Alarm analog desk clock sits on a wood desk in front of a mural depicting a crescent moon and starts over a dark blue night sky

Sleepless in Seattle North Carolina

Thomas Ray, PhD
Associate Executive Director


Please do not be alarmed – this is not a RomCom-themed blog post. However, the idea of being sleepless is not just for Seattle. According to the Centers for Disease Control’s (CDC) Behavioral Risk Factor Surveillance System, more than one-third of North Carolinians report fewer than seven hours of sleep, on average, in each 24-hour period. Only about one in five NC adolescents are getting eight hours or more of sleep on a typical school night (Youth Risk Behavior Surveillance, 2023).

So yes, that means four out of five NC adolescents are not getting enough sleep. We are sleepless here in North Carolina.

Sleepless teenager lying in bed stares at digital alarm clock on desk.

“So what? Why should I care about sleep?” 

Research indicates that many challenges youth are facing in terms of mental and physical health are related to a lack of good-quality sleep.

Mental Health

Prioritizing good sleep habits can improve mental health. For example, a 2021 meta-analysis of randomized control trials published in Sleep Medicine Reviews found that improved sleep led to an improvement on composite mental health, depression, anxiety, rumination, stress, and more, with greater improvements in sleep quality leading to greater improvements in mental health.

Other studies have made connections between sleep and various mental health challenges. In other words, intentional actions to improve sleep can help improve mental health.

Brain & Heart Health

Sleep is not just good for mental health, it’s good for the brain and body too. In June of 2022, the American Heart Association added sleep to its list of “Life’s Essential 7,” renaming the list of factors that support cardiovascular health “Life’s Essential 8.”

A 2023 study associated too much sleep or too little sleep with specific neuroimaging markers in the brain that precede stroke and dementia by several years. This evidence and more shows that working on sleep health can have a positive impact on brain health and potentially reduce the risk of stroke and dementia among middle-age adults who do not have a history of stroke or dementia, as well as supporting cardiovascular health.

Physical Health

High-quality sleep is also associated with longer life. According to a 2023 study, developing and maintaining good sleep habits from adolescence onward can increase life expectancy among men by an average of 4.7 years and 2.4 years for women. According to one of the study’s authors, it’s never too early or too late to start good sleep habits. This study defined “good sleep” using five factors.

Those factors include:

  1. Ideal sleep duration: 7 to 8 hours per week for adults.
  2. Difficulty falling asleep: No more than two times per week.
  3. Trouble staying asleep: No more than two times per week.
  4. Use of medication to induce sleep: Zero times per week.
  5. Feeling well-rested after waking up: At least five days per week.

Young charming woman with curls lying in bed covered with blanket and sleeping contently having sweet dreams.

Improved Performance

According to a 2019 MIT study, nearly 25% of variance in academic performance could be attributed to sleep. “Better quality, longer duration, and greater consistency of sleep correlated with better grades.” In this study, earlier bedtime, earlier wake time, and a longer duration of sleep was associated with overall better academic performance.

Even more interestingly, sleeping less during the weekdays and accommodating by oversleeping on the weekends was associated with poorer academic performance. One night of cramming before the exam did not have a relationship with the academic performance; the long-term pattern of sleep behavior mattered the most. Further, multiple studies demonstrated that sleep deprivation led to slower reaction times with negative implications for both athletic performance and workplace performance.

Boy with glasses sleeping on bus
“Getting quality sleep does seem like a good idea, but where do I start?”

Great question. Sleep hygiene is really important. Here are some basics to get started. Consider implementing one or more of these strategies and make them a goal to work toward.

Alarm set to go off at 8:00 a.m. on an iphone.

Make a consistent sleep schedule.

Set an early bedtime and early wake time, and keep them consistent for weekdays and weekends. Set those times to get an optimal duration of 7 to 9 hours for adults and 8 to 10 hours for adolescents.

Create an ideal sleep environment.

Minimize disturbances in the sleep space and keep the space cool, dark, and quiet. As bedtime approaches, dim any lights and close all curtains.

 

Maintain a bedtime routine.

Select relaxing activities to engage in before bed. These will be different for everyone, but consider activities such as meditation, prayer, listening to soft music, reading a book (not on a screen), writing in a journal, doing a puzzle, or taking a warm bath or hot shower. Include teeth-brushing as a part of this routine.

Avoid studying or working in bed and maintain a boundary that bed is only for sleeping. Avoid screens and bright lights for at least 30 minutes prior to bedtime. Avoid caffeine after mid-day.

 

Start each day with some sunshine.

Aim to get direct sunlight early in the morning within an hour of waking.

 

Exercise.

Get a recommended amount of physical activity: 30 minutes per day for adults and 60 minutes per day for children and adolescents. Complete exercise at least 3 hours before bedtime.

 

Eat nutritiously.

Eat plenty of fruits, vegetables, and whole grains. Avoid large meals close to bedtime.


Consider setting a goal to implement one or more of the strategies listed above this year. More strategies can be added throughout the year. By improving sleep habits and quality, you will likely also improve your mental and physical well-being as well as your daily performance.

Now, go get some sleep!


Level 4: Cut Down Activities: watching TV, playing video games, spending time on the computer, sitting longer than 60 minutes

Featured Program:

How do I deal with my stress?  What do I say to my friends who are pressuring me to cheat?  How do I get my turn on the computer when my sibling is always hogging it? 

Decisions… Decisions… is designed to help kids with these every-day situations by teaching a decision making framework for dealing with stress, conflict and peer pressure.  Participants will travel into their future and recognize how decisions today will help them achieve their dreams.  Making difficult decisions ahead of time will help participants plan for plenty of rest, negotiating win-win solutions and take an assertive stand against peer pressure among other empowering strategies.

Program Participants: 4th Grade, 5th Grade
Program Length: 60 minutes

Plan a Program Today