We spend roughly one-third of our lives asleep, yet many of us treat sleep as a luxury rather than a biological necessity. Modern research has revealed that sleep is far from a passive state—it's a dynamic period of intense neurological activity during which the brain performs essential maintenance, consolidates memories, and restores the body. Understanding what happens when we sleep helps explain why investing in quality rest is one of the most important things you can do for your health.

What Happens When We Sleep?

Sleep isn't a uniform state but rather a cycle of distinct stages, each serving different biological purposes. A typical night involves multiple cycles through these stages, with each complete cycle lasting approximately 90 minutes.

Stage 1: Light Sleep (N1)

The transition phase between wakefulness and sleep, lasting only a few minutes. Muscle activity slows, and people can be easily awakened. You might experience hypnic jerks—those sudden muscle twitches that feel like falling.

Stage 2: Deeper Light Sleep (N2)

Body temperature drops and heart rate slows. The brain produces sleep spindles—bursts of rapid neural activity thought to play a role in memory consolidation. We spend about half our total sleep time in this stage.

Stage 3: Deep Sleep (N3)

Also called slow-wave sleep, this is the most restorative stage. The body repairs tissues, builds bone and muscle, and strengthens the immune system. Deep sleep is hardest to wake from, and disruption during this stage often leaves people feeling groggy and disoriented. The brain also clears waste products during deep sleep through the glymphatic system.

REM Sleep

Rapid Eye Movement sleep is characterised by vivid dreams, temporary muscle paralysis, and brain activity similar to wakefulness. REM sleep is crucial for memory consolidation, emotional processing, and cognitive function. The proportion of REM sleep increases with each cycle throughout the night.

🔄 The Sleep Cycle Pattern

In a typical night, you progress through 4-6 complete cycles. Early cycles contain more deep sleep, while later cycles contain more REM sleep. This is why waking too early often means missing significant REM time.

The Circadian Rhythm: Your Internal Clock

Your body runs on an approximately 24-hour internal clock called the circadian rhythm. This system regulates not just when you feel sleepy but also hormone release, body temperature, digestion, and countless other processes.

Light is the primary synchroniser of this clock. Photoreceptors in your eyes detect light levels and signal the suprachiasmatic nucleus (SCN) in your brain, which coordinates the body's circadian functions. When darkness falls, the pineal gland releases melatonin, signalling that it's time to sleep. Light exposure suppresses melatonin, promoting wakefulness.

Chronotypes: Morning Larks and Night Owls

Not everyone's circadian rhythm is identical. Chronotype refers to your natural tendency toward morningness or eveningness:

  • Morning types (larks): Naturally wake early, feel most alert in the morning, and tire earlier in the evening
  • Evening types (owls): Prefer staying up late, struggle with early mornings, and hit peak alertness later in the day
  • Intermediate types: Fall somewhere between, representing the majority of the population

Chronotype is partly genetic and partly influenced by age—teenagers tend toward eveningness, while older adults shift toward morningness.

The Health Consequences of Poor Sleep

Research increasingly links inadequate sleep to a wide range of health problems. These aren't just associations—studies demonstrate that sleep deprivation directly causes many negative health outcomes.

Cognitive Effects

  • Memory impairment: Sleep is essential for consolidating both declarative memories (facts and events) and procedural memories (skills and habits)
  • Reduced concentration: Sleep deprivation impairs attention, reaction time, and decision-making
  • Emotional dysregulation: Insufficient sleep amplifies emotional reactions and reduces emotional control
  • Creativity decline: REM sleep in particular supports creative problem-solving and insight
⚠️ Sleep Deprivation and Driving

Being awake for 17 hours impairs performance similarly to a blood alcohol level of 0.05%. After 24 hours without sleep, impairment equals a BAC of 0.10%—well over the legal driving limit. Drowsy driving is a serious safety concern.

