Sleep is when your body rests, recovers, and repairs itself, essential to your physical and mental health. During sleep, your brain clears waste, stores memories, and keeps brain cells (neurons) working properly. The body makes hormones that help you grow, heal tissues, support metabolism, and strengthen the immune system during sleep. These important processes usually take more than six hours for most adults.
Some adults have genes that let them function well on six hours of sleep or less, but that’s rare. Most adults need seven or more hours of sleep each night to maintain health. Getting six hours or less can build up what experts call sleep debt. Over time, this can affect your physical health, thinking skills, and emotional well-being.
Sleep needs vary depending on your age. For adults, the American Academy of Sleep Medicine recommends getting at least seven hours of sleep each night for good health. Babies, children, and teens need more sleep to support their growing bodies and brains.
A few people (less than 1% of the general population) have a rare gene mutation where they feel rested and function well on six hours of sleep or less. Most people need at least seven hours of sleep to stay sharp, healthy, and emotionally balanced.
If you sleep six hours a night and still feel tired, you may not be getting the rest your body and brain need. Even if you’re used to sleeping less or not feeling very tired during the day, six hours isn’t enough for most adults to maintain health and stay alert.
Signs that six hours of sleep might not be enough include:
- Difficulty waking up in the morning
- Feeling tired or groggy throughout the day
- Relying on caffeine to stay awake and function during the day
- Irritability or mood swings
- Feeling drowsy during quiet times, like watching TV or driving
- Trouble concentrating or focusing
- Lack of motivation
- Forgetfulness or memory problems
- Sleeping more on weekends or days off
- Impaired decision-making
- Slower reaction times
Getting too little sleep can make you tired or moody, but it can also affect your short- and long-term health.
Insufficient sleep makes it harder to focus and make decisions. It slows reaction time, increasing the risk of accidents. An estimated 21% of all motor vehicle accidents in the United States are related to drowsy driving (sleepiness).
Even small amounts of missed sleep can add up. The effects become more serious when you don’t give your body enough time to rest night after night. Sleep debt can build gradually and increase the risk of developing long-term health problems. Sleeping fewer than seven hours a night can lead to developing chronic conditions like:
- Heart disease
- High blood pressure
- Type 2 diabetes
- Kidney disease
- Obesity
- Stroke
- Depression
People who consistently sleep fewer than seven hours per night have a 12% greater risk of dying prematurely compared to people who get seven to eight hours of sleep.
Experts recommend at least seven hours of sleep for adults, but sleep needs differ from person to person. Factors that can affect how much sleep you need include:
- Age: Sleep needs change throughout life. Babies, children, and teens need more sleep than adults to support growth and development.
- Activity level: If you exercise regularly or have a physically demanding job, you may need more sleep to recover. Physical activity can also help you fall asleep faster and improve the quality and length of your sleep.
- Health status: Your health can affect how much sleep you need. You may need more rest if you’re sick, recovering from an injury or surgery, managing a chronic condition, or pregnant.
- Sleep quality: If sleep is often interrupted, you may need extra sleep to feel fully rested. Poor sleep quality adds to your sleep debt.
If you’re not sleeping enough—or not sleeping well—there are simple steps you can take to improve the quality and duration of your sleep. These include:
- Stick to a schedule: Try to go to bed and wake up at the same time every day, even on your days off. This can help support the body’s natural sleep-wake cycle and keep you on a sleep schedule.
- Create a relaxing bedtime routine: Before bed, take a warm shower or bath, stretch, read, or listen to calming music.
- Limit screen time: Avoid phones, tablets, and computers at least an hour before bed. The light from screens can trick your brain into staying awake.
- Avoid caffeine and heavy meals late in the day: These can make it harder to fall asleep and affect your sleep quality.
- Make your bedroom comfortable: Keep your bedroom cool, between 60–67°F (16–19°C), quiet, and dark. Blackout curtains or a sleep mask can help block light.
- Limit naps: Short naps (20–30 minutes) can help boost energy, but prolonged or late naps can make it harder to fall asleep at night.
- Get natural light during the day: Sunlight helps regulate the body’s sleep-wake cycle.
If you’re practicing healthy sleep habits but are still having trouble getting enough sleep, talk with a healthcare provider. They can help check for sleep disorders, such as sleep apnea, or other underlying issues that could interfere with sleep.
Most adults need seven to nine hours of sleep each night to function at their best. While six hours may feel manageable for some people, it often isn’t enough sleep long-term. Not getting enough sleep can affect your energy, focus, and mood. Sleep deficiency can increase the risk of chronic health conditions like obesity, diabetes, and heart disease.
Healthy sleep habits, like a consistent sleep schedule, avoiding screens before bed, and keeping your bedroom cool and dark, can help improve your sleep. Making sleep a priority is one of the simplest and most powerful ways to support overall well-being.