The cumulative negative physiological burden imposed on the body and its systems, particularly the endocrine and metabolic functions, resulting from chronic insufficient or fragmented sleep. This biological cost manifests as dysregulation of stress hormones, impaired glucose metabolism, increased systemic inflammation, and accelerated cellular aging. Recognizing this cost emphasizes the critical need for consistent, high-quality, restorative sleep as a foundation for health.
Origin
This concept is derived from sleep medicine and chronobiology, where “sleep debt” is the quantitative difference between the sleep an individual needs and the sleep they actually get. The “Biological Cost” extends this to quantify the tangible, measurable physiological damage caused by this persistent deficit in recovery time.
Mechanism
Chronic sleep restriction disrupts the hypothalamic-pituitary-adrenal (HPA) axis, leading to elevated evening cortisol levels and impaired growth hormone secretion, which hinders nocturnal repair processes. This hormonal imbalance impairs insulin sensitivity, increases appetite-regulating hormones (ghrelin/leptin dysregulation), and compromises immune function. These systemic effects thereby directly accelerate metabolic and systemic decline, manifesting as weight gain and increased disease risk.
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