How Long Can You Go Without Sleep?

Published: Nov 21, 2023
Updated: Oct 17, 2024
How Long Can You Go Without Sleep?
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    Do you ever wonder how long you can go without sleep? If you’re constantly swarmed with deadlines, you may feel pressure to sacrifice sleep to meet them. But when does this become too harmful?

    In this article, we’ll explore the effects of sleep deprivation and how long you can go without sleep before it leads to dire health consequences.

    Key Takeaways
    A general guideline by experts suggests that adults need between 7 to 9 hours of sleep while children need between 8 to 16 hours of sleep.
    Not getting enough sleep can lead to sleep deprivation, which is inadequate sleep quality or duration to support your health and well-being.
    The effects of sleep deprivation depend on whether it is acute sleep deprivation or extreme sleep deprivation.
    Symptoms of acute sleep deprivation can range from high blood pressure, and forgetfulness to poor physical and mental performance.
    Extreme sleep deprivation can range from anxiety and depersonalization to acute psychosis.

    The Amount Of Sleep You Need Can Vary

    recommended hours of sleep in a day

    The amount of sleep that we need in a day, varies from person to person. Generally, experts recommend that adults should get between 7 to 9 hours of sleep each night while children should get between 8 to 16 hours of sleep each night, depending on age [1].

    However, these are only general recommendations and not strict rules to follow. We should also consider sleep quality.

    Sleep quality is about how well we sleep and whether we wake up frequently in the middle of the night. Poor quality sleep may affect our sleep duration and contribute to a lack of sleep.

    What Happens When You Do Not Sleep Enough

    what happens when you do not sleep enough sleep deprivation

    According to the Centers for Disease Control and Prevention (CDC), about a third of Americans do not get enough sleep at night [2]. When you get insufficient sleep, this leads to a condition called sleep deprivation.

    Sleep deprivation is when you have an inadequate duration or quality of sleep to support your overall health and well-being [3]. In some cases, lack of sleep can be attributed to sleep disorders such as insomnia or obstructive sleep apnea.

    Being sleep-deprived may lead to issues such as forgetfulness, poor physical and mental performance, irritability, anxiety, depression, a higher risk of developing heart disease and obesity, and an increased risk of high blood pressure and diabetes [4].

    It’s a serious health issue that can lead to negative health consequences if it is not treated.

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    Effects of Not Sleeping

    The effects of not getting enough restful sleep can set in as early as 24 hours with symptoms such as irritability or memory issues kicking in even before [5].

    Here’s what you can expect to experience if you go 24 hours, 36 hours, 48 hours, and 72 hours without sleep:

    24 hours without sleep

    It is not unusual for some people to pull an all-nighter especially if they are shift workers, have work to catch up on, have an exam to prepare for, or if you have a newborn at home.

    Research suggests that going without sleep for more than 24 hours can cause you to have a performance similar to someone who has consumed alcohol up to 0.1% blood alcohol concentration (BAC) levels.

    Additionally, some symptoms that you may experience are [6]:

    • High blood pressure
    • Faster heart rate
    • Increase in stress hormones
    • Slowed reaction times
    • Difficulty concentrating
    • Higher susceptibility to inflammation
    • Irritability
    • Daytime sleepiness

    36 hours without sleep

    Extending the period of acute sleep deprivation to 36 hours leads to more severe and noticeable effects, impacting your physical and mental health.

    Here are some of the side effects [7], [8]:

    • Low performance
    • Impaired innovative thinking
    • Decreased flexible decision-making
    • Poor balance
    • Fatigue and drowsiness
    • Blurred vision
    • Microsleep episodes

    48 hours without sleep

    Past the 48-hour mark is known as severe sleep deprivation. This is when your overall physical and mental performance starts to break down.

    The side effects of prolonged sleep deprivation are [9]:

    • Perceptual distortions
    • Anxiety
    • Severe mood swings
    • Depersonalization
    • Temporal disorientation
    • Complex hallucinations
    • Disordered thinking
    • Slurred speech

    72 hours without sleep

    72 hours of sleep loss is considered to be extreme sleep deprivation. There are profound effects on the mind and body as a whole.

