The importance of sleep regularity: a consensus statement of the National Sleep Foundation sleep timing and variability panel

Tracey L. Sletten; Matthew D. Weaver; Russell G. Foster; David Gozal; Elizabeth B. Klerman; Shantha M.W. Rajaratnam; Till Roenneberg; Joseph S. Takahashi; Fred W. Turek; Michael V. Vitiello; Michael W. Young; Charles A. Czeisler

doi:10.1016/j.sleh.2023.07.016

The importance of sleep regularity: a consensus statement of the National Sleep Foundation sleep timing and variability panel

Tracey L. Sletten, Matthew D. Weaver, Russell G. Foster, David Gozal, Elizabeth B. Klerman, Shantha M.W. Rajaratnam, Till Roenneberg, Joseph S. Takahashi, Fred W. Turek, Michael V. Vitiello, Michael W. Young, Charles A. Czeisler^*

^*Corresponding author for this work

Neurobiology

Research output: Contribution to journal › Article › peer-review

25 Scopus citations

Abstract

Objective: To develop and present consensus findings of the National Sleep Foundation sleep timing and variability panel regarding the impact of sleep timing variability on health and performance. Methods: The National Sleep Foundation assembled a panel of sleep and circadian experts to evaluate the scientific evidence and conduct a formal consensus and voting procedure. A systematic literature review was conducted using the NIH National Library of Medicine PubMed database, and panelists voted on the appropriateness of 3 questions using a modified Delphi RAND/UCLA Appropriateness Method with 2 rounds of voting. Results: The literature search and panel review identified 63 full text publications to inform consensus voting. Panelists achieved consensus on each question: (1) is daily regularity in sleep timing important for (a) health or (b) performance? and (2) when sleep is of insufficient duration during the week (or work days), is catch-up sleep on weekends (or non-work days) important for health? Based on the evidence currently available, panelists agreed to an affirmative response to all 3 questions. Conclusions: Consistency of sleep onset and offset timing is important for health, safety, and performance. Nonetheless, when insufficient sleep is obtained during the week/work days, weekend/non-work day catch-up sleep may be beneficial.

Original language	English (US)
Pages (from-to)	801-820
Number of pages	20
Journal	Sleep Health
Volume	9
Issue number	6
DOIs	https://doi.org/10.1016/j.sleh.2023.07.016
State	Published - Dec 2023

Funding

Dr. Klerman reports grants from the National Institutes of Health, other from Federal Aviation Administration; grants from Havard University; grants from the Massachusetts Insitute of Technology, during consulting for the American Academy of Sleep Medicine Foundation, Circadian Therapeutics, NSF, Sleep Research Society Foundation, Yale University Press and travel support from European Biological Rhythms Society. Dr Klerman’s partner owns Chronsulting. Dr. Weaver reports consulting with the Fred Hutchinson Cancer Center, the National Sleep Foundation (NSF), and the University of Pittsburgh, and grant support from the Centers for Disease Control and the National Institutes of Health.

Keywords

Catch-up sleep
Circadian misalignment
Health
Performance
Sleep patterns

ASJC Scopus subject areas

Health(social science)
Neuropsychology and Physiological Psychology
Social Sciences (miscellaneous)
Behavioral Neuroscience

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10.1016/j.sleh.2023.07.016

Cite this

Sletten, T. L., Weaver, M. D., Foster, R. G., Gozal, D., Klerman, E. B., Rajaratnam, S. M. W., Roenneberg, T., Takahashi, J. S., Turek, F. W., Vitiello, M. V., Young, M. W., & Czeisler, C. A. (2023). The importance of sleep regularity: a consensus statement of the National Sleep Foundation sleep timing and variability panel. Sleep Health, 9(6), 801-820. https://doi.org/10.1016/j.sleh.2023.07.016

