Sleep is essential for our health and well-being, and going without it, even for just one night, can have significant negative consequences. Sleep deprivation can affect our cognitive performance, including our reaction time, judgment, mood, and decision-making abilities. It can also lead to increased stress, weight gain, forgetfulness, and a weakened immune system. After 24 hours without sleep, individuals may experience impaired coordination and memory, as well as increased stress hormone levels and a higher risk of accidents. The longer a person stays awake, the more severe the symptoms become, with some people experiencing hallucinations, extreme fatigue, and even complex hallucinations after 72 hours without sleep. Sleep deprivation can also have long-term effects, including an increased risk of anxiety, depression, and chronic health conditions such as heart disease and obesity.
What You'll Learn
You will be more prone to illnesses and fatigue
Sleep is foundational to health and wellness. When we don't get enough sleep, our bodies become more prone to illnesses and fatigue. Sleep is when our bodies have a chance to refresh and restore themselves after a day or night of work stressors. Depriving yourself of sleep can have severe impacts on your mental and physical health.
After just one night of poor or diminished sleep, you may experience short-term effects such as daytime tiredness and irritability. However, a frequent or consistent lack of sleep may increase the risk of developing longer-term, or chronic, health issues. Sleep deprivation can cause cognitive impairments such as poor concentration and memory, difficulty problem-solving, irritability, mood swings, slowed reaction times, and decision-making.
If you don't sleep for 24 hours, you’re cognitively impaired. Your judgment, memory, and hand-eye coordination skills all suffer. Your body responds to this lack of sleep by producing more stress hormones and ceasing glucose metabolism to keep you alert and fuelled. Your brain may even enter a state of "local sleep", where parts of your brain shut down and sleep in waves.
After 36 hours without sleep, you will experience extreme fatigue, and after 48 hours, you will be even more likely to experience microsleeps, perceptual distortions, and increased irritability. After 72 hours, your perception of reality may be severely distorted, resembling acute psychosis, and your urge to sleep will feel unbearable.
Sleep deprivation can also have long-term effects on your physical health. Chronic sleep deprivation can increase the risk of obesity, diabetes, heart disease, and even depression. It can also weaken your immune system, making you more susceptible to illnesses. Sleep deprivation affects hormone production and metabolism, which can lead to an increased risk of diabetes and other metabolic disorders. Poor sleep also increases the production of stress hormones such as cortisol, which can further increase your risk of developing cardiovascular problems.
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Your cognitive abilities will be impaired
Sleep deprivation will impair your cognitive abilities, including your attention, memory, and decision-making.
After just 17 hours without sleep, your judgement, memory, and hand-eye coordination will all be suffering. You will become more tense, emotional, and irritable, and your pain receptors will be more sensitive. Your hearing will also be impaired.
Your body will respond to this lack of sleep by producing more stress hormones and ceasing glucose metabolism to keep you alert and fuelled. Your brain will likely enter a state of "local sleep", where parts of your brain shut down and sleep in waves.
If you continue to go without sleep, your brain will begin to shut down in trance-like microsleeps. These usually last 15-30 seconds, but they come in unnoticeable spells. Microsleeping is like zoning out—you are completely unaware that it is happening, and once you zone back in, you realise your brain has been blank for however long you were staring off into space.
Microsleeps are dangerous, especially if they occur when you are behind the wheel of a car. It is estimated that as many as 65% of haul truck accidents in open-pit mines are fatigue-related.
The longer you go without sleep, the more severe the effects will be. After 36 hours without sleep, you will have an overwhelming urge to sleep, and you may start to experience microsleeps without realising it. After 48 hours, you will enter a state of extreme sleep deprivation, and it will be even harder to stay awake. You are also more likely to experience perceptual distortions, increased irritability, and temporal disorientation.
After 72 hours without sleep, your urge to sleep will strengthen and possibly become uncontrollable. You will likely experience more frequent and longer microsleeps. Your sleep deprivation will significantly impair your perception, and your hallucinations might become more complex.
After 96 hours without sleep, your perception of reality may be severely distorted, resembling acute psychosis. Your urge to sleep will be unbearable.
Even missing as little as 1.5 hours of sleep can have an impact on how you feel, causing short-term problems like moodiness and agitation, and an inability or unwillingness to participate in normal daily activities.
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Your body will produce more stress hormones
Sleep deprivation can lead to an increase in the production of the stress hormone cortisol. This is due to the bidirectional relationship between sleep and the activity of the hypothalamic-pituitary-adrenal (HPA) axis, which is responsible for the body's core hormonal response to stress.
The HPA axis includes the hypothalamus, pituitary gland, and adrenal glands. When you're sleep-deprived, this axis is activated, leading to the release of cortisol, which prepares your body for a "fight or flight" response.
