The Ever-Changing Sleep Patterns Across Our Lifespan
Alen Juginovi?, M.D.
Harvard Medical School Sleep Researcher | Keynote Speaker | Co-Founder of Med&X & Plexus Conference with Nobel Laureates | Author of Sleepletter? | Investor/Advisor | Sports Sleep Consultant
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The Ever-Changing Sleep Patterns Across Our Lifespan
Sleep, that precious commodity we can never seem to get enough of. While we all recognize the importance of a good night's sleep, the quality and quantity of sleep we need varies greatly across our lifespan. From infancy to adolescence and from adulthood to our senior years, our sleep requirements and patterns are constantly evolving. Understanding these changes can provide insight into how to optimize sleep at each stage of life.
In the earliest months of life, babies spend the majority of time asleep. Newborns require an astounding 14 to 17 hours of sleep per day, divided between short bursts of sleep lasting from 30 minutes to a few hours. Sleeping and waking around the clock, their sleep cycles do not yet align with our conventional day and night schedule. As babies grow into toddlers, sleep begins consolidating into longer nighttime periods with 1 or 2 daytime naps. By 12 months, most babies transition to a single nap per day, typically lasting 1 to 3 hours.
The erratic sleep schedules of infancy gradually mature into more predictable patterns by preschool age. At 3 to 5 years, most young children sleep 10 to 13 hours at night and nap for about an hour during the day. However, nighttime sleep may still be interrupted. Preschoolers often experience fears and nightmares which disrupt sleep cycles during this impressionable developmental stage.
Remarkably, by age 5-6, a child's sleep cycle synchronizes to closely resemble that of adults. School-age children generally sleep 9 to 12 hours per night and no longer require daytime naps. Yet, the pressures of school, extracurricular activities and technology frequently impede children's sleep duration and quality during this phase. Establishing structured bedtime routines and limiting electronics use around bedtime becomes crucial.
The deep sleep we associate with childhood and adolescence begins declining once puberty commences. Teenagers require 8 to 10 hours of sleep per night for optimal health and development. However, a cascade of biological, psychological and social factors frequently conspire against quality adolescent sleep. Late sleep cycles, homework demands, social media engagement and hormonal changes often culminate in inadequate sleep during the teen years.
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As young adults transition to living independently, away from household rules, sleep routines unravel further. Increased academic pressures, social engagements, and screen time commonly deprive college students of the 7 to 9 hours of sleep recommended for adults. Establishing healthy sleep hygiene often takes a backseat amidst busy young adult lifestyles.
With parenthood and careers consuming time and energy, sleep woes continue into adulthood. Juggling family and work obligations frequently impedes the ability to prioritize sleep. Chronic sleep deprivation often becomes the norm, with the average American adult sleeping less than 7 hours nightly. However, adults require quality sleep for optimal cognitive functioning, emotional regulation, cardiovascular health, and disease prevention.
Finally, in senior years, sleep patterns change again. Older adults tend to sleep more lightly and for shorter time periods. Sleep efficiency and depth of sleep diminish, while nighttime awakenings increase. Seniors also tend to become more of an early bird than night owl. These normal age-related changes along with medical conditions disrupt sleep quality and daytime alertness. Prioritizing sleep hygiene and allowing daytime napping can benefit seniors.
These age-related changes in sleep patterns occur in tandem with shifts in circadian rhythms across the lifespan. The timing of circadian rhythms relative to the external light/dark cycle, known as phase of entrainment, differs markedly between children, adolescents, adults and seniors. Our internal biological clock gradually shifts during adolescence, resulting in teens' tendency to stay up later at night and wake later in the morning. In adulthood, circadian rhythms stabilize briefly but then begin advancing with aging, leading to seniors becoming more of morning larks than night owls. Appreciating age differences in circadian timing, and not just sleep duration, provides greater insight into promoting healthy sleep across the lifespan.
Sleep behaviors and patterns may evolve across our lives, but the fundamental human need for quality sleep remains constant. Making sleep a priority at every age allows us to reap the full benefits - from bolstered immune function and emotional regulation to improved cognition and cardiovascular health. While underlying biology shapes our sleep and circadian rhythms, our personal habits and environments also play a key role. Establishing healthy sleep hygiene practices, managing screen time, following structured routines, and honoring our body's natural rhythms can optimize sleep at any age. Though our sleep needs transform throughout life's journey, consistently prioritizing sleep lays the foundation for well-being and productivity across the lifespan.
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About the author
Alen Juginovi? is a medical doctor and postdoctoral researcher in the Department of Neurobiology at Harvard Medical School studying the effect of poor sleep quality on health. He is public and keynote speaker and teacher at Harvard College. He and his team also organize international award-winning projects such as conferences which attracted 2400+ participants from 30+ countries, 10 Nobel laureates and major leaders in medicine ( Plexus Conference ), collaborative research projects, charity concerts and other events. He co-founded Med&X Association , a non-profit organization that organized conferences with Nobel laureates and partners with leading universities and hospitals around the world to help accelerate the development of talented medical students and professionals. Feel free to contact Alen via LinkedIn for any inquiries.
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