Nonrestorative sleep is used to describe the feeling you get when you wake in the morning feeling unrefreshed. It’s a purely subjective experience and, perhaps unsurprisingly, it is commonly associated with sleep disturbances such as insomnia, short sleep duration, and poor sleep quality.
That being said, nonrestorative sleep has been found to affect up to 10 percent of the general population — so it may not necessarily be a symptom of other sleep issues.
A 2017 study set out to determine the factors that influence nonrestorative sleep. It turns out that unhealthy lifestyle factors may be partly to blame.
The study involved 9,788 individuals between the ages of 30 and 74. Participants were assessed for nonrestorative sleep based on their answer to the following ‘yes/no’ question: Do you get adequate rest during sleep?
Those who answered “no” to the question were considered to be experiencing nonrestorative sleep.
Common risk factors for nonrestorative sleep
Questionnaires were used to assess factors that have previously been associated with nonrestorative sleep, specifically:
- Sleep quality
- Medication use
- Exercise habits
- Symptoms of gastroesophageal reflux disease (GERD)
- Psychological factors such as stress and symptoms of depression
The strongest risk factors for nonrestorative sleep
The study found sleep durations of under five hours, frequent sleepiness, and nocturia symptoms to be independently associated with nonrestorative sleep.
Other risk factors included an irregular sleep schedule; frequent stress; symptoms of depression; symptoms of GERD; and use of hypnotic drugs.
Could sleep apnea be blamed for nonrestorative sleep?
Although this study did not assess sleep apnea, previous studies have found a link between nonrestorative sleep and obstructive sleep apnea.
How to protect against nonrestorative sleep
Regular, habitual exercise may protect against nonrestorative sleep. The study found that those who reported exercising for at least 30 minutes twice a week for the past year were less likely to experience nonrestorative sleep.
Diet and evening meals affect sleep, too. Those who didn’t skip breakfast, ate dinner at least two hours before going to bed, and didn’t snack after dinner were more likely to enjoy restorative sleep.
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Martin is the creator of Insomnia Land’s free insomnia sleep training. His online course uses CBT techniques to teach participants how to sleep better without relying on sleeping pills. More than 5,000 insomniacs have completed his course and 97 percent of graduates say they would recommend it to a friend.