What A Leader Should Know About Sleep

May 25, 2017 • Emerging Ideas

By John Axelsson & Tina Sundelin

In this article, the authors lift the lid on the pitfalls of a lack of adequate sleep – in terms of both quality and quantity, and how leaders are hindering their productivity when sleep deprived.


Sleep is a curious phenomenon. Despite more than 50 years of research, its biological function or functions remain elusive. Most recently, sleep has been shown to support vital brain functions relating to metabolism and adaptation. We do know that the high metabolism of the waking brain is a messy and costly business, and that sleep facilitates maintenance and recuperative functions by repairing the body’s machinery and structures from the day’s wear and tear. During sleep, we refill local energy stores and effectively clean up and remove metabolic rest products and toxic protein fragments.  There is also a growing body of evidence indicating that sleep plays a crucial role in how we adapt to our environment. During sleep, the brain repeats what it has experienced during the day so that the episodes and behaviours are incorporated into the already existing neural networks. This will also allow the brain to update and fine-tune these networks every night so that they become more efficient and stable. For example, movements that we have practiced during the day, such as playing the piano or hitting a curve ball, become more fluid and efficient after a night of sleep. Sleep is also likely to be a key player in the brain’s ability to learn vast amounts during the day and subsequently forget what is not used regularly. This way, the brain is ready to learn anew after a period of sleep. In other words, sleep seems to be the price for having a nervous system that can continuously adapt to each individual’s environment.


Sleep disturbances are common

While most adults should sleep between 7-9 hours per night to stay healthy, almost a third of the working population sleep less than 6 hours on a regular basis. Disturbed sleep is also common. As many as 30% of the adult population report having disturbed sleep and around 10% fulfil the clinical criteria for insomnia. In addition, a growing number of people suffer from sleep apnea, the risk factors of which are overweight, drinking alcohol, smoking, being male and increased age. In addition, about 25-30% of the working population are shift workers, and about 20% of the working force report having work-related sleep disturbances. Along with the fact that disturbed sleep shows a high comorbidity with other diseases, often aggravating the symptoms, there is a large need for improved screening and interventions focusing on prevention and treatment of sleep disturbances.


Sleep loss is a health risk

Chronic disturbed sleep increases the risk for developing metabolic disorders such as cardiovascular disease, type 2 diabetes, and obesity. Furthermore, it may aggravate the risk for developing depression and Alzheimer’s disease.1 But even just a few days of decreased sleep increases the risk of contracting the common cold when exposed. Prioritising your sleep is thus a good choice, both in the long and short run.


Sleepy people are error and accident-prone

Sleep loss and shift work are related to an increased risk for errors and accidents, particularly at the workplace. Several reports have found that sleep-related fatigue was a contributing factor to large-scale accidents such as Three Mile Island, Chernobyl, and Exxon Valdes. Long working hours (>10 hours/day) and extended workweeks (>60 hours/week) are particularly risky. For example, the long work shifts and work weeks amongst medical residents are related to reduced sleep, attentional failures, as well as serious diagnostic and medical errors. The increased risk for diagnostic errors with these kinds of shifts was more than 400% higher as compared to a schedule that has eliminated extended work shifts.2 Driving home after a long night shift is also a particularly risky situation. Few are well suited for the monotony of driving after being awake for such a long time, and being inattentive for a few seconds can be fatal.

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