Abstract

In this study, we hypothesized that dynamics of sleep time obtained over consecutive days of extended sleep in a laboratory reflect an individual’s optimal sleep duration (OSD) and that the difference between OSD and habitual sleep duration (HSD) at home represents potential sleep debt (PSD). We found that OSD varies among individuals and PSD showed stronger correlation with subjective/objective sleepiness than actual sleep time, interacting with individual’s vulnerability of sleep loss. Furthermore, only 1 h of PSD takes four days to recover to their optimal level. Recovery from PSD was also associated with the improvement in glycometabolism, thyrotropic activity and hypothalamic-pituitary-adrenocortical axis. Additionally, the increase (rebound) in total sleep time from HSD at the first extended sleep would be a simple indicator of PSD. These findings confirmed self-evaluating the degree of sleep debt at home as a useful clinical marker. To establish appropriate sleep habits, it is necessary to evaluate OSD, vulnerability to sleep loss, and sleep homeostasis characteristics on an individual basis.

Highlights

  • They recorded their daily HSD at home using an actigraph and sleep diary for approximately 2 weeks. Their mean morningness-eveningness score (MEQ score) derived from the Japanese version of Morningness-Eveningness Questionnaire[27,28] was 46.3 ± 7.2, and mean sleep-corrected midpoint of sleep in free days (MSFsc) derived from Japanese version of Munich ChronoType Questionnaire[29,30] was 5.0 ± 1.3 h. They started a 14-day sleep protocol in a sleep laboratory experiment consisting of time in bed (TIB) set at 8 h for an adaption night (AN) and a baseline night (BL), 9 consecutive days of extended sleep sessions with TIB set at 12 h followed by 1 night of total sleep deprivation (SD) and 1 night of 12-h recovery sleep (RS)

  • This study is the first to estimate, on an individual basis, PSD from differences in HSD and estimated OSD, which was obtained by repeated, extended sleep sessions that offered participants the opportunity for 12 h sleeps over 9 consecutive days

  • The participants had no awareness of any problems with their sleep habits such as sleepiness or perceived sleep loss

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Summary

Introduction

The mean TST at E1 was 10.59 ± 0.19 h and showed a large increase (rebound) from HSD (mean, 3.22 h), but decreased through extended sleep sessions over the 8 days (F (8,109.107) = 10.590, p < 0.001; Fig. 1a). From the exponential decay curve fitting for the decrease in TST over the 9 days of extended sleep sessions, we were able to obtain an asymptote (the estimation of OSD) from individual TSTs (R2 = 0.244–0.946; see Supplementary Fig. S3) for 13 participants.

Results
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