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Sleep 7 to 8 hours a night, and don't treat 6 hours as enough

  • Moderate value
  • Evidence A
  • Saves time
  • Free
  • Takes time daily
  • Some willpower

In plain words

After two weeks of only 6 hours of sleep a night, your mental performance drops to about the level of going two days and nights without sleep. The trouble is that you can't feel it. Self-rated sleepiness stops rising after the first few days, and people sleeping 6 hours rate themselves as sleepy as people sleeping 4. So “6 hours is enough for me” is itself a symptom of not sleeping enough.

Cost

Free. You have to set aside 1 to 2 more hours a day for sleep. Going to bed earlier takes a little willpower.

What you get

48 healthy adults aged 21 to 38 slept only 6 hours a night for 14 days in a row. Their mental performance declined cumulatively, falling to the level of going 2 nights in a row with no sleep at all. Their self-rated sleepiness rose only over the first few days and then barely increased. Self-rated sleepiness in the 6-hour group and the 4-hour group did not differ. This was a controlled trial that randomly split people into groups (RCT). In addition, short periods without sleep (acute sleep deprivation, up to 48 hours) had an effect size of g = -0.776 on simple attention lapses and g = -0.125 on reasoning accuracy. That part pooled 70 studies.

Notes

“I don't feel sleepy” is not evidence that you have slept enough. People who sleep 6 hours for a long time have only gotten used to the feeling, and their performance has not caught up. The pooled part covers whole nights without sleep. “Long-term short sleep” is supported by only one randomized controlled trial. How long you sleep and the risk of death are counted separately; see §2.13 (sleep about 7 hours a night): that item counts by mortality, and the 7-hour group has the lowest risk.

Evidence grade
A : Specific numbers from meta-analyses, large cohorts or randomized trials; for law and policy, the statute or official text.
Sources
  1. Van Dongen, Maislin, Mullington & Dinges (2003). The cumulative cost of additional wakefulness. Sleep. https://doi.org/10.1093/sleep/26.2.117
  2. Lim & Dinges (2010). A meta-analysis of the impact of short-term sleep deprivation on cognitive variables. Psychological Bulletin. https://doi.org/10.1037/a0018883

Translated from the Chinese original. Original book, section 3, tip 3. Content may be out of date and rules differ by place. When you actually deal with an agency, a doctor or a court, follow what local officials, doctors and lawyers tell you. Disclaimer