Getting about 7 hours of sleep each night with a consistent schedule
Grade AMedium benefitLifespanFreeLots of timeSome willpower
People who regularly get less than 7 hours of sleep have roughly a 10% higher chance of dying over time. The more irregular their schedule, the greater the risk. Those with the most regular sleep patterns enjoy a 20%–50% lower mortality risk compared to those with the least regular patterns. In other words, how consistent your sleep schedule is matters more than the total number of hours you sleep.
- Cost
- No cost involved. You simply need to allocate time for sleep — most people achieve this by cutting back on phone usage. The real challenge is maintaining a fixed bedtime and wake‑time.
- Benefit
- A pooled analysis of 16 longitudinal studies — involving 1.38 million participants and 113 000 deaths — shows that short sleepers face a 12% higher risk of death (RR 1.12), while long sleepers face a 30% higher risk (RR 1.30). When sleep duration is grouped into categories, the 7‑hour bracket shows the lowest risk; each additional hour beyond 7 raises risk by about 13% (RR 1.13), and each hour less than 7 raises it by roughly 6% (RR 1.06). In the UK Biobank, wrist‑watch data from ~61 000 participants were used to rank them into five groups based on schedule regularity; the four more regular groups had a 20%–48% lower mortality risk than the least regular group. Another UK Biobank study tracked 51 562 individuals for new cardiovascular events; those with a social jet‑lag of 2 hours or more faced a 30% higher risk (HR 1.30, 95% CI 1.11–1.54), and this link persisted even among people getting a normal amount of sleep.
- Notes
- The main issues to address are insufficient sleep and irregular schedules; there’s no need to deliberately shorten sleep time. The elevated risk seen in long sleepers is likely reversed causality — depression, chronic illness, and sleep apnea tend to cause longer sleep durations. Currently, only two longitudinal studies support the benefit of a regular schedule; both are observational and ungrouped, so they constitute B‑grade evidence on their own. For ways to recover after staying up late, see Section 38 (recovering sleep after a late night). 〔113000〕 〔61000〕 〔51562〕 〔3853〕
Sources · 4
- Cappuccio FP 等 (2010). Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep. doi.org/10.1093/sleep/33.5.585
- Yin J 等 (2017). Relationship of Sleep Duration With All-Cause Mortality and Cardiovascular Events: A Systematic Review and Dose-Response Meta-Analysis of Prospective Cohort Studies. JAHA. doi.org/10.1161/JAHA.117.005947
- Windred DP 等 (2024). Sleep regularity is a stronger predictor of mortality risk than sleep duration: A prospective cohort study. Sleep. doi.org/10.1093/sleep/zsad253
- Kumar N, Krishnamurthy S (2026). Social jet lag is associated with incident cardiovascular disease independent of sleep duration and cardiac genetic risk. Journal of Internal Medicine. doi.org/10.1111/joim.70133