Sleep, Longevity & Disease Risk: What the Evidence Really Shows (2026)
Executive Summary Sleep is not a passive state — it is a biological repair system that influences metabolism, immune function, brain health, and lifespan. Large‑scale population data now show that chronic short sleep is independently associated with shorter life expectancy, rivaling smoking and obesity as a longevity risk factor. This article integrates epidemiological data, mechanistic biology, and clinical implications into a single evidence‑based framework. Why Sleep Is a Longevity Pillar Sleep regulates: Hormonal balance (insulin, cortisol, growth hormone) Immune surveillance and inflammation Brain waste clearance (glymphatic system) Cellular repair and mitochondrial function When sleep is consistently insufficient or fragmented, these systems deteriorate in parallel — accelerating biological aging. Population‑Level Evidence: Sleep and Life Expectancy County‑Level Data Across the United States A major epidemiological analysis published in Sleep Advances (2025) examined sleep ...