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    1. Patients
    2. Articles For Patients
    3. Why sleep matters: the far-reaching effects of insufficient sleep

    Why sleep matters: the far reaching effects of insufficient sleep

    • By
    • March 16 2026
    • 2 min read

    “Sleep is the opposite of wakefulness and must exist together in the same animal. Every creature cannot move always and continuously.” – Aristotle, 4th century BCE

    A father is greeted by his children as he returns home.

    Aristotle knew that sleep is a fundamental need. More than six centuries later, modern science has confirmed that adequate sleep is critical for our brains, our bodies, and our whole society. Failing to get enough sleep has major consequences on mental performance, physical health, mood and safety. In this three-part series, I will share the dangers of not getting enough sleep, as well as actions you can take immediately that will help you notice a difference!

    Sleep loss and mental performance: why your brain needs rest

    We all know that skimping on sleep makes us feel groggy, but the impact on mental performance is more serious than many of us realize. Insufficient sleep (whether it’s because you pulled one all-nighter or you’ve been forced to cut your sleep short over a period of several nights) has a negative impact on almost every aspect of thinking, including attention, memory, reasoning, and decision-making.

    When you haven’t slept enough, you’ll likely notice that it’s difficult for you to concentrate. Research has confirmed that attention and alertness drop sharply with insufficient sleep. In a 2024 meta-analysis of 44 studies, researchers found that just one night of sleep that resulted in just ~four hours (compared with the normal ~eight hours), led to a significant increase in subjective sleepiness and worse sustained attention on tasks. Additionally, reaction times slowed, and participants experienced more brief lapses in attention. This means that even just one short night can make you less responsive.1

    With continued sleep loss, our working memory and logical reasoning also decline. We find it more difficult to solve problems, focus in meetings or in class, and learn new material. Memory consolidation, which happens largely during sleep, is also disrupted, so we retain less of what we study or experience if we don’t allow our brain to get adequate rest.2

    Additionally, if you’re sleep deprived, you’re more prone to risk-taking and errors in judgment. What’s even more dangerous is that we usually aren’t good judges of our own impairment. Our bodies might adapt, but that isn’t necessarily a good thing when it comes to sleep deprivation. Multiple studies have found that people who are chronically sleep deprived show steadily worsening attention and reaction speed BUT rate their own sleepiness as only mild or moderate.3 This is why someone may insist that they’re fine to drive or work while they’re making lots of mistakes. The only cure? Quality sleep. You cannot “power through” forever with zero consequences.

    This kind of stress on your brain can also lead to what we call “micro-sleeps.” These are very brief episodes of actual sleep that occur involuntarily (remember when you’ve nodded off for a few seconds during a lecture or at your computer?). In these moments, your brain is essentially shutting down, and if it happens during a critical task (like driving or operating machinery), the results can be disastrous and deadly.

    So what’s the bottom line? Your brain needs sufficient sleep (for most adults, that’s 7-9 hours each night) to function optimally. Without enough sleep, you’ll think slower, remember less, and likely not perform at your best intellectually.

    Here are three things you can do to sharpen your mental performance with better sleep:

    1. Prioritize sleep before important tasks: If you have a big exam, presentation, or project, make time for a full night’s sleep beforehand. Don’t pull an all-nighter! You might feel like you’re studying more, but your ability to learn and remember the information will be much better if you sleep. Treat sleep as an essential part of preparation for mentally demanding activities – because it is!

    2. Keep a consistent sleep schedule: This is a piece of advice I give repeatedly, because your brain operates best on a regular rhythm. Going to bed and waking up at the same times each day helps ensure you get the quality rest you need to feel (and be!) alert during the day. Avoid drastically irregular sleep times, which can confuse your body clock.

    3. Use naps wisely: If you’re drowsy and having trouble concentrating, a short power nap (just 15-20 minutes!) can recharge your brain for short-term performance. Avoid long or late-afternoon naps that can interfere with your nighttime sleep, though.

    Return to the health hub
    Featuring
    Dr. Lee Portrait
    Dr. Teofilo Lee-Chiong
    Chief Medical Liaison
    Philips, Denver, Colorado, USA
    Read more

    Dr. Teofilo Lee-Chiong is a highly-trained sleep medicine specialist, Prof. of Medicine at the University of Colorado Denver School of Medicine and Tenured Prof. of Medicine at National Jewish Health in Denver, Colorado. Dr. Lee-Chiong is the author of several books focused on sleep medicine.

    References
    1. Larissa N. Wüst, Noëmi C. Capdevila, Lina T. Lane, Carolin F. Reichert, Ruta Lasauskaite, Impact of one night of sleep restriction on sleepiness and cognitive function: A systematic review and meta-analysis, Sleep Medicine Reviews, Volume 76, 2024, 101940, ISSN 1087-0792, https://doi.org/10.1016/j.smrv.2024.101940
    2. Ren Z, Mao X, Zhang Z and Wang W (2025) The impact of sleep deprivation on cognitive function in healthy adults: insights from auditory P300 and reaction time analysis. Front. Neurosci. 19:1559969. doi: 10.3389/fnins.2025.1559969
    3. Michael G Smith, Grace C Wusk, Jad Nasrini, Pamela Baskin, David F Dinges, Peter G Roma, Mathias Basner, Effects of six weeks of chronic sleep restriction with weekend recovery on cognitive performance and wellbeing in high-performing adults, Sleep, Volume 44, Issue 8, August 2021, zsab051, https://doi.org/10.1093/sleep/zsab051