Why Am I Still Tired After Sleeping 7-8 Hours? - Internal Medicine

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Feeling tired despite sleeping for a long time and needing to sleep more?


Hello, Doctor.
I have seen news reports stating that sleeping for at least 7 hours is generally sufficient, so I usually sleep between 7 to 8 hours.
However, sometimes I still feel the urge to sleep more.
I would like to ask, if I sleep for a long time but still feel tired, should I continue to sleep or should I get up and engage in some activities? Thank you.

KK, 20~29 year old female. Ask Date: 2007/11/02

Dr. Cai Yaozhou reply Internal Medicine


The golden sleep period for humans is from 10 PM to 6 AM.
This is when the human circadian rhythm activates at 10 PM, leading to the secretion of growth hormone and melatonin, a slight decrease in body temperature, and a gradual transition of brain waves from high-amplitude alpha waves to slow waves.
At this time, non-rapid eye movement (NREM) sleep transitions from the sleep onset phase to light sleep, with regular breathing and heartbeat.
Neurons in the brain also begin to activate, secreting various hormones and allowing the immune system to self-regulate.
According to statistics, individuals who average 7 hours of sleep per day tend to have the longest lifespan, making 7 hours of sleep ideal.
Naturally, younger individuals require more sleep, while older individuals need less.
The circadian rhythm is explained as follows:
Time Periods:
- Midnight 12:00 AM to 1:00 AM: Light Sleep Phase - This is a time of vivid dreams and sensitivity; individuals who are unwell may easily wake up in pain.
- 1:00 AM to 2:00 AM: Detoxification Phase - The liver is actively working to eliminate toxins, so it is best to allow the body to remain in a sleep state to enable the liver to complete its metabolic processes.
- 3:00 AM to 4:00 AM: Dormancy Phase - This is when critically ill patients are most likely to experience complications, and many may pass away during this time.
It is advisable not to stay up past this hour.
- 9:00 AM to 11:00 AM: Peak Phase - This is when attention and memory are at their best, making it the optimal time for work and study.
- 12:00 PM to 1:00 PM: Lunch Break Phase - It is best to sit quietly or rest with closed eyes before eating; avoid alcohol at noon as it can lead to intoxication and liver damage.
- 2:00 PM to 3:00 PM: High Peak Phase - This is the prime time for analytical and creative thinking.
- 4:00 PM to 5:00 PM: Low Phase - This is a stage of physical fatigue; it is best to snack on fruits to avoid overeating due to hunger, which can lead to obesity.
- 5:00 PM to 6:00 PM: Relaxation Phase - Blood sugar levels slightly increase, and the senses of smell and taste are most sensitive; preparing dinner can help boost energy.
- 7:00 PM to 8:00 PM: Rest Period - It is advisable to take a walk or shower 30 minutes after dinner to relax and relieve the day's fatigue.
- 8:00 PM to 10:00 PM: Night Activity Phase - This is the peak time for evening activities; it is recommended to engage in discussions or activities that require careful consideration.
- 11:00 PM to 12:00 AM: Sleep Phase - After a busy day, it is time to relax and enter dreamland; be careful not to overload the body, as that could lead to adverse effects.

Reply Date: 2007/11/02

More Info


Feeling tired after getting 7-8 hours of sleep can be frustrating and confusing, especially when you've been told that this amount of sleep should be sufficient for most adults. However, there are several factors that could contribute to your ongoing fatigue, even after what seems like an adequate amount of sleep.

Firstly, it's important to understand that sleep quality is just as crucial as sleep quantity. Even if you are in bed for 7-8 hours, if your sleep is fragmented or of poor quality, you may not be getting the restorative benefits that come from deeper stages of sleep. Sleep consists of several cycles, including light sleep, deep sleep, and REM (rapid eye movement) sleep. Deep sleep is particularly important for physical recovery and cognitive function, while REM sleep is vital for emotional regulation and memory consolidation. If you frequently wake up during the night or experience disturbances, you may not be reaching these deeper stages of sleep, leading to feelings of tiredness upon waking.

Another factor to consider is your sleep environment. Noise, light, and an uncomfortable mattress or pillow can all disrupt your sleep quality. Additionally, lifestyle factors such as stress, anxiety, and diet can significantly impact how well you sleep. For instance, consuming caffeine or heavy meals close to bedtime can interfere with your ability to fall asleep and stay asleep. Similarly, high levels of stress or anxiety can lead to racing thoughts that make it difficult to relax and enter a restful state.

Moreover, your body's circadian rhythm plays a significant role in how rested you feel. If your sleep schedule is irregular or if you are a night owl trying to conform to a more traditional schedule, your body may not be aligned with its natural sleep-wake cycle. This misalignment can lead to feelings of fatigue, even after a full night’s sleep.
If you find yourself waking up feeling tired, it may be beneficial to evaluate your sleep hygiene practices. Here are some tips to improve your sleep quality:
1. Maintain a Consistent Sleep Schedule: Try to go to bed and wake up at the same time every day, even on weekends. This helps regulate your body's internal clock.

2. Create a Relaxing Bedtime Routine: Engage in calming activities before bed, such as reading, taking a warm bath, or practicing relaxation techniques like deep breathing or meditation.

3. Optimize Your Sleep Environment: Ensure your bedroom is conducive to sleep. This includes a comfortable mattress and pillows, a cool room temperature, and minimal noise and light.

4. Limit Screen Time Before Bed: The blue light emitted by phones, tablets, and computers can interfere with melatonin production, making it harder to fall asleep.

5. Be Mindful of Diet and Exercise: Regular physical activity can promote better sleep, but try to avoid vigorous exercise close to bedtime. Additionally, be cautious with caffeine and alcohol consumption, especially in the hours leading up to sleep.

6. Consider Professional Help: If you continue to feel excessively tired despite making these changes, it may be worth consulting a healthcare professional. Conditions such as sleep apnea, depression, or other medical issues could be contributing to your fatigue.

In conclusion, while 7-8 hours of sleep is generally recommended, the quality of that sleep is paramount. If you find yourself still feeling tired, it may be time to assess your sleep habits and environment, and consider seeking professional advice if necessary. Engaging in light activities during the day can also help boost your energy levels and improve your overall well-being.

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