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What Your Sleep Pattern Does to Whole-Body Inflammation

Pooling 72 studies and more than 50,000 people, researchers found that sleep disturbance and unusually long sleep, more than eight hours, were both associated with higher levels of inflammatory markers linked to cardiovascular disease and diabetes, while short sleep duration alone showed a weaker, less consistent link.

Sleep

Drawing together 72 studies and data from over 50,000 people, this meta-analysis asked a broad question: does how you sleep show up in your blood, specifically in the inflammatory markers, C-reactive protein and interleukin-6, linked to cardiovascular disease, hypertension and type 2 diabetes? The answer was more nuanced than a simple 'less sleep is worse'. Sleep disturbance, meaning poor sleep quality or insomnia symptoms, was consistently linked to higher levels of both markers. Somewhat counterintuitively, unusually long sleep, more than eight hours, showed an equally strong or stronger association with inflammation, while short sleep duration on its own had only a weak and less consistent link, and experimentally restricting people's sleep in lab studies didn't reliably raise inflammation either.

As a meta-analysis of largely observational cohort studies, it can show association rather than prove that fixing sleep disturbance directly lowers inflammation, and long sleep in particular may partly reflect underlying illness driving both the extra sleep and the inflammation, rather than the sleep itself causing harm. Its real contribution is complicating a common oversimplification: broken, poor-quality sleep looks like the more consistent inflammatory signal here, not simply the number of hours logged.

Irwin et al.

Biological Psychiatry

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