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How long you sleep could be linked to how long you’ll live.
A new study, published in the journal Nature, found that people whoslept too little or too longshowed signs of “older biology.”
Researchers from Columbia University in New York used global biobank data from about 500,000 people who disclosed self-reported sleep duration in a 24-hour period, including naps.
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Reported sleep times were compared with 23 biological aging clocks, estimating whether various parts of the body looked biologically older or younger than the individual’s actual age.
Short and long sleep were both linked with signals of a higher biological age.They were also associated with a higher risk offuture diseasesand all-cause mortality, the researchers found.

According to study results, short sleep and long sleep were both linked with signals of higher biological age.(iStock)
In nine of the aging clocks, the researchers found “statistically significant” links between sleep and aging, including in the brain, heart, immune system and skin.
Those with the “lowest biological age gap” were women whoslept for 6.5 to 7.8 hoursand men who slept for 6.4 to 7.7 hours, according to the study.
Longer sleep had a stronger link to psychiatric-related outcomes, while short sleep had more physical impacts on cardiovascular, metabolic, musculoskeletal, psychiatric, neurological, pulmonary andgastrointestinal conditions.
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The U-shaped results also showed that shorter sleep led to a 50% higher relative risk forall-cause mortality, while longer sleep had about a 40% higher risk.
The researchers noted that self-reported sleep poses a limitation to the study.As it was observational in design, it does not prove that sleeping exactly six to eight hours will slow aging.

Both women and men who slept roughly six to eight hours showed the lowest signals for biological aging.(iStock)
“Sleep is really when the body does its most critical repair work, including cellular restoration, immune regulation, hormonal balance, and evenclearing out metabolic wastefrom the brain through what we call the glymphatic system,” said Tahir, who was not involved in the study.
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“When sleep is consistently too short or too long, those processes get disrupted.Over time, that disruption accumulates at the cellular level.”
This effect is proven in increased inflammatory markers and cellular changes, which are “hallmarks ofaccelerated aging,” Tahir noted.
“So, the relationship isn’t just correlational;there are real physiological mechanisms connecting poor sleep to the body aging faster than it should.”

“Sleep is really when the body does its most critical repair work,” the doctor noted.(iStock)
Tahir cautions her patients not to treat the six- to eight-hour recommendation as a “rigid prescription,” as sleep is individualized.
For example, a healthy 25-year-old and a 70-year-old withcardiovascular diseasehave “very different sleep architecture and needs,” according to the expert.
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“What I tell my patients is to use that range as a starting framework, but pay attention to how you feel,” she advised.“Are you waking up refreshed?Can you stay alert throughout the day without caffeine propping you up?Those functional cues matter just as much as the number on the clock.”
For certain people, likepregnant women, athletes and people recovering from illness, these sleep needs can shift “considerably.”

As sleep is individualized, a rigid six- to eight-hour framework may not work for everyone.(iStock)
“Sleep duration is important, but … getting adequate sleep and REM sleep that allows our bodies to heal, clear, process and repair is much more important,” Tahir said.
Regardless of sleep time, those who don’t achieve quality sleep often struggle, she shared.
“I’ve seen patients who log seven hours but spend most of that time in light sleep, barely touching thedeep slow-wave or REM stagesthat are most restorative,” Tahir said.“They age just as poorly, sometimes worse, than someone getting six hours of genuinely consolidated, high-quality sleep.”
Deep sleep is the phase when growth hormone is released and tissue repair peaks, and REM sleep is “critical” for cognitive health andemotional regulation, according to the expert.
“So, chasing hours without addressing sleep fragmentation,sleep apneaor poor sleep architecture is missing the bigger picture,” she said.
The takeaway from this study, according to Tahir, is that sleep is not a “lifestyleluxury,” but a “biological necessity with measurable consequences for how we age and how healthy we are.”
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There’s still a cultural tendency to see sleep deprivation as a “badge of productivity,” which she pushes back against.“But I also want people to avoid the other extreme —health anxietyabout their sleep can actually make sleep worse.”
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The sleep expert concluded that “consistent, good-quality sleep is one of the most accessible tools we have for healthy aging.”
“It doesn’t require a prescription or expensive intervention — it requires prioritization.”
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