1. The Relationship Between Sleep and Aging
Sleep is a physiological process essential for maintaining the body’s homeostasis. Not only does it allow us to rest and recover energy, but it also plays an active role in biological processes such as cellular repair, memory consolidation, hormonal regulation, and metabolic balance.
As we age, sleep quality may decline, affecting physical and mental health and accelerating aging. However, scientific research has shown that adequate sleep can have a positive effect on longevity and reduce age-related diseases.
2. A Brief Look at the Stages of Sleep
During sleep, we cycle through several stages, including deep sleep (slow-wave sleep) and REM sleep (rapid eye movement). Both stages are crucial for health, and disruptions are linked to metabolic, cardiovascular, and neurodegenerative diseases commonly associated with aging.
- Deep Sleep: During this phase, the body undergoes cellular repair processes such as muscle regeneration, bone consolidation, and the release of growth hormone, which is essential for cellular renewal. Deep sleep is also believed to play a key role in DNA repair and brain detoxification, clearing harmful substances that accumulate during waking hours.
- REM Sleep: REM sleep is fundamental for brain function, aiding memory consolidation, emotional regulation, and cognitive restoration. As we age, the proportion of REM sleep decreases, which may contribute to cognitive decline and neurodegenerative diseases such as Alzheimer’s.
3. Sleep Architecture
In the first half of the night, most of the 90-minute sleep cycle is spent in deep, non-REM sleep.
In the second half, most of the cycle corresponds to REM sleep.
If you sleep 6 hours instead of 8, you’re losing 25% of total sleep—but you could be losing up to 70% of all REM sleep.
Figure 1. Hypnogram of a healthy adult
Human studies have shown that greater amounts of deep sleep are linked to better metabolic health and increased longevity. For example, a study by the University of California, Berkeley found that slow-wave sleep helps clear metabolic waste from the brain, reducing the risk of neurodegenerative diseases.
3. Sleep and Hormones
Adequate sleep is closely tied to hormonal regulation, and disruptions in sleep patterns can adversely affect key hormones involved in aging. For example:
- Growth Hormone:
During deep sleep—especially in the early hours of the night—the body releases large amounts of growth hormone, essential for cellular regeneration, tissue repair, and muscle formation. Production of this hormone declines over time, contributing to aging. Studies show that people who sleep adequately experience greater hormone release, which may delay signs of aging. - Melatonin:
Melatonin, known as the “sleep hormone,” also has antioxidant and anticancer properties. As we age, melatonin production decreases, which may affect sleep quality and increase the risk of age-related diseases. However, human studies suggest that improving sleep quality and restoring melatonin levels may have positive effects on longevity and overall health.
Figure 2. Physiological decline of melatonin production with age
Research has shown that growth hormone release during sleep is essential for tissue repair and the preservation of muscle mass—two factors that influence longevity. Additionally, melatonin supplementation has shown improvements in brain health in older adults, suggesting a possible benefit in preventing neurodegenerative diseases.
4. The Role of Sleep in Cellular Repair
One of sleep’s most important functions is its role in cellular repair and tissue regeneration. Poor sleep has been linked to increased oxidative stress markers and a higher risk of inflammation—two key factors in premature aging and various chronic diseases, including heart disease and cancer.
Sleep allows the body to recover from oxidative stress and restore damaged cells. During sleep, the body repairs and regenerates tissues, helping combat the effects of aging. Autophagy—a cellular recycling process that eliminates damaged components—is activated during sleep, contributing to cellular renewal and the prevention of age-related diseases.
A 2018 study by the University of Chicago showed that sleep deprivation weakens immune cell function and increases inflammation, which may accelerate aging. This highlights the importance of sleep for cellular regeneration and combating aging.
5. How Many Hours of Sleep Do We Need?
Several human studies have shown that sleep duration and quality directly impact longevity. A study published in Sleep in 2010 found that people who sleep fewer than 6 hours per night have a higher risk of premature death compared to those who sleep 7–8 hours. A 2019 study from Harvard University found that adults who sleep 7–9 hours per night are more likely to achieve healthy longevity, as adequate sleep improves immunity and cardiovascular health.
Practical Tips to Improve Sleep and Support Healthy Aging
1. Food:
It is recommended to stop eating at least 3 hours before bed, for two main reasons:
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- Reflux and digestive issues: Lying down after eating increases the likelihood of acid reflux and digestive discomfort.
