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    Timothy Morgenthaler, M.D.

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Question

Lack of sleep: Can it make you sick?

I'm having trouble sleeping lately. Does this increase my chances of getting sick?

Answer

from Timothy Morgenthaler, M.D.

Yes, lack of sleep can affect your immune system. Studies show that people who don't get a good night's sleep or who don't get enough sleep are more likely to get sick after being exposed to a virus, such as the common cold. Lack of sleep can also affect how fast you recover if you do get sick.

During sleep, your immune system releases proteins called cytokines. These substances increase in the presence of an infection, inflammation and stress. Increased cytokines are necessary in fighting infection and regulating deeper sleep. In addition, other infection-fighting cells are reduced during periods of sleep deprivation. So, your body needs sleep to fight infectious diseases.

How much sleep do you need to bolster your immune system? The optimal amount of sleep for most adults is seven to eight hours a night. School-aged children and adolescents need nine or more hours of sleep a night.

But be careful; more sleep is not always better. For adults, sleeping more than nine to 10 hours a night has been associated with weight gain, heart problems, stroke, sleep disorders, depression and other health concerns.

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References
  1. Cohen S, et al. Sleep habits and susceptibility to the common cold. Archives of Internal Medicine. 2009;169:62.
  2. Your guide to healthy sleep. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/public/sleep/healthy_sleep.pdf. Accessed Jan. 28, 2010.
  3. Lange T, et al. Shift of monocyte function toward cellular immunity during sleep. Archives of Internal Medicine. 2006;166:1695.
  4. Chaput JP, et al. The association between sleep duration and weight gain in adults: A 6-year prospective study from the Quebec Family Study. Sleep. 2008;31:517.
  5. Grandner MA, et al. Who are the long sleepers? Towards an understanding of the mortality relationship. Sleep Medicine Reviews. 2007;11:341.
  6. Chen JC, et al. Sleep duration and risk of ischemic stroke in postmenopausal women. Stroke. 2008;39:3185.
AN02065 April 24, 2010

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