    A study involving twelve male astronauts revealed that 72 hours of sleep deprivation led to significant cognitive impairment and a noticeable decline in positive emotions [10].

    Some severe consequences of having no sleep for three days include [11]:

    • Acute psychosis
    • Toxic delirium
    • Visual, auditory, and somatosensory hallucinations
    • Increased risk of chronic conditions

    Consequences of Short-Term and Chronic Sleep Deprivation

    consequences sleep deprivation

    Based on the various side effects above, it can be said that the impact of sleep deprivation extends far beyond mere tiredness. It affects health both in the short term and long term.

    Let’s compare some of the main consequences of short-term and long-term sleep deprivation [12]:

    Short Term Sleep DeprivationLong Term Sleep Deprivation
    Increased stress responseIncreased blood pressure and risk of hypertension
    Somatic problemsImpaired insulin sensitivity
    Lower quality of lifeWeight gain
    Emotional distressIncreased risk of cancer
    Mood disordersIncreased risk of anxiety, depression, and other mood disorders
    Mental health-related issuesLong-term memory issues
    Cognitive impairmentHormone imbalances

    Understanding these consequences is crucial, as even a single night of insufficient sleep can trigger a cascade of negative effects on physical, mental, and emotional well-being.

    See also: Can You Die From Lack of Sleep?

    Understanding Individual Sleep Needs

    To understand your individual sleep needs, you must recognize that there’s no one-size-fits-all solution for how much sleep you need. Your amount of sleep needed can vary based on several factors, such as genetics and age. So, how do you determine your optimal sleep duration?

    Here are a few key factors to consider:

    • Your sleep habits: Pay attention to how many hours you typically sleep and how you feel after different amounts of sleep.
    • Your sleep debt: If you consistently get less sleep than you need, you may accumulate a debt that needs to be paid off with extra sleep.
    • Your body’s signals: Listen to your body’s cues for fatigue, such as yawning, difficulty concentrating, or irritability.

    Alternatively, you may determine the optimal sleep duration that you need by using ShutEye®’s free sleep calculator.

    use this sleep calculator to understand what time should you get to bed
    sleep calculator to find the best time to go to bed and to wake up

    Tips for Maintaining Healthy Sleep Habits

    tips for maintaing healthy sleep habits shuteye

    Now that you know the negative side effects of sleep deprivation, it’s important to ensure that you are taking the right steps towards good quality sleep. The best way to do so is to start making good sleep habits and sticking to them.

    Here are some tips on how you can maintain healthy sleep habits:

    1. Keep a consistent sleep schedule: It may be tempting to stay up just to get work done but doing this often can lead to sleep deprivation. It’s important to keep to a consistent bedtime schedule even on weekends to prevent disruption to your circadian rhythm.
    2. Don’t go to bed unless you are sleepy: Rather than toss and turn in bed at night, get up if you are unable to sleep. Do some light stretches or read a book until you are ready to fall asleep.
    3. Establish a relaxing bedtime routine: Having a calming bedtime routine can signal to your body that it’s time to wind down for rest. Reading a book, meditating, or listening to soothing sleep sounds are examples to try.
    4. Limit bright light exposure at night: Light interferes with your body’s ability to produce the sleep hormone, melatonin. You should limit bright light exposure at night by dimming down the lights and switching off electronic devices.
    5. Keep a cool sleeping environment: A comfortable sleep environment can make it easier for you to fall asleep. Ensure that your bedroom is kept cool, quiet, and dark for an optimal sleep experience.

    Conclusion

    Lack of sleep is not just about feeling fatigue or drowsiness. It can lead to a wide range of negative health consequences such as hallucinations, mood swings, poor performance, and increased risk of chronic conditions. It’s important to prioritize good sleep quality to prevent these effects.

    To improve your sleep quality, try out the ShutEye® app. ShutEye® is a patented sleep-tracking app that tracks your sleep cycle and offers personalized sleep tips to combat sleep loss.

