How long can someone go without sleep before it starts to impact their cognitive function?

A late night will directly impact how miserable you feel and how poorly you perform the following day. Picture: Cottonbro/Pexels

A late night will directly impact how miserable you feel and how poorly you perform the following day. Picture: Cottonbro/Pexels

Published Feb 28, 2023

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Randy Gardner established a world record in 1965 by enduring 264 hours, or about 11 days without sleep, for a scientific fair project.

As a result, his ability to focus, be motivated, perceive, and use higher-order mental processes significantly decreased.

Gardner expressed indicators of sickness on the third morning of the experiment in a 2017 NPR interview. His complaint of memory loss, which he described as "an early Alzheimer's thing spurred on by lack of sleep," was particularly concerning. In other words, no amount of sleep deprivation can be tolerated by the human body.

Although it's not understood how long humans can go without sleeping, the symptoms of sleep deprivation soon become apparent.

You can begin to have hallucinations after just three or four nights of being awake. Cognitive deficits, anger, delusions, paranoia, and psychosis can all result from chronic sleep deprivation. Although it is highly unusual, it is possible to die from lack of sleep.

After 24 hours without sleep, what to anticipate

It's not unusual to sleep for less than 24 hours. You may need to work through the night, study for an exam, or take care of a sick child. Although staying up all night could be uncomfortable, it won't have a substantial effect on your general health.

A night of sleep deprivation still has an impact on you. 24-hour wakefulness has been likened to having a blood alcohol content of 0.10% in a 2014 research titled "The sleep-wake cycle and Alzheimer's disease: what do we know?". In most states, this is over the limit that allows you to drive.

Drowsiness, irritability, poor judgement, changed perception, memory deficiencies, visual and hearing impairments, diminished hand-eye coordination, increased muscular tension, tremors, and a higher chance of accidents or near-misses are a few impacts of going 24 hours without sleep.

Once you get some rest, the signs of 24-hour sleep deprivation normally disappear.

After 36 hours without sleep, what to anticipate

Even only 36 hours of non-stop sleep may have a significant impact on your health. The amount of various hormones, such as cortisol, insulin, and human growth hormone, is regulated by your sleep-wake cycle. Hence, a prolonged duration of sleep deprivation might affect a number of body processes.

This covers your stress level, emotions, temperature, hunger, and metabolism. Extreme exhaustion, hormone imbalances, diminished motivation, dangerous judgements, rigid reasoning, impaired concentration, and speech impairments, including poor word choice and intonation, are some consequences of lasting 36 hours without sleep.

After 48 hours without sleep, what to anticipate

Most people find it challenging to stay awake after missing two nights of sleep. Periods of light sleep that last up to 30 seconds could occur for them. The brain is in a sleep-like condition during these "micro-snaps." Micro-sleeps occur unintentionally. You can feel hazy or bewildered after a micro-sleep.

A 48-hour period of non-stop vigilance also compromises the immune system. Your body starts to circulate at higher levels of inflammatory markers, which assist your body avoid and treat infections. Natural killer (NK) cell activity declines with sleep deprivation, according to a National Centre for Biotechnology Information study by doctors Carlos de Almeida and Adriana Malheiro titled "Sleep, immunity, and shift workers: A review." When viruses or bacteria pose an imminent threat to your health, NK cells will react.

After 72 hours without sleep, what to anticipate

The majority of people have a strong need to sleep after going 72 hours without any sleep. Many people struggle to stay awake by themselves.

The capacity to think, particularly executive skills like multitasking, remembering specifics, and paying attention, is severely impaired after three days without sleep. Even basic chores might be challenging to do at this degree of sleep deprivation.

There are also emotional effects. This degree of sleep deprivation might make people easily irritable. They could feel anxious, unhappy, or suspicious. Also, lack of sleep makes it more challenging to understand the feelings of others, according to research. In one study titled “Sleep Deprivation Impairs the Accurate Recognition of Human Emotions”, participants with 30 hours of sleep deprivation had trouble comprehending angry and happy facial expressions.

Lastly, a prolonged lack of sleep can drastically affect perception. You could have hallucinations, which happen when you see things that aren't actually there. Also frequent are illusions. An illusion is a false interpretation of the true thing. Seeing a sign and mistaking it for a human is one instance.

When this happens frequently, it is known as chronic partial sleep deprivation. It's not the same as occasionally working all night. According to a research titled "Sleep deprivation: Effect on Cognitive Performance," it occurs more frequently than missing one or two consecutive nights of sleep since most people are likely to sleep for at least a few hours each night.

Insufficient sleep over a short period, such as a week, may result in anxiety, unstable mood, drowsiness, forgetfulness, difficulty concentrating, difficulty staying alert, cognitive impairments, decreased performance at work or school, and an increased risk of illness or injury, according to the Centres for Disease Control Africa.

Lack of sleep over time can weaken your immune system and raise your chance of developing certain illnesses. They include heart disease, stroke, high blood pressure, type 2 diabetes, obesity, and mental illness.

Depending on your age, you require a different quantity of sleep each night. Adults often require less sleep than babies and infants do. The amount of sleep you require may also depend on your gender. Women often sleep a little bit longer than males, according to research on sleep by doctors Sarah A. Burgard and Jennifer A. Ailshire. However, the reasons for this remain unknown.

Quality of sleep is also crucial. Make an appointment with your doctor if you're worried about how much sleep you're getting.

It's unclear how long people can actually go without sleep. Nonetheless, it is obvious that severe symptoms might start developing in as little as 36 hours. This involves having trouble thinking clearly, making bad decisions, and speaking clearly.

An occasional all-nighter probably won't have any negative long-term effects. But, if they are occurring more frequently, whether on purpose or not, consult your physician.

Your doctor might be able to provide guidance on how to stay awake in the most health-conscious manner if you must stay up. If not, your doctor can identify the cause of your symptoms and assist you in getting back on a regular sleep pattern.