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by Gabrielle deGroot Redford
Updated September 28, 2022
Night owls, take note. That sleep deficit you've been accumulating has real and dangerous implications for your brain, and not just because it makes you sleepy during the day. Sleeping less than seven or eight hours a night has been linked to memory loss and cognitive decline, research shows.
P. Murali Doraiswamy, M.D., a brain researcher at Duke University in Durham, N.C., explains what your brain does during sleep.
Clears out toxins
Most people think that when you sleep, your brain goes to sleep, too. But it turns out that parts of your brain are several times more active at night than during the daytime. One of them is a drainage system called the glymphatic system, which is kind of like your city's sewage and recycling system. Its job is to clear out and recycle all your brain's toxins. One protein very actively recycled during sleep is involved in developing amyloid plaque, the hallmark of Alzheimer's. No one is saying that Alzheimer's is all caused by sleep deprivation, but it may be a factor.
Repairs daily wear and tear
Research indicates chronic sleep deprivation can lead to irreversible brain damage. A University of Pennsylvania animal study found that extended wakefulness can injure neurons essential for alertness and cognition — and that the damage might be permanent. Short sleep also may be linked to shrinking brain volume, though it's not clear whether the lack of sleep causes the brain to shrink or whether a smaller brain makes it harder to sleep. Other studies have led scientists to conclude that chemicals secreted during the deeper stages of sleep are crucial for repairing the body — including the brain.
Makes order from chaos
As you go about your daily activities, your brain is exposed to thousands of stimuli — auditory, visual, neurosensory. And it can't possibly process all that information as it comes in. A lot of the tagging and archiving of memories occurs at night while you're sleeping. It's a bit like what goes on in a library. All the books dropped off in the book repository during the day are dusted off and cataloged at night. People who think they've adapted well to sleeping just four or five hours a night are often wrong; memory tests show they are not functioning optimally.
• “A systematic review and dose-response meta-analysis of sleep duration and the occurrence of cognitive disorders,” Sleep and Breathing, September 2018. For this meta-analysis, researchers analyzed data from nine studies, which comprised more than 22,000 participants. They concluded that participants who slept 7–8 hours a night had the lowest risk of cognitive disorders. As a population study, it shows a correlation but does not prove cause and effect. Read a summary of the study. (A fee is required to access the full study.)
• “Association Between Sleep Duration and Cognitive Decline,” JAMA Network Open, September 2020. In this study, researchers analyzed more than four years of data from more than 20,000 adults ages 45 and older. They found evidence that getting four hours or less of sleep per night as well as 10 hours or more was associated with faster cognitive decline compared to getting seven hours per night. As a population study, it shows a correlation but does not prove cause and effect. Read the full study.
• “The Sleeping Brain: Harnessing the Power of the Glymphatic System through Lifestyle Choices,” Brain Sciences, November 2020. This scientific paper explores the research on the glymphatic system and how it helps to mitigate the risk of Alzheimer’s disease during sleep. Read the full paper.
• “Extended Wakefulness: Compromised Metabolics in and Degeneration of Locus Ceruleus Neurons,” Journal of Neuroscience, March 2014. Researchers examined the brains of mice after allowing them periods of normal rest, short wakefulness and extended wakefulness. Researchers found that extended periods of lack of sleep are linked to damage to the neurons that are essential for staying alert. Read the full study.
• “Sleep deprivation causes memory deficits by negatively impacting neuronal connectivity in hippocampal area CA1,” eLife, August 2016. In this mouse study, researchers found that five hours of sleep deprivation reduced connections between neurons in the hippocampus but that three hours of makeup sleep helped neuron activity return to normal. Read the full study.
• “Connections Between Insomnia and Cognitive Aging,” Neuroscience Bulletin, January 2020. This scientific paper explores the research behind insomnia, gray matter volumes, white matter microstructure and cognition. Read a summary of the article. (A fee is required to access the full study.)
• “The role of slow wave sleep in the development of dementia and its potential for preventative interventions,” Psychiatry Research: Neuroimaging, December 2020. This scientific paper explores the research behind what happens in the brain during the deepest sleep stage, known as slow wave sleep (SWS) or non-rapid eye movement (NREM) sleep, and the implications for helping to prevent cognitive decline and Alzheimer’s disease. Read the full article.