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    FAQ

    Generally, it's not advisable for you to not sleep if it is not necessary. Sleep is essential for us to function optimally. While acute sleep deprivation may not have serious long-term consequences, constant sleep deprivation can negatively affect your health and well-being.

    If you don't sleep for 3 days, significant physical and mental health effects can occur such as acute psychosis, delirium, hallucinations, and an increased risk of chronic conditions.

    If you have been experiencing severe symptoms such as hallucinations, disorientation, depersonalization, or derealization, you should go to the ER to seek medical attention. Additionally, if you have an underlying health condition that could be exacerbated by sleep deprivation, you should seek medical attention for it too.

    The longest a human has stayed awake is approximately 11 days. However, it's important to note that trying to stay awake for that long is extremely dangerous and it is not recommended for you to try. Most people will start to experience negative effects after 24-36 hours of wakefulness, and the risks will increase significantly with longer periods of no sleep.
    About authors
    Jessica Brown, a 29-year-old freelance copywriter passionate about human nature and deeply committed to promoting sleep and mental health awareness. Jessica holds a Master of Arts in Literary Studies from the National University of Singapore and a Bachelor's in Biology from the University of Cambridge.
    Siti Amirah
    Reviewer
    Amirah is a content writer passionate about topics related to mental health and wellness. Recently, she delved into the realm of sleep health, spurred by a personal recognition of her subpar sleep habits and a desire for improvement. Amirah holds a Bachelor’s Degree in International Communication Studies from the University of Nottingham.

    Amin F, Sankari A. Sleep Insufficiency. (2023). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available at: https://www.ncbi.nlm.nih.gov/books/NBK585109/

    CDC (2024) Sleep [online]. Available at: https://www.cdc.gov/cdi/indicator-definitions/sleep.html

    Harrison, Y., & Horne, J. (1999). One Night of Sleep Loss Impairs Innovative Thinking and Flexible Decision Making. Organizational Behavior and Human Decision Processes, 78(2), 128-145. Available at: https://doi.org/10.1006/obhd.1999.2827

    John Hopkins Medicine (2024) The Effects of Sleep Deprivation [online]. Available at: https://www.hopkinsmedicine.org/health/wellness-and-prevention/the-effects-of-sleep-deprivation

    Liu, Q., Zhou, R., Liu, L., & Zhao, X. (2015). Effects of 72hours total sleep deprivation on male astronauts' executive functions and emotion. Comprehensive psychiatry61, 28–35. Available at: https://doi.org/10.1016/j.comppsych.2015.05.015

    Medic G, Wille M, Hemels ME. Short- and long-term health consequences of sleep disruption. Nat Sci Sleep. 2017 May 19;9:151-161. doi: 10.2147/NSS.S134864. PMID: 28579842; PMCID: PMC5449130.

    National Heart, Lung and Blood Institute (2022) How Much Sleep Is Enough? [online]. Available at: https://www.nhlbi.nih.gov/health/sleep/how-much-sleep

    National Council on Aging (2024) Sleep Deprivation: Definition, Side Effects, and Treatment [online]. Available at: https://www.ncoa.org/adviser/sleep/sleep-deprivation/

    Paillard, T. (2023). Detrimental effects of sleep deprivation on the regulatory mechanisms of postural balance: A comprehensive review. Frontiers in Human Neuroscience, 17, 1146550. Available at: https://doi.org/10.3389/fnhum.2023.1146550

    Waters, F., Chiu, V., Atkinson, A., & Blom, J. D. (2018). Severe Sleep Deprivation Causes Hallucinations and a Gradual Progression Toward Psychosis With Increasing Time Awake. Frontiers in Psychiatry, 9, 350067. Available at: https://doi.org/10.3389/fpsyt.2018.00303

    Williamson AM, Feyer AM. Moderate sleep deprivation produces impairments in cognitive and motor performance equivalent to legally prescribed levels of alcohol intoxication. Occup Environ Med. 2000 Oct;57(10):649-55. doi: 10.1136/oem.57.10.649. PMID: 10984335; PMCID: PMC1739867.

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