Waking up at night: what is normal and what is not

Updated Six Habits Editorial Team
The short answerBrief awakenings at night are a normal part of sleep, especially as we age. Sleep lab data from healthy adults show that time awake after falling asleep naturally increases with age. It becomes a problem when awakenings are long, frequent and cause daytime fatigue. The key is not to panic or check the clock.

Key points

What the research shows

Sleep runs in cycles of about 90 minutes, and brief awakenings between cycles are normal. Most of them are so short we do not remember them.

Reference data. A study of polysomnography in healthy adults without sleep complaints found that time awake after sleep onset increases steadily with age, while deep sleep decreases (Hertenstein et al., 2018).

Meta-analysis. A meta-analysis of sleep studies from childhood to old age showed that total sleep time, sleep efficiency and deep sleep decline with age, while awakenings increase (Ohayon et al., 2004).

What helps

Frequently asked questions

Is waking at 3 a.m. a sign of something wrong?

Not necessarily. Brief awakenings between sleep cycles are normal; they only matter if you cannot fall back asleep and feel tired during the day.

Should I check the time when I wake up?

No. Clock-watching increases anxiety. Turn the clock away from the bed.

Sources

  1. Hertenstein et al. (2018). Reference Data for Polysomnography-Measured and Subjective Sleep in Healthy Adults. Journal of Clinical Sleep Medicine 14(4):523-532. doi:10.5664/jcsm.7036
  2. Ohayon et al. (2004). Meta-Analysis of Quantitative Sleep Parameters From Childhood to Old Age in Healthy Individuals: Developing Normative Sleep Values Across the Human Lifespan. Sleep 27(7):1255-1273. doi:10.1093/sleep/27.7.1255
  3. Trauer et al. (2015). Cognitive Behavioral Therapy for Chronic Insomnia. Annals of Internal Medicine 163(3):191-204. doi:10.7326/M14-2841

Prepared according to our evidence methodology and the principles of lifestyle medicine. For education only; it does not replace advice from your doctor.

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