Every night billions of people lie down, turn off the light, close their eyes and leave the day behind them. But why exactly do we do spend around a third of our lives asleep?
You might be surprised to hear that the medical profession still isn’t exactly sure why we need to sleep, though there are of course many theories.
From an evolution point of view, sleep doesn’t necessarily make that much sense: our distant ancestors could have been at greater risk whilst sleeping. So why didn’t we evolve to not need sleep?
In this article I’ll look at what sleep is and some of the main theories about why we sleep. I’ll also cover why it’s so important to get the right amount of sleep, with a look at the top 10 benefits of sleep.
What is sleep?
You might be tempted to think that sleep is the body and mind completely shutting down for a few hours, but this isn’t the case at all.
Sleep isn’t simply the opposite of being awake; it’s not a total shut-down of all your systems. When you sleep you actually cycle through several different stages, with different things happening in each stage. The diagram below illustrates the various stages of a typical sleep pattern.
You can see that what happens to your body in each stage is slightly different. The same goes for your brain. For example, in deep sleep your brain is fairly inactive, whereas in REM sleep it can be even more active than when you’re awake.
Another interesting fact is the way your brain waves change when you sleep. Deeper sleep is associated with lower frequency brain waves. And, as illustrated in the diagram below, you experience different levels of consciousness and activity.
Despite all this brain activity, normal sleep is still a physical, mental and emotional resting state. You should become detached from the world and not really beware of yourself.
Why do we need to sleep?
Modern brain scanning techniques are proving a useful tool for researchers to understand more about what actually happens when we sleep.
Many theories are actually based on what happens if we don’t get enough sleep. I think most of us recognize that a lack of sleep has serious effects on our ability to think properly, as well as lacking energy.
After even one night without sleep, concentrating on tasks becomes more difficult and our attention span can be much shorter.
Lack of sleep over long periods can be quite debilitating, as well as having overall health implications.
You won’t find total consensus among professionals about why we sleep. However, the following three theories tend to get the most support:
- It’s a time when the brain can organize and process information; a kind of mental ‘housekeeping’.
- It’s a time for the body to recover from the day’s activities and build energy stocks ready for the next day.
- It’s an important time to help fight ill health and recovery from injury.
Brain doing housework
Terrence Sejnowski and Alain Destexhe in a study, published in Brain Research in 2000, supported the increasing evidence that sleep is an opportunity to consolidate memories.
This is when short-term memories gained from activities during the daytime are converted into long-term memory.
The researchers suggest that this process and the necessary “network reorganization” takes time and brain power.
Thus they need to occur when other awake processes, such as sensory processing aren’t occurring.
This may ultimately be the primary reason why we need to sleep
More recently, in May 2016 scientists from the Harvard Medical School and the Beth Israel Deaconess Medical Center in Boston reported the results of some very interesting experiments with mice.
Using special probes, they were able to stop the mice from having the REM phase of sleep, but without waking them up. They found that this had a significant impact on their memory of previous days activities, compared to the mice whose REM sleep phase wasn’t interfered with.
In an interview with the U.K. BBC Dr Williams said:
Disrupting the activity only during REM sleep, and not other sleep, basically obliterates consolidation and memory formation.
This is a new and potentially important insight, as previously sleep researchers thought the deep phase of sleep was when memory consolidation mainly happens.
However, other researchers have suggested that memory consolidation alone doesn’t justify spending a third of our lives asleep.
In 2013 researchers from the University of Rochester came up with an alternative theory, albeit based on research with mice. They found that cerebral spinal fluid is pumped around the brain at a much higher rate when mice sleep.
They believe that this is because the space between our brain cells is greater when we sleep. This gives more room for the spinal fluid to flow around, gathering up the garbage generated during the day.
They postulate that similar actions occur in human brains. They believe that this flushing action was designed to remove the waste chemicals that are produced as part of our brain cell’s natural activity. This method of waste flushing is referred to as the glymphatic system.
Dr Maiken Nedergaard described this to the UK BBC as:
You can think of it like having a house party. You can either entertain the guests or clean up the house, but you can’t really do both at the same time.
On a different slant, a recent study showed that sleep helps your brain to come up with solutions to difficult problems. This is an interesting example of how the brain is very much alive and well at night.
Recovery and energy building
When we’re awake and active the body is described as being in a catabolic process. Here the body releases large amounts of activity-based hormones, which help the body and mind deal with daily demands.
These hormones include adrenaline (the fight or flight hormone), as well as noradrenaline and cortisol (two stress hormones).
When we sleep the body changes to an anabolic process and the amounts of the above hormones are reduced significantly. Instead, growth hormones are released which stimulate the all important cellular replication and repair process.
The growth hormones break down fat to provide energy for repairing tissue and stimulating cell division. These processes are essential to replace old or defective cells. Growth hormones are released in sleep stage 4, which is the deepest part of our sleep cycle.
Body builders and athletes are also often told that it’s while you sleep that the most muscle growth and repair happens.
It also helps to explain why babies and young children need more sleep as they grow and develop. Although not all scientists agree, the majority believe that sleep is a recovery period for the body as well as the brain.
