Sleep Disorders

14 January 2010

Sleep loss hampers performance

One night of good sleep is not enough to stay alert and attentive, researchers said.

One night of good sleep is not enough to stay alert and attentive, researchers said.

Many nights of too little sleep when the body's rhythm says it is time to snooze have cumulative detrimental effects on how a person performs and could be a safety risk, the researchers wrote in the journal Science Translational Medicine.

"Insufficient sleep over multiple sleep-wake cycles causes performance to deteriorate much faster for every additional hour we spend awake, particularly during the biological night," lead author Dr Daniel Cohen of Brigham and Women's Hospital in Boston said.

On average, a person needs about eight hours a night to preserve performance, said Cohen, a neurologist.

Acute sleep loss is being awake for more than 24 hours in a row and chronic sleep loss is getting only about four to seven hours of sleep per night, he said.

How the study was done

Cohen's team tracked nine healthy volunteers -- five men and four women -- to see what effect a combination of acute sleep loss, chronic sleep loss and biological sleep rhythm might have on their ability to function. The researchers found that while most participants caught up on acute sleep loss with a single night of 10 hours sleep, those with chronic sleep loss showed deteriorating performance for each hour spent awake.

The volunteers were kept in a hospital for 38 days and lived on various sleep cycles. They were tested every four hours to measure alertness and attentiveness.

Cohen said researchers know that three days is not enough to recover from chronic sleep loss, but they still do not know how many days or weeks may be needed.

Cohen said people may not realise that they have a chronic sleep debt because it slowly builds over weeks.

"We can falsely feel like we've recovered quickly from chronic sleep loss because recent sleep makes us feel relatively restored early the next day," he said.

"People may be largely unaware that they are chronically sleep-deprived," he said. "It's when they then stay up and try to pull an all-nighter that they are much more vulnerable to sudden sleepiness, inattentiveness and, potentially, accidents and errors." - (Reuters Health, January 2010)


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Dr Alison Bentley is a general practitioner who has consulted in sleep medicine and sleep disorders, in both adults and children of all ages, for almost 30 years. She also researches and publishes on a number of sleep-related topics both in formal research journals and lay publications including as editor of Sleep Matters, an educational newsletter on sleep disorders for doctors.

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