synaptic plasticity and memory encoding, and it can result in inattentiveness in the classroom.

Every one of our biological systems is affected by sleep. When we don’t sleep long enough or when we experience poor quality of sleep, serious biological consequences can occur.

When we are sleep deprived, our bodies become more aroused through an enhanced sympathetic nervous system, known as “fight or flight.” Increased blood pressure and risk of coronary heart disease are more likely. Our endocrine system releases more cortisol, a stress hormone. The body has less glucose tolerance and greater insulin resistance, which in the long term can cause an increased risk of Type 2 diabetes. Also, sleep deprivation causes a reduction in growth hormone and muscle maintenance.

We also rely on sleep to maintain our metabolism. Sleep deprivation can lead to decreased release of the hormone leptin and increased release of the hormone ghrelin, which can be associated with increased appetite and weight gain.

The human body also relies on sleep to help with our immune system. Sleep deprivation is associated with increased inflammation and decreased antibodies to influenza and decreased resistance to infection.

Inadequate sleep has been associated with a negative effect on mood as well as decreased attention and increased memory difficulty. In addition, someone who is sleep deprived may experience a decrease in pain tolerance and in reaction times. Occupational studies have associated sleep deprivation with decreased performance, increased car accidents, and more days missed from work.

The role of the brain

Researchers have known for a while that brain health is an important aspect of sleep. Notably, sleep is an important part of memory consolidation and learning.

Newer research has suggested another important aspect of sleep for our brain: There is a system for the elimination of possibly harmful proteins such as abnormal variants of amyloid. This waste removal process, using what is known as the glymphatic system, relies on sleep to effectively eliminate these proteins from the brain. These are the same proteins found to be elevated in patients with Alzheimer’s disease. Studies show that older adults with less sleep have greater accumulations of these proteins in their brains.

Additional factors that can hamper sleep include pain, medications, and the increased demands of modern society.

Our sleep-wake cycle is regulated by the circadian system, which helps signal the brain to sleep using the release of the natural hormone melatonin. It turns out that our body’s system for regulating melatonin and our sleep schedule is most powerfully controlled by light.

Cells in the retina of our eye communicate directly with the brain’s biological clock regulators in the hypothalamus, and this pathway is most affected by light. These neurons have been found to be most affected by light waves from the blue spectrum or blue light. This is the kind of light most prominent in electronic lights from computers and smartphones. This has become a modern challenge that can adversely affect our natural sleep-wake cycle.

Additional factors that can hamper sleep include pain conditions, medications for other conditions, and the increased demands and connectedness of modern society.

Many athletes include planned sleep extensions (sleeping longer than usual) into their schedule to enhance performance and that many professional sports teams have hired sleep consultants to help assure their athletes have enough sleep. Perhaps we should have a similar game plan.

This article was originally published by The Conversation. It has been edited for YES! Magazine.