Helps fight illness
In rather simple terms, when the body detects a foreign body, such as a bacterial infection, it releases specific antibodies to attack the unwanted intruder.
This immune system also detects if any of the body’s normal cells have mutated or become cancerous. Again, your immune system will attempt to destroy these cells to keep you healthy.
So, for example, when we sleep the body releases a lot more interleukin 1, tumor necrosis factor and natural killer cells.
- Interleukin 1 is a powerful immune system messenger and supports the body in generating a fever, a sure sign of the body trying to fight an infection. It also helps to reduce or control inflammation.
- Tumor necrosis factor helps attack cancerous cells and during sleep we can have 10 times the amount compared to when awake.
- Natural killer cells (often referred to as NK cells or K cells) are a type of white blood cell called lymphocyte. They’re a fundamental part of the body’s natural immune system, playing an important role in the rejection of both tumors and cells infected with a virus. Unusually, although no immediate reduction is seen if you lose a night’s sleep, there is a 30% reduction the next night.
These factors also help explain why chronic insomnia can have numerous other serious health implications. And conversely, it’s also recognized that many health problems can result in insomnia.
Another theory as to why we sleep is that it’s an evolutionary adaptation. In the past we undertook necessary tasks like hunting and inventing wheels during the day.
We then slept during the night when it was safer to hide away from any dangerous animals. Or indeed, as it was harder to hunt and gather food in the dark, we slept to conserve energy for daytime activities.
The top 10 benefits of sleep
By now you’ve probably got the idea that sleep is essential for your general well-being. But if we switch the question around we can find even more explanations for our nightly slumber.
If we haven’t slept well life rapidly becomes more difficult and less pleasant. We struggle with our daily activities and can have all sorts of problems.
Let’s take a look at some of the key benefits of getting good sleep.
1) Improves your mood
Shortage of sleep can result in you getting annoyed or agitated more easily. Have you ever found that when you’re tired an event, which you’d normally take in your stride, can spiral out of control? Can you become irrational, more upset and react in a negative way?
Researchers from Belgium describe how a lack of sleep can lead to more negative emotions. They also describe how negative emotions, upsetting events and subsequent stress can result in insomnia. This can result in an unpleasant vicious circle: poor sleep = negative mood/stress = even poorer sleep.
Doctors also believe that severe cases of poor sleep can result in mental health issues such as depression.
2) Better mental ability and reactions
Any of us who sleep badly probably recognize that we just don’t seem to be able to think as clearly after a bad night’s sleep. Even familiar tasks can seem much more difficult.
Numerous studies have demonstrated that a lack of sleep can also reduce our reaction time. For example, in two studies researchers tested college athletes in Iran and West Point army cadet officers in the USA.
Both of these were very fit groups with well-honed reactions to start with. Interestingly, physical strength in the athletes wasn’t affected by losing a night’s sleep. However, both groups showed significant reductions in their reaction times.
3) Less mistakes and accidents
Or perhaps you just couldn’t think of the right words when you started writing?
Whilst such mistakes may not be that important, in other cases they can have very serious consequences.
In 2004 medical researchers compared the performance of junior doctors working in intensive care units.
One of the groups worked 24 hour shifts every 3rd night. On average this group made 22% more serious medical mistakes than the group whose working hours didn’t exceed 63 hours per week.
Little surprise then that medical establishments around the western world are limiting the number of hours junior doctors can work.
You’re also more likely to have a dangerous or even fatal accident at work if you’re lacking sleep. One study found that that:
highly fatigued workers were 70 percent more likely to be involved in accidents than were workers reporting low fatigue levels.
A large study of 50,000 people in Sweden over 20 years also found that workers who reported that they suffered from disturbed sleep were twice as likely to die from an accident at work.
4) Drive better
Studies have shown that in many instances driving whilst feeling sleepy can be as dangerous as driving after drinking alcohol. And you’re definitely at a higher risk of having an accident.
The AAA in the USA conducted a large review of accidents that involve a drowsy driver. The findings are quite startling and they estimated that a sleepy driver was involved in:
- 7.0% of all crashes in which a car had to be towed.
- 13.1% of crashes that required someone to be admitted to hospital.
- 16.5% of fatal crashes.
5) Better sex life
A 2015 study from the University of Michigan studied 171 women over a two week period and compared sleep characteristics with sexual activity.
One result showed that just a 1 hour increase in sleep length resulted in a 14% increase in the odds of having sexual activity with a partner. Overall, they concluded:
Obtaining sufficient sleep is important to the promotion of healthy sexual desire.
Other studies have shown that lack of sleep lowers both male and female libido and can lead to problems such as erectile dysfunction.
There have also been studies to identify why this is the case. One factor is that good sleep increases testosterone levels, which is a key hormone in boosting sexual drive for both men and women.