Studies have shown that insomnia and other forms of sleep deprivation can cause your body to secrete more cortisol during the day, possibly as an attempt to increase alertness. This increase in cortisol can have a range of effects on the body and mind, including:
- Increased blood sugar
- Altered digestion and metabolism
- Impaired immune function
- Changes in mood and mental health
- Weight gain and increased risk of obesity
- Increased risk of cardiovascular disease
- Impaired glucose metabolism
- Changes in appetite and food intake
The effects of sleep deprivation on cortisol levels can vary depending on factors such as the duration and timing of sleep loss, as well as individual differences in sleep patterns and circadian rhythms.
Additionally, it's important to note that the relationship between sleep deprivation and cortisol is complex and bidirectional. While sleep loss can lead to increased cortisol levels, chronic stress can also contribute to sleep disturbances, creating a vicious cycle.
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Your immune system will be weakened
Sleep is an active physiological process that plays a fundamental role in physical, mental, and emotional health. It is also an immune-supportive function, promoting host defence against infection and inflammatory insults.
Sleep deprivation can throw off the immune system. Evidence indicates that in both the short- and long-term, sleep deprivation can make you sick. Sleep loss and mistimed sleep also lead to the alteration and reduction in the circadian rhythmicity of gene expression, which is an integral part of basic biological processes and homeostasis.
During sleep, the body produces cytokines, proteins that send signals to other cells to keep your immune system functioning. However, when you are sleep-deprived, your body instead starts to make more white blood cells. This creates an imbalance that weakens your immune system over time.
Sleep deprivation has been connected to both short-term illnesses and the risk of chronic diseases like diabetes and heart problems. In the short term, the risk of infections has been found to be higher in people who sleep less than six or seven hours per night. Studies have found that insufficient sleep makes it more likely to catch the common cold or the flu.
Sleep is also important for the effectiveness of vaccines. Studies have shown that when people don’t sleep the night after receiving a vaccine, the body’s immune response is weaker. In some cases, this reduces the vaccine’s protection and may even require a second dose of the vaccine.
Sleep deprivation has been associated with an increased risk of developing autoimmune diseases such as rheumatoid arthritis, ankylosing spondylitis, systemic lupus erythematosus, and systemic sclerosis. Sleep deprivation can accelerate disease development through mechanisms including increased production of several pro-inflammatory cytokines.
In summary, sleep deprivation has been found to alter inflammatory immune processes via multiple pathways, which could lead to increased susceptibility to chronic inflammatory diseases.
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You will be at a higher risk of accidents
Sleep is foundational to health and wellness. Even a single night of poor or diminished sleep can lead to short-term effects, such as daytime tiredness and irritability. However, the longer-term effects of sleep deprivation can be much more serious, and can even be deadly.
Staying awake for 24 hours is similar to having a blood alcohol concentration of 0.08%, the legal limit in most U.S. states. The National Highway Traffic Safety Administration reports that drowsy driving accounts for thousands of crashes, injuries, and fatalities each year. Sleep deprivation can also cause poor balance and coordination, further increasing the risk of accidents, falls, and injuries.
After 17 hours without sleep, your judgment, memory, and hand-eye coordination skills are all suffering. Your body responds to this lack of sleep by producing more stress hormones and ceasing glucose metabolism to keep you alert and fuelled. Beyond feeling tired and groggy, you’re more tense, more emotional, your pain receptors are very sensitive, and your hearing is impaired.
After 36 hours without sleep, you will have an overwhelming urge to sleep. You may also start to experience microsleeps without realising it. Microsleeps generally last 15 to 30 seconds, but they come in unnoticeable spells. If your brain shuts down and microsleeps while you’re behind the wheel, it can be dangerous, and possibly deadly, to yourself and others.
After 72 hours without sleep, your perception of reality may be severely distorted, resembling acute psychosis. Your urge for sleep will also feel unbearable.
Other risks
Chronic sleep deprivation can increase the risk of obesity, diabetes, heart disease, and even depression. It can also weaken your immune system, making you more susceptible to illnesses. Sleep deprivation affects hormone production and metabolism, which can lead to an increased risk of diabetes and other metabolic disorders. Poor sleep also increases the production of stress hormones such as cortisol, which can further increase your risk of developing cardiovascular problems.
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Frequently asked questions
The short-term effects of sleep deprivation include decreased concentration, short-term memory problems, and a higher risk of accidents.
Chronic sleep deprivation can have long-term effects on a person's health, including an increased risk of anxiety, depression, cardiovascular disease, obesity, and diabetes.
Sleep deprivation can cause cognitive impairment, affecting a person's judgment, memory, coordination, and decision-making abilities.
To improve sleep quality, it is recommended to maintain a consistent sleep schedule, remove electronic devices from the bedroom, keep the bedroom dark and cool, and avoid stimulants before bedtime.