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Ad libitum Weekend Recovery Sleep Fails to Prevent Metabolic Dysregulation during a Repeating Pattern of Insufficient Sleep and Weekend Recovery Sleep
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Summary People commonly increase sleep duration on the weekend to “recover” from sleep loss incurred during the workweek. Whether ad libitum weekend recovery sleep prevents metabolic dysregulation caused by recurrent insufficient sleep is unknown. Here, we assessed sleep, circadian timing, energy intake, weight-gain, and insulin sensitivity during sustained insufficient sleep (9 nights) and during recurrent insufficient sleep following ad libitum weekend recovery sleep. Healthy, young adults were randomly assigned to one of three groups. 1) control (CON; 9h sleep opportunities, n=8), 2) sleep restriction without weekend recovery sleep (SR; 5h sleep opportunities, n=14), and 3) sleep restriction with weekend recovery sleep (WR; insufficient sleep for 5-d workweek, then 2 days weekend recovery, then 2 nights insufficient sleep, n=14). For SR and WR groups, insufficient sleep increased after-dinner energy intake and body weight versus baseline. During ad libitum weekend recovery sleep, participants cumulatively slept ~1.1h more than baseline and after-dinner energy intake decreased versus insufficient sleep. However, during recurrent insufficient sleep following the weekend, circadian phase was delayed and after-dinner energy intake and body weight increased versus baseline. In SR, whole-body insulin sensitivity decreased ~13% during insufficient sleep versus baseline, and in WR, whole-body, hepatic, and muscle insulin sensitivity decreased ~9–27%, during recurrent insufficient sleep versus baseline. Furthermore, during the weekend, total sleep duration was lower in women versus men, and energy intake decreased to baseline levels in women but not men. Our findings suggest weekend recovery sleep is not an effective strategy to prevent metabolic dysregulation associated with recurrent insufficient sleep.
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“Sleep debt, circadian misalignment and sleep disruption from obstructive sleep apnea is widespread in modern society and accumulates with life because recovery sleep is not completely restorative.”
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“However, ' catch-up ' weekend sleep alone is not enough to reverse the impact of insuf fi cient sleep (126).”
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Metadata
- Authors
- Depner, C. M., Melanson, E. L., Eckel, R. H., Snell-Bergeon, J. K., Perreault, L., Bergman, B. C., Higgins, J. A., Guerin, M. K., Stothard, E. R., Morton, S. J., & Wright, K. P.
- Affiliations
- University of Colorado Boulder (US)
- University of Colorado Anschutz (US)
- Corresponding author
- Wright, Kenneth P.
- ORCID
- Venue
- Current Biology
- Publisher
- Elsevier BV
- Published
- 2019-03
- Volume
- 29
- Issue
- 6
- Pages
- 957-967.e4
- ISSN
- 0960-9822 (ISSN-L)
- PMC
- PMC12798825
- OpenAlex
- W2915822548
- Semantic Scholar
- a6f8b411c00a9cdaebb52e74b08db9af794d31cc
- Cited by
- 203
- References
- 75
- Citations by year
- 2026: 17 · 2025: 30 · 2024: 25 · 2023: 24 · 2022: 32 · 2021: 26 · 2020: 37 · 2019: 12
- FWCI
- 31.54
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Current Biology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (publishedVersion)
- Funders
- NIH (HL109706, DK111161, TR001082, DK048520)
- Sleep Research Society Foundation (011-JP-16)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- insufficient sleep, sleep restriction, metabolic dysfunction, insulin sensitivity, circadian timing, circadian phase delay, energy intake, weight gain, sex differences in sleep, hepatic insulin sensitivity, skeletal muscle insulin sensitivity, young adults
- MeSH terms
- Adult, Energy Intake, Circadian Rhythm, Female, Humans, Insulin Resistance, Male, Sleep, Sleep Deprivation, Weight Gain, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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