Other studies have shown that sexual activity can also lead to better sleep. So if you’re fortunate enough to have a sexual partner then it could be a win- win situation
6) Stay healthy and fight illness
There are an increasing number of studies demonstrating the relationship between sleep and good health. Some examples include:
Researchers from the Boston University School of medicine studied the relationship between sleep and diabetes in 1486 people. They found that those who sleep for just 6 hours are 1.7 times more likely to develop diabetes than people who sleep for 7-8 hours. And this figure increases to 2.5 times for those who mange just 5 hours sleep a night.
A large study of 500 people over 13 years found that those who slept for less than 7 hours a night on a regular basis were 7.5 times more likely to be overweight. Interestingly, it also found that too much sleep, for example 9 hours, can result in being overweight.
Part of the problem may be due to our bodies craving more high fat food if we feel tired. In general, maintaining a balanced diet is important for good sleep.
Migraine & headaches
In a 2013 study, researchers concluded:
poor sleep quality is uniquely associated with episodic migraine.
They went on to recommend that doctors should also investigate any sleep disorders for patients suffering from regular migraine attacks.
Increasingly, research studies have suggested that a lack of sleep, and indeed too much sleep, can result in the higher risk of heart attack and stroke.
A large cohort study in the Netherlands of 20,432 people aged between 20-65, found that those sleeping less than 6 hours were; 15% more likely to suffer from Cardiovascular Disease; and 23% more likely to suffer from Coronary Heart Disease. They also found that poor sleep quality carried an even greater risk of heart problems.
Another study which looked at medical data for 3000 people aged 45 or over identified that those who slept less than 6 hours most nights were twice as likely to suffer a stroke or heart attack, compared to people who got the recommended 7-8 hours sleep per night.
Colds and infections
As discussed above, sleep is important for our immune system. Researchers at Carnegie Mellon University, Pittsburgh conducted a controlled trial with 153 adults looking at the relationship between sleep and the common cold.
They monitored their sleep patterns over 14 days and then exposed them to a rhinovirus and checked them to see if they developed a clinical cold.
People who averaged less than 7 hours sleep over the 2 week period before infection were 3 times more likely to develop a cold than those who slept for longer than 7 hours.
7) Build muscle better
In the section above on what happens when we sleep, I described how growth and repair hormones are released when you sleep. This explains why fitness magazines and blogs emphasize the importance of good quality sleep as part of any fitness regime.
A lot of the medical research looks at this aspect from the opposite end of the telescope. Here they say that the lack of sleep inhibits the vital repair of muscle caused by injury or training. In other words, your muscle mass and strength are likely to deteriorate over time if you sleep badly.
Another win-win situation as regular exercise can result in better sleep. You can read more about this in the article about exercise before bed.
8) Improve your learning
One of the functions of sleep is to consolidate short-term memories. So if you’ve learned something new during the day then researchers suggest that you need REM sleep to consolidate it into long-term memory.
Moreover, in addition to storing information, sleep may also be important in learning new skills. Some sleep specialists have even proposed that one of the reasons we dream is to rehearse skills. And others have found that in some circumstances, sleep can help you solve problems.
Research has also suggested that teenagers can improve their grades significantly when their sleep cycle is adjusted to be later than for adults, and so starting school or college later in the day to ensure they get enough sleep.
9) Less visits to the doctor
People who suffer from very poor sleep, or a significant sleep disorder, are 11% more likely to consult a doctor or specialist. In some cases of course there’s also an underlying health problem which requires medical attention.
If you suffer from certain sleep disorders, such as apnea, then of course it’s important to consult a doctor when needed.
But, as mentioned above, lack of sleep can increase significantly the risk of developing other health problems. So working hard to ensure you sleep well should help keep you away from the doctor. Hopefully it might also reduce your expenditure on sleep aids and other medication.
Many people diagnose themselves with insomnia and decide to take sleeping pills. And a study in 2012 showed that there is a worrying problem with people misusing sleeping pills. Overuse and dependency on sleeping pills can lead to a range of other health problems.
10) Reduce pain
A lack of sleep can make you more sensitive to pain and/or less able to tolerate pain. Indeed it can be another vicious cycle of pain keeping you awake, leading to more pain.
There are also concerns within the medical profession that a lack of sleep can reduce the effectiveness of pain relief drugs. Some small scale studies have also suggested that sleep can actually work like low level pain relief.
Of course, this is a classic case of easier said than done. And I wouldn’t want you to think I’m suggesting that sleep is a magic cure for those suffering significant pain. But hopefully it may be another factor for you to consider.
The answer to the question of why we sleep could be quite simple: It’s essential for us to be at our best, both physically and mentally. I hope my list of the benefits of sleep show how important it is to get a good night’s sleep.
Already modern scanning techniques are providing interesting insights into what actually happens to our minds and bodies whilst we sleep. I suspect we’ll learn even more from the scientific community over the next few years.
And it may also be that it’s just important to help us relax and recover from the stresses and strains of daily life; it’s an intense experience being alive. So being able to turn off our conscious thoughts once a day probably helps us to cope with that intensity.
I’d be very interested to hear if you agree with these views on the importance of sleep. I suspect other readers would also like to know if you’ve had personal experiences which support or not the list of benefits. So please feel free to leave a comment below.