Physical Health Effects

  • Immune function: Sleep deprivation reduces immune response, making you more susceptible to illness and slower to recover
  • Cardiovascular health: Poor sleep is associated with increased risk of hypertension, heart disease, and stroke
  • Metabolic effects: Sleep deprivation disrupts hormones regulating appetite (leptin and ghrelin), increasing hunger and cravings for high-calorie foods
  • Weight gain: Both the metabolic effects and reduced willpower from tiredness contribute to weight gain with poor sleep
  • Inflammation: Inadequate sleep increases inflammatory markers linked to numerous diseases

Mental Health Effects

The relationship between sleep and mental health is bidirectional—poor mental health disrupts sleep, and poor sleep worsens mental health:

  • Chronic sleep problems increase risk of developing depression and anxiety
  • Sleep disturbances often precede depressive episodes
  • Improving sleep quality often improves mental health symptoms
  • REM sleep plays a particular role in emotional processing and regulation
âś“ Key Health Impacts of Sleep
  • Cognitive: Memory, focus, creativity, emotional control
  • Physical: Immunity, heart health, metabolism, weight
  • Mental: Depression, anxiety, stress resilience
  • Longevity: Chronic sleep deprivation is linked to reduced lifespan

How Much Sleep Do You Really Need?

Sleep needs vary by age and individual, but general guidelines from sleep research organisations recommend:

  • Newborns (0-3 months): 14-17 hours
  • Infants (4-11 months): 12-15 hours
  • Toddlers (1-2 years): 11-14 hours
  • Preschoolers (3-5 years): 10-13 hours
  • School-age (6-13 years): 9-11 hours
  • Teenagers (14-17 years): 8-10 hours
  • Adults (18-64 years): 7-9 hours
  • Older adults (65+): 7-8 hours

Individual variation exists, but claims of needing only 4-5 hours are almost always false. True "short sleepers" with genetic variations allowing adequate rest on little sleep are extremely rare—most people who think they don't need much sleep are actually chronically sleep-deprived and have adapted to impaired functioning.

Quality vs. Quantity

Sleep duration matters, but so does sleep quality. Eight hours of fragmented, disrupted sleep may leave you more tired than six hours of uninterrupted, consolidated sleep. Quality sleep involves:

  • Falling asleep within about 20 minutes of getting into bed
  • Sleeping through the night without extended awakenings
  • Spending adequate time in each sleep stage, especially deep sleep and REM
  • Waking feeling refreshed rather than groggy

Factors that reduce sleep quality include uncomfortable mattresses, poor sleep environments, sleep disorders, alcohol consumption (which disrupts REM sleep), and inconsistent sleep schedules.

The Role of Your Mattress in Sleep Quality

While many factors influence sleep quality, your mattress plays a significant role. Research shows that uncomfortable sleep surfaces increase nighttime movements, reduce time in deep sleep, and contribute to waking unrefreshed. A mattress that properly supports your body and minimises pressure points allows you to progress through sleep stages without disruption.

Signs your mattress may be affecting your sleep include waking with pain or stiffness, tossing and turning frequently, sleeping better in other beds, and a mattress that's visibly worn or over 8 years old.

đź’ˇ Pro Tip

Track your sleep quality using a journal or app. Note when you feel rested and when you don't, and look for patterns. This data helps identify whether your sleep problems relate to environment, habits, or potentially a sleep disorder requiring medical attention.

Investing in Your Sleep

Given the profound impacts of sleep on nearly every aspect of health and performance, investing in quality sleep pays dividends in every area of life. This investment includes:

  • Prioritising sufficient sleep time
  • Creating an environment conducive to quality sleep
  • Maintaining consistent sleep schedules
  • Ensuring your mattress and bedding support restful sleep
  • Addressing sleep disorders with professional help when needed

The next time you're tempted to shortchange your sleep for other activities, remember that adequate rest isn't a luxury—it's a biological requirement that affects everything from your immune function to your ability to learn and remember.

JC

James Chen

Sleep Science Advisor

James brings a background in physiotherapy and sleep health to help readers understand the science behind better rest and recovery.