- Body temperature: Eating raises core temperature.
- If you must eat close to bedtime because hunger prevents you from sleeping, avoid simple carbohydrates, which quickly convert into energy and raise body temperature.
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2. Light:
Light is one of the most underestimated factors contributing to poor sleep.
Exposure to natural light—especially in the first hours of the day—is crucial for regulating the circadian rhythm. Morning light, particularly blue-spectrum sunlight (480 nm), suppresses melatonin, increases serotonin (key for emotional well-being), and boosts cortisol, improving alertness, focus, and metabolism. This helps synchronize the biological clock to day and night.
Figure 3. Normal synchronicity between sleep, daytime activity, cortisol, melatonin, and core body temperature. Source: Ian B. Hickie et al. (2013)
Conversely, excessive lighting at night tricks the brain into believing it is still daytime and suppresses melatonin production. Normally, dusk signals the brain to release melatonin and prepare for sleep.
Morning tips:
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- Get natural light within the first 30–60 minutes after waking, ideally for 10–30 minutes.
- If not possible, use blue-spectrum lights or light therapy lamps.
- Avoid sunglasses in the early morning to allow proper circadian stimulation.
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Nighttime tips:
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- Turn off most lights 90 minutes before bedtime.
- Avoid blue light (phones, tablets, LED bulbs) since it suppresses melatonin more strongly. Use blue-light–filter glasses if needed.
- Sleep in complete darkness.
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3. Temperature
Most people keep their bedrooms too warm at night.
Early in the evening, the body naturally cools down to prepare for sleep—especially the brain. If the room is too warm or too cold, this process is disrupted.
The ideal sleep temperature is 18–20°C (64–68°F) because it supports the body’s cooling process and promotes deeper and faster sleep onset. Above 22–23°C (71–73°F), the body struggles to cool down, disrupting sleep. Below 16°C (60°F), the body may expend energy warming up, affecting rest.
Sleeping in a hot room can also increase cortisol, making it harder to fall asleep.
Tip: Warm shower before bed
A warm shower (or sauna) before sleeping brings blood to the skin’s surface. As that surface heat dissipates, it lowers core body temperature.
TIP: Cold extremities
Warm your hands and feet with socks or a hot water bottle to draw blood away from the core—helping cool the brain and trigger sleep.
More quick tips:
- Use breathable bedding and lightweight pajamas.
- Avoid overheating the room or using too many blankets.
- Ventilate the room before sleeping.
Conclusion: Sleeping Well Is Living Better
Sleep is more than a biological necessity—it is a powerful tool for slowing aging and improving long-term health. Ensuring good sleep quality, with enough deep and REM sleep, is key for cellular repair, hormonal regulation, reduced oxidative stress, and disease prevention. While science continues to explore sleep’s exact effects on longevity, current research strongly supports the idea that good sleep is essential for staying healthy and living a longer, fuller life.
Summary of All Tips for Restorative, Anti-Aging Sleep:
- Stop eating at least 3 hours before bedtime.
- Get natural morning light for 10–30 minutes, avoiding sunglasses early in the day.
- At night, avoid blue light; use red/orange lights or blue-light–filter glasses.
- Sleep in complete darkness.
- Keep your bedroom between 18–22°C (64–72°F).
- Use breathable bedding and lightweight sleepwear.
Article written by
Dr. Clara Font Bernet
REFERENCES
Xie, L., et al. (2013). Sleep drives metabolite clearance from the adult brain. Science, 342(6156), 373-377.
Irwin, M. R., et al. (2018). Sleep loss and inflammation: partners in aging and age-related disease. The Journal of Clinical Investigation, 128(7), 2597-2608.
Cappuccio, F. P., et al. (2010). Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep, 33(5), 585-592.
Liu, Y., et al. (2019). Sleep duration and mortality: A systematic review and meta-analysis. Journal of Clinical Sleep Medicine, 15(8), 1-10.
Cajochen, C., Frey, S., Anders, D., & Pross, A. (2011). Effect of light on human sleep: Horne, J. A. (2019). Sleep and the importance of the sleep environment: Temperature, light, and noise. Sleep Health
Labrecque, L., & Kanoski, S. E. (2014). Effects of late-night eating on sleep: An overview. The American Journal of Clinical Nutrition