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The neurocognitive consequences of sleep restriction: A meta-analytic review

Lowe, Cassandra J., Safati, Adrian, Hall, Peter A.·2017·Neuroscience & Biobehavioral Reviews

DOI 10.1016/j.neubiorev.2017.07.010

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Abstract

The current meta-analytic review evaluated the effects of experimentally manipulated sleep restriction on neurocognitive functioning. Random-effects models were employed to estimate the overall effect size and the differential effect size across cognitive domains. Age, time of day, age-adjusted sleep deficit, cumulative days of restricted sleep, sleep latency, subjective sleepiness, and biological sex were examined as potential moderators of the effect. Based on a sample of 61 studies, from 71 different populations, findings revealed a significant negative effect of sleep restriction on cognitive processing across cognitive domains (g=-0.383, p<0.001). This effect held for executive functioning (g=-0.324, p<0.001), sustained attention (g=-0.409, p<0.001), and long-term memory (g=-0.192, p=0.002). There was insufficient evidence to detect an effect within the domains of attention, multitask, impulsive decision-making or intelligence. Age group, time of day, cumulative days of restricted sleep, sleep latency, subjective sleepiness, and biological sex were all significant moderators of the overall effect. In conclusion, the current meta-analysis is the first comprehensive review to provide evidence that short-term sleep restriction significantly impairs waking neurocognitive functioning.

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Rupp, T. L., Wesensten, N. J., & Balkin, T. J. (2009) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2009.00800.x · Cited by 25

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3 of the 221 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

National Sleep Foundation, 2010, Sleep in America, Poll, 2010

Sorted by citations

Short sleep duration and poor sleep quality predict next-day suicidal ideation: An ecological momentary assessment study
Littlewood, D. L., Kyle, S. D., Carter, L.-A., Peters, S., Pratt, D., & Gooding, P. (2019) · Psychological Medicine · doi:10.1017/s0033291718001009 · Cited by 209
“SWS is thought to serve a restorative function, re-establishing synaptic homeostasis (Tononi & Cirelli, 2006); while insufficient SWS is associated with deficits in cognitive functioning (Lowe et al. 2017).”
Background
Sleep Quality, Mental and Physical Health: A Differential Relationship
Clement-Carbonell, V., Portilla-Tamarit, I., Rubio-Aparicio, M., & Madrid-Valero, J. J. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18020460 · Cited by 175
“In addition to this, poor sleep quality is also related to negative psychological consequences such as anxiety and depression [8], aggression [9], altered cognitive functioning [10], and attention-deficit/hyperactivity disorder [11] among others.”
Background
Rapid Eye Movement Sleep, Sleep Continuity and Slow Wave Sleep as Predictors of Cognition, Mood, and Subjective Sleep Quality in Healthy Men and Women, Aged 20–84 Years
della Monica, C., Johnsen, S., Atzori, G., Groeger, J. A., & Dijk, D. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00255 · Cited by 194
Relationship between poor quality sleep, excessive daytime sleepiness and low academic performance in medical students
Hangouche, A. J. E., Jniene, A., Aboudrar, S., Errguig, L., Rkain, H., Cherti, M., & Dakka, T. (2018) · Advances in Medical Education and Practice · doi:10.2147/amep.s162350 · Cited by 161
“Sleep is an essential component of physical and mental health.(33) A large body of evidence supports the notion that good sleep is important for optimal neurocognitive and psychomotor performance.”
Influence of sleep on developing brain functions and structures in children and adolescents: A systematic review
Dutil, C., Walsh, J. J., Featherstone, R. B., Gunnell, K. E., Tremblay, M. S., Gruber, R., Weiss, S. K., Côté, K. A., Sampson, M., & Chaput, J. (2018) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2018.08.003 · Cited by 155

See all 520

Authors: Lowe, C. J., Safati, A., & Hall, P. A.
Affiliations: University of Waterloo (CA)
Corresponding author: Lowe, Cassandra J.
ORCID: Lowe, Cassandra J.
Safati, Adrian
Hall, Peter A.
Venue: Neuroscience & Biobehavioral Reviews
Publisher: Elsevier BV
Published: 2017-09
Volume: 80
Pages: 586-604
ISSN: 0149-7634 (ISSN-L)
DOI: 10.1016/j.neubiorev.2017.07.010
OpenAlex: W2741266150
Cited by: 520
References: 221
Citations by year: 2026: 63 · 2025: 86 · 2024: 75 · 2023: 60 · 2022: 69 · 2021: 65 · 2020: 42 · 2019: 35 · 2018: 23 · 2017: 2
FWCI: 4.41
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Neuroscience & Biobehavioral Reviews (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords: sleep restriction, neuropsychological performance, executive function, sustained attention, long-term memory, sleep deprivation, subjective sleepiness, sleep latency, age differences, sex differences, time of day
MeSH terms: Cognition, Humans, Sleep, Sleep Deprivation

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The neurocognitive consequences of sleep restriction: A meta-analytic review

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