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abstract = "Objective: To develop and present consensus findings of the National Sleep Foundation sleep timing and variability panel regarding the impact of sleep timing variability on health and performance. Methods: The National Sleep Foundation assembled a panel of sleep and circadian experts to evaluate the scientific evidence and conduct a formal consensus and voting procedure. A systematic literature review was conducted using the NIH National Library of Medicine PubMed database, and panelists voted on the appropriateness of 3 questions using a modified Delphi RAND/UCLA Appropriateness Method with 2 rounds of voting. Results: The literature search and panel review identified 63 full text publications to inform consensus voting. Panelists achieved consensus on each question: (1) is daily regularity in sleep timing important for (a) health or (b) performance? and (2) when sleep is of insufficient duration during the week (or work days), is catch-up sleep on weekends (or non-work days) important for health? Based on the evidence currently available, panelists agreed to an affirmative response to all 3 questions. Conclusions: Consistency of sleep onset and offset timing is important for health, safety, and performance. Nonetheless, when insufficient sleep is obtained during the week/work days, weekend/non-work day catch-up sleep may be beneficial.",

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year = "2023",

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doi = "10.1016/j.sleh.2023.07.016",

language = "English (US)",

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Sletten, TL, Weaver, MD, Foster, RG, Gozal, D, Klerman, EB, Rajaratnam, SMW, Roenneberg, T, Takahashi, JS, Turek, FW, Vitiello, MV, Young, MW & Czeisler, CA 2023, 'The importance of sleep regularity: a consensus statement of the National Sleep Foundation sleep timing and variability panel', Sleep Health, vol. 9, no. 6, pp. 801-820. https://doi.org/10.1016/j.sleh.2023.07.016

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T1 - The importance of sleep regularity

T2 - a consensus statement of the National Sleep Foundation sleep timing and variability panel

AU - Sletten, Tracey L.

AU - Weaver, Matthew D.

AU - Foster, Russell G.

AU - Gozal, David

AU - Klerman, Elizabeth B.

AU - Rajaratnam, Shantha M.W.

AU - Roenneberg, Till

AU - Takahashi, Joseph S.

AU - Turek, Fred W.

AU - Vitiello, Michael V.

AU - Young, Michael W.

AU - Czeisler, Charles A.

PY - 2023/12

Y1 - 2023/12

N2 - Objective: To develop and present consensus findings of the National Sleep Foundation sleep timing and variability panel regarding the impact of sleep timing variability on health and performance. Methods: The National Sleep Foundation assembled a panel of sleep and circadian experts to evaluate the scientific evidence and conduct a formal consensus and voting procedure. A systematic literature review was conducted using the NIH National Library of Medicine PubMed database, and panelists voted on the appropriateness of 3 questions using a modified Delphi RAND/UCLA Appropriateness Method with 2 rounds of voting. Results: The literature search and panel review identified 63 full text publications to inform consensus voting. Panelists achieved consensus on each question: (1) is daily regularity in sleep timing important for (a) health or (b) performance? and (2) when sleep is of insufficient duration during the week (or work days), is catch-up sleep on weekends (or non-work days) important for health? Based on the evidence currently available, panelists agreed to an affirmative response to all 3 questions. Conclusions: Consistency of sleep onset and offset timing is important for health, safety, and performance. Nonetheless, when insufficient sleep is obtained during the week/work days, weekend/non-work day catch-up sleep may be beneficial.

AB - Objective: To develop and present consensus findings of the National Sleep Foundation sleep timing and variability panel regarding the impact of sleep timing variability on health and performance. Methods: The National Sleep Foundation assembled a panel of sleep and circadian experts to evaluate the scientific evidence and conduct a formal consensus and voting procedure. A systematic literature review was conducted using the NIH National Library of Medicine PubMed database, and panelists voted on the appropriateness of 3 questions using a modified Delphi RAND/UCLA Appropriateness Method with 2 rounds of voting. Results: The literature search and panel review identified 63 full text publications to inform consensus voting. Panelists achieved consensus on each question: (1) is daily regularity in sleep timing important for (a) health or (b) performance? and (2) when sleep is of insufficient duration during the week (or work days), is catch-up sleep on weekends (or non-work days) important for health? Based on the evidence currently available, panelists agreed to an affirmative response to all 3 questions. Conclusions: Consistency of sleep onset and offset timing is important for health, safety, and performance. Nonetheless, when insufficient sleep is obtained during the week/work days, weekend/non-work day catch-up sleep may be beneficial.

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KW - Circadian misalignment

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KW - Performance

KW - Sleep patterns

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The importance of sleep regularity: a consensus statement of the National Sleep Foundation sleep timing and variability panel

Abstract

Funding

Keywords

ASJC Scopus subject areas

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