Alcohol and sleep: why a nightcap keeps you from resting well
Sleep
Key points
- Alcohol shortens the time to fall asleep but disrupts sleep later in the night.
- It suppresses REM sleep, which matters for memory and emotions.
- Overnight physiological recovery dropped by about 9% with a low dose, 24% with a moderate dose and 39% with a high dose.
- Alcohol worsens snoring and sleep apnea.
The “nightcap” myth
Many people use a drink to relax and fall asleep. Alcohol is a sedative, so it does make it easier to drift off, but the rest of the night pays the price.
What the research shows
Sleep architecture. A review of 27 studies found that alcohol at all doses shortened the time to fall asleep and deepened sleep in the first half of the night, but disrupted the second half and suppressed REM sleep, especially at higher doses (Ebrahim et al., 2013).
Overnight recovery. In a Finnish study of more than 4,000 people wearing heart rate monitors, alcohol lowered physiological recovery (heart rate variability) during the first 3 hours of sleep by about 9% at low doses, 24% at moderate doses and 39% at high doses (Pietilä et al., 2018).
Other effects
- Alcohol relaxes throat muscles, worsening snoring and sleep apnea.
- It increases trips to the bathroom at night.
- Regular drinking to fall asleep can lead to tolerance and dependence.
What to do instead
Sleep hygiene research supports avoiding alcohol close to bedtime as part of good sleep habits (Irish et al., 2015). Instead, try:
- a nonalcoholic evening ritual: herbal tea, a warm shower, reading;
- relaxation or slow breathing;
- a consistent bedtime and wake time.
Frequently asked questions
Does a single glass of wine affect sleep?
In the Finnish study, even a low dose reduced recovery measured by heart rate variability, although the effect was smaller than with more drinks.
How long before bed should I stop drinking?
Effects depend on the amount. Many sleep experts suggest finishing alcohol at least 3 to 4 hours before bed, and less is better.
Sources
- Ebrahim et al. (2013). Alcohol and Sleep I: Effects on Normal Sleep. Alcoholism: Clinical and Experimental Research 37(4). doi:10.1111/acer.12006
- Pietilä et al. (2018). Acute Effect of Alcohol Intake on Cardiovascular Autonomic Regulation During the First Hours of Sleep in a Large Real-World Sample of Finnish Employees: Observational Study. JMIR Mental Health 5(1):e23. doi:10.2196/mental.9519
- Irish et al. (2015). The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep Medicine Reviews 22:23-36. doi:10.1016/j.smrv.2014.10.001
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