What is deep sleep?

Deep sleep, or N3 slow-wave sleep, is the deepest stage of non-REM sleep and is considered the most physically restorative. Much of the night's growth hormone is released during it, and animal research suggests sleep is when the brain clears waste most efficiently.

The physical restoration

Growth hormone release is closely tied to slow-wave sleep, which is why deep sleep is linked to tissue repair and physical recovery.

Brain cleaning

In mice, sleep speeds the clearance of amyloid-beta and other waste through the brain's glymphatic system (Xie et al., 2013). In people, one night without sleep raised amyloid-beta levels in the brain (Shokri-Kojori et al., 2018). Whether less deep sleep over years raises the risk of dementia is still being studied.

Maximizing N3

Adequate total sleep, a cool room, limiting alcohol (which disrupts the second half of the night), regular exercise and a consistent schedule all support good sleep. Evening exercise is fine for most people and may even add a little deep sleep (Stutz et al., 2019). Longer naps can include some deep sleep, but they do not replace a full night.

Sources

  1. Xie et al., Science, 2013. Sleep drives metabolite clearance from the adult brain
  2. Shokri-Kojori et al., PNAS, 2018. β-Amyloid accumulation in the human brain after one night of sleep deprivation
  3. Ebrahim et al., Alcoholism: Clinical and Experimental Research, 2013. Alcohol and sleep I: effects on normal sleep
  4. Stutz et al., Sports Medicine, 2019. Effects of evening exercise on sleep in healthy participants

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